physioscience 2025; 21(S 03): S9-S10
DOI: 10.1055/s-0045-1812367
Abstracts
Präsentationen/Presentations
PS 5

Feasibility of blended therapy: Face-to-face Physiotherapy combined with tablet-based exercises

Autor*innen

  • P Baschung Pfister

    1   University Hospital Zurich, Department of Physiotherapy and Occupational Therapy, Zurich, Switzerland
    2   University Hospital Zurich, Physiotherapy Occupational Therapy Research Center, Directorate of Research and Education, Zurich, Switzerland
    3   Physioswiss, Professional Development, Bern, Switzerland

  • A Juanós

    1   University Hospital Zurich, Department of Physiotherapy and Occupational Therapy, Zurich, Switzerland
    2   University Hospital Zurich, Physiotherapy Occupational Therapy Research Center, Directorate of Research and Education, Zurich, Switzerland
    4   University Hospital Zurich, Department of Medical Oncology and Hematology, Zurich, Switzerland

  • A Bärlocher

    1   University Hospital Zurich, Department of Physiotherapy and Occupational Therapy, Zurich, Switzerland
    2   University Hospital Zurich, Physiotherapy Occupational Therapy Research Center, Directorate of Research and Education, Zurich, Switzerland

  • I Hegemann

    4   University Hospital Zurich, Department of Medical Oncology and Hematology, Zurich, Switzerland

  • E D de Bruin

    5   ETH Zurich, Department of Health Sciences and Technology, Institute of Human Movement Sciences and Sport, Zurich, Switzerland
    6   Karolinska Institutet, Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Solna, Sweden
    7   OST – Eastern Swiss University of Applied Sciences, Department of Health, St. Gallen, Switzerland

  • R Knols

    2   University Hospital Zurich, Physiotherapy Occupational Therapy Research Center, Directorate of Research and Education, Zurich, Switzerland
    5   ETH Zurich, Department of Health Sciences and Technology, Institute of Human Movement Sciences and Sport, Zurich, Switzerland
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Background The beneficial effects of resistance training for People with Hemophilia (PWH) is well known, but starting to exercise on a regular basis remains a challenge. Blended therapy, defined as the combination of face-to-face physiotherapy (PT) and tele-therapy may help untrained PWH to overcome some of the barriers to starting a regular exercise program. However, little is known about its use in this therapeutic setting, so this study was initiated to evaluate the feasibility of such a blended therapy approach.

Methods A comparison pre and post therapy, combining face-to-face PT sessions and a remotely supervised 12-week home-exercise program, was performed. The primary results detailed the feasibility of the combined approach in terms of recruitment rate, attrition rate, adherence rate, reasons for dropouts and adverse events, while the secondary ones assessed the acceptance of (technology acceptance model, TAM) and satisfaction with (satisfaction questionnaire, SQ) this blended therapy.

Results Of the 80 contacted PWH (57 mild, 5 moderate, 18 severe), 14 agreed to participate, yielding an 18% recruitment rate. Recruitment varied by severity (1 mild, 8 moderate, 5 severe). Five participants dropped out due to technical issues (1), a traffic accident (1), pain (2), and lost contact (1), resulting in a 36% attrition rate. Of the nine finishers, 67% (6) completed at least 80% of the training, with a mean adherence rate of 88% (range 50–100%). No adverse events occurred. Mean TAM scores ranged from 5.5 to 6.38 (scale 1–7), indicating positive perceptions. The SQ showed high satisfaction with both "PT session" and "home program" subgroups. Patients preferred longer and more frequent training, with most valuing motivational aspects, like PT oversight and written feedback. However, six participants were dissatisfied with the technology.

Conclusion This study indicates that a blended therapy approach is feasible. Although adaptations to patients’ needs and in the recruiting process are still required. The drop-out rate was rather high, but the finishers showed high adherence to the program.



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Artikel online veröffentlicht:
23. Oktober 2025

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