For over two-decades, we have been assisting clients nationally primarily with community-based programs, facilitating programming out of local gymnasiums and leisure centres, as well as in people’s homes and outdoor recreation facilities. However, for a number of years – and to assist in servicing remote-located clients primarily, we have also been delivering specific services via Telehealth. Given the current environment and necessity for physical distancing, and noting that physical and mental health is as important as ever, we have greatly expanded our Telehealth services so as to allow us to continue to provide assistance and support with rehabilitation services. We are committed to supporting as many individuals as possible to get back to optimal health and wellness in these difficult times.
How does telehealth work?
We’re here to help! We are ready and committed to assist clients safely and with our usual personalised and personable approach. At Guardian Exercise Rehabilitation, our Telehealth services link our clients with a clinician through videoconferencing for the purpose of:
Conducting an initial assessment to discuss individual needs and formulate a plan and goals.
Completing subsequent review sessions to set-up an exercise program and to provide ongoing progressions of the program working towards the agreed goals.
Providing relevant education and support through thoughtful means.
Why are telehealth services so important now?
There is society-wide awareness of the significant and sinister ill-health effects associated with COVID-19; however, we need to remain mindful of the secondary
impacts on physical and mental health that social isolation, disruption to routine and lifestyle, financial uncertainty, delayed return to work and reduced physical activity will have on our society. In fact, the Australian government themselves have highlighted the psychological side effects of COVID-19 and have voiced concerns regarding the long-term impacts of isolation, and that the fear and panic in the community could cause more harm than COVID-19.
Expert guidance with individualised exercise can not only help with ongoing progress in rehabilitation from personal injury or illness but, may also assist in managing the secondary physical and mental health impacts resulting from the COVID-19 situation.
What can our clients expect?
- The same standard of excellent care and clinical expertise as with services delivered in person noting Guardian has many years of experience with Telehealth services.
- Assistance with setting up the technology to enable participation in Telehealth services.
- Flexibility in providing constant appointment availabilities.
- Intuition, imagination and determination to create bespoke, enjoyable and effective programs.
- Regular touch-points and progressions with a clinician working towards individual goals.
- Absolute sensitivity and security with online handling of medical information.
The accessibility and personal skills of Hailey for me as a client were fantastic, and well suited to my needs. The integration of personal/ professional interaction was wonderfully apt and tailored to me, which made a world of difference … got me back to a job I can do and my quality of life is vastly improved.Life Insurance Client
This Wednesday I wanted to cancel my appointment due to COVID-19, however Kara gave me the option of Telehealth. We were still able to run through how to safely exercise to manage my CFS condition. Kara educated me around RPE, she also demonstrated and guided me through three amended resistance exercises. I was pleased to be able to continue with my program and feel motivated and confident with Kara’s support.Workers’ Compensation Client
What does the evidence say?
Telehealth services have been scientifically proven to be practically feasible and appropriate for support during the COVID-19 pandemic. Whilst the body of evidence is ever-growing, there is extensive, high-quality scientific literature that details the efficacy of delivering Telehealth services for individuals experiencing a vast array of injuries or illness; some selected examples:
- Physical exercise interventions delivered via Telehealth show benefits in relation to reductions in pain and disability for those experience chronic pain conditions, comparable with usual face-to-face care.
- More specifically, high-quality evidence shows that Telehealth was not different to other interventions on pain at long-term, physical function at short-term and long-term and quality of life at short-term and long-term.
- Systematic reviews show that pain neuroscience education has clinically meaningful impacts on fear and pain catastrophizing. Effectively providing this education requires consistency in language, terminology and concepts used by health providers – and Telehealth interventions may facilitate this consistency.
- A comprehensive review of research found results from three individual trials that showed that Telehealth was beneficial in improving quality of life for those suffering with chronic low back pain.
- Research has reported high client satisfaction with a 6-week Telehealth rehabilitation intervention compared to usual care after total knee arthroplasty.
- Telehealth services have been shown to be effective in supporting recovery from Mental Illnesses including depression, anxiety and Post Traumatic Stress Disorder (PTSD).
- An 8-week Telehealth exercise program may improve adverse effects and maintain benefits in breast cancer survivors – with improvements noted in cognitive functioning, pain severity, muscular strength and total fatigue.
- Another randomized trial in 68 women with breast cancer undergoing chemotherapy adopted a tailored, internet-based exercise program and reported physical fitness improvements.
- Telehealth modalities including the web, telephone and videoconference delivered to clients with cardiometabolic disorders such as diabetes, Chronic Obstructive Pulmonary Disease (COPD), Irritable Bowel Syndrome (IBS) and heart failure were found to significantly improve health outcomes.
- A home-based exercise program lasting for 12 weeks delivered via Telehealth was found to be effective in increasing physical activity levels, elevating exercise tolerances and improving health-related quality of life in those with cardiometabolic disorders.
Refer a client
Dario, A et al. (2017). Effectiveness of telehealth-based interventions in the management of non-specific low back pain: a systematic review with meta-analysis. The Spine Journal.
Galiano-Castillo, N et al. (2016). Telehealth System: A Randomized Controlled Trial Evaluating the Impact of an Internet-Based Exercise Intervention on Quality of Life, Pain, Muscle Strength, and Fatigue in Breast Cancer Survivors. Journal of Cancer.
Garcia-Lizana, F., Munoz-Mayorga, I. (2010). Telemedicine for depression: A systematic review. Perspectives in Psychiatric Care.
Lee, A. (2018). Telehealth Physical Therapy in Musculoskeletal Practice. Journal of Orthopaedic and Sport Physical Therapy.
Rush, K et al. (2018). The efficacy of telehealth delivered educational approaches for patients with chronic diseases: A systematic review. Patient Education and Counselling.
Turgoose, D et al. (2018). Systematic review of lessons learned from delivering tele-therapy to veterans with post-traumatic stress disorder. Journal of Telemedicine and Telecare.
Zhou, X et al. (2020). The Role of Telehealth in Reducing the Mental Health Burden from COVID-19. Telemedicine and e-Health.