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editorial
. 2020 Aug 7;25(2):113–116. doi: 10.1016/j.bjpt.2020.07.009

Table 1.

Clinical recommendations for the use of telerehabilitation.

What to do How
Evidence-based is the foundation • Share evidence-based information with your patient through diverse media, in an understandable language;
• Encourage active participation in discussions of health-related topics;
• Support a non-judgmental environment that encourages expressing personal beliefs;
• Use teaching-back strategies for motivating participation.
Choose the best way of communicating • Choose simple words to avoid misunderstanding, avoid technical language or use of medical jargon;
• Give simple commands to avoid information-overload;
• Use specific body regions and spatial references to guide exercises or meditation (eg, align your spine imagining your head wants to reach the ceiling);
• Video material and videoconferences are good ways of demonstrating exercises: you can perform them to mirror your patient.
Listen to your patient's preferences • Look forward to understand:
 your patient's preferred means for receiving care (eg, telephone, videoconference, text-messaging) or suggest trying different modes to understand the patient's preference;
 your patient's expectations and acceptability for telerehabilitation;
 your patient's needs in terms of information content and physical activity/exercise program.
Tackle demotivation • Use shared experiences to build and strengthen therapeutic alliance.
• Include weekly challenges;
• Send reminders such as tailored pre-recorded messages;
• Provide useful information/strategies that patients can easily put in practice;
• Align your rehabilitation program to balance necessary activities with the patient's preferred activities (eg, include functional activities that he/she shows interest in).
Ensure patient has access • Understand your patient's reality: sociodemographic condition, previous experience with technology;
• Assess your patient's health and digital health literacy levels;
• Adapt your interventions to encompass the type of medias he/she has access to.