Why You Should Consider Virtual Athletic Therapy

When people hear “virtual rehab”, they often think it must be less effective because it’s not hands-on. But the evidence shows otherwise.

While telehealth has been growing since before 2020, the COVID-19 pandemic certainly accelerated its adoption— and the research to support it. We now have a much clearer picture of how virtual rehabilitation performs, and the evidence shows it is a strong, effective alternative to in-person musculoskeletal rehab.

Overall, the research shows that telehealth is just as effective as traditional in-person appointments for improving pain and physical function, with patients reporting overall satisfaction and positive experiences. Several recurring themes help explain these results and make telehealth a genuinely modern way to deliver rehabilitation.

Ease, Flexibility, and Convenience
One of the major benefits of virtual care is the convenience of appointments and the scheduling flexibility, removing some of the practical barriers to injury rehab. Online appointments eliminate the need to drive to and from a physical location and sit in a waiting room, taking away more time from your day. Appointments can be met wherever you are, and offer flexibility and efficiency in terms of your pace, your space, and your time. This is a benefit for those with hectic schedules, live in more rural areas, or who need quick access to a professional.

More Comfort at Home
To add to that, many patients reported feeling more at ease at home, noting it as a “safe zone”, as opposed to sharing a space with other people, adding distractions. Patients felt they could be more open because of the comfort and privacy of being at home. As well, there is the added benefit of tailoring exercise programs to the space and equipment available at home.

Less Distraction, More Personal
To piggyback on patients feeling like they can open up more at home, this offers the opportunity for more personal communication with the therapist. Distractions of noises, interruptions, and others in the background are removed, leading to more meaningful and connected conversations. This is important because therapeutic alliance (the patient and therapist working together) has consistently been shown to be an important factor in people’s recovery from pain and injury. Patients have noted that the care they received felt more personalized and tailored to their own environment. Collaboration, warmth, and support between a patient and therapist can still exist without face-to-face contact.

More Focus on What Matters
Two more important factors for patients’ recovery are education and reassurance, which are commonly first-line treatments for those with pain and injury (especially low back pain). This is easily deliverable through virtual means, especially when there is that strong therapeutic alliance. Because of the distance between the patient and therapist, patients are left with self-management tools to guide their recovery, making them more active in the process. There is more onus on the patient to take control of their pain/injury as opposed to having a therapist there to apply a modality or massage an area.

Similar Experience from Providers
Aside from a few specific cases, virtual assessments are just as reliable as in-person ones for most common injuries and pain conditions. Detailed history-taking often becomes more effective in this relaxed setting, and functional or orthopedic tests can easily be adapted for video. Therapists can still accurately identify issues and create tailored, progressive plans with confidence.

Virtual athletic therapy provides the same high-quality outcomes and satisfaction as in-person sessions — with added benefits like convenience, flexibility, time efficiency, and comfort. It’s an effective, evidence-backed option for anyone looking to assess, understand, and rehabilitate their sports or activity-related injuries, no matter where they are.

References:
Barton, C. J., Ezzat, A. M., Merolli, M., Williams, C. M., Haines, T., Mehta, N., et al. “It's second best”: A mixed-methods evaluation of the experiences and attitudes of people with musculoskeletal pain towards physiotherapist delivered telehealth during the COVID-19 pandemic. Musculoskeletal Science and Practice. 2022; 58, Article 102500. https://doi.org/10.1016/j.msksp.2021.102500.

Bennell KL, Marshall CJ, Dobson F, Kasza J, Lonsdale C, Hinman RS. Does a web-based exercise programming system improve home exercise adherence for people with musculoskeletal conditions?: A randomized controlled trial. Am J Phys Med Rehabil. 2019; 98 (10): 850-858. doi: 10.1097/PHM.0000000000001204.

Bucki FM, Clay MB, Tobiczyk H, Green BN. Scoping review of telehealth for musculoskeletal disorders: applications for the COVID-19 pandemic. J Manipulative Physiol Ther. 2021; 44 (7): 558-565. doi: 10.1016/j.jmpt.2021.12.003.

Cottrell MA, Galea OA, O’Leary SP, Hill AJ, Russell TG. Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: a systematic review and meta-analysis. Clin Rehab. 2017; 31 (5): 625-638. doi: 10.1177/0269215516645148.

Cottrell MA, O’Leary SP, Raymer M, Hill AJ, Comans T, Russell TG. Does telerehabilitation result in inferior clinical outcomes compared with in-person care for the management of chronic MSK spinal conditions in the tertiary hospital setting? J Telemed Telecare. 2021; 27 (7): 444-452. doi: 10.1177/1357633X19887265.

Cottrell MA, Russell TG. Telehealth for musculoskeletal physiotherapy. Musculoskelet Sci Pract. 2020 ;48: Article 102193. doi: 10.1016/j.msksp.2020.102193.

Cronström A, Sjödahl Hammarlund C. "A feeling of being part of the future": a qualitative study on physical therapists' experiences of delivering digital first-line treatment for hip and knee osteoarthritis. Physiother Theory Pract. 2025;41 (5): 998-1007. doi: 10.1080/09593985.2024.2380478.

Fernandes LG, Devan H, Williams CM. At my own space, pace and place: a systematic review of qualitative studies of enablers and barriers to telehealth interventions for people with chronic pain. Pain. 2022; 163 (2): e165-e181. doi: 10.1097/j.pain.0000000000002364.

Fraser C, Beasley M, Macfarlane G, Lovell K. Telephone cognitive behavioural therapy to prevent the development of chronic widespread pain: a qualitative study of patient perspectives and treatment acceptability. BMC Musculoskelet Disord. 2019; 20 (1):198-1008. doi: 10.1186/s12891-019-2584-2.

Koppenaal T, Pisters MF, Kloek CJ, Arensman RM, Ostelo RW, Veenhof C. the 3-month effectiveness of a stratified blended physiotherapy intervention in patients with nonspecific low back pain: cluster randomized controlled trial. J Med Internet Res. 2022; 24 (2): e31675. doi: 10.2196/31675.

Lawford BJ, Delany C, Bennell KL, Hinman RS. "I was really sceptical...But it worked really well": a qualitative study of patient perceptions of telephone-delivered exercise therapy by physiotherapists for people with knee osteoarthritis. Osteoarthritis Cartilage. 2018; 26 (6):741-750. doi: 10.1016/j.joca.2018.02.909.

Seron P, Oliveros MJ, Gutierrez-Arias R, Fuentes-Aspe R, Torres-Castro RC, Merino-Osorio C, et al. Effectiveness of telerehabilitation in physical therapy: a rapid overview. Phys Ther. 2021; 101 (6): 1-18. doi: 10.1093/ptj/pzab053.

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