# A Meta-Synthesis on Clients’ Experience with Telerehabilitation

## TL;DR

This study reviews how clients experience telerehabilitation, finding it can improve access to care but depends on proper support and infrastructure.

## Contribution

A systematic synthesis of client experiences with telerehabilitation, highlighting its implications for health delivery and equity.

## Key findings

- Telerehabilitation improves accessibility and reduces patient burden when supported properly.
- Digital and contextual challenges can hinder the effectiveness of telerehabilitation.
- Successful telerehabilitation depends on alignment between patient capability, clinical needs, and organizational support.

## Abstract

Background: Telerehabilitation (TR) enables equitable access to therapeutic care over a distance; however, there is still a level of uncertainty about its efficiency in comparison with the traditional methods. Perception of patients has been inconclusive with aspects of technology use, quality care provision, and the satisfaction of patients with TR services being raised as issues to be investigated further. A systematic synthesis of patient experience is needed to establish TR’s general implications on health and well-being. Hence, the aim of this study is to review perceptions and experiences of clients on telerehabilitation. Methods: A systematic review of qualitative studies was conducted using eight electronic databases from inception to February 2026. Data were synthesized and the Critical Appraisal Skills Programme (CASP) tool was employed to assess quality of included studies. Results: The search strategy identified a total of 1667 articles and after removing duplicates and excluding articles based on title and abstract, and full text screening, 26 studies were included. Four major themes were developed: enhanced accessibility and reduced burden, perceived efficiency and continuity of care, therapeutic relationship and social presence, and digital and contextual challenges. Conclusions: Telerehabilitation reshapes rehabilitation delivery rather than merely adding technology. Its effectiveness depends on alignment among patient capability, clinical needs, and organizational support. When supported by adequate infrastructure and relational adaptation, it can enhance access and continuity and contribute to inclusive health delivery. However, if digital and contextual barriers remain unaddressed, telerehabilitation may inadvertently reinforce existing inequities.