Digital learning in physiotherapy education: Exploring design approaches through meta-analysis

Pooja Varma; Lakshyashree; Kajal Chheda; Wamika Goyal; Trapty Agarwal

doi:10.31893/multirev.2023ss045

Keywords:

Physiotherapy education

Blended Learning

Meta-analysis

Digital learning models

Abstract

The implementation of internet-based educational designs to enhance teaching and learning could be advantageous for higher education. There is not much research on digital methods of learning in physiotherapy education. The investigation examines and assesses methods of online learning in an effort to raise the standard of physiotherapy education. An extensive meta-analysis and evaluation of both randomized and non-randomized tests are the proposed methods of the research. A map was made of the digital initiatives and research mentioned in the list. Learning impacts for similar interventions were determined by means of meta-analysis. Five cohort investigations and ten randomized controlled trials make up the total of 15 researches included in the evaluation. Blended learning, remote learning, and the flipped classroom methodology were all used in 14 studies. In all, seven of the fifteen pieces of content were referenced in the flipped classrooms have statistically significant effects on learning, according to a meta-analysis for interaction uses on useful skills. Based on the findings, integrating pedagogical approaches is equally, if not more, more efficient than a regular classroom instruction in obtaining learning objectives. Results in online education did not show any discernible variations from traditional classroom training. It has been found that space learning and integrated learning are just as effective as traditional teaching approaches, if not more so, in the field of physiotherapy education. The meta-analysis found that using student-made videos, flipped classrooms, and interactive websites improved students' learning. Larger controlled trials are needed to validate these results. Research ought to investigate the ways in which online learning models can make possible students' assimilation in pragmatic abilities and behaviors, facilitate their understanding of concepts, enhance their memory of contents, and cultivate methods of learning. Further, it needs to examine digital learning materials and information bases.
References
1. Bartlett AS & Smith N., (2020). The Effect of a Cardiovascular and Pulmonary Mobile Application on Student Learning of Assessment Skills: A Pilot Study. CardiopulmPhysTher J., 31(2), 66–73. Doi: 10.1097/CPT.0000000000000112
2. Barton, C.J., Ezzat, A.M., Bell, E.C., Rathleff, M.S., Kemp, J.L. & Crossley, K.M., (2022). Knowledge, confidence and learning needs of physiotherapists treating persistent knee pain in Australia and Canada: a mixed-methods study. Physiotherapy Theory and Practice, 38(12), 2073-2085. Doi: https://doi.org/10.1080/09593985.2021.1906805
3. Bennell, K.L., Lawford, B.J., Metcalf, B., Mackenzie, D., Russell, T., van den Berg, M., Finnin, K., Crowther, S., Aiken, J., Fleming, J. & Hinman, R.S., (2021). Physiotherapists and patients report positive experiences overall with telehealth during the COVID-19 pandemic: a mixed-methods study. Journal of physiotherapy, 67(3), 201-209. Doi: https://doi.org/10.1016/j.jphys.2021.06.009
4. Covill L & Cook J. (2019), Comparison of Academic Performance in Traditional and Flipped Classrooms and Students' Attitudes of the Flipped Experience. J Allied Health.; 48(1), e1 –7.doi: 10.1186/s12909-020-02483-w.
5. Day LJ. (2018), A gross anatomy flipped classroom effects performance, retention, and higher-level thinking in lower performing students. AnatSci Educ. 11(6), 565 –74.Doi: https://doi.org/10.1002/ase.1772
6. Deprey SM. (2018), Outcomes of Flipped Classroom Instruction in an Entry-Level Physical Therapy Course. J PhysTher Educ., 32(3), 289 –94. Doi:10.1097/JTE.0000000000000035
7. Fernández-Carnero, S., Martin-Saborido, C., Achalandabaso Ochoa-Ruiz de Mendoza, A., Ferragut-Garcias, A., Cuenca-Zaldivar, J.N., Leal-Quiñones, A., Calvo-Lobo, C. & Gallego-Izquierdo, T., (2021). The role of rehabilitative ultrasound imaging technique in the lumbopelvic region as a diagnosis and treatment tool in physiotherapy: Systematic review, meta-analysis, and meta-regression. Journal of Clinical Medicine, 10(23), 5699. Doi: https://doi.org/10.3390/jcm10235699
8. He, L., Yang, N., Xu, L., Ping, F., Li, W., Sun, Q., Li, Y., Zhu, H. & Zhang, H., (2021). Synchronous distance education vs traditional education for health science students: A systematic review and meta‐analysis. Medical education, 55(3), 293-308.
9. Inamdar, K., Molinini, R.M., Panibatla, S.T., Chow, J.C. & Dusing, S.C., (2021). Physical therapy interventions to improve sitting ability in children with or at‐risk for cerebral palsy: a systematic review and meta‐analysis. Developmental Medicine & Child Neurology, 63(4), 396-406. Doi: https://doi.org/10.1111/dmcn.14772
10. Jones, S.E., Campbell, P.K., Kimp, A.J., Bennell, K., Foster, N.E., Russell, T. & Hinman, R.S., (2021). Evaluation of a novel e-learning program for physiotherapists to manage knee osteoarthritis via telehealth: a qualitative study nested in the PEAK (physiotherapy exercise and physical activity for knee osteoarthritis) randomized controlled trial. Journal of Medical Internet Research, 23(4), e25872. Doi: 10.2196/25872
11. Jorge, A.E.S., Bennell, K.L., Kimp, A.J., Campbell, P.K. & Hinman, R.S., (2021). An e-Learning program for physiotherapists to manage knee osteoarthritis via telehealth during the COVID-19 pandemic: real-world evaluation study using registration and survey data. JMIR Medical Education, 7(4), e30378. Doi: 10.2196/30378
12. Kononowicz, A.A., Woodham, L.A., Edelbring, S., Stathakarou, N., Davies, D., Saxena, N., Car, L.T., Carlstedt-Duke, J., Car, J. & Zary, N., (2019). Virtual patient simulations in health professions education: systematic review and meta-analysis by the digital health education collaboration. Journal of medical Internet research, 21(7), e14676.Doi: 10.2196/14676
13. Leahy, E., Chipchase, L., Calo, M. & Blackstock, F.C., (2020). Which learning activities enhance physical therapist practice? Part 1: a systematic review and meta-analysis of quantitative studies. Physical therapy, 100(9), 1469-1483. Doi: https://doi.org/10.1093/ptj/pzaa107
14. Lozano-Lozano M, Galiano-Castillo N, Fernández-Lao C, Postigo-Martin P, Álvarez-Salvago F, Arroyo-Morales M, et al. (2020); The Ecofisio Mobile App for Assessment and Diagnosis Using Ultrasound Imaging for Undergraduate Health Science Students: Multicenter Randomized Controlled Trial. J Med Internet Res. 22(3), e16258. Doi: 10.2196/16258
15. Ogbeivor, C. & Elsabbagh, L., (2021). Management approach combining prognostic screening and targeted treatment for patients with low back pain compared with standard physiotherapy: A systematic review & meta‐analysis. Musculoskeletal care, 19(4), 436-456.Doi: https://doi.org/10.1002/msc.1541
16. Ortega, M.A.C., Marchese, V.G., Zarro, M.J., Film, R.J., Shipper, A.G. & Felter, C., (2022). Digital and blended curriculum delivery in health professions education: an umbrella review with implications for Doctor of Physical Therapy education programs. Physical Therapy Reviews, 27(1), 4-24. Doi: https://doi.org/10.1080/10833196.
17. Rocha ACB, Pereira JLB, Soares CFT, Barbosa P, da Silva AC, de Moraes AM, et al. (2017), The effects of a video game on student performance in the knowledge test in the discipline "professional practice and ethics in physiotherapy" from the university of brasilia. EtdEducacaoTematica Digital, 19(2), 570–81. Doi: https://doi.org/10.20396/etd.v19i2.8645950
18. Suso-Martí, L., La Touche, R., Herranz-Gómez, A., Angulo-Díaz-Parreño, S., Paris-Alemany, A. & Cuenca-Martínez, F., (2021). Effectiveness of telerehabilitation in physical therapist practice: An umbrella and mapping review with meta–a meta-analysis. Physical therapy, 101(5), p.pzab075. Doi: https://doi.org/10.1093/ptj/pzab075
19. Tomé, A. & Coelho, J.L., (2023). Physiotherapy Education in the Digital Era: A Roadmap of Educational Technologies for Allied Health Educators. In Handbook of Research on Instructional Technologies in Health Education and Allied Disciplines, 26-54. IGI Global.Doi: 10.4018/978-1-6684-7164-7.ch002
20. Ulrich F, Helms NH, Frandsen UP & Rafn AV. (2019) Learning effectiveness of 360° video: experiences from a controlled experiment in healthcare education. Interact Learn Environ. 1 –14. Doi: https://doi.org/10.1080/10494820.2019. 1579234.
21. Vallée, A., Blacher, J., Cariou, A. & Sorbets, E., (2020). Blended learning compared to traditional learning in medical education: systematic review and meta-analysis. Journal of medical Internet research, 22(8), p.e16504.Doi: 10.2196/16504
22. Zhu, F., Zhang, M., Wang, D., Hong, Q., Zeng, C. & Chen, W., (2020). Yoga compared to non-exercise or physical therapy exercise on pain, disability, and quality of life for patients with chronic low back pain: A systematic review and meta-analysis of randomized controlled trials. PloS one, 15(9), p.e0238544. Doi: https://doi.org/10.1371/journal.pone.0238544

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

How to cite

Varma, P., Lakshyashree, Chheda, K., Goyal, W., & Agarwal, T. (2024). Digital learning in physiotherapy education: Exploring design approaches through meta-analysis. Multidisciplinary Reviews, 6, 2023ss045. https://doi.org/10.31893/multirev.2023ss045

[1] Bartlett AS & Smith N., (2020). The Effect of a Cardiovascular and Pulmonary Mobile Application on Student Learning of Assessment Skills: A Pilot Study. CardiopulmPhysTher J., 31(2), 66–73. Doi: 10.1097/CPT.0000000000000112

[2] Barton, C.J., Ezzat, A.M., Bell, E.C., Rathleff, M.S., Kemp, J.L. & Crossley, K.M., (2022). Knowledge, confidence and learning needs of physiotherapists treating persistent knee pain in Australia and Canada: a mixed-methods study. Physiotherapy Theory and Practice, 38(12), 2073-2085. Doi: https://doi.org/10.1080/09593985.2021.1906805

[3] Bennell, K.L., Lawford, B.J., Metcalf, B., Mackenzie, D., Russell, T., van den Berg, M., Finnin, K., Crowther, S., Aiken, J., Fleming, J. & Hinman, R.S., (2021). Physiotherapists and patients report positive experiences overall with telehealth during the COVID-19 pandemic: a mixed-methods study. Journal of physiotherapy, 67(3), 201-209. Doi: https://doi.org/10.1016/j.jphys.2021.06.009

[4] Covill L & Cook J. (2019), Comparison of Academic Performance in Traditional and Flipped Classrooms and Students' Attitudes of the Flipped Experience. J Allied Health.; 48(1), e1 –7.doi: 10.1186/s12909-020-02483-w.

[5] Day LJ. (2018), A gross anatomy flipped classroom effects performance, retention, and higher-level thinking in lower performing students. AnatSci Educ. 11(6), 565 –74.Doi: https://doi.org/10.1002/ase.1772

[6] Deprey SM. (2018), Outcomes of Flipped Classroom Instruction in an Entry-Level Physical Therapy Course. J PhysTher Educ., 32(3), 289 –94. Doi:10.1097/JTE.0000000000000035

[7] Fernández-Carnero, S., Martin-Saborido, C., Achalandabaso Ochoa-Ruiz de Mendoza, A., Ferragut-Garcias, A., Cuenca-Zaldivar, J.N., Leal-Quiñones, A., Calvo-Lobo, C. & Gallego-Izquierdo, T., (2021). The role of rehabilitative ultrasound imaging technique in the lumbopelvic region as a diagnosis and treatment tool in physiotherapy: Systematic review, meta-analysis, and meta-regression. Journal of Clinical Medicine, 10(23), 5699. Doi: https://doi.org/10.3390/jcm10235699

[8] He, L., Yang, N., Xu, L., Ping, F., Li, W., Sun, Q., Li, Y., Zhu, H. & Zhang, H., (2021). Synchronous distance education vs traditional education for health science students: A systematic review and meta‐analysis. Medical education, 55(3), 293-308.

[9] Inamdar, K., Molinini, R.M., Panibatla, S.T., Chow, J.C. & Dusing, S.C., (2021). Physical therapy interventions to improve sitting ability in children with or at‐risk for cerebral palsy: a systematic review and meta‐analysis. Developmental Medicine & Child Neurology, 63(4), 396-406. Doi: https://doi.org/10.1111/dmcn.14772

[10] Jones, S.E., Campbell, P.K., Kimp, A.J., Bennell, K., Foster, N.E., Russell, T. & Hinman, R.S., (2021). Evaluation of a novel e-learning program for physiotherapists to manage knee osteoarthritis via telehealth: a qualitative study nested in the PEAK (physiotherapy exercise and physical activity for knee osteoarthritis) randomized controlled trial. Journal of Medical Internet Research, 23(4), e25872. Doi: 10.2196/25872

[11] Jorge, A.E.S., Bennell, K.L., Kimp, A.J., Campbell, P.K. & Hinman, R.S., (2021). An e-Learning program for physiotherapists to manage knee osteoarthritis via telehealth during the COVID-19 pandemic: real-world evaluation study using registration and survey data. JMIR Medical Education, 7(4), e30378. Doi: 10.2196/30378

[12] Kononowicz, A.A., Woodham, L.A., Edelbring, S., Stathakarou, N., Davies, D., Saxena, N., Car, L.T., Carlstedt-Duke, J., Car, J. & Zary, N., (2019). Virtual patient simulations in health professions education: systematic review and meta-analysis by the digital health education collaboration. Journal of medical Internet research, 21(7), e14676.Doi: 10.2196/14676

[13] Leahy, E., Chipchase, L., Calo, M. & Blackstock, F.C., (2020). Which learning activities enhance physical therapist practice? Part 1: a systematic review and meta-analysis of quantitative studies. Physical therapy, 100(9), 1469-1483. Doi: https://doi.org/10.1093/ptj/pzaa107

[14] Lozano-Lozano M, Galiano-Castillo N, Fernández-Lao C, Postigo-Martin P, Álvarez-Salvago F, Arroyo-Morales M, et al. (2020); The Ecofisio Mobile App for Assessment and Diagnosis Using Ultrasound Imaging for Undergraduate Health Science Students: Multicenter Randomized Controlled Trial. J Med Internet Res. 22(3), e16258. Doi: 10.2196/16258

[15] Ogbeivor, C. & Elsabbagh, L., (2021). Management approach combining prognostic screening and targeted treatment for patients with low back pain compared with standard physiotherapy: A systematic review & meta‐analysis. Musculoskeletal care, 19(4), 436-456.Doi: https://doi.org/10.1002/msc.1541

[16] Ortega, M.A.C., Marchese, V.G., Zarro, M.J., Film, R.J., Shipper, A.G. & Felter, C., (2022). Digital and blended curriculum delivery in health professions education: an umbrella review with implications for Doctor of Physical Therapy education programs. Physical Therapy Reviews, 27(1), 4-24. Doi: https://doi.org/10.1080/10833196.

[17] Rocha ACB, Pereira JLB, Soares CFT, Barbosa P, da Silva AC, de Moraes AM, et al. (2017), The effects of a video game on student performance in the knowledge test in the discipline "professional practice and ethics in physiotherapy" from the university of brasilia. EtdEducacaoTematica Digital, 19(2), 570–81. Doi: https://doi.org/10.20396/etd.v19i2.8645950

[18] Suso-Martí, L., La Touche, R., Herranz-Gómez, A., Angulo-Díaz-Parreño, S., Paris-Alemany, A. & Cuenca-Martínez, F., (2021). Effectiveness of telerehabilitation in physical therapist practice: An umbrella and mapping review with meta–a meta-analysis. Physical therapy, 101(5), p.pzab075. Doi: https://doi.org/10.1093/ptj/pzab075

[19] Tomé, A. & Coelho, J.L., (2023). Physiotherapy Education in the Digital Era: A Roadmap of Educational Technologies for Allied Health Educators. In Handbook of Research on Instructional Technologies in Health Education and Allied Disciplines, 26-54. IGI Global.Doi: 10.4018/978-1-6684-7164-7.ch002

[20] Ulrich F, Helms NH, Frandsen UP & Rafn AV. (2019) Learning effectiveness of 360° video: experiences from a controlled experiment in healthcare education. Interact Learn Environ. 1 –14. Doi: https://doi.org/10.1080/10494820.2019. 1579234.

[21] Vallée, A., Blacher, J., Cariou, A. & Sorbets, E., (2020). Blended learning compared to traditional learning in medical education: systematic review and meta-analysis. Journal of medical Internet research, 22(8), p.e16504.Doi: 10.2196/16504

[22] Zhu, F., Zhang, M., Wang, D., Hong, Q., Zeng, C. & Chen, W., (2020). Yoga compared to non-exercise or physical therapy exercise on pain, disability, and quality of life for patients with chronic low back pain: A systematic review and meta-analysis of randomized controlled trials. PloS one, 15(9), p.e0238544. Doi: https://doi.org/10.1371/journal.pone.0238544

Abstract

References

How to cite