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Thank you for your reading of our article “A 4-Week Mobile App–Based Telerehabilitation Program vs Conventional In-Person Rehabilitation in Older Adults With Sarcopenia: Randomized Controlled Trial” [1]. We are truly gratified that our study has garnered your attention and interest and has sparked meaningful discussion. In response to the points raised by the authors [2], our answers are as follows.
J Med Internet Res 2025;27:e73174
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Dear Editor:
We are writing to share our thoughts on the article “A 4-Week Mobile App–Based Telerehabilitation Program vs Conventional In-Person Rehabilitation in Older Adults With Sarcopenia: Randomized Controlled Trial” [1] published in the Journal of Medical Internet Research. This research presents a significant exploration into the rehabilitation of older adults with sarcopenia, comparing a mobile app–based telerehabilitation approach with traditional in-person rehabilitation.
J Med Internet Res 2025;27:e71845
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NIVIRT can be used as a form of asynchronous telerehabilitation, in which the therapy is done without the therapist being present, either in-person or virtually [6].
Telerehabilitation using NIVRT has been shown to be as good as conventional therapy for the rehabilitation of upper extremity deficits, activities of daily living, and postural balance after stroke [12-14].
JMIR Rehabil Assist Technol 2025;12:e64729
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From September 2022 to September 2023, a total of 47 patients in West China Hospital were enrolled in the study, with 40 (85%) individuals completing the trial (22 in the telerehabilitation group and 18 in the usual care group). Seven participants withdrew from the trial. One participant in the telerehabilitation group was diagnosed with asthma and the other 6 withdrew their consent because they were unable to come back to the hospital for examination on time due to living far away (Figure 2).
JMIR Mhealth Uhealth 2025;13:e60115
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Therefore, numerous rehabilitation interventions for this population deliverable at a distance (ie, telerehabilitation) have been developed and offered over the years [31-38]. Telerehabilitation has diminished the financial and time burden on families typically associated with traditional rehabilitation, thereby allowing patients to receive higher therapy doses [31,39-41].
JMIR Res Protoc 2025;14:e64178
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A cost-effectiveness analysis of the FP-AF telerehabilitation program compared to conventional care will be made at 7 months after inclusion for both groups. The analysis will be based on the guidelines for economic evaluation elaborated by Drummond et al [44].
The findings of the RCT will be analyzed during the spring of 2025 and subsequently published in peer-reviewed journals in the fields of telerehabilitation, clinical cardiology, and health economics.
JMIR Res Protoc 2025;14:e64259
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In the field of rehabilitation medicine, telecommunications technology has enabled telerehabilitation facilitating remote patient interactions [7]. Examples of telerehabilitation applications include replacing in-person visits for chronic lower back pain evaluation and management [8], providing remote synchronous treatment interventions for musculoskeletal conditions [9], and implementing asynchronous rehabilitation programs following total knee replacement surgery [10].
JMIR Serious Games 2025;13:e57443
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Reference 16: Service provider perceptions of telerehabilitation as an additional service delivery option Reference 18: Real-time telerehabilitation for the treatment of musculoskeletal conditions is effectivetelerehabilitationTelerehabilitation
JMIR Rehabil Assist Technol 2025;12:e58713
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Telerehabilitation and mobile health delivery of PT has gained popularity in recent years [5]. The aim of this study was to compare costs of a smartphone-based care management platform (sb CMP) with traditional care in adult patients undergoing knee arthroplasty.
JMIR Mhealth Uhealth 2025;13:e46047
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