Introduction: Physiotherapy students are vulnerable to stress due to the challenging scope of study and the dynamic learning environment. Studies found out that physiotherapy students have inadequate physical activity. Thus, sufficient motivation is vital in promoting active lifestyle. This study was conducted to evaluate stress severity and exercise motivation among physiotherapy students in Malaysia. This study also aimed to investigate the relationship between stress and exercise motivation. Methods: This cross-sectional study was conducted on 208 physiotherapy students in Malaysia. The Medical Student Stressor Questionnaire was used to evaluate stress severity while the Exercise Motivation Inventory-2 was used to evaluate exercise motivation. Results: Academic-related stressors (2.66±0.66) have the highest score among all the stressors, followed by teaching and learning related stressors (2.47±0.76) and group activities related stressors (2.08±1.01). Top three exercise motivation with highest means were positive health (4.34±0.87), ill-health avoidance (4.19±0.95) and strength and endurance (4.08±1.00). Academic related stressors were not significantly correlated with any of the 14 domains of exercise motivations. Teaching and learning related stressors were significantly positively correlated with affiliation (rs=0.198, p<0.05) and competition (rs=0.209, p<0.05). There was a significant positive correlation between group activities related stressors and competition (rs=0.166, p<0.05). However, group activities related stressors were significantly negatively correlated with health pressures (rs=-0.290, p<0.05), ill health avoidance (rs=-0.206, p<0.05), positive health (rs=-0.171, p<0.05), weight management (rs=-0.198, p<0.05) and strength and endurance (rs=-0.138, p<0.05). Conclusion: This study showed that moderate to high severity of stress exists among physiotherapy students in Malaysia, with academic stress as the top stressor. Positive health is the strongest motivation to exercise, followed by ill health avoidance and strength and endurance. This study can be utilized in planning a comprehensive approach to cope with stress and to enhance the exercise motivation among physiotherapy students in Malaysia.

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.