## 4 Discussion
Our findings align with those of [PERSON] et al. [21], who found that out of 139 physiotherapists surveyed in Sweden, 103 did not offer tele-rehabilitation services to patients with neurological disorders. According to the above research, the limited use of tele-rehabilitation may be due to the limited ability of patients to use such new technology as well as the resources provided by the healthcare system. Although many physiotherapists do not use newer technologies, most of them recognize the benefits that patients with Parkinson's disease can gain from incorporating these technologies into their treatment programs. The opinion of Greek physiotherapists is in agreement with recent systematic reviews, which have highlighted the positive impact of tele-rehabilitation [25; 43] and virtual reality [18] on balance, gait, and quality of life in patients with PD. Additionally, physiotherapists who have participated in lifelong education programs or hold a master's or doctoral degree utilize newer technology applications at a higher percentage than those who have not engaged in relevant programs. These findings may indicate insufficient training in new technologies at the undergraduate level, suggesting that university curricula should address these issues. According to this study, the factors inhibiting the use of new technologies include inadequate facilities and equipment, limited financial resources, and the unwillingness of patients to adopt modern technology. Additionally, a lack of familiarity with new technologies and uncertainty regarding their costs, as well as unclear legislation and concerns about the security of personal data management, also pose challenges. Similarly, according to [PERSON] et al. [44] cited the suitability of the facilities, staff expertise, and financial resources required as important factors for using virtual reality in physiotherapy intervention. According to [PERSON] et al. [45], therapists' reluctance to use such technology may be due to the lack of appropriate required training, equipment, and financial costs that virtual reality and relevant applications necessitate. Given the barriers to technology adoption,there is a clear need for focused policy interventions, such as increased funding for health technology, professional development programs for physiotherapists, and collaborations between healthcare institutions and technology providers. Moreover, fostering a culture of innovation within physiotherapy may encourage practitioners to be more open to integrating new technologies into their practice [44; 45; 46; 47]. Educational initiatives that emphasize these technologies' efficacy and practical use could also promote their acceptance among physiotherapists. The implications discussed above align with the factors that facilitate the use of technology, as mentioned by participants. These factors include the training and continuing education of therapists in new technologies, government subsidies for applications, providing information to patients with Parkinson's disease, and establishing a clear legal framework for the use of newer technologies in rehabilitation [44; 48]. At the same time, a high proportion of physiotherapists in this study believe that the addition of technology to the rehabilitation program of patients with PD can be beneficial in the progressive reduction in symptoms that characterize the disease. Finally, most of the participants stated that they would include technological applications in the development of their physiotherapy program if they had easier access to them. These findings seem to align with the views of the physiotherapists in the study by [PERSON] et al. [21], who cited the accessibility of physiotherapists to new technologies, which is an important factor in improving the management of symptoms of patients with Parkinson's disease. Utilizing new technologies has the potential to significantly improve the precision and effectiveness of treatment plans for patients with Parkinson's disease.