<![CDATA[The Internet of Things (IoT) has increasingly been proposed as a means of extending physiotherapy services beyond the clinical environment through continuous remote monitoring of patient performance. This study systematically reviews the application, clinical effectiveness, and implementation challenges of IoT-based remote monitoring in physiotherapy services. Following PRISMA 2020 guidelines, a systematic search was conducted across PubMed, Scopus, IEEE Xplore, ScienceDirect, and SAGE Journals for studies published between January 2020 and July 2026. Eligibility was determined using the PICOS framework, and methodological quality was appraised using a five-item checklist; the identity and reported outcomes of each candidate study were independently verified against the original publication prior to inclusion. Eight randomized controlled trials met the eligibility criteria and were retained for narrative and thematic synthesis. The included studies addressed stroke rehabilitation, musculoskeletal recovery, Parkinson's disease, and chronic respiratory disease, employing wearable sensors, telerehabilitation platforms, and smartphone-based feedback systems. Most studies reported favourable clinical outcomes, although one verified trial found that technology-assisted telerehabilitation was not superior to usual care overall, with benefit confined to participants with higher intervention adherence. IoT-based remote monitoring shows meaningful, though uneven, clinical benefit across rehabilitation populations, and its effectiveness appears to depend on adherence and continued clinician involvement rather than technology alone. Persistent barriers include data security, device interoperability, sensor accuracy, and the scarcity of large multicentre trials, particularly in resource-constrained settings. Future research should prioritize interoperable, patient-centred IoT frameworks integrating artificial intelligence, with expanded evaluation in low-resource contexts such as Indonesia.]]>
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