Shoulder Evaluation by Telephone and Video Visit: A Narrative Review

Gallo, Robert A.; Applewhite, Andres; Silvis, Matthew; Yenior, Ashley L.; Ton, Angie; Ortiguera, Cedric J.; Pujalte, George

doi:10.7759/cureus.22461

Cited by 3 publications

(2 citation statements)

References 24 publications

(53 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our protocol appears to be in line with other methodologies used in other studies [40]. However, the use of everyday objects is promoted in our study to be able to quantify functional shoulder deficits and to standardize patient assessment and follow-up as much as possible.…”

Section: Discussionmentioning

confidence: 85%

See 1 more Smart Citation

Bari Shoulder Telemedicine Examination Protocol (B-STEP): A Standard Protocol for Personalized Remote Shoulder Examination

Moretti

Bizzoca

Farì

et al. 2023

JPM

View full text Add to dashboard Cite

The COVID-19 pandemic drastically changed many aspects of the traditional functioning of health systems all around the world. In Italy, as reported by the CIO, compared to the previous year, there was a significant reduction in 2020 in overall outpatient activities by up to 75%. These data support the need for telemedicine, which represents a current challenge and can no longer be postponed in the future. This study aims to elaborate on a possible model for remote shoulder examination based on traditional tests to improve the quality of telemedicine in orthopedic and rehabilitation. Between May 2020 and November 2020, ten orthopedic surgeons individually examined six patients with a known shoulder disorder, both in hospital and via webcam according to the previously shared protocol (B-STEP). According to the 10 observers, completing 100% of the ASES score and at least 87.5% of the Constant score is possible. Shoulder ROM and many specific tests are also reproducible via webcam, but with less sensitivity, according to the subjective opinion of observers. The B-STEP is a useful protocol for the standardization of the objective examination of the shoulder via webcam. Further studies are necessary to determine if the B-STEP protocol is useful for diagnosing pathology in unknown patients and evaluating its sensitivity and specificity for each pathology.

show abstract

Section: Discussionmentioning

confidence: 85%

“…Other recent studies have shown that in-person clinical examination is necessary to confirm suspected instability of the shoulder [39][40][41][42][43][44].…”

Section: Discussionmentioning

confidence: 99%

Bari Shoulder Telemedicine Examination Protocol (B-STEP): A Standard Protocol for Personalized Remote Shoulder Examination

Moretti

Bizzoca

Farì

et al. 2023

JPM

View full text Add to dashboard Cite

show abstract

Patient experiences receiving rehabilitation care via telehealth: Identifying opportunities for remote care

Goldman

Merkitch²,

Brewington³

et al. 2023

Front. Rehabil. Sci.

View full text Add to dashboard Cite

Use of telehealth has grown substantially in recent times due to the COVID-19 pandemic. Remote care services may greatly benefit patients with disabilities; chronic conditions; and neurological, musculoskeletal, and pain disorders, thereby allowing continuity of rehabilitation care, reducing barriers such as transportation, and minimizing COVID-19 exposure. In March 2020, our rehabilitation hospital, Shirley Ryan AbilityLab, launched a HIPAA-compliant telemedicine program for outpatient and day rehabilitation clinics and telerehabilitation therapy programs. The objective of this study was to examine patients' experiences and satisfaction with telemedicine in the rehabilitation physician practice, including novel virtual multidisciplinary evaluations. The present study examines survey data collected from 157 patients receiving telemedicine services at Shirley Ryan AbilityLab from December 2020–August 2021. Respondents were 61.8% female, predominantly White (82.2%) with ages ranging across the lifespan (69.4% over age 50 years). Diagnostic categories of the respondents included: musculoskeletal conditions 28%, chronic pain 22.3%, localized pain 10.2%, neurological conditions 26.8%, and Parkinson's and movement disorders 12.7%. Survey responses indicate that the telemedicine experiences were positive and well received. The majority of participants found these services easy to use, effective, and safe, and were overall satisfied with the attention and care they received from the providers—even for those who had not previously used telehealth. Respondents identified a variety of benefits, including alleviating financial and travel-related burdens. There were no significant differences in telehealth experiences or satisfaction across the different clinical diagnostic groups. Respondents viewed the integrated physician and rehabilitation therapist telehealth multidisciplinary model favorably, citing positive feedback regarding receiving multiple perspectives and recommendations, feeling like an integrated member of their healthcare team, and having a comprehensive, holistic team approach along with effective communication. These findings support that telemedicine can provide an effective care model in physiatry (physical medicine and rehabilitation) clinics, across different neurological, musculoskeletal, and pain conditions and in multidisciplinary team care settings. The insights provided by the present study expand our understanding of patient experiences with remote care frameworks for rehabilitation care, while controlling for institutional variation, and ultimately will help provide guidance regarding longer term integration of telemedicine in physiatry and multidisciplinary care models.

show abstract

Exame físico em Reumatologia: membros superiores

Nascimento

2023

Rev Paul Reumatol

View full text Add to dashboard Cite

O exame físico dos membros superiores desempenha um papel fundamental na avaliação clínica, servindo como ponto de partida para várias investigações adicionais. Iniciando com o simples gesto de um aperto de mãos, esse exame envolve a habilidade de realizar diversas manobras relacionadas ao sistema musculoesquelético, abrangendo ombros, cotovelos, mãos e punhos. Apesar de inicialmente representar um desafio para médicos em início de carreira, a prática constante conduz ao desenvolvimento de uma sistematização individual, tornando o exame físico preciso e eficiente. Em um contexto médico em constante evolução, a prática do exame físico evidencia a necessidade contínua de atualização. A introdução de novas tecnologias, como a integração da ultrassonografia à semiologia básica, e a crescente utilização da telemedicina e inteligência artificial na tomada de decisões clínicas ressaltam a importância de médicos experientes se adaptarem às inovações. Este artigo visa a fornecer uma análise abrangente do exame físico dos membros superiores, explorando também as perspectivas futuras associadas a esse campo. Unitermos: exame físico dos membros superiores; semiologia reumatológica; propedêutica reumatológica.

show abstract

Shoulder Evaluation by Telephone and Video Visit: A Narrative Review

Cited by 3 publications

References 24 publications

Bari Shoulder Telemedicine Examination Protocol (B-STEP): A Standard Protocol for Personalized Remote Shoulder Examination

Bari Shoulder Telemedicine Examination Protocol (B-STEP): A Standard Protocol for Personalized Remote Shoulder Examination

Patient experiences receiving rehabilitation care via telehealth: Identifying opportunities for remote care

Exame físico em Reumatologia: membros superiores

Contact Info

Product

Resources

About