Use of a modified treatment-based classification system for subgrouping patients with low back pain: Agreement between telerehabilitation and face-to-face assessments

Peterson, Seth; Kuntz, Chad; Roush, Jim

doi:10.1080/09593985.2018.1470210

Cited by 32 publications

(46 citation statements)

References 41 publications

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“…Also, various SLR sensitization tests, such as adding passive ankle dorsiflexion or performing the SLR test in an adducted and internally rotated position, can bring out more subtle symptoms. 12 , 13 Crossed SLR test: This test is performed by simply performing the standard SLR test as described above on the asymptomatic leg. If raising the asymptomatic leg reproduces radicular pain in the involved leg, the test is considered positive and suggests a central disc herniation as the cause.…”

Section: Spine ( Supplemental Video 3 Available mentioning

confidence: 99%

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The Telemedicine Musculoskeletal Examination

Laskowski

Johnson

Shelerud

et al. 2020

Mayo Clinic Proceedings

127

185

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Telemedicine uses modern telecommunication technology to exchange medical information and provide clinical care to individuals at a distance. Initially intended to improve health care for patients in remote settings, telemedicine now has a broad clinical scope with the general purpose of providing convenient, safe, and time-and cost-efficient care. The coronavirus disease 2019 pandemic has created marked nationwide changes in health care access and delivery. Elective appointments and procedures have been canceled or delayed, and multiple states still have some degree of shelter-in-place orders. Many institutions are now relying more heavily on telehealth services to continue to provide medical care to individuals while also preserving the safety of health care professionals and patients. Telemedicine can also help reduce the surge in health care needs and visits as restrictions are lifted. In recent weeks, there has been a significant amount of information and advice on how to best approach telemedicine visits. Given the frequent presentation of individuals with musculoskeletal complaints to the medical practitioner, it is important to have a framework for the virtual musculoskeletal physical examination. This will be of importance as telemedicine continues to evolve, even after coronavirus disease 2019 restrictions are lifted. This article will provide the medical practitioner performing a virtual musculoskeletal examination with a specific set of guidelines, both written and visual, to enhance the information obtained when evaluating the shoulder, hip, knee, ankle, and cervical and lumbar spine. In addition to photographs, accompanying videos are included to facilitate and demonstrate specific physical examination techniques that the patient can self-perform.

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Section: Spine ( Supplemental Video 3 Available mentioning

confidence: 99%

Section: Spine ( Supplemental Video 3 Available mentioning

confidence: 99%

The Telemedicine Musculoskeletal Examination

Laskowski

Johnson

Shelerud

et al. 2020

Mayo Clinic Proceedings

127

185

View full text Add to dashboard Cite

show abstract

“…One article used an in-person assistant for the virtual exam, and 2 articles did not mention performing or assessing any virtual physical exam maneuvers. The remaining 3 articles [11][12][13] were found to utilize audiovisual electronic communication to perform a spinal exam. See Table 1 for study demographics.…”

Section: Study Identificationmentioning

confidence: 99%

“…Peterson et al 13 conducted a similar study in which 47 patients with low back pain underwent both a face-to-face assessment and a telerehabilitation encounter and then were categorized into a specific therapy protocol. Outcomes of interest included SLR, the active SLR, judgments of centralization/ peripheralization, and judgments of aberrant motion.…”

Section: Virtual Spine Exammentioning

confidence: 99%

“…Notably, the reasons why patients may not have felt the virtual exam was as good as the in-person exam were not further explored or reported. Peterson et al 13 used a 5-point Likert Scale to assess patient satisfaction. Overall, they reported that 56% of patients noted that the teleassessment was as good as the face-to-face assessment and that 97% of patients agreed or strongly agreed that they would recommend telerehabilitation to someone unable to travel.…”

Section: Patient Satisfaction With the Virtual Exammentioning

confidence: 99%

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Physical Examination of the Spine Using Telemedicine: A Systematic Review

Piche

Butt

Ahmady

et al. 2020

Global Spine Journal

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Study Design: This is a systematic review. Objective: To systematically review (1) the reliability of the physical examination of the spine using telehealth as it pertains to spinal pathology and (2) patient satisfaction with the virtual spine physical examination. Methods: We searched EMBASE, PubMed, Medline Ovid, and SCOPUS databases from inception until April 2020. Eligible studies included those that reported on performing a virtual spine physical examination. Two reviewers independently assessed all potential studies for eligibility and extracted data. The primary outcome of interest was the reliability of the virtual spine physical exam. Secondary outcomes of interest were patient satisfaction with the virtual encounter. Results: A total of 2321 studies were initially screened. After inclusion criteria were applied, 3 studies (88 patients) were included that compared virtual with in-person spine physical examinations. These studies showed acceptable reliability for portions of the low back virtual exam. Patient satisfaction surveys were conducted in 2 of the studies and showed general satisfaction (>80% would recommend). Conclusions: These results suggest that the virtual spine examination may be comparable to the in-person physical examination for low back pain, though there is a significant void in the literature regarding the reliability of the physical examination as it pertains to specific surgical pathology of the spine. Because patients are overall satisfied with virtual spine assessments, validating a virtual physical examination of the spine is an important area that requires further research.

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Telehealth treatment for nonspecific low back pain: A review of the current state in mobile health

Tabacof

Baker

Durbin

et al. 2022

PM&R

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Introduction Nonspecific low back pain (LBP) is an idiopathic musculoskeletal condition that affects four of five individuals in their lifetime and is the leading cause of job‐related disability in the United States. The interest in interactive and dynamic telehealth treatments for LBP continues to grow, and it is important for the medical community to remain up‐to‐date on the state of the science. Literature survey Relevant studies published from March 2016 until March 2021 were identified through a systematic search of EMBASE, MedLine, and Web of Science. The search strategy combined the concepts of back pain, telehealth, and mobile applications. Methodology Titles and abstracts were screened to select full‐text randomized controlled trials or protocols, and methodological quality and risk of bias was assessed using the Cochrane risk‐of‐bias tool. Data were synthesized narratively. Synthesis We included seven concluded randomized‐controlled trials and two study protocols reporting mobile health (mHealth) solutions for LBP. Six of the seven concluded trials found a significant improvement in self‐reported numerical pain rating scale compared to the control group. A single trial compared a mHealth solution to physical therapy, with the majority of studies comparing interventions to “usual care.” Substantial heterogeneity in reporting of sample characteristics was found, indicating a lack of standardization through the field. Conclusions mHealth solutions may positively impact people with LBP. Larger trials should be encouraged and the field should coalesce around a set of baseline variables for collection and reporting. Because many interventions involve patient engagement, future trials should aim to further quantify adherence levels and begin to define telehealth “doses” associated with better outcomes.

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Use of a modified treatment-based classification system for subgrouping patients with low back pain: Agreement between telerehabilitation and face-to-face assessments

Abstract: The results suggest that a telerehabilitation assessment using the modified TBC system may be able to direct treatment of patients with acute and subacute LBP. However, challenges still remain in applying this approach to clinical practice.

Cited by 32 publications

References 41 publications

The Telemedicine Musculoskeletal Examination

The Telemedicine Musculoskeletal Examination

Physical Examination of the Spine Using Telemedicine: A Systematic Review

Telehealth treatment for nonspecific low back pain: A review of the current state in mobile health

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