期刊
GLOBAL SPINE JOURNAL
卷 12, 期 1, 页码 8-14出版社
SAGE PUBLICATIONS LTD
DOI: 10.1177/2192568220944129
关键词
telemedicine; telehealth; physical exam; remote exam; spine
This article provides a structured physical examination technique based on manual motor testing principles for spine surgeons new to telemedicine. Specific maneuvers for upper and lower extremity strength testing are described, along with instructions on setting up for remote visits. Limitations of remote examination and maneuvers that cannot be performed remotely are acknowledged and discussed.
Study Design: Technical note. Objectives: To provide spine surgeons new to telemedicine with a structured physical examination technique based on manual motor testing principles. Methods: Expert experience describing a series of specific maneuvers for upper and lower extremity strength testing that can be performed using a telemedicine platform. In addition, we offer instruction on setting up for these visits and highlight special tests that can be used to diagnose specific cervical and lumbar spine conditions. Results: From our experiences in conducting telemedicine visits, we provide a means of testing and scoring upper and lower extremity strength for interpretation of weakness in the context of traditional manual motor testing. Also, we acknowledge the limitations of a remote examination and discuss maneuvers that cannot be performed remotely. Conclusions: COVID-19 has drastically altered the delivery of care for patients with spine-related complaints. The need for social distancing has led to the widespread adoption of telemedicine. This technical note provides an urgently needed framework for the standardization of the remote physical exam. Validation of the exam as a diagnostic tool will be a crucial next step in studying the impact of telemedicine.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据