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Spasticity Outpatient Evaluation via Telemedicine: A Practical Framework
Monica Verduzco-Gutierrez1, Natasha L Romanoski, Allison N Capizzi
1From the Department of Rehabilitation Medicine, UT Health San Antonio, San Antonio, Texas (MV-G); Department of Physical Medicine and Rehabilitation, Penn State Health, Hershey, Pennsylvania (NLR); Department of Physical Medicine and Rehabilitation, University of California Davis Health, Sacramento, California (ANC); Division of Physical Medicine and Rehabilitation, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (RNR); Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (SKJ); Department of Physical Medicine and Rehabilitation, Medical College of Wisconsin, Milwaukee, Wisconsin (NCK); and Department of Rehabilitation Medicine, Weill Cornell Medicine, New York, New York (MO).
Abstract:
The COVID-19 global pandemic has resulted in significant changes to delivery of care in the field of physiatry. Most prominently, in-person visits have fast tracked to virtual visits. As we are forced to quickly adopt this new technology for our doctor-patient interactions, many questions remain with regard to structuring telemedicine visits for optimal outcomes. Little has been written on virtual evaluations of patients with spasticity. The intent of this article was to provide a framework for conducting a virtual spasticity assessment via telemedicine. We will provide tips on how to conduct a person-centered virtual examination assessment and how to document goals related to the virtual assessment.
