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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).

American Journal of Physical Medicine & Rehabilitation
|September 15, 2020
PubMed
Summary

This article offers a framework for virtual spasticity assessments, addressing the shift to telemedicine in physiatry. It provides guidance on person-centered virtual examinations and documenting patient goals for optimal care.

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Area of Science:

  • Rehabilitation Medicine
  • Digital Health

Background:

  • The COVID-19 pandemic accelerated the adoption of telemedicine in physiatry.
  • A gap exists in structured guidance for virtual spasticity evaluations.

Purpose of the Study:

  • To establish a framework for conducting virtual spasticity assessments.
  • To offer practical tips for person-centered telemedicine examinations.
  • To guide the documentation of goals within virtual care settings.

Main Methods:

  • Literature review on telemedicine and spasticity management.
  • Development of a structured approach for virtual patient assessment.
  • Guidelines for effective patient-provider communication via telehealth.

Main Results:

  • A comprehensive framework for virtual spasticity assessment is proposed.
  • Key elements for a person-centered virtual examination are outlined.
  • Strategies for goal setting and documentation in telemedicine are provided.

Conclusions:

  • Telemedicine can be effectively utilized for spasticity assessment with appropriate structuring.
  • The proposed framework supports optimal outcomes in virtual physiatry care.
  • Further research is needed to validate virtual assessment tools for spasticity.