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The Virtual Shoulder and Knee Physical Examination.

Joseph D Lamplot1, Sridhar Pinnamaneni2, Stephanie Swensen-Buza3

  • 1Department of Orthopaedics, Emory University, Atlanta, Georgia, USA.

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|February 22, 2021
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Summary

Telehealth in sports medicine is here to stay. This guide details how to perform effective virtual shoulder and knee physical exams using simple instructions and multimedia tools.

Keywords:
knee examinationphysical examinationshoulder examinationtelehealthtelemedicinevirtual examination

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Area of Science:

  • Sports Medicine
  • Telehealth
  • Orthopedics

Background:

  • The COVID-19 pandemic necessitated a rapid transition from in-person to telehealth visits in sports medicine.
  • Telehealth offers convenience and accessibility, indicating its continued use post-pandemic.
  • The physical examination is perceived as a significant challenge in virtual sports medicine consultations.

Purpose of the Study:

  • To present a comprehensive guide for conducting virtual shoulder and knee physical examinations for sports medicine telehealth visits.
  • To address the perceived limitations of telehealth in sports medicine evaluations.
  • To facilitate effective remote patient assessment and documentation.

Main Methods:

  • Development of patient-friendly verbal instructions for remote physical examination.
  • Creation of multimedia resources (narrated videos, annotated presentations) for virtual shoulder and knee assessments.
  • Design of a documentation checklist to support telehealth physical examinations.

Main Results:

  • A majority of standard physical examination maneuvers for the shoulder and knee can be adapted for telehealth with minimal modifications.
  • Provided resources enable clinicians to guide patients through virtual examinations effectively.
  • The proposed methods enhance the feasibility and thoroughness of remote sports medicine evaluations.

Conclusions:

  • Virtual physical examinations for shoulder and knee are feasible and effective within a telehealth framework.
  • The provided guidelines and multimedia tools can overcome common obstacles in remote sports medicine care.
  • Telehealth, augmented by standardized virtual examination protocols, represents a sustainable model for sports medicine delivery.