Building Consensus on the Essential Elements of the Musculoskeletal Physical Examination During Rheumatology Telehealth Encounters
View abstract on PubMed
Summary
This summary is machine-generated.This study identified seven essential elements for virtual rheumatology musculoskeletal physical exams (PEs). This consensus guides standardized telehealth care for rheumatic diseases.
Area Of Science
- Rheumatology
- Telehealth
- Musculoskeletal Physical Examination
Background
- Virtual musculoskeletal physical examinations (PEs) in rheumatology telehealth present challenges for patients and providers.
- Structured guidance for virtual PEs can improve clinical information and management decisions.
Purpose Of The Study
- To build expert consensus on essential elements for a virtual rheumatology musculoskeletal PE.
- To establish a foundation for standardizing virtual rheumatology PEs.
Main Methods
- A modified Delphi method was employed, involving rheumatology telehealth experts and a patient.
- The process included two online surveys and a virtual meeting to reach consensus.
Main Results
- Seven essential items for the virtual rheumatology musculoskeletal PE were identified.
- These focus on joint examination and inflammatory arthritis activity assessment.
- Muscle strength and widespread pain assessments were excluded as better suited for in-person evaluation.
Conclusions
- Expert-supported essential items for virtual rheumatology musculoskeletal PEs are established.
- This forms the initial step towards standardizing, evaluating, and teaching virtual rheumatology PEs.
- These elements aim to enhance telehealth quality for rheumatic disease patients.
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