巴里肩部远程医疗检查协议 (B-STEP):个性化远程肩部检查的标准协议
Lorenzo Moretti1, Davide Bizzoca1, Giacomo Farì2
1Orthopaedic and Trauma Unit, AOUC Policlinico di Bari, University of Bari "Aldo Moro", Piazza Giulio Cesare 11, 70124 Bari, Italy.
Journal of personalized medicine
|July 29, 2023
概括
B-STEP协议可以通过网络摄像头进行远程肩部检查,显示ASES和Constant分数的高可重现性. 这种标准化的方法增强了骨科和康复领域的远程医疗.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
- 远程医疗远程医疗
背景情况:
- 在意大利,COVID-19大流行严重扰乱了医疗保健系统,减少了多达75%的门诊活动.
- 这凸显了在医疗保健提供中迫切需要有效的远程医疗解决方案.
- 远程检查模型对于维持骨科和康复服务至关重要.
研究的目的:
- 开发和评估用于远程医疗的标准化远程肩部检查协议 (B-STEP).
- 通过网络摄像头评估传统肩部测试的可行性和可重复性.
- 提高远程骨科和康复咨询的质量.
主要方法:
- 十位整形外科医生通过网络摄像头远程评估了六名已知肩部疾病的患者.
- 检查遵循一个共享的协议 (B-STEP),将网络摄像机评估与面对面评估进行比较.
- 关键的结果措施包括美国肩膀和肘部外科医生 (ASES) 评分和恒定评分,以及运动范围 (ROM) 和特定测试.
主要成果:
- 观察者通过网络摄像头成功完成了100%的ASES得分和至少87.5%的Constant得分.
- 肩部ROM和特定的骨科测试可以通过网络摄像头进行复制,尽管观察员注意到敏感性降低.
- 该B-STEP协议证明了在标准化远程肩部检查方面的实用性.
结论:
- B-STEP协议是使用远程医疗标准化远程肩部检查的可行工具.
- 需要进一步的研究来验证它对未知的病理的诊断准确性,并评估灵敏度/特异性.
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