在第三级肩部中心进行虚拟视频会议和面对面评估之间的临床检查和管理协议
Ujash Sheth1,2,3, Diane Nam1,2,3, Robin Richards2,3
1Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
JSES international
|June 9, 2025
概括
肩部疾病的虚拟视频评估显示,临床试验和管理计划的可靠性很高,与面对面的评估相美. 这支持远程医疗用于肩部护理.
科学领域:
- 整形外科 整形外科 整形外科
- 远程医疗远程医疗
- 临床评估 临床评估
背景情况:
- 评估肩部状况虚拟评估的可靠性.
- 将虚拟视频相遇与面对面的评估进行比较,在一个特殊的肩膀项目中.
- 评估临床试验和管理计划的内部和内部审查员协议.
研究的目的:
- 为了确定虚拟肩部评估的可靠性.
- 为了比较虚拟和面对面的临床评估肩部病理学.
- 评估从虚拟与实体接触中获得的管理计划的协议.
主要方法:
- 利用基于网络的视频会议和30名患者的面对面评估.
- 记录了运动范围 (ROM),并进行了肩部特定的临床测试.
- 使用类内相关系数和卡帕系数 (κ) 分析了协议.
主要成果:
- 对于肩部ROM的可靠性很好 (ICC 0.83-0.87).
- 对斯普林测试 (κ=0.83) 和管理计划 (κ=0.83) 的高度同意.
- 对于各种旋转手套和冲击测试的实质性或中度一致性 (κ=0.47-0.78).
结论:
- 结构化视频相遇证明了大多数肩部临床试验的可靠性能.
- 通过虚拟评估提出的管理计划与面对面的评估密切一致.
- 远程医疗是可靠的肩膀评估和管理规划的可行选择.
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