Steele Leah, Lade Hannah, McKenzie Stephanie, Russell Trevor G
Division of Physiotherapy, School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, QLD 4072, Australia.
Int J Telemed Appl. 2012;2012:945745. doi: 10.1155/2012/945745. Epub 2012 Nov 5.
Shoulder disorders are common, debilitating, and represent a considerable burden on society. As primary contact practitioners, physiotherapists play a large role in the management and rehabilitation of people with these conditions. For those living outside of urban areas, however, access to physiotherapy can be limited. The aim of this study was to evaluate the validity and reliability of using a telerehabilitation system to collect physical examination findings and correctly identify disorders of the shoulder. Twenty-two participants with 28 shoulder disorders were recruited and underwent a face-to-face physical examination and a remote telerehabilitation examination. Examination findings and diagnoses from the two modes of assessment were used to determine validity and reliability of the new method. Diagnostic agreement and agreement on individual findings between the two methods were found to be consistent with the reliability of conventional assessment methods. This study provides important preliminary findings on the validity and reliability of musculoskeletal examinations conducted via telerehabilitation.
肩部疾病很常见,会使人虚弱,给社会带来相当大的负担。作为初级接触医疗从业者,物理治疗师在这些疾病患者的管理和康复中发挥着重要作用。然而,对于生活在城市以外地区的人来说,获得物理治疗的机会可能有限。本研究的目的是评估使用远程康复系统收集体格检查结果并正确识别肩部疾病的有效性和可靠性。招募了22名患有28种肩部疾病的参与者,他们接受了面对面体格检查和远程康复检查。两种评估方式的检查结果和诊断用于确定新方法的有效性和可靠性。发现两种方法之间的诊断一致性以及个体检查结果的一致性与传统评估方法的可靠性相符。本研究为通过远程康复进行的肌肉骨骼检查的有效性和可靠性提供了重要的初步发现。