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观察运动障碍:临床实践中使用视频记录的最佳实践建议。

Observing movement disorders: best practice proposal in the use of video recording in clinical practice.

机构信息

Department of Biomedical and Neuromotor Sciences, Unit of Neurology, Bellaria Hospital, University of Bologna, Via Altura, 3, 40139, Bologna, Italy.

IRCCS Istituto delle Scienze Neurologiche di Bologna, Via Altura, 3, 40139, Bologna, Italy.

出版信息

Neurol Sci. 2019 Feb;40(2):333-338. doi: 10.1007/s10072-018-3639-0. Epub 2018 Nov 17.

Abstract

Clinical evaluation is of utmost importance in the semeiological description of motor disorders which often require video recording to highlight subtle signs and their subsequent evolution. After reviewing 1858 video recordings, we composed a suitable list of video-documentation maneuvers, classified semeiologically in the form of a "video recording protocol", to guarantee appropriate documentation when filming movement disorders. Aware that our proposed filming protocol is far from being exhaustive, by suggesting a more detailed documenting approach, it could help not only to achieve a better definition of some disorders, but also to guide neurologists towards the correct subsequent examinations. Moreover, it could be an important tool for the longitudinal evaluation of patients and their response to therapy. Finally, video recording is a powerful teaching tool as visual teaching highly improves educational training.

摘要

临床评估在运动障碍的症状学描述中至关重要,这些描述通常需要视频记录来突出细微的迹象及其后续演变。在回顾了 1858 段视频记录后,我们编写了一份合适的视频记录操作列表,以“视频记录协议”的形式进行了表型分类,以保证在拍摄运动障碍时进行适当的记录。我们意识到,我们提出的拍摄方案远非详尽无遗,通过建议更详细的记录方法,不仅有助于更好地定义某些疾病,而且有助于指导神经科医生进行正确的后续检查。此外,它还可以作为患者纵向评估及其对治疗反应的重要工具。最后,视频记录是一种强大的教学工具,因为视觉教学可以极大地提高教育培训效果。

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