Iyer Sravisht, Shafi Karim, Lovecchio Francis, Turner Robert, Albert Todd J, Kim Han Jo, Press Joel, Katsuura Yoshihiro, Sandhu Harvinder, Schwab Frank, Qureshi Sheeraz
Hospital for Special Surgery, New York, NY, USA.
Global Spine J. 2022 Jan;12(1):8-14. doi: 10.1177/2192568220944129. Epub 2020 Aug 5.
Technical note.
To provide spine surgeons new to telemedicine with a structured physical examination technique based on manual motor testing principles.
Expert experience describing a series of specific maneuvers for upper and lower extremity strength testing that can be performed using a telemedicine platform. In addition, we offer instruction on "setting up" for these visits and highlight special tests that can be used to diagnose specific cervical and lumbar spine conditions.
From our experiences in conducting telemedicine visits, we provide a means of testing and scoring upper and lower extremity strength for interpretation of weakness in the context of traditional manual motor testing. Also, we acknowledge the limitations of a remote examination and discuss maneuvers that cannot be performed remotely.
COVID-19 has drastically altered the delivery of care for patients with spine-related complaints. The need for social distancing has led to the widespread adoption of telemedicine. This technical note provides an urgently needed framework for the standardization of the remote physical exam. Validation of the exam as a diagnostic tool will be a crucial next step in studying the impact of telemedicine.
技术说明。
为初涉远程医疗的脊柱外科医生提供一种基于手动运动测试原则的结构化体格检查技术。
专家经验描述了一系列可使用远程医疗平台进行的上肢和下肢力量测试的特定操作。此外，我们提供这些问诊的“准备工作”指导，并重点介绍可用于诊断特定颈椎和腰椎疾病的特殊检查。
根据我们进行远程医疗问诊的经验，我们提供了一种测试和评估上肢及下肢力量的方法，以便在传统手动运动测试的背景下解读肌无力情况。此外，我们认识到远程检查的局限性，并讨论了无法远程执行的操作。
新型冠状病毒肺炎（COVID-19）极大地改变了对脊柱相关疾病患者的护理方式。社交距离的要求导致远程医疗的广泛应用。本技术说明为远程体格检查的标准化提供了迫切需要的框架。将该检查验证为诊断工具将是研究远程医疗影响的关键下一步。
