新冠疫情期间的视频咨询脊柱检查。
Spine Examination during COVID-19 Pandemic via Video Consultation.
机构信息
Department of Orthopaedics and Trauma Surgery, University Hospital Bonn, Germany.
Department of Orthopaedics and Trauma Surgery, Wermelskirchen Hospital, Germany.
出版信息
Z Orthop Unfall. 2021 Apr;159(2):193-201. doi: 10.1055/a-1283-7160. Epub 2021 Feb 2.
INTRODUCTION
During the current COVID-19 pandemic video consultations are increasingly common in order to minimize the risk of infection for staff and patients. The aim of this study was to evaluate the feasibility of a spine examination via video.
METHODS
A total of 43 patients were recruited. Each participant underwent a video-based (VB) and a conventional face-to-face (FTF) spine examination. Pain intensity, active range of motion, inspection, a neurophysiologic basic exam and provocations tests were evaluated using video-based and face-to-face methods.
RESULTS
The intra-rater reliability (IRR) was measured between both examinations. Good to very good IRR values were obtained in inspection (Kappa between 0,752 und 0,944), active range of motion and basic neurophysiological examination (Kappa between 0,659 und 0,969). Only moderate matches were found in specific provocation tests (Kappa between 0,407 und 0,938). A video-based spine examination is a reliable tool for measuring pain intensity, active range of motion and a basic neurophysiologic exam.
CONCLUSION
A basic spine examination during a video consultation is possible. A good agreement of the test results between video-based and face-to-face examination could be found.
简介
在当前的 COVID-19 大流行期间，为了降低员工和患者感染的风险，视频咨询越来越普遍。本研究旨在评估通过视频进行脊柱检查的可行性。
方法
共招募了 43 名患者。每位参与者都接受了基于视频（VB）和传统面对面（FTF）的脊柱检查。使用基于视频和面对面的方法评估疼痛强度、主动运动范围、检查、神经生理基础检查和激发试验。
结果
在两次检查之间测量了内部评估者可靠性（IRR）。检查（Kappa 值为 0.752 至 0.944）、主动运动范围和基本神经生理检查的 IRR 值为良好到非常好（Kappa 值为 0.659 至 0.969）。只有在特定激发试验中发现了中度匹配（Kappa 值为 0.407 至 0.938）。基于视频的脊柱检查是测量疼痛强度、主动运动范围和基本神经生理检查的可靠工具。
结论
视频咨询期间可以进行基本的脊柱检查。在视频检查和面对面检查之间可以找到测试结果的良好一致性。
Zotero 插件