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远程医疗在肌肉骨骼康复和骨科术后康复中的应用。

Telemedicine for Musculoskeletal Rehabilitation and Orthopedic Postoperative Rehabilitation.

机构信息

Department of Physical Medicine and Rehabilitation, Greater Los Angeles VA Healthcare System, (117), 11301 Wilshire Boulevard, Los Angeles, CA 90073, USA.

University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093, USA.

出版信息

Phys Med Rehabil Clin N Am. 2021 May;32(2):319-353. doi: 10.1016/j.pmr.2020.12.004. Epub 2021 Feb 15.

Abstract

Telehealth visits result in high-quality care, with high patient and provider satisfaction. Strong evidence suggests that virtual physical therapy is noninferior to conventional face-to-face physical therapy for a variety of musculoskeletal disorders. Postoperative telerehabilitation has a strong positive effect on clinical outcomes, and the increased intensity telerehabilitation programs offer is a promising option for patients. Studies demonstrate effective virtual postoperative management. The novel coronavirus disease 2019 pandemic has led to improved reimbursement for telehealth visits and accelerated widespread implementation of telemedicine. This article establishes experience and evidence-based practice guidelines for conducting telemedicine visits, with emphasis on the virtual physical examination.

摘要

远程医疗访问可实现高质量的医疗服务,患者和医务人员满意度都很高。有强有力的证据表明,虚拟物理治疗在各种肌肉骨骼疾病方面与传统的面对面物理治疗效果相当。术后远程康复对临床结果有积极的影响,而增加远程康复计划的强度是患者的一个有前途的选择。研究表明虚拟术后管理是有效的。新型冠状病毒病 2019 大流行导致远程医疗访问的报销得到改善,并加速了远程医疗的广泛实施。本文建立了进行远程医疗访问的经验和基于证据的实践指南,重点是虚拟体检。

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