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远程医疗物理治疗:不仅仅是青少年运动员面对面护理的替代方案。

Telehealth Physical Therapy: More Than an Alternative to In Person Care of the Young Athlete.

作者信息

Molony Joseph T

机构信息

Young Athlete Program, Hospital for Special Surgery.

出版信息

Int J Sports Phys Ther. 2021 Dec 1;16(6):1586-1589. doi: 10.26603/001c.29511. eCollection 2021.

DOI:10.26603/001c.29511
PMID:34909263
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8637263/
Abstract

UNLABELLED

The shift to telehealth due to COVID-19 revealed that a new care model for the young athlete, which combines in-person and virtual visits, could be an enhancement to in-person care alone. This clinical suggestion is novel as it discusses the utility of a hybrid care model for the young athlete, which has not yet been described. Interacting with the patient and family virtually in the home environment offers benefits that are difficult to achieve in the clinic. Opportunities such as the ability to custom tailor the home program with consideration of the patient's learning abilities, provide movement quality feedback outside of the clinical environment, observe parent/caregiver feedback, involve family members who may not be available to attend in-person visits, and the possibility of converting an in-person cancelation to a telehealth visit in order to maintain continuity of care, are examples of how this model may optimize treatment. Consideration of investigating the impact on clinical outcomes and cost effectiveness is recommended.

LEVEL OF EVIDENCE

摘要

未标注

由于新冠疫情向远程医疗的转变表明,一种针对年轻运动员的新护理模式,即将面对面就诊和虚拟就诊相结合,可能是对单纯面对面护理的一种改进。这一临床建议很新颖,因为它讨论了尚未被描述的针对年轻运动员的混合护理模式的效用。在家庭环境中与患者及家属进行虚拟互动具有一些在诊所难以实现的益处。例如,能够根据患者的学习能力定制家庭训练计划、在临床环境之外提供动作质量反馈、观察家长/照顾者的反馈、让可能无法亲自就诊的家庭成员参与进来,以及将面对面就诊的取消转换为远程医疗就诊以维持护理连续性等机会,都是这种模式可优化治疗的示例。建议考虑研究其对临床结果和成本效益的影响。

证据级别

5级。

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本文引用的文献

1
Evaluation of Pragmatic Telehealth Physical Therapy Implementation During the COVID-19 Pandemic.评估 COVID-19 大流行期间实用远程医疗物理治疗的实施。
Phys Ther. 2021 Jan 4;101(1). doi: 10.1093/ptj/pzaa193.
2
Telehealth for musculoskeletal physiotherapy.远程医疗在肌肉骨骼物理治疗中的应用。
Musculoskelet Sci Pract. 2020 Aug;48:102193. doi: 10.1016/j.msksp.2020.102193. Epub 2020 May 30.
3
Musculoskeletal Physical Therapy During the COVID-19 Pandemic: Is Telerehabilitation the Answer?2019冠状病毒病大流行期间的肌肉骨骼物理治疗:远程康复是答案吗?
Phys Ther. 2020 Aug 12;100(8):1260-1264. doi: 10.1093/ptj/pzaa093.
4
Telemedicine in Rehabilitation.康复领域的远程医疗
Phys Med Rehabil Clin N Am. 2019 May;30(2):473-483. doi: 10.1016/j.pmr.2018.12.002. Epub 2019 Mar 5.
5
Telehealth Physical Therapy in Musculoskeletal Practice.远程医疗在肌肉骨骼实践中的应用。
J Orthop Sports Phys Ther. 2018 Oct;48(10):736-739. doi: 10.2519/jospt.2018.0613.