The telemedicine musculoskeletal examination
Date
2020Author
Laskowski, Edward R.
Johnson, Shelby E.
Shelerud, Randy A.
Lee, Jason A.
Rabatin, Amy E.
Driscoll, Sherilyn W.
Moore, Brittany J.
Wainberg, Michael C.
Terzic, Carmen M.
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Abstract
Telemedicine uses modern telecommunication technology to exchange medical information and
provide clinical care to individuals at a distance. Initially intended to improve health care for patients
in remote settings, telemedicine now has a broad clinical scope with the general purpose of providing
convenient, safe, and time- and cost-efficient care. The coronavirus disease 2019 pandemic has created
marked nationwide changes in health care access and delivery. Elective appointments and procedures
have been canceled or delayed, and multiple states still have some degree of shelter-in-place orders.
Many institutions are now relying more heavily on telehealth services to continue to provide medical
care to individuals while also preserving the safety of health care professionals and patients. Telemedicine can also help reduce the surge in health care needs and visits as restrictions are lifted. In
recent weeks, there has been a significant amount of information and advice on how to best approach
telemedicine visits. Given the frequent presentation of individuals with musculoskeletal complaints to
the medical practitioner, it is important to have a framework for the virtual musculoskeletal physical
examination. This will be of importance as telemedicine continues to evolve, even after coronavirus
disease 2019 restrictions are lifted. This article will provide the medical practitioner performing a
virtual musculoskeletal examination with a specific set of guidelines, both written and visual, to
enhance the information obtained when evaluating the shoulder, hip, knee, ankle, and cervical and
lumbar spine. In addition to photographs, accompanying videos are included to facilitate and
demonstrate specific physical examination techniques that the patient can self-perform.
Palabras clave
Telemedicine; Musculoskeleta; Coronavirus disease 2019Link to resource
https://doi.org/10.1016/j.mayocp.2020.05.026Collections
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