J Telemed Telecare - Validity and reliability of the assessment and diagnosis of musculoskeletal elbow disorders using telerehabilitation.

Tópicos

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Resumo

We examined the validity and reliability of a physiotherapy examination of the elbow, using telerehabilitation. The patho-anatomical diagnoses, systems diagnosis and physical examination findings of face-to-face physiotherapy examinations were compared with telerehabilitation examinations. Ten participants attended a single session, during which they were interviewed, a face-to-face physical examination was performed and a remote physical examination was conducted, guided by an examiner at a different location via a telerehabilitation system. Conventional face-to-face physiotherapy physical examination test results, diagnoses and systems diagnoses were compared to those produced by an examiner using the telerehabiliation system. There was substantial agreement for systems diagnosis (73%; P = 0.013) for validity and almost perfect agreement for intra-rater reliability (90%; P = 0.001). The inter-rater reliability had a weaker and non-significant agreement (64%; P = 0.11). Physical examination data demonstrated >68% agreement across all three datasets, between the examination methods. Performing a telerehabilitation physical examination to determine a musculoskeletal diagnosis of the elbow joint complex is both valid and reliable.

Resumo Limpo

examin valid reliabl physiotherapi examin elbow use telerehabilit pathoanatom diagnos system diagnosi physic examin find facetofac physiotherapi examin compar telerehabilit examin ten particip attend singl session interview facetofac physic examin perform remot physic examin conduct guid examin differ locat via telerehabilit system convent facetofac physiotherapi physic examin test result diagnos system diagnos compar produc examin use telerehabili system substanti agreement system diagnosi p valid almost perfect agreement intrarat reliabl p interrat reliabl weaker nonsignific agreement p physic examin data demonstr agreement across three dataset examin method perform telerehabilit physic examin determin musculoskelet diagnosi elbow joint complex valid reliabl

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