Skip to main content
Erschienen in: HSS Journal ® 1/2020

03.08.2020 | COVID-19 | Response to COVID-19/Commentary Zur Zeit gratis

The Value of Communication, Education, and Self-Management in Providing Guideline-Based Care: Lessons Learned from Musculoskeletal Telerehabilitation During the COVID-19 Crisis

verfasst von: Matthew Pugliese, MS, PT, DPT, OCS, FAAOMPT, Aviva Wolff, EdD, OT, CHT

Erschienen in: HSS Journal ® | Sonderheft 1/2020

Einloggen, um Zugang zu erhalten

Excerpt

The onset of the COVID-19 pandemic generated an unprecedented shift in the delivery of musculoskeletal care. Restricted access to in-person services and concerns about exposure to SARS-CoV-2, the virus that causes COVID-19, contributed to the rapid acceptance of telerehabilitation. This change resulted in distinct challenges for both the patient and the therapist. Homes and apartments were repurposed into examination rooms and therapy gyms. Physical examination and intervention options were limited as hands-on techniques could not be implemented. The constraints of telerehabilitation pushed practitioners to reevaluate their practice patterns and reallocate their time, resources, and focus. Prior to the pandemic, the implementation of telerehabilitation was shown to result in clinically meaningful improvements in pain, disability, and quality of life across a variety of conditions [2, 3]. This transition fostered a new appreciation for the value of three important aspects of guideline-based care: interpersonal communication, education, and self-management. This commentary highlights our experiences and lessons learned in each of these areas while providing guideline-based telerehabilitation. …
Literatur
2.
Zurück zum Zitat Cottrell MA, Galea OA, O’Leary SP, Hill AJ, Russell TG. Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: a systematic review and meta-analysis. Clin Rehabil. 2017;31(5):625638. https://doi.org/10.1177/0269215516645148 Cottrell MA, Galea OA, O’Leary SP, Hill AJ, Russell TG. Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: a systematic review and meta-analysis. Clin Rehabil. 2017;31(5):625638. https://​doi.​org/​10.​1177/​0269215516645148​
3.
Zurück zum Zitat Cottrell MA, O’Leary SP, Raymer M, Hill AJ, Comans T, Russell TG. Does telerehabilitation result in inferior clinical outcomes compared with in-person care for the management of chronic musculoskeletal spinal conditions in the tertiary hospital setting? A non-randomised pilot clinical trial. J Telemed Telecare. 2019:1357633X19887265. https://doi.org/10.1177/1357633X19887265 Cottrell MA, O’Leary SP, Raymer M, Hill AJ, Comans T, Russell TG. Does telerehabilitation result in inferior clinical outcomes compared with in-person care for the management of chronic musculoskeletal spinal conditions in the tertiary hospital setting? A non-randomised pilot clinical trial. J Telemed Telecare. 2019:1357633X19887265. https://​doi.​org/​10.​1177/​1357633X19887265​
4.
Zurück zum Zitat Devan H, Hale L, Hempel D, Saipe B, Perry MA. What works and does not work in a self-management intervention for people with chronic pain? Qualitative systematic review and meta-synthesis. Phys Ther. 2018;98(5):381–397. https://doi.org/10.1093/ptj/pzy029 Devan H, Hale L, Hempel D, Saipe B, Perry MA. What works and does not work in a self-management intervention for people with chronic pain? Qualitative systematic review and meta-synthesis. Phys Ther. 2018;98(5):381–397. https://​doi.​org/​10.​1093/​ptj/​pzy029
8.
Zurück zum Zitat Horler C, Hebron C, Martyn K. Personalizing education: the clinical reasoning processes of physiotherapists using education for the treatment of people with chronic low back pain [published online ahead of print, 2020 May 20]. Physiother Theory Pract. 2020;1–10. https://doi.org/10.1080/09593985.2020.1765437 Horler C, Hebron C, Martyn K. Personalizing education: the clinical reasoning processes of physiotherapists using education for the treatment of people with chronic low back pain [published online ahead of print, 2020 May 20]. Physiother Theory Pract. 2020;1–10. https://​doi.​org/​10.​1080/​09593985.​2020.​1765437
9.
10.
Zurück zum Zitat Keedy NH, Keffala VJ, Altmaier EM, Chen JJ. Health locus of control and self-efficacy predict back pain rehabilitation outcomes. Iowa Orthop J. 2014;34:158–165. Keedy NH, Keffala VJ, Altmaier EM, Chen JJ. Health locus of control and self-efficacy predict back pain rehabilitation outcomes. Iowa Orthop J. 2014;34:158–165.
15.
Zurück zum Zitat Martin LR, Williams SL, Haskard KB, Dimatteo MR. The challenge of patient adherence. Ther Clin Risk Manag. 2005;1(3):189–199. Martin LR, Williams SL, Haskard KB, Dimatteo MR. The challenge of patient adherence. Ther Clin Risk Manag. 2005;1(3):189–199.
18.
19.
Zurück zum Zitat Owusu-Akyaw KA, Hutyra CA, Evanson RJ, Cook CE, Reiman M, Mather RC. Concurrent validity of a patient self-administered examination and a clinical examination for femoroacetabular impingement syndrome. BMJ Open Sport Exerc Med. 2019;5(1):1–7. https://doi.org/10.1136/bmjsem-2019-000574 Owusu-Akyaw KA, Hutyra CA, Evanson RJ, Cook CE, Reiman M, Mather RC. Concurrent validity of a patient self-administered examination and a clinical examination for femoroacetabular impingement syndrome. BMJ Open Sport Exerc Med. 2019;5(1):1–7. https://​doi.​org/​10.​1136/​bmjsem-2019-000574
24.
Zurück zum Zitat Tzelepis F, Sanson-Fisher RW, Zucca AC, Fradgley EA. Measuring the quality of patient-centered care: why patient-reported measures are critical to reliable assessment. Patient Prefer Adherence. 2015;9:831–835. https://doi.org/10.2147/PPA.S81975 Tzelepis F, Sanson-Fisher RW, Zucca AC, Fradgley EA. Measuring the quality of patient-centered care: why patient-reported measures are critical to reliable assessment. Patient Prefer Adherence. 2015;9:831–835. https://​doi.​org/​10.​2147/​PPA.​S81975
26.
Zurück zum Zitat Zuercher-Huerlimann E, Stewart JA, Egloff N, von Känel R, Studer M, Holtforth MG. Internal health locus of control as a predictor of pain reduction in multidisciplinary inpatient treatment for chronic pain: a retrospective study. J Pain Res. 2019;12:2095–2099. https://doi.org/10.2147/JPR.S189442 Zuercher-Huerlimann E, Stewart JA, Egloff N, von Känel R, Studer M, Holtforth MG. Internal health locus of control as a predictor of pain reduction in multidisciplinary inpatient treatment for chronic pain: a retrospective study. J Pain Res. 2019;12:2095–2099. https://​doi.​org/​10.​2147/​JPR.​S189442
Metadaten
Titel
The Value of Communication, Education, and Self-Management in Providing Guideline-Based Care: Lessons Learned from Musculoskeletal Telerehabilitation During the COVID-19 Crisis
verfasst von
Matthew Pugliese, MS, PT, DPT, OCS, FAAOMPT
Aviva Wolff, EdD, OT, CHT
Publikationsdatum
03.08.2020
Verlag
Springer US
Schlagwort
COVID-19
Erschienen in
HSS Journal ® / Ausgabe Sonderheft 1/2020
Print ISSN: 1556-3316
Elektronische ISSN: 1556-3324
DOI
https://doi.org/10.1007/s11420-020-09784-2

Weitere Artikel der Sonderheft 1/2020

HSS Journal ® 1/2020 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Mehr Frauen im OP – weniger postoperative Komplikationen

21.05.2024 Allgemeine Chirurgie Nachrichten

Ein Frauenanteil von mindestens einem Drittel im ärztlichen Op.-Team war in einer großen retrospektiven Studie aus Kanada mit einer signifikanten Reduktion der postoperativen Morbidität assoziiert.

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

17.05.2024 Klinik aktuell Nachrichten

Sie sei „ethisch geboten“, meint Gesundheitsminister Karl Lauterbach: mehr Transparenz über die Qualität von Klinikbehandlungen. Um sie abzubilden, lässt er gegen den Widerstand vieler Länder einen virtuellen Klinik-Atlas freischalten.

Klinikreform soll zehntausende Menschenleben retten

15.05.2024 Klinik aktuell Nachrichten

Gesundheitsminister Lauterbach hat die vom Bundeskabinett beschlossene Klinikreform verteidigt. Kritik an den Plänen kommt vom Marburger Bund. Und in den Ländern wird über den Gang zum Vermittlungsausschuss spekuliert.

TEP mit Roboterhilfe führt nicht zu größerer Zufriedenheit

15.05.2024 Knie-TEP Nachrichten

Der Einsatz von Operationsrobotern für den Einbau von Totalendoprothesen des Kniegelenks hat die Präzision der Eingriffe erhöht. Für die postoperative Zufriedenheit der Patienten scheint das aber unerheblich zu sein, wie eine Studie zeigt.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.