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  4. Validity of range of motion, muscle strength, sensitivity, and Tinel sign tele‑assessment in adults with traumatic brachial plexus injury

Validity of range of motion, muscle strength, sensitivity, and Tinel sign tele‑assessment in adults with traumatic brachial plexus injury

Acta Neurochirurgica, 2022 · DOI: https://doi.org/10.1007/s00701-022-05164-3 · Published: March 28, 2022

NeurologyRehabilitationTelehealth & Digital Health

Simple Explanation

The COVID-19 pandemic made it hard for people to get healthcare. This study looks at whether doctors can accurately check range of motion, strength, feeling, and nerve problems in people with arm injuries using telemedicine. The study found that checking muscle strength over the computer works well. Checking range of motion and feeling also works, but not for all movements or feeling tests. Telemedicine can be helpful for people with these injuries, especially when they can't see a doctor in person. But doctors should be careful with some range of motion and feeling tests when using telemedicine.

Study Duration
June 2020 to April 2021
Participants
21 adults with traumatic brachial plexus injury
Evidence Level
Cross-sectional study

Key Findings

  • 1
    Muscle strength tele-assessment is valid in adults with TBPI and presented a strong agreement for many components of TA range of motion, sensitivity, and Tinel sign tests.
  • 2
    The TA muscle strength tests presented significant and excellent correlations with the IPA muscle strength tests
  • 3
    The IPA versus TA Tinel sign test showed 78% agreement and moderate agreement

Research Summary

This study aimed to verify the validity of range of motion, muscle strength, sensitivity, and Tinel sign tele-assessment in adults with traumatic brachial plexus injury (TBPI). The present study demonstrated that muscle strength tele-assessment is valid in adults with TBPI and presented strong agreement for many components of TA range of motion, sensitivity, and Tinel sign tests. These findings support the importance of remote assessment in the context of the pandemic or post-pandemic, allowing us to direct the treatment of patients early or on time.

Practical Implications

Guide Treatment

Tele-assessment could represent an important tool to guide treatment in patients with traumatic brachial plexus injury.

Topographic Diagnosis

Tele-assessment may help to establish a topographic diagnosis and infer the severity and prognosis of the injury.

Post-operative Evaluation

In the postoperative period, it is possible to observe if there is recovery to guide rehabilitation.

Study Limitations

  • 1
    Convenience sample
  • 2
    Evaluators were not blind to clinical information
  • 3
    No random order of tests was utilized

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