Telemedicine for Musculoskeletal Rehabilitation and Orthopedic Postoperative Rehabilitation - 01/04/21

Doi : 10.1016/j.pmr.2020.12.004

Melissa E. Phuphanich, MD, MS ^a, Kunal R. Sinha, MD ^a, Michael Truong ^b, Quynh Giao Pham, MD ^c,^⁎
^a Department of Physical Medicine and Rehabilitation, Greater Los Angeles VA Healthcare System, (117), 11301 Wilshire Boulevard, Los Angeles, CA 90073, USA
^b University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093, USA
^c Pain Medicine Fellowship Training Program, Department of Medicine, Division of Physical Medicine and Rehabilitation, Greater Los Angeles VA Healthcare System, David Geffen School of Medicine at UCLA, (117), 11301 Wilshire Boulevard, Los Angeles, CA 90073, USA

^∗Corresponding author. Department of PM&R, (117), 11301 Wilshire Boulevard, Los Angeles, CA 90073.Department of PM&R(117), 11301 Wilshire BoulevardLos AngelesCA90073

Résumé

Telehealth visits result in high-quality care, with high patient and provider satisfaction. Strong evidence suggests that virtual physical therapy is noninferior to conventional face-to-face physical therapy for a variety of musculoskeletal disorders. Postoperative telerehabilitation has a strong positive effect on clinical outcomes, and the increased intensity telerehabilitation programs offer is a promising option for patients. Studies demonstrate effective virtual postoperative management. The novel coronavirus disease 2019 pandemic has led to improved reimbursement for telehealth visits and accelerated widespread implementation of telemedicine. This article establishes experience and evidence-based practice guidelines for conducting telemedicine visits, with emphasis on the virtual physical examination.

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Keywords : Telemedicine, Virtual physical examination, Musculoskeletal injuries, Postoperative orthopedics