ArticleBMJ open sport & exercise medicine2019
Concurrent validity of a patient self-administered examination and a clinical examination for femoroacetabular impingement syndrome.
Article in BMJ open sport & exercise medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Remote assessment in sport and exercise medicine (SEM): a narrative review and teleSEM solutions for and beyond the COVID-19 pandemic.British journal of sports medicine · 2020Pooled it
- Review
- The carbon footprint of American Academy of Orthopaedic Surgeons and Pediatric Orthopaedic Society of North America national meetings.Journal of the Pediatric Orthopaedic Society of North America · 2024Article
- [Remote management of musculoskeletal pain : A pragmatic approach to the implementation of video and phone consultations in musculoskeletal practice. German version].Schmerz (Berlin, Germany) · 2023Review
- A mixed-methods survey to explore issues with virtual consultations for musculoskeletal care during the COVID-19 pandemic.BMC musculoskeletal disorders · 2021Article
- How Are Orthopaedic Sports Medicine Physicians Triaging Cases and Using Telehealth in Response to COVID-19? A Survey of AOSSM Membership.Orthopaedic journal of sports medicine · 2021Article
- The Hip Physical Examination for Telemedicine Encounters.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2021Article
- In Response to COVID-19: Current Trends in Orthopaedic Surgery Sports Medicine Fellowships.Orthopaedic journal of sports medicine · 2021Article
- The Telemedicine-Based Pediatric Examination of the Back and Lower Limbs: A Narrative Review.Journal of pain research · 2021Review
- The Value of Communication, Education, and Self-Management in Providing Guideline-Based Care: Lessons Learned from Musculoskeletal Telerehabilitation During the COVID-19 Crisis.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2020Article
- Applying Telehealth Technologies and Strategies to Provide Acute Care Consultation and Treatment of Patients With Confirmed or Possible COVID-19.Journal of acute care physical therapy · 2020Article
- Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTelehealth has been established as a viable option for improved access and timeliness of care. Physician-guided patient self-evaluation may improve the viability of telehealth evaluation; however, there are little data evaluating the efficacy of self-administered examination (SAE). This study aims to compare the diagnostic accuracy of a patient SAE to a traditional standardised clinical examination (SCE) for evaluation of femoroacetabular impingement syndrome (FAIS).
methods75 patients seeking care for hip-related pain were included for participation. All patients underwent both SAE and SCE and were randomised to the order of the examinations. Diagnostic accuracy statistics were calculated for both examination group for a final diagnosis of FAIS. Mean diagnostic accuracy results for each group were then compared using Mann-Whitney U non-parametric tests.
resultsThe diagnostic accuracy of individual SAE and SCE manoeuvres varied widely. Both SAE and SCE demonstrated no to moderate change in post-test probability for the diagnosis of FAIS. Although low, SAE demonstrated a statistically greater mean diagnostic accuracy compared with the SCE (53.6% vs 45.5%, p=0.02).
conclusionDiagnostic accuracy was statistically significantly higher for the self-exam than for the traditional clinical exam although the difference may not be clinically relevant. Although the mean accuracy remains relatively low for both exams, these values are consistent with hip exam for FAIS reported in the literature. Having established the validity of an SAE, future investigations will need to evaluate implementation in a telehealth setting.
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