Validity and reliability of the assessment and diagnosis of musculoskeletal elbow disorders using telerehabilitation

Lade, Hannah, McKenzie, Stephanie, Steele, Leah and Russell, Trevor G. (2012) Validity and reliability of the assessment and diagnosis of musculoskeletal elbow disorders using telerehabilitation. Journal of Telemedicine and Telecare, 18 7: 413-418. doi:10.1258/jtt.2012.120501


Author Lade, Hannah
McKenzie, Stephanie
Steele, Leah
Russell, Trevor G.
Title Validity and reliability of the assessment and diagnosis of musculoskeletal elbow disorders using telerehabilitation
Journal name Journal of Telemedicine and Telecare   Check publisher's open access policy
ISSN 1357-633X
Publication date 2012-01-01
Sub-type Article (original research)
DOI 10.1258/jtt.2012.120501
Open Access Status DOI
Volume 18
Issue 7
Start page 413
End page 418
Total pages 6
Place of publication London, England, U.K.
Publisher Sage Publications Ltd.
Language eng
Abstract 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.
Keyword Low-Back-Pain
Intertester Reliability
Classification-System
Outcome Measurements
Agreement
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Health and Rehabilitation Sciences Publications
School of Medicine Publications
 
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