Reliability and Acceptability of Real-time Virtual Video Pediatric Gait, Arms, Legs and Spine (V-pGALS)

Not Applicable

Completed

• Conditions: Musculoskeletal Abnormality; Pediatric
• Interventions: Diagnostic Test: video Pediatric Gait, Arms, Legs and Spine (V-pGALS)

• Registration Number: NCT04668820
• Lead Sponsor: Marmara University

Brief Summary

The use of telemedicine in musculoskeletal assessment has been historically low. The current COVID 19 global pandemic has forced a paradigm shift with many centers rapidly adopting virtual visits to conduct care resulting in rapid expansion of use of telemedicine amongst practices. Mayoclinic has published The Telemedicine Musculoskeletal Examination for adults. Paediatric Musculoskeletal Matters (PMM) has put video Pediatric Gait, Arms, Legs and Spine (V-pGALS) assessment sheet on their website. However, there is a lack of the acceptability and reliability of these tools. The aim of this study is to investigate acceptability and reliability of real-time virtual video Pediatric Gait, Arms, Legs and Spine (V-pGALS) assessment for musculoskeletal assessment of children for telemedicine visits.

Detailed Description

The use of telemedicine in musculoskeletal assessment has been historically low. The current COVID 19 global pandemic has forced a paradigm shift with many centers rapidly adopting virtual visits to conduct care resulting in rapid expansion of the use of telemedicine amongst practices. Mayoclinic has published The Telemedicine Musculoskeletal Examination for adults. 'Paediatric Musculoskeletal Matters' (PMM- www.pmmonline.org, is a free, evidence-based, and peer-reviewed open e-resource for pediatric musculoskeletal (MSK) medicine targeting non-MSK specialists. They have also published video Pediatric Gait, Arms, Legs and Spine (V-pGALS), an assessment sheet for telemedicine visits on their webpage. However, there is a lack of the acceptability and reliability of these tools. The aim of this study is to investigate acceptability and reliability of real-time virtual video Pediatric Gait, Arms, Legs and Spine (V-pGALS) assessment for musculoskeletal assessment of children for telemedicine visits. For this purpose, children at between the ages of 7-18 who admitted the Pediatric Rehabilitation outpatient clinic of Department of Physical Medicine and Rehabilitation of Marmara University School of Medicine will be recruited to the study. They will be evaluated via V-pGALS face to face on the day of admission and the physiatrist will record the diagnosis if there is. Within 24 hours the child will be reevaluated via V-pGALS by using Zoom application virtually. The acceptability of V-pGALS examination to the child and parents in terms of the duration and additional discomfort caused was evaluated using visual analog scale with smiley faces (0-10, 0 for full acceptability).

Study Timeline

• Status Verified: 2020-12
• Study First Submitted: 2020-12-09
• Study First Submitted QC: 2020-12-09
• Study First Posted: 2020-12-16
• Study Start: 2021-08-20
• Primary Completion: 2021-10-12
• Study Completion: 2021-10-12
• Last Update Submitted: 2021-10-13
• Last Update Posted: 2021-10-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

• Children between the ages of 7-18 who admitted the Pediatric Rehabilitation outpatient clinic of Department of Physical Medicine and Rehabilitation

Exclusion Criteria

• Non-ambulatory children
• Children with poor cooperation
• Being severe ill and unable to tolerate examination
• Children and parents who do not give oral and written permission for study enrollment

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Children who admit to Pediatric Rehabilitation outpatient clinic	video Pediatric Gait, Arms, Legs and Spine (V-pGALS)	Children who admit to Pediatric Rehabilitation outpatient clinic of the Department of Physical Medicine and Rehabilitation will be evaluated by face to face and virtually by using zoom application via video Pediatric Gait, Arms, Legs and Spine (V-pGALS)

Primary Outcome Measures

Name	Time	Method
real-time virtual video Pediatric Gait, Arms, Legs and Spine (V-pGALS)	Day 1	Video real-time examination via zoom application
Face to face examination of video Pediatric Gait, Arms, Legs and Spine (V-pGALS)	Day 0	Face to face examination

Secondary Outcome Measures

Name	Time	Method
Acceptability of V-pGALS examination to the child in terms of the duration	Day 1	visual analog scale with smiley faces (0-10, 0 for full acceptability)
Acceptability of V-pGALS examination to the child in terms of the additional discomfort caused	Day 1	visual analog scale with smiley faces (0-10, 0 for full acceptability).; visual analog scale with smiley faces (0-10, 0 for full acceptability).; visual analog scale with smiley faces (0-10, 0 for full acceptability). visual analog scale with smiley faces (0-10, 0 for full acceptability).; visual analog scale with smiley faces (0-10, 0 for full acceptability)
Acceptability of V-pGALS examination to the parent who will be present during examination in terms of the duration	Day 1	visual analog scale with smiley faces (0-10, 0 for full acceptability)
Acceptability of V-pGALS examination to the parent who will be present during examination in terms of the additional discomfort caused	Day 1	visual analog scale with smiley faces (0-10, 0 for full acceptability)

Trial Locations

Locations (1)

Marmara University School of Medicine Department of Physical Medicine and Rehabilitation; 🇹🇷 Istanbul, Turkey