Using Telemedicine to Improve Spasticity Diagnosis Rates
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Spasticity, Muscle
- Sponsor
- Vanderbilt University Medical Center
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Sensitivity of Teleneurology
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
The purpose of this study is to test the reliability of using telemedicine so a neurologist can remotely identify residents of a long-term care facility who should be referred to a neurologist for an in-person spasticity consultation.
Detailed Description
The aim of this study is to improve spasticity (a form of muscle rigidity) diagnosis through validation of telemedicine as a tool for spasticity evaluation or referral. This study will test the reliability of using telemedicine so a neurologist can remotely identify residents of a long-term care facility who should be referred to a neurologist for an in-person spasticity consultation. The telemedicine referral tool will be tested for bedside implementation in all consenting participants residing in Tennessee State Veteran's Home, which is a long-term care facility in Murfreesboro, TN. Each of the 140 residents will receive one neurological examination and one physical examination guided by the teleneurologist. A medical record review will also be performed.
Investigators
David Charles
Professor and Vice-Chairman of Neurology
Vanderbilt University Medical Center
Eligibility Criteria
Inclusion Criteria
- •Male or female subjects of any race, aged 18 and above
- •Resident of the selected long-term care facility
- •The subject, or if appropriate their medical decision maker, is willing and able to provide written informed consent.
Exclusion Criteria
- •Subjects for whom participation in the study may cause medical harm
Outcomes
Primary Outcomes
Sensitivity of Teleneurology
Time Frame: Up to three months after consent is obtained
A Vanderbilt neurologist will examine all consented residents for spasticity using a telemedicine platform, with the assistance of a nurse at the subject's bedside. The findings of the exam will be recorded by the research coordinator. Agreement on spasticity referral between the Vanderbilt neurologist who performed the teleneurological examination and the neurologist who performed the "gold standard" examination will be determined.
Secondary Outcomes
- Spasticity Diagnosis(Up to three months after consent is obtained)
- Specificity of Teleneurology(Up to three months after consent is obtained)