Using Telemedicine to Improve Spasticity Diagnosis Rates
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Sensitivity of Teleneurology
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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.
排除标准
- •Subjects for whom participation in the study may cause medical harm
结局指标
主要结局
Sensitivity of Teleneurology
时间窗: 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.
次要结局
- Spasticity Diagnosis(Up to three months after consent is obtained)
- Specificity of Teleneurology(Up to three months after consent is obtained)
研究者
David Charles
Professor and Vice-Chairman of Neurology
Vanderbilt University Medical Center