Remote management of musculoskeletal pain: a pragmatic approach to the implementation of video and phone consultations in musculoskeletal practice.

Exercise Manual therapy Musculoskeletal pain Physiotherapy Psychology Telehealth Video consultation

Journal

Pain reports
ISSN: 2471-2531
Titre abrégé: Pain Rep
Pays: United States
ID NLM: 101683899

Informations de publication

Date de publication:
Historique:
received: 20 05 2020
revised: 24 08 2020
accepted: 02 11 2020
entrez: 21 12 2020
pubmed: 22 12 2020
medline: 22 12 2020
Statut: epublish

Résumé

Remote consultations through phone or video are gaining in importance for the treatment of musculoskeletal pain across a range of health care providers. However, there is a plethora of technical options for practitioners to choose from, and there are various challenges in the adaptation of clinical processes as well as several special considerations regarding regulatory context and patient management. Practitioners are faced with a lack of high-quality peer-reviewed resources to guide the planning and practical implementation of remote consultations. This Clinical Update seeks to provide practical guidance for the planning and implementation of remote consultations for the management and treatment of people with musculoskeletal pain. Recommendations are based on a brief overview of the relevant research regarding phone and video consultations for musculoskeletal practice and derived from the literature, relevant guidelines, and practical experience. The technical feasibility of remote consultations for musculoskeletal complaints is good, patient satisfaction is high, and a growing body of evidence supports its comparative effectiveness to in-person consultations in some circumstances for improving pain and functioning. We consider in detail practical aspects such as the choosing of hardware and software, we touch on the legal and regulatory context, and we focus on the adaptation of clinical processes and communication. This Clinical Update draws together best-practice evidence in a practically applicable format, enabling therapists who are working with people with pain to directly apply this knowledge to their individual clinical settings and the requirements of their patients.

Identifiants

pubmed: 33344873
doi: 10.1097/PR9.0000000000000878
pii: PAINREPORTS-D-20-0045
pmc: PMC7743834
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e878

Commentaires et corrections

Type : ErratumIn

Informations de copyright

Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The International Association for the Study of Pain.

Déclaration de conflit d'intérêts

J. Draper-Rodi: Head of Continuing Professional Development at the University College of Osteopathy where the remote consultation webinar video is hosted and accessible for free. S. Vogel: Deputy Vice Chancellor (Research) at the University College of Osteopathy where the remote consultation webinar video is hosted and accessible for free. C. Park, D. Hohenschurz-Schmidt, and J. Draper-Rodi: provide remote consultations to patients in the private sector, either as employees or self-employed physical and/or manual therapists. The remaining authors have no conflicts of interest to declare.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

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Auteurs

David Hohenschurz-Schmidt (D)

Department, Surgery and Cancer, Imperial College London, Pain Research, Faculty of Medicine, Chelsea and Westminster Hospital Campus, London, United Kingdom.

Whitney Scott (W)

Psychology Department, King's College London, Health Psychology Section, Institute of Psychiatry, Psychology and Neuroscience, London, United Kingdom.
INPUT Pain Management Unit, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.

Charlie Park (C)

IPRS Triage and Remote Management Team, IPRS Health Limited, Little Blakenham, Suffolk, United Kingdom.

Georgios Christopoulos (G)

First Contact Practitioner, MSc Neuromusculoskeletal Care, BSc (Hons) Physiotherapy, HCPC CSP, Staffordshire, United Kingdom.

Steven Vogel (S)

Research Centre, University College of Osteopathy, London, United Kingdom.

Jerry Draper-Rodi (J)

Research Centre, University College of Osteopathy, London, United Kingdom.

Classifications MeSH