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- Title
Patient‐reported outcomes during telehealth versus in‐person follow‐up visits for patients treated with extracorporeal shockwave therapy.
- Authors
Vu, Kevin; Rhim, Hye Chang; McCormack, Molly; Fee, Jonathan; Gureck, Ashley; DeLuca, Stephanie; Robinson, David M.; Tenforde, Adam S.
- Abstract
Background: The limited research describing clinical outcomes using telehealth for management of musculoskeletal conditions is primarily within orthopedic surgery care. Objective: To characterize differences in patient reported outcomes using telehealth compared with in‐person follow‐up visits in patients with Achilles tendinopathy (AT) or plantar fasciitis (PF) treated using extracorporeal shockwave therapy (ESWT). Design: Retrospective chart review. Setting: Outpatient sports medicine clinic. Patients: 82 patients with AT and 46 patients with PF. Interventions: In‐person (n = 76) and telehealth (n = 52) follow‐up visits. Main Outcome Measurements: Victorian Institute of Sports Assessment‐Achilles (VISA‐A) for AT and Foot and Ankle Ability Measure (FAAM) for PF as well as billing level. Results: There was significant improvement from baseline to final VISA‐A (p <.01) and FAAM (p <.01) following ESWT. No significant difference existed in the proportion of patients who met the minimal clinically important difference based on in‐person (71.1%) versus telehealth (71.2%) follow‐up (p =.99). The in‐person group demonstrated higher billing levels compared to the telehealth group (Level: 3.5 ± 0.6 vs. 2.8 ± 0.7, p <.01). Conclusions: Given no significant differences in outcomes between two modes of follow‐ups, telehealth may serve as an alternative method to guide management of musculoskeletal injuries with ESWT and other procedures.
- Subjects
PATIENT reported outcome measures; ACHILLES tendinitis; TELEMEDICINE; SHOCK waves; TELERADIOLOGY; PLANTAR fasciitis; EXTRACORPOREAL shock wave therapy; ORTHOPEDIC surgery
- Publication
PM & R: Journal of Injury, Function & Rehabilitation, 2024, Vol 16, Issue 4, p323
- ISSN
1934-1482
- Publication type
Article
- DOI
10.1002/pmrj.13057