NCT03211390

Using Telemedicine to Improve Spasticity Diagnosis Rates

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 60 (actual)
• Sponsor: Vanderbilt University Medical Center · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

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.

Conditions

• Spasticity, Muscle
• Muscular Diseases
• Musculoskeletal Disease
• Muscle Hypertonia
• Muscle Spasticity
• Neuromuscular Manifestations
• Signs and Symptoms
• Nervous System Diseases
• Neurologic Manifestations

Interventions

Type	Name	Description
DIAGNOSTIC_TEST	Neurological Examination	The subject will undergo elements of the neurological examination during which the movement disorders neurologist will look specifically for the presence of spasticity. If spasticity is found to be present during the examination, the neurologist will rate the severity of the spasticity in all affected limbs and record whether they would recommend treatment for spasticity, and if so, which treatment(s) they believe would be beneficial for the subject.
DIAGNOSTIC_TEST	Teleneurological Examination	A Vanderbilt neurologist will examine all consented residents using a telemedicine platform, with the assistance of a nurse at the subject's bedside. The neurologist will guide the nurse to perform elements of a physical examination to determine if a referral to a movement disorders neurologist is required for a spasticity consultation.

Timeline

• Start date: 2018-01-30
• Primary completion: 2018-08-01
• Completion: 2018-08-01
• First posted: 2017-07-07
• Last updated: 2018-10-09

Locations

1 site across 1 country: United States