Telemedicine visits in myasthenia gravis: Expert guidance and the Myasthenia Gravis Core Exam ( MG‐CE )
| Autor: | Henry J. Kaminski, Nicte I. Mejia, Gary Cutter, Amanda C. Guidon, Srikanth Muppidi, Katherine Ruzhansky, Jeffrey T. Guptill, Leeann B Burton, Michael K. Hehir, David Post, James F. Howard, Robin Conwit, Richard Nowak |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Telemedicine Coronavirus disease 2019 (COVID-19) Physiology Physical examination Article Cellular and Molecular Neuroscience Dysarthria Patient Education as Topic Ptosis Physicians Physiology (medical) Myasthenia Gravis medicine Humans Physical Examination Diplopia Core (anatomy) medicine.diagnostic_test business.industry COVID-19 medicine.disease Myasthenia gravis Physical therapy Female Neurology (clinical) medicine.symptom business |
| Zdroj: | Muscle Nerve |
| ISSN: | 1097-4598 0148-639X |
| Popis: | INTRODUCTION/AIMS: Telemedicine may be particularly well-suited for myasthenia gravis (MG) due to the disorder’s need for specialized care, its hallmark fluctuating muscle weakness, and the potential for increased risk of virus exposure among patients with MG during the coronavirus disease 2019 (COVID-19) pandemic during in-person clinical visits. A disease-specific telemedicine physical examination to reflect myasthenic weakness does not currently exist. METHODS: This paper outlines step-by-step guidance on the fundamentals of a telemedicine assessment for MG. The Myasthenia Gravis Core Exam (MG-CE) is introduced as a MG-specific, telemedicine, physical examination, which contains eight components (ptosis, diplopia, facial strength, bulbar strength, dysarthria, single breath count, arm strength, and sit to stand) and takes approximately 10 minutes to complete. RESULTS: Pre-visit preparation, remote ascertainment of patient-reported outcome scales and visit documentation are also addressed. DISCUSSION: Additional knowledge gaps in telemedicine specific to MG care are identified for future investigation. |
| Databáze: | OpenAIRE |
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