Impact of electrodiagnostic (EMG/NCS) tests on clinical decision-making and patient perceived benefit in the outpatient physical therapy practice
| Autor: | William Dodson, Kathy Blair, Chirag Upreti, Dimitrios Kostopoulos, Konstantine Rizopoulos, Mohini Rawat, Marissa Grow, Josh Henderson |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Complementary and Manual Therapy medicine.medical_specialty Referral Clinical Decision-Making Neural Conduction Physical Therapy Sports Therapy and Rehabilitation Electromyography Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Clinical decision making Outpatients medicine Humans Physical Therapy Modalities 030222 orthopedics medicine.diagnostic_test business.industry Rehabilitation Survey research 030229 sport sciences Middle Aged Test (assessment) Patient management Complementary and alternative medicine Patient Satisfaction Physical therapy Nerve conduction study Female Perception business Nerve conduction |
| Zdroj: | Journal of Bodywork and Movement Therapies. 24:170-174 |
| ISSN: | 1360-8592 |
| DOI: | 10.1016/j.jbmt.2019.12.002 |
| Popis: | Utilizing Electromyography and Nerve Conduction Study (EMG/NCS) tests, when indicated, may have implications for efficient patient management and assist in more efficient referral to appropriate providers or specialists.To investigate the impact of Electromyography and Nerve Conduction Studies (EMG/NCS) on clinical decision-making and patient perspectives within PT practice settings.462 patients, who were candidates for diagnostic testing (EMG/NCS) were included in this outcome study and questionnaire-based survey design. Pre-test diagnosis was compared to post-test diagnosis. Post-test, patients were asked to rate their perceived benefit of the testing.Management was changed in 60.61% of patients post EMG/NCS testing (p 0.0001). The diagnosis was changed post-EMG/NCS test in 39% of the patients with a change in management, which is greater than expected (p 0.0004). There was no effect of gender or age (p 0.05) on change in treatment (tx) or diagnosis (dx). 89.8% of patients agreed, or strongly agreed, that they were better able to understand their condition; 92.4% strongly agreed, or agreed, that they were reassured about their condition; 89.1% strongly agreed, or agreed, that they were better able to manage their condition and 92% reported very high, or high, value perceived from the EMG/NCS test administered.This study demonstrates that EMG/NCS testing appears to have a significant impact on clinical decision-making, and higher scores on the patient perceived benefit. |
| Databáze: | OpenAIRE |
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