Skype: a tool for functional assessment in orthopaedic research.
dc.contributor.author | Good, Daniel W | |
dc.contributor.author | Lui, Darren F | |
dc.contributor.author | Leonard, Michael | |
dc.contributor.author | Morris, Seamus | |
dc.contributor.author | McElwain, John P | |
dc.date.accessioned | 2012-11-15T12:32:22Z | |
dc.date.available | 2012-11-15T12:32:22Z | |
dc.date.issued | 2012-03 | |
dc.identifier.citation | Skype: a tool for functional assessment in orthopaedic research. 2012, 18 (2):94-8 J Telemed Telecare | en_GB |
dc.identifier.issn | 1758-1109 | |
dc.identifier.pmid | 22247538 | |
dc.identifier.doi | 10.1258/jtt.2011.110814 | |
dc.identifier.uri | http://hdl.handle.net/10147/252241 | |
dc.description.abstract | Skype is a free program which enables PC users to make video calls to other users with Internet access. We carried out a prospective review of all acromioclavicular joint hook plates for lateral-third clavicle fractures over a five-year period. Functional assessment with Oxford and Constant shoulder scores were carried out using Skype and compared to outpatient review using the Bland-Altman method. Of 36 patients (mean age 36 years), 33 had a computer with a video camera, all 33 had Internet access and 22 were already users of Skype. In total 29 patients were happy to take part in Skype assessment (83%). In comparison with outpatient review, there was a mean difference in the Oxford score of -0.48 (95% confidence interval -0.84, -0.12); the mean difference for the Constant score was -0.68 (95% confidence interval -1.08, -0.29). These differences were not clinically significant, confirming that Skype can be used as an alternative to goniometry in this clinical setting. A survey showed that 93% of 29 patients surveyed preferred the use of Skype for follow-up, mainly due to the convenience and cost-saving involved. The study demonstrates the potential for this new technique in providing patients with more options for follow-up. | |
dc.language.iso | en | en |
dc.publisher | Journal of telemedicine and telecare | en_GB |
dc.rights | Archived with thanks to Journal of telemedicine and telecare | en_GB |
dc.subject.mesh | Acromioclavicular Joint | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Bone Plates | |
dc.subject.mesh | Clavicle | |
dc.subject.mesh | Female | |
dc.subject.mesh | Follow-Up Studies | |
dc.subject.mesh | Fracture Fixation, Internal | |
dc.subject.mesh | Fractures, Bone | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Internet | |
dc.subject.mesh | Male | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Orthopedics | |
dc.subject.mesh | Prospective Studies | |
dc.subject.mesh | Range of Motion, Articular | |
dc.subject.mesh | Telemedicine | |
dc.subject.mesh | Treatment Outcome | |
dc.subject.mesh | Young Adult | |
dc.title | Skype: a tool for functional assessment in orthopaedic research. | en_GB |
dc.type | Article | en |
dc.contributor.department | Department of Trauma, Orthopaedics, Pelvic and Acetabular Reconstructive Surgery, Adelaide and Meath Incorporating the National Children's Hospital, Tallaght, Dublin 24, Ireland. goodd@tcd.ie | en_GB |
dc.identifier.journal | Journal of telemedicine and telecare | en_GB |
dc.description.province | Leinster | en |
html.description.abstract | Skype is a free program which enables PC users to make video calls to other users with Internet access. We carried out a prospective review of all acromioclavicular joint hook plates for lateral-third clavicle fractures over a five-year period. Functional assessment with Oxford and Constant shoulder scores were carried out using Skype and compared to outpatient review using the Bland-Altman method. Of 36 patients (mean age 36 years), 33 had a computer with a video camera, all 33 had Internet access and 22 were already users of Skype. In total 29 patients were happy to take part in Skype assessment (83%). In comparison with outpatient review, there was a mean difference in the Oxford score of -0.48 (95% confidence interval -0.84, -0.12); the mean difference for the Constant score was -0.68 (95% confidence interval -1.08, -0.29). These differences were not clinically significant, confirming that Skype can be used as an alternative to goniometry in this clinical setting. A survey showed that 93% of 29 patients surveyed preferred the use of Skype for follow-up, mainly due to the convenience and cost-saving involved. The study demonstrates the potential for this new technique in providing patients with more options for follow-up. |