Abstract:
OBJECTIVE:Competent examination of the pediatric musculoskeletal (MSK) system is a vital component of clinical assessment of children with MSK presentations. The aim was to develop a regional MSK examination for school-age children that is age appropriate and reflects clinical practice. METHODS:Qualitative and quantitative analyses involving video observation of clinical examination technique, systematic review, and expert consensus were employed to reveal descriptions, frequencies, and variations in technique for joint regions in various clinical scenarios. Systematic review and data from clinical observation were combined with feedback from a group of pediatric MSK experts through a web-based survey. All results were collated and discussed by consensus development groups to derive the pediatric Regional Examination of the Musculoskeletal System (pREMS). RESULTS:A total of 48 pediatric MSK expert clinicians were involved to derive pREMS. Systematic review revealed a paucity of evidence about regional pediatric MSK examination. Video observations of MSK examinations (a total of 2,901 maneuvers) performed by pediatric MSK experts (n = 11 doctors and 8 therapists) of 89 school-age children attending outpatient clinics in 7 UK pediatric rheumatology centers were followed by semistructured interviews with 14 of 19 clinicians. Video observation showed variation in examination techniques, most frequently at the hip and knee in the context of mechanical and inflammatory clinical scenarios. CONCLUSION:pREMS is the first practice- and consensus-based regional pediatric MSK examination for school-age children. The structured approach is an important step toward improved pediatric MSK clinical skills relevant to clinical training.
journal_name
Arthritis Care Res (Hoboken)journal_title
Arthritis care & researchauthors
Foster H,Kay L,May C,Rapley Tdoi
10.1002/acr.20569subject
Has Abstractpub_date
2011-11-01 00:00:00pages
1503-10issue
11eissn
2151-464Xissn
2151-4658journal_volume
63pub_type
杂志文章,评审abstract:OBJECTIVE:To determine the additional effects of transcutaneous electrical nerve stimulation (TENS) for knee osteoarthritis (OA) when combined with a group education and exercise program (knee group). METHODS:The study was a randomized, sham-controlled clinical trial. Patients referred for physiotherapy with suspected...
journal_title:Arthritis care & research
pub_type: 杂志文章,随机对照试验
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journal_title:Arthritis care & research
pub_type: 杂志文章
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journal_title:Arthritis care & research
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journal_title:Arthritis care & research
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更新日期:2019-11-30 00:00:00
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journal_title:Arthritis care & research
pub_type: 杂志文章
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更新日期:2020-07-03 00:00:00
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doi:10.1002/acr.22630
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journal_title:Arthritis care & research
pub_type: 杂志文章
doi:10.1002/acr.23758
更新日期:2019-09-01 00:00:00
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journal_title:Arthritis care & research
pub_type: 杂志文章
doi:10.1002/acr.23514
更新日期:2018-10-01 00:00:00
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journal_title:Arthritis care & research
pub_type: 杂志文章,多中心研究
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journal_title:Arthritis care & research
pub_type: 杂志文章
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更新日期:2011-06-01 00:00:00
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journal_title:Arthritis care & research
pub_type: 共识发展会议,杂志文章
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更新日期:2018-11-01 00:00:00
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journal_title:Arthritis care & research
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更新日期:2013-10-01 00:00:00
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journal_title:Arthritis care & research
pub_type: 杂志文章,随机对照试验
doi:10.1002/acr.22744
更新日期:2016-05-01 00:00:00
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更新日期:2013-03-01 00:00:00
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journal_title:Arthritis care & research
pub_type: 杂志文章
doi:10.1002/acr.20673
更新日期:2012-02-01 00:00:00
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journal_title:Arthritis care & research
pub_type: 杂志文章,多中心研究
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更新日期:2010-05-01 00:00:00
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journal_title:Arthritis care & research
pub_type: 杂志文章
doi:10.1002/acr.23115
更新日期:2017-08-01 00:00:00
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pub_type: 杂志文章,meta分析
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更新日期:2015-04-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2013-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-08-01 00:00:00
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journal_title:Arthritis care & research
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2014-11-01 00:00:00
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journal_title:Arthritis care & research
pub_type: 杂志文章
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更新日期:2013-08-01 00:00:00
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更新日期:2016-01-01 00:00:00
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journal_title:Arthritis care & research
pub_type: 杂志文章,随机对照试验
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更新日期:2018-03-01 00:00:00
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pub_type: 临床试验,杂志文章
doi:10.1002/acr.21877
更新日期:2013-04-01 00:00:00
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journal_title:Arthritis care & research
pub_type: 杂志文章
doi:10.1002/acr.20668
更新日期:2012-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1002/acr.22542
更新日期:2015-07-01 00:00:00
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journal_title:Arthritis care & research
pub_type: 杂志文章,多中心研究
doi:10.1002/acr.22667
更新日期:2016-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1002/acr.23571
更新日期:2018-12-01 00:00:00