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Assessing disability and relapses in multiple sclerosis on tele-neurology.
Neurological Sciences ( IF 2.7 ) Pub Date : 2020-05-21 , DOI: 10.1007/s10072-020-04470-x
Marcello Moccia 1 , Roberta Lanzillo 1 , Vincenzo Brescia Morra 1 , Simona Bonavita 2 , Gioacchino Tedeschi 3 , Letizia Leocani 4, 5, 6 , Luigi Lavorgna 3 ,
Affiliation  

BACKGROUND As a consequence of the coronavirus disease 2019 (COVID-19) pandemic, a large amount of consultations will be delivered through tele-medicine, especially for diseases causing chronic disability and requiring immunomodulatory treatments, such as multiple sclerosis (MS). METHODS We have hereby reviewed available tools for tele-neurology examination in MS, including components of neurological examination that can be assessed through video, patient-reported outcome measures (PROMs), and digital technology. RESULTS Overall, we have suggested a battery for assessing MS disability and relapses on tele-medicine, which brings together conventional examination, PROMs (e.g., Patient Determined Disease Steps, MS Impact Scale), and cognitive tests (Symbol Digit Modalities Test) that can be delivered remotely and in multiple languages. DISCUSSION The use of common tools for neurological examination could improve tele-neurology practice for both general neurologists and MS specialists, and quality of care for people with MS.

中文翻译:

在远程神经学上评估多发性硬化症的残疾和复发。

背景 由于 2019 年冠状病毒病 (COVID-19) 大流行,大量的会诊将通过远程医疗进行,特别是对于导致慢性残疾和需要免疫调节治疗的疾病,例如多发性硬化症 (MS)。方法 我们特此审查了 MS 远程神经检查的可用工具,包括可以通过视频、患者报告结果测量 (PROM) 和数字技术评估的神经检查组件。结果 总体而言,我们建议使用远程医疗评估 MS 残疾和复发的电池组,它将常规检查、PROM(例如,患者确定的疾病步骤、MS 影响量表)和认知测试(符号数字模态测试)结合在一起,可以以多种语言远程交付。
更新日期:2020-05-21
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