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Point of care ultrasonography in patients with haemophilia and acute haemarthrosis: a physiotherapist and sonographer inter-professional agreement pilot study

Karen Strike

Karen Strike

School of Rehabilitation Science, Faculty of Health Science, McMaster UniversityHamilton, Canada
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Strike, Karen
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Anthony KC Chan

Anthony KC Chan

Department of Pediatrics, McMaster UniversityHamilton, Canada
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Chan, Anthony KC
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Monica R Maly

Monica R Maly

Department of Kinesiology, Faculty of Health, University of WaterlooWaterloo, Canada
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Maly, Monica R
, 
Nina Stein

Nina Stein

Department of Radiology, McMaster UniversityHamilton, Canada
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Stein, Nina
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Lynne Farrell

Lynne Farrell

Diagnostic Imaging Department, McMaster Children's Hospital, Hamilton Health SciencesHamilton, Canada
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Farrell, Lynne
 et 
Patricia Solomon

Patricia Solomon

School of Rehabilitation Science, Faculty of Health Science, McMaster UniversityHamilton, Canada
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Solomon, Patricia
  
20 mai 2022
Point of care ultrasonography in patients with haemophilia and acute haemarthrosis: a physiotherapist and sonographer inter-professional agreement pilot study's Cover Image
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Catégorie d'article: Clinical Practice
Publié en ligne: 20 mai 2022
Pages: 64 - 75
DOI: https://doi.org/10.2478/jhp-2022-0008
Mots clés
© 2022 Karen Strike et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
With appropriate training, physiotherapists can perform and interpret point-of-care ultrasound scans for the assessment of acute haemarthrosis to a level comparable to an experienced sonographer© Shutterstock
With appropriate training, physiotherapists can perform and interpret point-of-care ultrasound scans for the assessment of acute haemarthrosis to a level comparable to an experienced sonographer© Shutterstock

Figure 1

Patient position and transducer orientation for posterior elbow joint recess
Patient position and transducer orientation for posterior elbow joint recess

Figure 2

Right elbow, posterior joint recess in long axis with overlying triceps tendon
Right elbow, posterior joint recess in long axis with overlying triceps tendon

Figure 3

Patient position and transducer orientation for suprapatellar anterior joint recess
Patient position and transducer orientation for suprapatellar anterior joint recess

Figure 4

Right knee, suprapatellar anterior joint recess
Right knee, suprapatellar anterior joint recess

Figure 5

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Figure 9

Patient position and transducer orientation for anterior tibiotalar joint recess
Patient position and transducer orientation for anterior tibiotalar joint recess

Figure 10

Right tibiotalar joint, anterior joint recess in sagittal plane with overlying anterior tibialis tendon
Right tibiotalar joint, anterior joint recess in sagittal plane with overlying anterior tibialis tendon

Quality of ultrasound images

QUALITY OF ULTRASOUND IMAGES
OPTIMAL ACCEPTABLE SUB-OPTIMAL
Physiotherapist 84.6% 15.4% 0%
Sonographer 88.9% 11.1% 0%

Level of agreement on the presence or absence of blood within the joint

KAPPA COEFFICIENT AGREEMENT
Overall (n= 36) k=0.80 (95% CI, 0.59–1.00) p=0.000 Prevalence: 70.8%OA: 91.7%SPA: 94.1%SNA: 85.7%
Langue:
Anglais
Périodicité:
1 fois par an
Sujets de la revue:
Médecine, Sciences médicales de base, Sciences médicales de base, autres, Médecine clinique, Médecine clinique, autres, Pharmacie, Pharmacologie
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