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The Journal of Haemophilia Practice
Volume 9 (2022): Numero 1 (January 2022)
Accesso libero
Point of care ultrasonography in patients with haemophilia and acute haemarthrosis: a physiotherapist and sonographer inter-professional agreement pilot study
Karen Strike
Karen Strike
,
Anthony KC Chan
Anthony KC Chan
,
Monica R Maly
Monica R Maly
,
Nina Stein
Nina Stein
,
Lynne Farrell
Lynne Farrell
e
Patricia Solomon
Patricia Solomon
| 20 mag 2022
The Journal of Haemophilia Practice
Volume 9 (2022): Numero 1 (January 2022)
INFORMAZIONI SU QUESTO ARTICOLO
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CONDIVIDI
Article Category:
Clinical Practice
Pubblicato online:
20 mag 2022
Pagine:
64 - 75
DOI:
https://doi.org/10.2478/jhp-2022-0008
Parole chiave
Haemophilia
,
Point of care systems
,
Ultrasonography
,
Physical therapists
,
Physical therapy modalities
,
Physical therapy specialty
,
Education
© 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
Figure 1
Patient position and transducer orientation for posterior elbow joint recess
Figure 2
Right elbow, posterior joint recess in long axis with overlying triceps tendon
Figure 3
Patient position and transducer orientation for suprapatellar anterior joint recess
Figure 4
Right knee, suprapatellar anterior joint recess
Figure 5
Figure 6
Figure 7
Figure 8
Figure 9
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
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%