pREMS - pediatric regional examination of the musculoskeletal system - a practice and consensus based approach
pREMS - pediatric regional examination of the musculoskeletal system - a practice and consensus based approach
Introduction: competent examination of the pediatric musculoskeletal (pMSK) system is a vital component of clinical assessment of children presenting with MSK complaints. The aim was to develop a regional MSK examination for school-aged 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 pMSK experts through a web-based survey. All results were collated and discussed by consensus development groups to derive pREMS (the pediatric Regional Examination of the MSK System)
Results: a total of 48 pMSK expert clinicians were involved to derive pREMS. Systematic review revealed a paucity of evidence about regional pMSK examination. Video observations of MSK examinations (a total of 2901 maneuvers) performed by pMSK experts (doctors n=11; therapists n=8) of 89 school-aged children attending outpatient clinics in 7 UK pediatric rheumatology centres, were followed by semi-structured interviews with 14/19 clinicians. Video observation showed variation in examination techniques, most frequently at the hip and knee in the context of mechanical and inflammatory clinical scenarios
Conclusions: pREMS is the first practice and consensus based regional pMSK examination for school aged children. The structured approach is an important step towards improved pMSK clinical skills relevant to clinical training
Foster, Helen
d51829d1-db17-4198-9f68-5ccade7d1795
Kay, Lesley
79491240-9f65-47a8-a23a-c34666a054a0
May, Carl
17697f8d-98f6-40d3-9cc0-022f04009ae4
Rapley, Tim
eb4364d5-c016-403a-969a-aae1fd35a97c
Foster, Helen
d51829d1-db17-4198-9f68-5ccade7d1795
Kay, Lesley
79491240-9f65-47a8-a23a-c34666a054a0
May, Carl
17697f8d-98f6-40d3-9cc0-022f04009ae4
Rapley, Tim
eb4364d5-c016-403a-969a-aae1fd35a97c
Foster, Helen, Kay, Lesley, May, Carl and Rapley, Tim
(2011)
pREMS - pediatric regional examination of the musculoskeletal system - a practice and consensus based approach.
Arthritis Care & Research.
(doi:10.1002/acr.20569).
(PMID:21954040)
Abstract
Introduction: competent examination of the pediatric musculoskeletal (pMSK) system is a vital component of clinical assessment of children presenting with MSK complaints. The aim was to develop a regional MSK examination for school-aged 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 pMSK experts through a web-based survey. All results were collated and discussed by consensus development groups to derive pREMS (the pediatric Regional Examination of the MSK System)
Results: a total of 48 pMSK expert clinicians were involved to derive pREMS. Systematic review revealed a paucity of evidence about regional pMSK examination. Video observations of MSK examinations (a total of 2901 maneuvers) performed by pMSK experts (doctors n=11; therapists n=8) of 89 school-aged children attending outpatient clinics in 7 UK pediatric rheumatology centres, were followed by semi-structured interviews with 14/19 clinicians. Video observation showed variation in examination techniques, most frequently at the hip and knee in the context of mechanical and inflammatory clinical scenarios
Conclusions: pREMS is the first practice and consensus based regional pMSK examination for school aged children. The structured approach is an important step towards improved pMSK clinical skills relevant to clinical training
This record has no associated files available for download.
More information
e-pub ahead of print date: 2011
Organisations:
Faculty of Health Sciences
Identifiers
Local EPrints ID: 200961
URI: http://eprints.soton.ac.uk/id/eprint/200961
PURE UUID: 5a8ba2e5-0486-40da-aadf-d8eb9f67e5ba
Catalogue record
Date deposited: 27 Oct 2011 08:57
Last modified: 14 Mar 2024 04:20
Export record
Altmetrics
Contributors
Author:
Helen Foster
Author:
Lesley Kay
Author:
Carl May
Author:
Tim Rapley
Download statistics
Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.
View more statistics