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

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

The Journal of Haemophilia Practice
Volume 9 (2022): Issue 1 (January 2022)
By: Karen Strike,  Anthony KC Chan,  Monica R Maly,  Nina Stein,  Lynne Farrell and  Patricia Solomon  
Open Access
|May 2022

Figures & Tables

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

Figure 6

Figure 7

Figure 8

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
OPTIMALACCEPTABLESUB-OPTIMAL
Physiotherapist84.6%15.4%0%
Sonographer88.9%11.1%0%

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

KAPPA COEFFICIENTAGREEMENT
Overall (n= 36)k=0.80 (95% CI, 0.59–1.00) p=0.000Prevalence: 70.8%OA: 91.7%SPA: 94.1%SNA: 85.7%
DOI: https://doi.org/10.2478/jhp-2022-0008 | Journal eISSN: 2055-3390
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Language: English
Page range: 64 - 75
Published on: May 20, 2022
Published by: Haemnet Ltd
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year
Keywords:
Haemophilia,
Point of care systems,
Ultrasonography,
Physical therapists,
Physical therapy modalities,
Physical therapy specialty,
Education
Related subjects:
Medicine,
Basic medical science,
Basic medical science, other,
Clinical medicine,
Clinical medicine, other,
Pharmacy,
Pharmacology

© 2022 Karen Strike, Anthony KC Chan, Monica R Maly, Nina Stein, Lynne Farrell, Patricia Solomon, published by Haemnet Ltd
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

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