Introduction - Objective measurement of movements
Author : yoshiko-marsland | Published Date : 2025-05-12
Description: Introduction Objective measurement of movements for people living with axial spondyloarthritis SpA are a core part of care The necessary limitations on clinical practice imposed by the COVID pandemic have necessitated a switch to
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Transcript:Introduction - Objective measurement of movements:
Introduction - Objective measurement of movements for people living with axial spondyloarthritis (SpA) are a core part of care. The necessary limitations on clinical practice imposed by the COVID pandemic have necessitated a switch to remote consultations. Regularly measuring the Bath Ankylosing Spondylitis Metrology Index (BASMI) is very challenging in these remote consultations. There are a number of projects on-going to develop digital methods of completing the BASMI, but none available yet, so we felt as a group that we had to come up with something to consider to use right now for remote BASMI assessment. Aim -To assess the feasibility and tolerability of a simple, immediately-available version of the BASMI for remote assessment and monitoring. Materials and Methods - The committee of the “AStretch” group of specialist physiotherapists reviewed the standardised BASMI instructions and adapted for application in a remote consult. As a part of an online patient conference, the thus produced “home-BASMI” document was sent out, two weeks in advance, to all booked attendees. During the meet there were two sessions where 7 physiotherapists were available in separate “tables” to assist people with axial SpA, and their household helper, to perform the home-BASMI. Data on how long it took to perform each set of measures were collected along with feedback from those being measured, their helper and the specialist physiotherapists guiding them. Results - 21 people with a diagnosis of axial SpA were measured using home-BASMI. All participants did have someone in their house to support them in undertaking the measures. The average time to complete the DIY-BASMI was 8 minutes. Discussion and Conclusion - There is sufficient feedback here to continue to trial the application of this remote consult version of the BASMI. It is not a perfect situation and we suspect the measures scored in this remote manner would struggle to show sufficient correlation to face-to-face to ever consider this as a valid, reliable replacement. However, in a situation where consultations are usually remote, we have shown the feasibility and tolerability of a remote-consult version of the BASMI. This was a very small sample size and a sample of convenience; all delegates had opted to book onto the conference, and we would therefore assume that they would be more engaged with physiotherapy and its goals and purposes. It is never-the-less a useful tool to allow reflection upon current exercise and stretch routines, to support self-management and
