Abstract
Introduction
We present this case of a British patient living and working in Africa who used audiovisual (SKYPE) equipment as a treatment option for remote consultation. This was investigated in response to a request by the patient for further postoperative support at a distance after a complex hand surgery procedure.
Methods
Audiovisual (SKYPE) equipment was used by the team in combination with manual therapy as a means of seeking advice, progressing treatment and liaison with a specialist hand therapist and surgeon. The audiovisual equipment was used to complete follow-up of treatment episodes once the patient had returned to Africa.
Results
After five months of audiovisual consultations with the surgeon and clinical specialist hand therapist, the patient reported significant reductions in anxiety regarding the management of his extensive hand injury. The patient's active and passive range of movement and Disabilities of the Arm Shoulder and Hand scores had all improved. The wider multidisciplinary team in his local area was supported by a specialist service and evidence was gathered to support the organizational benefits of using audiovisual equipment.
Conclusion
This case report highlights the potential, clinical and cost benefits of utilizing audiovisual equipment in conjunction with other treatments in the management of remote hand injury patients.
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