Slattery, BrianAckerman, LyndseyJagadamma, Kavi2022-03-152022-03-152022-02-26Allen, J.E., Clunie, G., Ma, J.K.-Y., Coffey, M., Winiker, K., Richmond, S., Lowell, S.Y. and Volkmer, A. (2022) ‘Translating ultrasound into clinical practice for the assessment of swallowing and laryngeal function: a speech and language pathology-led consensus study’, Dysphagia, 37(6), pp. 1586–1598. Available at: https://doi.org/10.1007/s00455-022-10413-9.1557-0681https://eresearch.qmu.ac.uk/handle/20.500.12289/11933http://doi.org/10.1002/msc.1623From Crossref journal articles via Jisc Publications RouterItem not available in this repository.Introduction Due to COVID-19 the ability to see all patients face-to-face (FTF) was removed. Services implemented telehealth to cater for patients requiring musculoskeletal care. A service evaluation was undertaken to assess the effectiveness of a mixed telehealth/FTF approach and identify if stratifying patients could help tailor intervention.Methods Retrospective analysis of data collected from patients who were assessed by Musculoskeletal Physiotherapists in one Scottish health board was undertaken. Patients were divided into low, medium and high risk sub-groups through the Keele STarT MSK tool. Outcome measures for pain and musculoskeletal health were taken at baseline/discharge along with satisfaction/preference. Descriptive and Inferential statistical analysis was conducted to establish whether changes in the outcome measures within and between risk sub-groups were statistically significant.Results Pain level difference from baseline to discharge demonstrated clinically and statistically significant improvements across all risk groups (N = 89). Musculoskeletal health demonstrated clinically significant improvements across all risk groups and statistically significant improvements in the medium/high risk groups but not the low risk. Patients with knee osteoarthritis and low back pain in the medium risk group had fewest appointments while patients with chronic shoulder pain had the most. The majority of patients were satisfied with all mediums but preferred FTF or an option between telehealth/FTF in the future.Conclusion Telehealth is a promising model of care when utilised in combination with FTF for patients with musculoskeletal conditions. Through stratification, identifying specific conditions and shared decision making it may be possible to treat certain patient groups via telehealth.Licence for VoR version of this article starting on 2022-02-26: http://onlinelibrary.wiley.com/termsAndConditions#vorMusculoskeletalPhysiotherapyStratificationTelehealthTelephoneVideoArticle2022-03-08