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Telemedicine application to headache: a critical review.

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Title: Telemedicine application to headache: a critical review.
Authors: Spina, Emanuele (AUTHOR), Tedeschi, Gioacchino (AUTHOR), Russo, Antonio (AUTHOR), Trojsi, Francesca (AUTHOR), Iodice, Rosa (AUTHOR), Tozza, Stefano (AUTHOR), Iovino, Aniello (AUTHOR), Iodice, Francesco (AUTHOR), Abbadessa, Gianmarco (AUTHOR), di Lorenzo, Francesco (AUTHOR), Miele, Giuseppina (AUTHOR), Maida, Elisabetta (AUTHOR), Cerullo, Giovanni (AUTHOR), Sparaco, Maddalena (AUTHOR), Silvestro, Marcello (AUTHOR), Leocani, Letizia (AUTHOR), Bonavita, Simona (AUTHOR), Manganelli, Fiore (AUTHOR), Lavorgna, Luigi (AUTHOR)
Source: Neurological Sciences. Jun2022, Vol. 43 Issue 6, p3795-3801. 7p. 1 Chart.
Subjects: Telemedicine, Headache, Child patients, Neurologic examination, Health equity
Abstract: Background: Migraine affects more than a billion people all over the world and requires critical employment of healthcare resources. Telemedicine could be a reasonable tool to manage people suffering from headaches, and it received a big push from the COVID-19 pandemic. Objective: This review aims to propose a practical approach for the virtual management of these patients. Methods: To do this, we conducted a literature search, including 32 articles relevant to the topic treated in this review. Results: The most challenging step in telemedicine applied to practical neurology remains the clinical assessment, but through a careful headache history and a recently proposed entirely virtual neurological assessment, this hitch can be easily overcome. Electronic diary compilations and virtual administration of disability-measuring scales, conversely, are the key features of effective long-term follow-up although we do not have apps that met the criteria of scientific reliability. Furthermore, tele-rehabilitation seems to be effective and has demonstrated to be a solution to alternatively treat chronic patients at home, and can be considered part of the remote management of headache patients. Moreover, virtual management of headaches finds an application in specific communities of patients, as pediatric patients and for rural communities of low- and middle-income countries suffer from health disparities, with inadequate resources and knowledge gaps. Conclusion: Telemedicine could be promising for patients with no regular or convenient access to headache specialists and seems to be a priority in managing migraine patients to avoid non-urgent hospitalizations [ABSTRACT FROM AUTHOR]
Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Telemedicine application to headache: a critical review.
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  Data: <searchLink fieldCode="AR" term="%22Spina%2C+Emanuele%22">Spina, Emanuele</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tedeschi%2C+Gioacchino%22">Tedeschi, Gioacchino</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Russo%2C+Antonio%22">Russo, Antonio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Trojsi%2C+Francesca%22">Trojsi, Francesca</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Iodice%2C+Rosa%22">Iodice, Rosa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tozza%2C+Stefano%22">Tozza, Stefano</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Iovino%2C+Aniello%22">Iovino, Aniello</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Iodice%2C+Francesco%22">Iodice, Francesco</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Abbadessa%2C+Gianmarco%22">Abbadessa, Gianmarco</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22di+Lorenzo%2C+Francesco%22">di Lorenzo, Francesco</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Miele%2C+Giuseppina%22">Miele, Giuseppina</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Maida%2C+Elisabetta%22">Maida, Elisabetta</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cerullo%2C+Giovanni%22">Cerullo, Giovanni</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sparaco%2C+Maddalena%22">Sparaco, Maddalena</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Silvestro%2C+Marcello%22">Silvestro, Marcello</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Leocani%2C+Letizia%22">Leocani, Letizia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bonavita%2C+Simona%22">Bonavita, Simona</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Manganelli%2C+Fiore%22">Manganelli, Fiore</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lavorgna%2C+Luigi%22">Lavorgna, Luigi</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Neurological+Sciences%22">Neurological Sciences</searchLink>. Jun2022, Vol. 43 Issue 6, p3795-3801. 7p. 1 Chart.
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– Name: Abstract
  Label: Abstract
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  Data: Background: Migraine affects more than a billion people all over the world and requires critical employment of healthcare resources. Telemedicine could be a reasonable tool to manage people suffering from headaches, and it received a big push from the COVID-19 pandemic. Objective: This review aims to propose a practical approach for the virtual management of these patients. Methods: To do this, we conducted a literature search, including 32 articles relevant to the topic treated in this review. Results: The most challenging step in telemedicine applied to practical neurology remains the clinical assessment, but through a careful headache history and a recently proposed entirely virtual neurological assessment, this hitch can be easily overcome. Electronic diary compilations and virtual administration of disability-measuring scales, conversely, are the key features of effective long-term follow-up although we do not have apps that met the criteria of scientific reliability. Furthermore, tele-rehabilitation seems to be effective and has demonstrated to be a solution to alternatively treat chronic patients at home, and can be considered part of the remote management of headache patients. Moreover, virtual management of headaches finds an application in specific communities of patients, as pediatric patients and for rural communities of low- and middle-income countries suffer from health disparities, with inadequate resources and knowledge gaps. Conclusion: Telemedicine could be promising for patients with no regular or convenient access to headache specialists and seems to be a priority in managing migraine patients to avoid non-urgent hospitalizations [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10072-022-05910-6
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        Text: English
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