Download PDF
Int J Sports Med 2021; 42(04): 365-370
DOI: 10.1055/a-1268-8837
Training & Testing

Instructing Ultrasound-guided Examination Techniques Using a Social Media Smartphone App

Lia Rigamonti
1   University Outpatient Clinic, Sports Medicine & Orthopaedics, University of Potsdam, Potsdam
,
Patrick Kahle
2   Department of Cardiology, Kerckhoff-Klinik GmbH, Bad Nauheim
,
Harm Peters
3   Dieter Scheffner Center for Medical Teaching and Educational Research, Charité Universitätsmedizin Berlin, Berlin
,
Bernd Wolfarth
4   Department of Sport Medicine Humboldt University and Charité University School of Medicine, Berlin
,
Thomas Thouet
4   Department of Sport Medicine Humboldt University and Charité University School of Medicine, Berlin
,
Klaus Bonaventura
1   University Outpatient Clinic, Sports Medicine & Orthopaedics, University of Potsdam, Potsdam
5   Clinic for Cardiology and Angiology, Ernst von Bergmann Hospital, Potsdam
,
David Alexander Back
3   Dieter Scheffner Center for Medical Teaching and Educational Research, Charité Universitätsmedizin Berlin, Berlin
6   Clinic of Traumatology and Orthopedics, Berlin, Bundeswehr Hospital Berlin
› Author Affiliations Funding This research did not receive any specific grant or other funding.
› Further Information
Also available at
    Permissions and Reprints

Abstract

Social media applications on smartphones allow for new avenues of instruction in sports medicine and exercise sciences. This study tested the feasibility of instructing health care personnel through videos of ultrasound vascular measurements distributed by a social media messenger application. After two training sessions with an ultrasound device, voluntary physicians (n=10) and nurses (n=10) received a video for the performance of an ultrasound-guided determination of intima-media-thickness and diameter of the femoral arteries via a social media messenger application. All participants examined the same healthy human subject. There was no significant difference between the groups regarding overall time of performance, measurements of the femoral arteries, or a specifically designed “assessment of mobile imparted arterial ultrasound determination” score. The physicians group achieved significantly higher scores in the established “objective structured assessment of ultrasound skills” score (p=0.019). Approval of the setting was high in both groups. Transmission of videos via social media applications can be used for instructions on the performance of ultrasound-guided vascular examinations in sports medicine, even if investigators’ performances differ depending on their grade of ultrasound experience. In the future, the chosen approach should be tested in practical scientific examination settings.

Key words

instruction - healthcare personnel - social media - ultrasound - video


Publication History

Received: 01 October 2019

Accepted: 11 September 2020

Article published online:
19 October 2020

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Malyar N, Furstenberg T, Wellmann J. et al. Recent trends in morbidity and in-hospital outcomes of in-patients with peripheral arterial disease: a nationwide population-based analysis. Eur Heart J 2013; 34: 2706-2714
    CrossrefPubMedSearch in Google Scholar
  • 2 Hirsch AT, Hartman L, Town RJ. et al. National health care costs of peripheral arterial disease in the Medicare population. Vasc Med 2008; 13: 209-215
    CrossrefPubMedSearch in Google Scholar
  • 3 Duvall WL, Vorchheimer DA. Multi-bed vascular disease and atherothrombosis: Scope of the problem. J Thromb Thrombolysis 2004; 17: 51-61
    CrossrefPubMedSearch in Google Scholar
  • 4 Juonala M, Viikari JS, Kahonen M. et al. Life-time risk factors and progression of carotid atherosclerosis in young adults: The Cardiovascular Risk in Young Finns study. Eur Heart J 2010; 31: 1745-1751
    CrossrefPubMedSearch in Google Scholar
  • 5 Lorenz MW, Markus HS, Bots ML. et al. Prediction of clinical cardiovascular events with carotid intima-media thickness: A systematic review and meta-analysis. Circulation 2007; 115: 459-467
    CrossrefPubMedSearch in Google Scholar
  • 6 Hollander M, Bots ML, Del Sol AI. et al. Carotid plaques increase the risk of stroke and subtypes of cerebral infarction in asymptomatic elderly: the Rotterdam study. Circulation 2002; 105: 2872-2877
    CrossrefPubMedSearch in Google Scholar
  • 7 Green DJ, Spence A, Rowley N. et al. Vascular adaptation in athletes: Is there an ‘athlete’s artery’?. Exp Physiol 2012; 97: 295-304
    CrossrefPubMedSearch in Google Scholar
  • 8 Hurst RT, Nelson MR, Kendall CB. et al. Carotid intimal-medial thickness in active professional American football players aged 23–35 years. Am J Cardiol 2012; 109: 897-900
    CrossrefPubMedSearch in Google Scholar
  • 9 Dickerman RD, McConathy WJ, Smith GH. et al. Middle cerebral artery blood flow velocity in elite power athletes during maximal weight-lifting. Neurol Res 2000; 22: 337-340
    CrossrefPubMedSearch in Google Scholar
  • 10 Kyparos A, Riganas C, Nikolaidis MG. et al. The effect of exercise-induced hypoxemia on blood redox status in well-trained rowers. Eur J Appl Physiol 2012; 112: 2073-2083
    CrossrefPubMedSearch in Google Scholar
  • 11 Costa AG, Wyman A, Siris ES. et al. When, where and how osteoporosis-associated fractures occur: An analysis from the Global Longitudinal Study of Osteoporosis in Women (GLOW). PLoS One 2013; 8: e83306
    CrossrefPubMedSearch in Google Scholar
  • 12 Kluitenberg B, van Middelkoop M, Smits DW. et al. The NLstart2run study: Incidence and risk factors of running-related injuries in novice runners. Scand J Med Sci Sports 2015; 25: 515-523
    CrossrefPubMedSearch in Google Scholar
  • 13 Van Noorden R. Online collaboration: Scientists and the social network. Nature 2014; 512: 126-129
    CrossrefPubMedSearch in Google Scholar
  • 14 Davis JS, Garcia GD, Wyckoff MM. et al. Use of mobile learning module improves skills in chest tube insertion. J Surg Res 2012; 177: 21-26
    CrossrefPubMedSearch in Google Scholar
  • 15 Johnston MJ, King D, Arora S. et al. Smartphones let surgeons know WhatsApp: An analysis of communication in emergency surgical teams. Am J Surg 2015; 209: 45-51
    CrossrefPubMedSearch in Google Scholar
  • 16 Sakadjian A, Panchuk D, Pearce AJ. Kinematic and kinetic improvements associated with action observation facilitated learning of the power clean in Australian footballers. J Strength Cond Res 2014; 28: 1613-1625
    CrossrefPubMedSearch in Google Scholar
  • 17 Adhikari S, Blaivas M, Lyon M. et al. Transfer of real-time ultrasound video of FAST examinations from a simulated disaster scene via a mobile phone. Prehosp Disaster Med 2014; 29: 290-293
    CrossrefPubMedSearch in Google Scholar
  • 18 Dorwal P, Sachdev R, Gautam D. et al. Role of WhatsApp Messenger in the Laboratory Management System: A Boon to Communication. J Med Syst 2016; 40: 14
    CrossrefPubMedSearch in Google Scholar
  • 19 Hossain IT, Mughal U, Atalla B. et al. Instant messaging - one solution to doctor-student communication?. Med Educ Online 2015; 20: 30593
    CrossrefPubMedSearch in Google Scholar
  • 20 Huang C, Shokoohi H, Przybylo JA. et al. INSPIRED: Instruction of sonographic placement of IVs by registered nurses in the emergency department. Am J Emerg Med 2018; 36: 2325-2326
    CrossrefPubMedSearch in Google Scholar
  • 21 Winter R, Lindqvist P, Sheehan FH. Test of simulator-based assessment of psychomotor skill in transthoracic echo. Clin Physiol Funct Imaging 2018;
    CrossrefPubMedSearch in Google Scholar
  • 22 Risch L, Cassel M, Messerschmidt J. et al. Is sonographic assessment of intratendinous blood flow in achilles tendinopathy patients reliable?: Consistency of doppler ultrasound modes and intra- and inter-observer reliability. Ultrasound Int Open 2016; 2: 13-18
    Thieme ConnectPubMedSearch in Google Scholar
  • 23 Kumbhare D, Shaw S, Grosman-Rimon L. et al. Quantitative ultrasound assessment of myofascial pain syndrome affecting the trapezius: A reliability study. J Ultrasound Med 2017; 36: 2559-2568
    CrossrefPubMedSearch in Google Scholar
  • 24 Harriss DJ, Macsween A, Atkinson G. Standards for ethics in sport and exercise science research: 2020 update. Int J Sports Med 2019; 40: 813-817
    Thieme ConnectPubMedSearch in Google Scholar
  • 25 Tolsgaard MG, Ringsted C, Dreisler E. et al. Reliable and valid assessment of ultrasound operator competence in obstetrics and gynecology. Ultrasound Obstet Gynecol 2014; 43: 437-443
    CrossrefPubMedSearch in Google Scholar
  • 26 Ziesmann MT, Park J, Unger BJ. et al. Validation of the quality of ultrasound imaging and competence (QUICk) score as an objective assessment tool for the FAST examination. J Trauma Acute Care Surg 2015; 78: 1008-1013
    CrossrefPubMedSearch in Google Scholar
  • 27 Back DA, Haberstroh N, Antolic A. et al. Blended learning approach improves teaching in a problem-based learning environment in orthopedics - a pilot study. BMC Med Educ 2014; 14: 17
    CrossrefPubMedSearch in Google Scholar
  • 28 Konijn EA, Veldhuis J, Plaisier XS. YouTube as a research tool: three approaches. Cyberpsychol Behav Soc Netw 2013; 16: 695-701
    CrossrefPubMedSearch in Google Scholar
  • 29 Pander T, Pinilla S, Dimitriadis K. et al. The use of Facebook in medical education−a literature review. GMS Z Med Ausbild 2014; 31: Doc28
    PubMedSearch in Google Scholar
  • 30 Chassang G. The impact of the EU general data protection regulation on scientific research. Ecancermedicalscience 2017; 11: 709
    CrossrefPubMedSearch in Google Scholar
  • 31 Kobayashi L, Zhang XC, Collins SA. et al. Exploratory application of augmented reality/mixed reality devices for acute care procedure training. West J Emerg Med 2018; 19: 158-164
    CrossrefPubMedSearch in Google Scholar