Using Telemedicine to Improve Spasticity Diagnosis Rates

The aim of this study is to improve spasticity (a form of muscle rigidity) diagnosis through
validation of telemedicine as a tool for spasticity evaluation or referral. This study will
test the reliability of using telemedicine so a neurologist can remotely identify residents
of a long-term care facility who should be referred to a neurologist for an in-person
spasticity consultation. The telemedicine referral tool will be tested for bedside
implementation in all consenting participants residing in Tennessee State Veteran's Home,
which is a long-term care facility in Murfreesboro, TN. Each of the 140 residents will
receive one neurological examination and one physical examination guided by the
teleneurologist. A medical record review will also be performed.

Inclusion Criteria:

- Male or female subjects of any race, aged 18 and above

- Resident of the selected long-term care facility

- The subject, or if appropriate their medical decision maker, is willing and able to
provide written informed consent.

Exclusion Criteria:

- Subjects for whom participation in the study may cause medical harm