Foti Calogero, Ozçakar Levent, Kara Murat, Mahmoud Asmaa, Sallì Marcello, Ciocchetti Eleonora, Pitruzzella Morena, Franchignoni Franco
Tor Vergata University Medical School, Department of Physical Medicine and Rehabilitation, Rome, Italy.
Int J Rehabil Res. 2013 Jun;36(2):178-81. doi: 10.1097/MRR.0b013e32835b6662.
The interest of physical and rehabilitation medicine (PRM) physicians in musculoskeletal ultrasonography (MSUS) is increasing. In this study, we aimed to explore the attitudes of a group of Italian physiatrists on this topic before and after a 2½-day MSUS course. A 15-question survey (designed ad-hoc for this study) was administered before the first session of an MSUS course held in the PRM Department of Tor Vergata University, Rome. At the end of the course, a repeat questionnaire with eight of the original 15 questions (on awareness) was administered. The survey contained multiple-choice and open-ended questions addressing three main aspects: personal background, MSUS experience, and awareness about MSUS. All of the course participants (17 physiatrists) completed the precourse and postcourse questionnaires. Almost two-thirds of the participants (11/17) reported that they had never received education on MSUS. Overall, the participants rated MSUS as either 'essential' (8/16) or 'useful to some of my practice' (8/16). All of them stated at both times that physiatrists should perform MSUS themselves and that MSUS education is necessary for physiatrists. Participants' awareness significantly increased on the indications for MSUS, the advantages and the structures that could be evaluated with it. We draw attention to the fact that PRM physicians are increasingly becoming aware of the need for MSUS in clinical practice. Unfortunately, the two barriers (i.e. lack of education and lack of device) against the use of MSUS by physiatrists still seem to exist. Finally, we acknowledge the paramount role of international collaborative efforts (e.g., EURO-MUSCULUS) to speed up and standardize the education process and the clinical application of MSUS in our field.
物理医学与康复医学（PRM）医生对肌肉骨骼超声检查（MSUS）的兴趣正在增加。在本研究中，我们旨在探讨一组意大利物理治疗师在参加为期2.5天的MSUS课程前后对该主题的态度。在罗马托雷维加塔大学PRM系举办的MSUS课程的第一节课之前，进行了一项有15个问题的调查（为本研究专门设计）。在课程结束时，发放了一份重复问卷，其中包含原始15个问题中的8个（关于认知度）。该调查包含多项选择题和开放式问题，涉及三个主要方面：个人背景、MSUS经验以及对MSUS的认知度。所有课程参与者（17名物理治疗师）都完成了课前和课后问卷。几乎三分之二的参与者（11/17）报告称他们从未接受过MSUS方面的教育。总体而言，参与者将MSUS评为“必不可少”（8/16）或“对我的部分临床工作有用”（8/16）。他们在两个时间点都表示物理治疗师应该自己进行MSUS检查，并且MSUS教育对物理治疗师来说是必要的。参与者对MSUS的适应证、优点以及可通过其评估的结构的认知度显著提高。我们提请注意这样一个事实，即PRM医生越来越意识到在临床实践中使用MSUS的必要性。不幸的是，物理治疗师使用MSUS的两个障碍（即缺乏教育和缺乏设备）似乎仍然存在。最后，我们认识到国际合作努力（例如EURO - MUSCULUS）在加快和规范我们领域中MSUS的教育过程及临床应用方面的至关重要的作用。
