Department of Allied Health Care, NIVEL Netherlands Institute of Health Services Research, PO BOX 1568, 3500, BN, Utrecht, the Netherlands.
Department of General Practice, Erasmus Medical Center, Rotterdam, the Netherlands.
BMC Health Serv Res. 2020 Mar 24;20(1):246. doi: 10.1186/s12913-020-05119-3.
The first aim of this research was to investigate the current prevalence of musculoskeletal ultrasound in Dutch physiotherapy practices. The second aim was to explore experiences of physiotherapists with musculoskeletal ultrasound in a primary care setting with patients presenting with shoulder complaints.
A random sample of 1000 owners of primary care physiotherapy practices was sent a questionnaire to investigate the prevalence of musculoskeletal ultrasound. A second questionnaire was sent to physiotherapists using musculoskeletal ultrasound to explore experiences with it in patients with shoulder complaints.
The net response rate of the first questionnaire was 57.7%. In 18% of the physiotherapy practices musculoskeletal ultrasound was offered. Sixty-nine physiotherapists returned the second questionnaire. Physiotherapists indicated they most often used musculoskeletal ultrasound in patients with shoulder complaints, mainly for suspected tissue damage (83.7%), followed by making a diagnosis (63.3%) and for determining the choice of treatment (36.7%). Physiotherapists reported the biggest advantage was that they were better able to diagnose presenting shoulder complaints. The most frequently mentioned disadvantage of the use of musculoskeletal ultrasound was that assessment is difficult and that there is a risk that findings may not be sufficiently linked to history and physical examination.
One in six physiotherapy practices in the Netherlands offer musculoskeletal ultrasound. It is mainly used for patients with shoulder complaints, with an emphasis on detecting tissue damage and as an aid for diagnosis. Physiotherapists trained to work with musculoskeletal ultrasound seem enthusiastic and are at the same time aware of its disadvantages.
本研究的首要目的是调查荷兰物理治疗实践中肌肉骨骼超声的当前流行情况。第二个目的是探讨在初级保健环境中，物理治疗师在肩部疼痛患者中使用肌肉骨骼超声的经验。
随机抽取 1000 名初级保健物理治疗实践的所有者，向他们发送一份问卷，以调查肌肉骨骼超声的流行情况。然后向使用肌肉骨骼超声的物理治疗师发送第二份问卷，以探讨他们在肩部疼痛患者中使用肌肉骨骼超声的经验。
第一份问卷的净回复率为 57.7%。在 18%的物理治疗实践中提供了肌肉骨骼超声。69 名物理治疗师返回了第二份问卷。物理治疗师表示，他们最常在肩部疼痛患者中使用肌肉骨骼超声，主要用于疑似组织损伤（83.7%），其次是做出诊断（63.3%）和确定治疗选择（36.7%）。物理治疗师报告说，最大的优势是他们能够更好地诊断肩部疼痛。使用肌肉骨骼超声最常提到的缺点是评估困难，并且存在发现可能与病史和体检关联不足的风险。
荷兰六分之一的物理治疗实践提供肌肉骨骼超声。它主要用于肩部疼痛患者，重点是检测组织损伤，并作为诊断的辅助手段。接受过肌肉骨骼超声培训的物理治疗师似乎很热情，同时也意识到其缺点。
