Malone Jason B, Burns Jessica D, Belthur Mohan V, Karlen Judson W
Department of Orthopaedic Surgery, Phoenix Children's Hospital, Phoenix, Arizona.
Department of Orthopaedic Surgery, Nemours Children's Hospital, Orlando, Florida.
J Pediatr Orthop B. 2022 Jan 1;31(1):e65-e68. doi: 10.1097/BPB.0000000000000838.
Gait analysis in the pediatric and adult orthopedic patient populations can adjunct the diagnosis and treatment of a multitude of musculoskeletal conditions. Understanding of normal and abnormal gait biomechanics is an important aspect of orthopedic residency; yet, there is great variability in the time residency programs dedicate to gait analysis education. The purpose of this study was to investigate if formal gait analysis education during residency improves an orthopedic resident's understanding of normal and pathologic gait. Five residency programs consisting of 81 resident subjects were surveyed at the beginning of the 2016-2017 academic year. The residents were divided into those with formal gait analysis education (group A) and those without (group B). Each resident was sent an online survey with 11 questions from former orthopedic in-training exams (OITE) regarding gait pattern analysis. The average number of correct questions was compared between the two groups with Student's t-test. Fifty-three of the 81 surveys sent out were completed. There were 23 subjects in group A and 30 in group B. All five programs and all postgraduate years (PGYs) were represented (PGY1: 10, PGY2: 12, PGY3: 12, PGY4: 6, PGY5 12). The average score for all residents was 5.6 out of 11 correct (51%). The residents from group A averaged a significantly higher score (6.3) than group B (5.0) (P = 0.017). Understanding gait biomechanics is a critical skill for orthopedic surgeons, and residency training often lacks sufficient training in their curriculum. A good understanding of gait analysis allows orthopedic surgeons to analyze gait disturbances and develop patient-specific treatment plans in adult and pediatric populations. This study found improved knowledge of gait patterns amongst orthopedic residents with formal education. Even though the residents with formal education fared better than their counterparts, the overall percent correct was still low (51%). Evidence: Level 3: Prospective Cohort Study.
儿科和成人骨科患者群体的步态分析有助于多种肌肉骨骼疾病的诊断和治疗。了解正常和异常步态生物力学是骨科住院医师培训的一个重要方面；然而，住院医师培训项目用于步态分析教育的时间差异很大。本研究的目的是调查住院期间的正规步态分析教育是否能提高骨科住院医师对正常和病理步态的理解。在2016 - 2017学年开始时，对五个住院医师培训项目的81名住院医师进行了调查。住院医师被分为接受过正规步态分析教育的（A组）和未接受过的（B组）。向每位住院医师发送了一份在线调查问卷，其中包含11个来自以前骨科在职培训考试（OITE）的关于步态模式分析的问题。用学生t检验比较两组正确问题的平均数量。发出的81份调查问卷中有53份完成。A组有23名受试者，B组有30名。所有五个项目和所有研究生年级（PGY1：10名，PGY2：12名，PGY3：12名，PGY4：6名，PGY5：12名）都有代表。所有住院医师的平均得分是11道题中答对5.6道（51%）。A组住院医师的平均得分（6.3分）显著高于B组（5.0分）（P = 0.017）。理解步态生物力学是骨科医生的一项关键技能，而住院医师培训课程往往缺乏足够的相关培训。对步态分析有良好的理解能使骨科医生分析步态障碍，并为成人和儿科患者制定个性化的治疗方案。本研究发现，接受正规教育的骨科住院医师对步态模式的了解有所提高。尽管接受正规教育的住院医师表现优于未接受的，但总体正确百分比仍然很低（51%）。证据级别：3级：前瞻性队列研究。
