Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, I-00133 Rome, Italy.
Department of Medicine and Health Science "Vincenzo Tiberio", University of Molise, I-86100 Campobasso, Italy.
Int J Environ Res Public Health. 2021 Feb 18;18(4):1995. doi: 10.3390/ijerph18041995.
The aim of this article was to investigate the knowledge, management, and clinical practice of Italian physiotherapists concerning patients with carpal tunnel syndrome (CTS). A national cross-sectional survey consisted of 24 questions was administered from December 2019 until February 2020. A Chi-squared independence test was run to study any difference between subgroups of the sample and responses to the questionnaire. Five hundred and eight respondents completed the survey. Most respondents ( = 225/508; 44.3%) are under 29 years old, female ( = 256/508; 50.4%) and have been working as physiotherapists for less than 5 years ( = 213/508; 41.9%). Most of respondents correctly knows about the cause ( = 455/508, 89.6%), main signs and symptoms of CTS ( = 415/508, 81.70%) and administer education, manual therapy, myofascial techniques and therapeutic exercises ( = 457/508, 89.88%). Three hundred and sixty-four (71.68%) respondents were aware of the influence of psychosocial factors on the patient's outcomes. The survey showed greater adherence to evidences by physiotherapists holding a master's degree. The results are mostly comparable with other surveys structured all over the world on the same topic. Italian physiotherapists management of the CTS was not always in line with current evidence. Interventions such as education, manual therapy, therapeutic exercise, nerve and tendon glide techniques are widely used, while the orthotic is only offered by half of the sample.
本文旨在调查意大利物理治疗师在腕管综合征 (CTS) 患者方面的知识、管理和临床实践。从 2019 年 12 月至 2020 年 2 月，进行了一项包含 24 个问题的全国性横断面调查。使用卡方独立性检验来研究样本亚组之间以及对问卷的回答之间的任何差异。共有 508 名受访者完成了调查。大多数受访者（=225/508；44.3%）年龄在 29 岁以下，女性（=256/508；50.4%），且作为物理治疗师的工作时间不到 5 年（=213/508；41.9%）。大多数受访者正确了解 CTS 的病因（=455/508，89.6%）、主要体征和症状（=415/508，81.70%），并进行教育、手法治疗、肌筋膜技术和治疗性运动（=457/508，89.88%）。364 名（71.68%）受访者意识到心理社会因素对患者结果的影响。该调查显示，具有硕士学位的物理治疗师更遵守证据。结果与其他在全球范围内针对同一主题进行的调查大多相似。意大利物理治疗师对 CTS 的管理并不总是符合当前的证据。教育、手法治疗、治疗性运动、神经和肌腱滑动技术等干预措施得到了广泛应用，而矫形器仅被一半的样本提供。
