Wallace Alan, Briggs Matthew S, Onate James, DeWitt John, Rinehart-Thompson Laurie
Department of Athletics, Kent State University; School of Health and Rehabilitation Sciences, The Ohio State University.
Ambulatory Rehabilitation, Sports Medicine Research Institute, and Department of Orthopaedics, The Ohio State University Wexner Medical Center.
Int J Sports Phys Ther. 2021 Dec 2;16(6):1548-1565. doi: 10.26603/001c.29850. eCollection 2021.
While Athletic Trainers' (ATs) education emphasizes sport event coverage, Physical Therapists' (PTs) education may prepare them for event coverage responsibilities. The objectives of this study were to compare the perceived preparedness and decision-making related to acute injury/medical condition management among ATs and PTs and evaluate the relationship between perceived preparedness and decision-making.
ATs would report greater perceived preparedness and appropriate decision-making related to acute injury/medical conditions compared to PTs.
Cross-sectional, Online survey.
An electronic survey was disseminated to licensed ATs (n=2,790) and PTs (n=10,207). Survey questions focused on perceived preparedness for management of acute injuries/medical conditions. Respondents also completed questions that assessed clinical decision-making related to acute injury case scenarios. Kruskal-Wallis H-Tests and Spearman's Rho Correlations were used for the analysis. Significance was set to p<0.003 after adjustment for family-wise error.
Six-hundred and fifty-five respondents (292 ATs, 317 PTs, 46 dual credentialed PT/ATs) completed the entire survey. ATs had the highest level of perceived preparedness of all the groups (p<0.0003). Greater than 75% of PTs responded either "appropriately" or "overly cautious" to 10 of the 17 case scenarios, as opposed to 11 of the 17 case scenarios by ATs. Greater than 75% of the PTs who were board specialty certified in sports responded either "appropriately" or "overly cautious" to 13 case scenarios.
More ATs than PTs perceived themselves to be prepared to manage acute injuries/ medical conditions. Further, results indicate that PTs may be an effective and safe provider of event coverage. Conditions/injuries with low perceived preparedness or poor performance may offer both ATs and PTs an opportunity to identify areas for future training and education to optimize care for athletes with acute injuries or medical conditions.
Level 3b.
虽然运动训练师（ATs）的教育侧重于体育赛事报道，但物理治疗师（PTs）的教育可能会让他们为赛事报道职责做好准备。本研究的目的是比较ATs和PTs在急性损伤/医疗状况管理方面的感知准备情况和决策制定，并评估感知准备情况与决策制定之间的关系。
与PTs相比，ATs在急性损伤/医疗状况方面会报告更高的感知准备情况和适当的决策制定。
横断面在线调查。
向有执照的ATs（n = 2790）和PTs（n = 10207）发放电子调查问卷。调查问题集中在对急性损伤/医疗状况管理的感知准备情况。受访者还完成了评估与急性损伤病例情景相关的临床决策的问题。采用Kruskal-Wallis H检验和Spearman秩相关分析。在对家族性错误进行校正后，显著性设定为p < 0.003。
655名受访者（292名ATs、317名PTs、46名具有PT/AT双重资质者）完成了整个调查。ATs在所有组中具有最高水平的感知准备情况（p < 0.0003）。超过75%的PTs对17个病例情景中的10个回答为“适当”或“过度谨慎”，而ATs对17个病例情景中的11个回答为“适当”或“过度谨慎”。超过75%获得运动专科认证的PTs对13个病例情景回答为“适当”或“过度谨慎”。
认为自己有能力管理急性损伤/医疗状况的ATs比PTs更多。此外，结果表明PTs可能是赛事报道的有效且安全的提供者。感知准备情况低或表现不佳的状况/损伤可能为ATs和PTs提供一个机会，以确定未来培训和教育的领域，从而优化对急性损伤或医疗状况运动员的护理。
3b级。
