美国骨科和运动物理治疗继续教育课程往往缺乏支持证据：可用干预课程的回顾。

Continuing Education Courses for Orthopedic and Sports Physical Therapists in the United States Often Lack Supporting Evidence: A Review of Available Intervention Courses.

机构信息

Department of Physical Therapy, Arizona School of Health Sciences, A.T. Still University, Mesa, Arizona, USA.

The Motive Physical Therapy Specialists, Oro Valley, Arizona, USA.

出版信息

Phys Ther. 2022 Jun 3;102(6). doi: 10.1093/ptj/pzac031.

DOI:10.1093/ptj/pzac031

PMID:35358320

Abstract

OBJECTIVE

The purpose of this study was to characterize the extent to which orthopedic and sports-related continuing education course descriptions approved for physical therapists in the United States taught interventions supported by evidence.

METHODS

A review was conducted of courses available on CEU Locker from January through December 2020, estimated to represent most courses nationally available to physical therapists. This review focused specifically on courses teaching interventions for musculoskeletal conditions in adults. Specifically, courses for orthopedic and sports populations were identified. All course information was extracted, including the intervention name, course description, and target audience. Finally, clinical practice guidelines (CPGs) and systematic reviews with at least moderate-level evidence published through May 1, 2021, were searched to determine if treatments were recommended or not recommended, or if no evidence existed.

RESULTS

The review identified 2406 available courses extracted from the database. After excluding courses that did not meet inclusion criteria, duplicates, and those with incomplete or inadequate information, the final number was 319. Most courses (52.7%, n = 168) taught interventions not supported by a CPG or systematic review. Approximately one-third of courses (34.2%, n = 109) taught interventions that were recommended by a CPG. Many courses were targeted to multiple disciplines (38.9%, n = 124), whereas 89 (27.9%) were specifically for physical therapists, physical therapist assistants, or both. The specific target was unclear for 106 (33.2%) courses. Courses usually focused on multiple body regions, and exercise was the most included intervention. Soft-skill courses were the most supported by evidence (82.9%, n = 29), whereas those teaching modalities were the least supported (30.5%, n = 29).

CONCLUSION

Fewer than one-half of courses that focused on management of musculoskeletal disorders taught interventions supported by a CPG or systematic review, and course descriptions often misrepresented the current state of evidence. Courses required for licensure renewal might not be meeting the intended goal of keeping clinicians current with new and emerging research.

IMPACT

Relatively few continuing education courses on orthopedic and sports-related physical therapist interventions are based on evidence provided by CPGs or systematic reviews, and some continuing education options required for physical therapists to meet annual licensure renewal requirements might not be keeping therapists current with the latest evidence. This study provides data that can facilitate candid dialog within the profession about potential solutions.

摘要

目的

本研究旨在描述美国批准的骨科和运动相关继续教育课程描述在多大程度上教授了有证据支持的干预措施。

方法

对 2020 年 1 月至 12 月期间在 CEU Locker 上提供的课程进行了审查，据估计，这些课程代表了全美物理治疗师可获得的大多数课程。本审查特别关注教授成人肌肉骨骼疾病干预措施的课程。具体来说，确定了针对骨科和运动人群的课程。提取了所有课程信息，包括干预名称、课程描述和目标受众。最后，搜索了截至 2021 年 5 月 1 日发布的临床实践指南 (CPG) 和至少具有中等水平证据的系统评价，以确定是否推荐或不推荐治疗方法，或者是否没有证据。

结果

审查从数据库中确定了 2406 门可用课程。排除不符合纳入标准、重复和信息不完整或不充分的课程后，最终数量为 319 门。大多数课程（52.7%，n=168）教授的干预措施没有 CPG 或系统评价支持。大约三分之一的课程（34.2%，n=109）教授的干预措施被 CPG 推荐。许多课程针对多个学科（38.9%，n=124），而 89 门（27.9%）专门针对物理治疗师、物理治疗助理或两者。106 门（33.2%）课程的具体目标不明确。课程通常侧重于多个身体区域，运动是最包括的干预措施。软技能课程得到的证据支持最多（82.9%，n=29），而教授模式的课程得到的证据支持最少（30.5%，n=29）。