David Grant Medical Center Family Medicine Residency, Travis AFB, CA.
Fam Med. 2022 May;54(5):384-388. doi: 10.22454/FamMed.2022.405151.
Emerging evidence suggests that running gait retraining plays an important role in the treatment and prevention of running-related injury, yet it remains unclear how gait retraining is being utilized by family physicians with their patients. By surveying family physicians and residents, this study is the first to investigate the frequency of gait retraining discussions with patients with running-related injuries, barriers to these discussions, and physician confidence and perceived value in engaging in these discussions, so as to better inform family physician training on this subject.
This study investigated family physician attitudes toward gait retraining though a cross-sectional survey administered to 532 military family physicians and residents at the 2019 Uniformed Services Academy of Family Physicians Annual Meeting. Main outcome measures included frequency of, confidence in, and value of discussions of running gait retraining with patients with running-related injuries. Obstacles to discussing gait retraining, knowledge on the topic, and previous training on the topic were also assessed.
With a 72.2% response rate, the majority of respondents (82%) felt discussions on the topic are at least somewhat valuable. However, 63% of respondents infrequently discuss the topic with patients, while 71% lack confidence in engaging in these discussions. The most frequently reported obstacles were lack of knowledge (55%) and time (24%).
Family physicians find value in discussions of running gait retraining with their patients, but discussion frequency and physician confidence are low. Educational interventions increasing physician knowledge and the development of non-time-intensive approaches would be best suited for improving confidence and discussion frequency for this valued skill.
越来越多的证据表明，跑步步态再训练在跑步相关损伤的治疗和预防中起着重要作用，但家庭医生在与患者一起进行步态再训练方面的应用方式仍不清楚。通过对家庭医生和住院医师进行调查，这项研究首次调查了家庭医生与跑步相关损伤患者讨论步态再训练的频率、讨论的障碍以及医生在进行这些讨论方面的信心和感知价值，以便更好地为家庭医生提供这方面的培训。
本研究通过对 2019 年统一服务学院家庭医生年度会议上的 532 名现役军医和住院医师进行横断面调查，调查了家庭医生对步态再训练的态度。主要结局指标包括与跑步相关损伤患者讨论跑步步态再训练的频率、信心和价值。还评估了讨论步态再训练的障碍、对该主题的了解程度以及该主题的先前培训。
在 72.2%的回复率中，大多数受访者（82%）认为讨论该主题至少有一定价值。然而，63%的受访者很少与患者讨论该主题，而 71%的受访者对参与这些讨论缺乏信心。报告最多的障碍是缺乏知识（55%）和时间（24%）。
家庭医生认为与患者讨论跑步步态再训练具有价值，但讨论频率和医生信心较低。增加医生知识的教育干预措施和制定非时间密集型方法最适合提高对这一有价值技能的信心和讨论频率。
