Alrwaily Muhammad, Alanazi Fahad
Division of Physical Therapy, School of Medicine, West Virginia University, Morgantown, WV, 26506-9226, USA.
Department of Physical Therapy, King Fahad Specialist Hospital, Dammam, Saudi Arabia.
J Multidiscip Healthc. 2022 Aug 25;15:1789-1797. doi: 10.2147/JMDH.S375207. eCollection 2022.
Musculoskeletal disorders (MSDs) are rapidly rising in Saudi Arabia and considered the 3rd reason for hospital visits across the country. Despite their prevalence, the adequacy of knowledge in diagnosing and treating MSDs has not been assessed. The purpose of this study is to assess MSD knowledge amongst healthcare providers (orthopedists, physicians, and physical therapists) and medical and physical therapy students and interns.
In this cross-sectional study, a web-based 25-question MSD test was given to licensed physical therapists, primary care physicians and orthopedists, as well as final-year physical therapy and medical students and interns in Saudi Arabia. Two multivariable linear regression analysis models were used to determine MSD test score differences amongst (1) orthopedists, primary care physicians, and physical therapists and (2) amongst medical and physical therapy students and interns.
A total of 680 participants were included (response rate is 22.7%). The overall MSD test score was 48.2%, and the passing rate was 14%. Model 1 showed that orthopedist's group had a significantly higher mean score on MSD test than physical therapists (t= 8.12, < 0.001) and primary care physician (t= 6.00, < 0.05). However, primary care physician scores did not significantly differ from physical therapy group (t= 6.47, = 0.07). Model 2 showed that medical interns had significantly higher mean score on MSD test than physical therapy students (t=4.46, < 0.001), physical therapy interns (t= 4.7, < 0.05), and medical students (t= 2.79, < 0.05). There was also a significant difference between medical students and physical therapy interns (t= 2.5, < 0.05). However, there was no significant difference between medical students and physical therapy students.
Except for orthopedists, the MSD knowledge appears inadequate amongst healthcare providers, medical and physical therapy students and interns in Saudi Arabia. To improve knowledge in MSDs, increasing content of MSDs in undergraduate education and postgraduate training is necessary.
肌肉骨骼疾病（MSDs）在沙特阿拉伯的发病率正在迅速上升，被认为是全国医院就诊的第三大原因。尽管其发病率很高，但对肌肉骨骼疾病诊断和治疗知识的充分性尚未进行评估。本研究的目的是评估医疗保健提供者（骨科医生、内科医生和物理治疗师）以及医学和物理治疗专业的学生及实习生对肌肉骨骼疾病的了解程度。
在这项横断面研究中，对沙特阿拉伯的执业物理治疗师、初级保健医生和骨科医生，以及物理治疗和医学专业的最后一年学生及实习生进行了一项基于网络的包含25个问题的肌肉骨骼疾病测试。使用两个多变量线性回归分析模型来确定（1）骨科医生、初级保健医生和物理治疗师之间以及（2）医学和物理治疗专业的学生及实习生之间肌肉骨骼疾病测试分数的差异。
总共纳入了680名参与者（回复率为22.7%）。肌肉骨骼疾病测试的总体分数为48.2%，及格率为14%。模型1显示，骨科医生组在肌肉骨骼疾病测试中的平均分数显著高于物理治疗师（t = 8.12，<0.001）和初级保健医生（t = 6.00，<0.05）。然而，初级保健医生的分数与物理治疗师组没有显著差异（t = 6.47，= 0.07）。模型2显示，医学实习生在肌肉骨骼疾病测试中的平均分数显著高于物理治疗专业学生（t = 4.46，<0.001）、物理治疗实习生（t = 4.7，<0.05）和医学专业学生（t = 2.79，<0.05）。医学专业学生和物理治疗实习生之间也存在显著差异（t = 2.5，<0.05）。然而，医学专业学生和物理治疗专业学生之间没有显著差异。
除了骨科医生外，沙特阿拉伯的医疗保健提供者、医学和物理治疗专业的学生及实习生对肌肉骨骼疾病的了解似乎不足。为了提高对肌肉骨骼疾病的认识，有必要增加本科教育和研究生培训中肌肉骨骼疾病的内容。
