Gauthier Matthew L, Unverzagt Casey A, Mendonça Luciana De Michelis, Seitz Amee L
Department of Physical Therapy University of Illinois at Chicago.
Department of Physical Therapy Baylor University.
Int J Sports Phys Ther. 2023 Apr 1;18(2):419-430. doi: 10.26603/001c.73791. eCollection 2023.
Despite shoulder and elbow injuries being common in athletics, return to sport and reinjury rates are less than ideal. These outcomes may be driven by the absence of evidence-informed testing to determine an athlete's readiness for sport.
The purpose of this study was to explore the reported frequency of physical performance testing for return to sport readiness by physical therapists treating athletes with upper extremity injuries and to identify potential barriers that may limit use of these tests. A secondary aim was to compare practice patterns of clinicians with sports physical therapy specialty certification to clinicians without.
International, cross-sectional survey using purposive sampling.
A survey instrument was created to assess the frequency of use of physical performance tests by physical therapists treating athletes with upper extremity injuries, as well as the barriers limiting the use of these tests. The 19-question online survey was distributed via email and Twitter among sports physical therapists. Independent t-tests and Chi Square analyses were conducted to determine differences in practice patterns between physical therapists with and without specialization and the frequency of potential barriers that may limit the use of these tests.
Four hundred ninety-eight participants met study eligibility and completed the survey. Fewer than half of participants reported using any physical performance test in making return to sport decisions for athletes with upper extremity injuries. The greatest barriers to the use of physical performance tests were a lack of equipment followed by lack of understanding of the literature, lack of time, and lack of supporting literature. Sports specialist clinicians were significantly more likely (p<0.001) to use physical performance tests than non-specialist clinicians (71.6% versus 36.3%).
In this survey of physical therapists (n=498), the majority admit to not using physical performance tests when making return to sport decisions for athletes with upper extremity injuries regardless of specialization.Physical therapists have an opportunity to improve the utilization physical performance testing in the upper extremity athlete in hopes of reducing injury recurrence and enhance return to sport rates.
Level 3b.
尽管肩部和肘部损伤在体育运动中很常见，但恢复运动和再受伤率并不理想。这些结果可能是由于缺乏循证测试来确定运动员是否准备好恢复运动。
本研究的目的是探讨治疗上肢损伤运动员的物理治疗师报告的用于评估恢复运动准备情况的体能测试频率，并确定可能限制这些测试使用的潜在障碍。次要目的是比较具有运动物理治疗专业认证的临床医生与没有认证的临床医生的实践模式。
采用目的抽样的国际横断面调查。
创建了一份调查问卷，以评估治疗上肢损伤运动员的物理治疗师使用体能测试的频率，以及限制这些测试使用的障碍。这份包含19个问题的在线调查问卷通过电子邮件和推特分发给运动物理治疗师。进行独立t检验和卡方分析，以确定有专业认证和无专业认证的物理治疗师在实践模式上的差异，以及可能限制这些测试使用的潜在障碍的频率。
498名参与者符合研究资格并完成了调查。不到一半的参与者报告在为上肢损伤运动员做出恢复运动决策时使用了任何体能测试。使用体能测试的最大障碍是缺乏设备，其次是对文献缺乏了解、缺乏时间和缺乏支持性文献。运动专科临床医生比非专科临床医生更有可能（p<0.001）使用体能测试（71.6%对36.3%）。
在这项对498名物理治疗师的调查中，大多数人承认，无论是否有专业认证，在为上肢损伤运动员做出恢复运动决策时都没有使用体能测试。物理治疗师有机会提高在上肢运动员中体能测试的利用率，以期降低损伤复发率并提高恢复运动率。
3b级。
