Leeds Institute of Rheumatic and Musculoskeletal Medicine, The University of Leeds, Leeds, UK; Leeds Community Healthcare NHS Trust, Leeds, UK; NIHR Leeds Biomedical Research Centre, Chapel Allerton Hospital, Chapeltown Rd, Leeds, LS7 4SA, UK.
Leeds Community Healthcare NHS Trust, Leeds, UK. Electronic address: https://twitter.com/DrCComer.
Musculoskelet Sci Pract. 2024 Nov;74:103199. doi: 10.1016/j.msksp.2024.103199. Epub 2024 Oct 5.
Greater Trochanteric Pain Syndrome (GTPS) is a prevalent and debilitating cause of lateral hip pain. Physiotherapists often prescribe exercises and educate patients on self-management strategies. Virtual consultations have increased since COVID-19. Rehabilitating patients with GTPS virtually may offer benefits to patients and healthcare providers.
Understand physiotherapists' perceived effectiveness of providing rehabilitation for people with GTPS virtually compared to face-to-face.
Cross-sectional survey.
An internet-based survey was distributed via Twitter (now X). The survey included participant characteristics and 5-point Likert scales to rate the perceived effectiveness (higher score is more effective) of each consult method to deliver treatments for GTPS. Descriptive and inferential statistics were calculated to compare effectiveness between consultation types.
54 physiotherapists responded. Overall, physiotherapists felt they were more effective at managing patients face-to-face compared to virtually with median scores of 5 (IQR 4-5) to 3 (IQR 2-4) respectively (P < 0.001). Physiotherapists rated themselves more effective at delivering exercise interventions and most educational components face-to-face compared to virtually. Coaching exercises and checking exercise technique received the lowest rating with virtual consults. Higher levels of post-graduate education and confidence in technology were associated with higher perceptions of virtual consults (P < 0.05). There has been a significant increase in virtual practice since COVID-19 (P < 0.001), despite few physiotherapists receiving training.
Physiotherapists rated themselves as more effective in treating patients with GTPS face-to-face compared to virtually in almost all aspects of rehabilitation. However, virtual consultations still scored highly in self-management support and specific aspects of exercise and education.
大转子疼痛综合征（GTPS）是导致髋关节外侧疼痛的一种常见且使人虚弱的疾病。物理治疗师经常开出运动锻炼处方，并对患者进行自我管理策略的教育。自 COVID-19 以来，虚拟咨询的数量有所增加。对 GTPS 患者进行远程康复可能对患者和医疗保健提供者都有益。
了解物理治疗师认为与面对面治疗相比，通过虚拟方式为 GTPS 患者提供康复治疗的效果。
横断面调查。
通过 Twitter（现称 X）在线发布了一项基于互联网的调查。该调查包括参与者特征和 5 分李克特量表，以评估每种咨询方式对治疗 GTPS 的有效性（得分越高效果越好）。比较了不同咨询类型之间的效果，并进行了描述性和推断性统计分析。
54 名物理治疗师做出了回应。总体而言，与虚拟咨询相比，物理治疗师面对面管理患者的效果更好，中位数评分分别为 5（四分位距 4-5）和 3（四分位距 2-4）（P<0.001）。物理治疗师认为自己在面对面提供运动干预和大多数教育内容方面比虚拟咨询更有效。虚拟咨询时，对锻炼指导和检查锻炼技术的评分最低。更高水平的研究生教育和对技术的信心与对虚拟咨询的更高评价相关（P<0.05）。自 COVID-19 以来，虚拟实践显著增加（P<0.001），尽管很少有物理治疗师接受过培训。
与虚拟咨询相比，物理治疗师在治疗 GTPS 患者方面，几乎在康复的所有方面都认为面对面治疗更有效。然而，虚拟咨询在自我管理支持以及特定的运动和教育方面仍获得较高评分。
