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物理治疗师对特发性脊柱侧弯患者的诊断、治疗及体育活动的了解。

Physiotherapists' knowledge about the diagnosis, treatment and physical activity of patients with idiopathic scoliosis.

作者信息

Wójcik Piotr, Wójcik Anna, Ewertowska Paulina, Czaprowski Dariusz

机构信息

Department of Public Health, Olsztyn University, Olsztyn, Poland.

Center of Body Posture, Olsztyn, Poland.

出版信息

Front Med (Lausanne). 2024 Oct 10;11:1414709. doi: 10.3389/fmed.2024.1414709. eCollection 2024.

Abstract

Idiopathic scoliosis (IS) is a three-dimensional spinal deformity with an unknown etiology which, when left untreated, can have negative health consequences. Physiotherapy plays an important role in the treatment of IS, which is why physiotherapists should have adequate theoretical and practical knowledge about IS diagnosis and treatment methods. The aim of this study was to assess physiotherapists' knowledge about IS, its diagnosis, treatment and recommended physical activities for subjects with IS. The influence of post-graduate courses, workplace, academic degree, work experience, education and membership in associations dealing with spinal deformities was also analyzed. The study involved 116 licensed physiotherapists. The research method was a diagnostic survey, and the research tool was a self-designed questionnaire. The questionnaire which included demographic questions to elicit information about the respondents and questions concerning IS, its diagnosis, treatment and recommended physical activity in the course of IS. The questions were created according to the recommendation of the Society on Scoliosis Orthopaedic and Rehabilitation Treatment. In the questionnaire, the respondents' knowledge was assessed on the percent scale (100-90% of correct answers - full knowledge, 89-60% of correct answers - good knowledge, 59-50% of correct answers - moderate knowledge, <50% of correct answers - poor knowledge). The physiotherapists correctly answered from 60 to 89% of the questions which meant their good level of knowledge of IS. Factors such as post-graduate courses, workplace and academic degree influenced the knowledge of Polish physiotherapists regarding IS ( = 0.003,  = 0.036,  = 0.05, respectively). Physiotherapists who completed courses based on physiotherapy recommended by SOSORT demonstrated a higher level of knowledge compared to those without postgraduate courses ( = 0.018). The physiotherapists who ran the private individual physiotherapy practice demonstrated a higher level of knowledge compared to those working in a hospital ( = 0.058). Work experience and education have no influence on the physiotherapists' knowledge about IS. Polish physiotherapists have a good knowledge of IS. Post-graduate courses (courses on Physiotherapeutic Scoliosis Specific Exercises), the respondents' place of employment (private individual physiotherapy practice) and academic degree influence the knowledge about IS. Work experience, education and membership in associations dealing with spinal deformities have no influence on the physiotherapists' knowledge about IS.

摘要

特发性脊柱侧凸(IS)是一种病因不明的三维脊柱畸形,若不治疗会对健康产生不良影响。物理治疗在IS的治疗中起着重要作用,这就是为什么物理治疗师应该对IS的诊断和治疗方法有足够的理论和实践知识。本研究的目的是评估物理治疗师对IS、其诊断、治疗以及针对IS患者推荐的体育活动的了解情况。还分析了研究生课程、工作场所、学术学位、工作经验、教育背景以及在处理脊柱畸形相关协会的会员身份的影响。该研究纳入了116名有执照的物理治疗师。研究方法为诊断性调查,研究工具是自行设计的问卷。问卷包括用于获取受访者信息的人口统计学问题,以及关于IS、其诊断、治疗和IS病程中推荐的体育活动的问题。这些问题是根据脊柱侧凸矫形与康复治疗协会的建议编制的。在问卷中,根据正确答案的百分比来评估受访者的知识水平(100 - 90%的正确答案 - 全面知识,89 - 60%的正确答案 - 良好知识,59 - 50%的正确答案 - 中等知识,<50%的正确答案 - 知识匮乏)。物理治疗师正确回答了60%至89%的问题,这意味着他们对IS有良好的了解水平。研究生课程、工作场所和学术学位等因素影响了波兰物理治疗师对IS的了解(分别为 = 0.003、 = 0.036、 = 0.05)。与没有研究生课程的物理治疗师相比,完成基于SOSORT推荐的物理治疗课程的物理治疗师表现出更高的知识水平( = 0.018)。与在医院工作的物理治疗师相比,从事私人个体物理治疗实践的物理治疗师表现出更高的知识水平( = 0.058)。工作经验和教育背景对物理治疗师对IS的了解没有影响。波兰物理治疗师对IS有良好的了解。研究生课程(物理治疗脊柱特定运动课程)、受访者的就业地点(私人个体物理治疗实践)和学术学位影响对IS的了解。工作经验、教育背景以及在处理脊柱畸形相关协会的会员身份对物理治疗师对IS的了解没有影响。

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本文引用的文献

1
Current knowledge of idiopathic scoliosis among practising physiotherapists in South Africa.
S Afr J Physiother. 2020 Nov 9;76(1):1500. doi: 10.4102/sajp.v76i1.1500. eCollection 2020.
2
2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth.
Scoliosis Spinal Disord. 2018 Jan 10;13:3. doi: 10.1186/s13013-017-0145-8. eCollection 2018.
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Current knowledge of scoliosis in physiotherapy students trained in the United Kingdom.
Scoliosis Spinal Disord. 2017 Sep 27;12:34. doi: 10.1186/s13013-017-0141-z. eCollection 2017.
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Optimal management of idiopathic scoliosis in adolescence.
Adolesc Health Med Ther. 2013 Jul 23;4:59-73. doi: 10.2147/AHMT.S32088. eCollection 2013.

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