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学生和物理治疗师对开出有效体育活动和运动干预措施的感知能力:一项横断面调查。

Student and physiotherapists' perceived abilities to prescribe effective physical activity and exercise interventions: A cross-sectional survey.

作者信息

Wing Thomas, Wright Matthew, Chesterton Paul

机构信息

Teesside Centre of Health and Performance Limited, United Kingdom; North Tees and Hartlepool NHS Foundation Trust, United Kingdom.

School of Health and Life Sciences, Borough Road, Teesside University, Tees Valley, TS1 3BA, United Kingdom.

出版信息

Musculoskelet Sci Pract. 2025 Feb;75:103245. doi: 10.1016/j.msksp.2024.103245. Epub 2024 Dec 15.

DOI:10.1016/j.msksp.2024.103245
PMID:39708675
Abstract

BACKGROUND

Physical activity, aerobic and resistance training have established benefits to health and wellbeing, with physiotherapists playing a vital role in their promotion.

OBJECTIVES

To capture UK student and graduate physiotherapists (1) knowledge of accepted guidelines and, (2) perceptions of physical activity and exercise prescription in practice.

DESIGN

National cross-sectional online survey.

METHODOLOGY

A survey was conducted online among UK student and graduate physiotherapists from July to December 2021. Quantitative questions included dichotomous (yes/no), multiple-choice, and Likert scale (1-5) formats, alongside open-ended qualitative questions.

RESULTS

Of 305 respondents (18% students, 47% > 10 years' experience), 295 (97%) either "agreed" (n = 64, 21%) or "strongly agreed" (n = 231, 76%) that physical activity was a part of their role. Less than half felt the physiotherapy profession was able to provide effective physical activity (n = 149, 49%, 95% confidence intervals 43 to 54) and aerobic training (130, 43%, 37 to 48). Most knew the weekly minimum adult dosage of physical activity (257, 84%, 80 to 88) and resistance training (267, 88%, 83 to 91) but were generally unable to correctly identify aerobic and resistance training guidelines. Of those who used evidenced based guidelines regularly with patients 72% were not adopting correct guidelines for aerobic (n = 58, 72%, 61 to 80) and 46% for resistance training (n = 45, 46%, 36 to 56). Limited patient appointment duration, inadequate access to facilities and a lack of continuous professional development opportunities were perceived barriers to implementation.

CONCLUSION

Respondents agreed physical activity and exercise are vital treatment modalities, however many lack the knowledge to deliver these interventions in line with contemporary guidelines.

摘要

背景

体育活动、有氧训练和抗阻训练对健康有益,物理治疗师在推广这些活动中发挥着至关重要的作用。

目的

了解英国学生和毕业物理治疗师(1)对公认指南的知识掌握情况,以及(2)在实践中对体育活动和运动处方的看法。

设计

全国性横断面在线调查。

方法

2021年7月至12月对英国学生和毕业物理治疗师进行了在线调查。定量问题包括二分法(是/否)、多项选择题和李克特量表(1 - 5)格式,以及开放式定性问题。

结果

在305名受访者中(18%为学生,47%有超过10年工作经验),295人(97%)“同意”(n = 64,21%)或“强烈同意”(n = 231,76%)体育活动是他们工作的一部分。不到一半的人认为物理治疗专业能够提供有效的体育活动(n = 149,49%,95%置信区间43至54)和有氧训练(130人,43%,37至48)。大多数人知道成年人每周体育活动的最低剂量(257人,84%,80至88)和抗阻训练剂量(267人,88%,83至91),但通常无法正确识别有氧训练和抗阻训练指南。在那些经常与患者使用循证指南的人中,72%的人在有氧训练方面没有采用正确的指南(n = 58,72%,61至80),46%的人在抗阻训练方面没有采用正确的指南(n = 45,46%,36至56)。患者预约时间有限、设施获取不足以及缺乏持续专业发展机会被认为是实施的障碍。

结论

受访者一致认为体育活动和运动是重要的治疗方式,然而许多人缺乏按照当代指南进行这些干预的知识。

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