Hayward Simon, Cardinael Camella, Tait Chloe, Reid Michael, McCarthy Andrew
Physiotherapy Department, Blackpool Teaching Hospitals NHS Foundation Trust, Whinney Heys Road, Blackpool, FY3 8PY, UK.
Acute Medicine Physiotherapy, Lancashire Teaching Hospitals NHS Foundation Trust, Sharoe Green Lane, Fulwood, Preston, PR2 9HT, UK.
Ultrasound J. 2025 Jan 20;17(1):9. doi: 10.1186/s13089-025-00412-w.
The adoption of diaphragm and lung ultrasound (DLUS) by physiotherapists, physical therapists, and respiratory therapists ("therapists") to examine and assess the diaphragm and lungs continues to grow. The aim of this updated scoping review is to re-explore and re-collate the evidence around the adoption of DLUS by therapists.
This scoping review followed the PRISMA-ScR guidelines. Data sources searched included AMED, EmCare, CINAHL, Embase, Medline, PubMed and Pedro. Grey literature sources were searched alongside communication with leading authors in the field. The Participants, Concept and Context (PCC) approach was employed to formulate the research question. A charting form was developed and piloted to extract: title, authors, year of publication, country of origin, professional group involved (population), lung or diaphragm ultrasound (concept), evaluation method, educational, clinical or research setting (context), subject/disease/patient group, sample size, study design and professional group performing DLUS.
133 studies met all inclusion criteria, an increase of 107 new studies compared to the original scoping review searches 7-years ago. Studies were included from 17 new countries and included 17 new participant populations. Lung ultrasound saw the largest increase in study number with education and implementation emerging as a new area of investigation. Full list of included studies is provided in Supplementary File 1.
The number of DLUS studies involving therapists continues to show international growth with studies investigating an increasing range of participant populations. Published studies now include research on DLUS adoption, implementation, and utility amongst all three of the therapy professions who use DLUS. The potential of DLUS and its direct impact on patient outcomes still needs to be explored further. However, DLUS remains a novel and innovative imaging technique in the hands of physiotherapists, physical therapists, and respiratory therapists as its utility continues to grow in various research, clinical and educational settings.
物理治疗师、体能治疗师和呼吸治疗师（“治疗师”）采用膈肌与肺部超声（DLUS）检查和评估膈肌与肺部的情况持续增多。本次更新的范围综述旨在重新探索和整理有关治疗师采用DLUS的证据。
本范围综述遵循PRISMA-ScR指南。检索的数据来源包括AMED、EmCare、CINAHL、Embase、Medline、PubMed和Pedro。在检索灰色文献来源的同时，还与该领域的主要作者进行了沟通。采用参与者、概念和背景（PCC）方法来制定研究问题。开发并试用了一种图表形式，以提取：标题、作者、出版年份、原产国、涉及的专业群体（人群）、肺部或膈肌超声（概念）、评估方法、教育、临床或研究环境（背景）、主题/疾病/患者群体、样本量、研究设计以及进行DLUS的专业群体。
133项研究符合所有纳入标准，与7年前最初的范围综述检索相比，新增了107项新研究。研究涵盖了17个新国家，包括17个新的参与者群体。肺部超声的研究数量增长最多，教育和实施成为一个新的研究领域。补充文件1中提供了纳入研究的完整列表。
涉及治疗师的DLUS研究数量持续呈现国际增长态势，研究的参与者群体范围不断扩大。已发表的研究现在包括对使用DLUS的所有三个治疗专业中DLUS的采用、实施和效用的研究。DLUS的潜力及其对患者预后的直接影响仍需进一步探索。然而，DLUS在物理治疗师、体能治疗师和呼吸治疗师手中仍然是一种新颖且创新的成像技术，因为其在各种研究、临床和教育环境中的效用不断增加。
