Mulligan Edward, Wooten Liana, Dickson Tara, Hegedus Eric, Stern Benjamin
Department of Rehabilitation Science Tufts University Phoenix.
Department of Rehabilitation Sciences Tufts University Phoenix.
Int J Sports Phys Ther. 2025 Mar 1;20(3):373-383. doi: 10.26603/001c.129705. eCollection 2025.
Clinical practice guidelines (CPGs) are systematically developed statements designed to promote evidence-based practice, assist in decision-making, and reduce unwarranted deviations in practice. The purpose of this study was to describe the awareness and attitudes of physical therapists (PTs) towards using the Hamstring Strain Injury in Athletes (HSIA) CPG and determine the relationship between barriers, utility, and knowledge of practice guidelines with the behavioral characteristics and clinical care patterns of PTs.
Explorative survey.
Members of the American Academy of Sports Physical Therapy (AASPT) were surveyed regarding their perceived value and application of the HSIA CPG. Descriptive measures of central tendencies and nonparametric analysis were used to describe the data and identify differences. A forward stepwise regression was used to identify variables to explain if the level of CPG awareness and frequency of use were related to selected attitudes, beliefs, and barriers to utilization of the CPG.
Eighty-seven percent of respondents were aware of the CPG resource. Fifty-six percent had read, reviewed, and/or integrated the recommendations into clinical practice. The respondents had a substantial positive opinion regarding its necessity, assistance in decision-making, ease of implementation, ability to improve outcomes, and reduction of unwarranted practice variation. Only 15% of respondents believed the CPG did not provide adequate evidence to adopt its recommendations. Barriers to utilization were the CPG's ability to account for provider expertise and its shortcomings in universally applying its findings to all patients' needs and expectations. Given a specific hamstring injury vignette, respondents accurately chose evidence-based examination, intervention, and injury prevention strategies in the vast majority of cases.
The HSIA CPG is a valuable resource for PTs in managing athletic injuries. The guideline clearly describes the aims, objectives, population, and evidence that contributes to each recommendation and is being used to improve rehabilitative care.
3b.
临床实践指南（CPG）是系统制定的声明，旨在促进循证实践、协助决策并减少实践中不必要的偏差。本研究的目的是描述物理治疗师（PT）对《运动员腘绳肌拉伤损伤（HSIA）临床实践指南》的认知和态度，并确定实践指南的障碍、实用性和知识与PT的行为特征和临床护理模式之间的关系。
探索性调查。
对美国运动物理治疗学会（AASPT）的成员就他们对HSIA临床实践指南的感知价值和应用情况进行调查。使用集中趋势的描述性指标和非参数分析来描述数据并确定差异。采用向前逐步回归来确定变量，以解释CPG认知水平和使用频率是否与选定的态度、信念及CPG使用障碍相关。
87%的受访者知晓CPG资源。56%的人已阅读、审阅并/或将建议纳入临床实践。受访者对其必要性、在决策中的协助作用、实施的便利性、改善结果的能力以及减少不必要的实践差异给予了高度肯定。只有15%的受访者认为CPG没有提供足够的证据来采纳其建议。使用的障碍在于CPG无法考虑提供者的专业知识，以及在将其研究结果普遍应用于所有患者的需求和期望方面存在不足。针对特定的腘绳肌损伤案例，绝大多数情况下受访者能准确选择基于证据的检查、干预和损伤预防策略。
HSIA临床实践指南是PT管理运动损伤的宝贵资源。该指南清晰描述了各项建议的目标、对象、人群及证据，正被用于改善康复护理。
3b。
