Hanney William J, Brown Rachel A, Lufsey Emily, Newsome Georgia, Sewnarine Payne, Kolber Morey J, Anderson Abigail W
Spine & Mobility Laboratory, School of Kinesiology and Rehabilitation Sciences, University of Central Florida, Orlando, FL 32816, USA.
Department of Physical Therapy, Nova Southeastern University, Fort Lauderdale, FL 33328, USA.
Healthcare (Basel). 2025 Aug 22;13(17):2081. doi: 10.3390/healthcare13172081.
: A state-wide survey was conducted in Florida to evaluate skill in manual and manipulative therapy as a therapeutic intervention, explore its use in the field of physical therapy, and understand how physical therapists quantify skill to aid in creating a definition of what comprises manual and manipulative skills. A survey was developed utilizing the Delphi approach, which was entered into an electronic survey platform and distributed via email to physical therapists licensed in the state of Florida. Questions of the survey addressed the physical therapists' demographics, education, training, use of MT, and Likert scales to quantify physical therapists' perspectives on characteristics contributing to MT skills and how various characteristics contribute to skills in manual and manipulative therapies. : The response rate was 1.6% (307/19,523). Ninety-four percent of participants had more than 10 years of experience in physical therapy, and all respondents had at least 1 year of experience. Participants were 59.3% female and 40.7% male, with a mean age of 48 years (SD = 12.7). No association between gender and use of manual therapy was found ( = 0.44). Of respondents, 33.3% said they use manual and manipulative therapy on every patient, and 38.1% said they use it at least once a day. The most common specialty board certification that respondents held was in orthopedics. Among participants who believe that skill in manual and manipulative therapy is measurable, a Pearson's correlation showed the following factors as key contributors of "skill" in manual therapy: therapeutic alliance, therapeutic touch, the ability to differentiate subtle nuances between grades I-IV, and adherence to evidence-based practice. : The definition of skill found in this study could be used in future studies to determine how skilled MT interventions can influence patient outcomes. Future research should be conducted to discover how these aspects of manual and manipulative therapy can impact intervention results in patient care and how these definitions may influence physical therapy education.
在佛罗里达州开展了一项全州范围的调查，以评估手法与整复治疗技能作为一种治疗干预手段的情况，探讨其在物理治疗领域的应用，并了解物理治疗师如何量化技能，以帮助界定构成手法与整复技能的要素。采用德尔菲法设计了一项调查问卷，并录入电子调查平台，通过电子邮件分发给在佛罗里达州获得执照的物理治疗师。调查问卷的问题涉及物理治疗师的人口统计学信息、教育背景、培训情况、手法治疗的使用情况，以及用于量化物理治疗师对手法治疗技能特征及其各种特征如何有助于手法与整复治疗技能的看法的李克特量表。
回复率为1.6%（307/19523）。94%的参与者有超过10年的物理治疗经验，所有受访者至少有1年的经验。参与者中女性占59.3%，男性占40.7%，平均年龄为48岁（标准差=12.7）。未发现性别与手法治疗使用之间存在关联（P=0.44）。在受访者中，33.3%表示他们对每位患者都使用手法与整复治疗，38.1%表示他们每天至少使用一次。受访者持有的最常见的专业委员会认证是骨科。在认为手法与整复治疗技能可测量的参与者中，皮尔逊相关性分析显示以下因素是手法治疗中“技能”的关键贡献因素：治疗联盟、治疗触感、区分I-IV级细微差别的能力以及遵循循证实践。
本研究中发现的技能定义可用于未来的研究，以确定熟练的手法治疗干预如何影响患者的治疗结果。未来应开展研究，以发现手法与整复治疗的这些方面如何影响患者护理中的干预结果，以及这些定义可能如何影响物理治疗教育。
