Atchison J W, Newman R L, Klim G V
Department of Physical Medicine and Rehabilitation University of Kentucky College of Medicine, Lexington 40536-0284, USA.
Am J Phys Med Rehabil. 1995 Nov-Dec;74(6):439-43. doi: 10.1097/00002060-199511000-00008.
Manual medicine is an important part of the practice of physical medicine and rehabilitation (PM&R). Using a two-part questionnaire, we surveyed PM&R residents to determine their level of interest in manual medicine, their attitudes about this type of treatment, and the amount of formal training in manual medicine offered in PM&R residencies. Questionnaires were sent to all 75 PM&R residency training programs. Responses were received from 470 residents (41.6%) of 1126 potential respondents; this represented 55 (73%) of the programs surveyed. Of the 470 respondents, 363 (77.2%) believed that manual medicine should be a part of PM&R, 386 (82.1%) wanted more training in manual medicine, 389 (82.8%) believed that manual medicine is useful in the treatment of back/neck pain, and 392 (83.4%) would refer patients for manual medicine treatment. However, only 124 (27.3%) were receiving formal instruction in manual medicine during their PM&R residency training. Most of the 305 respondents who had received some exposure to manual medicine had done so through conferences (88.7%) and independent reading (66.9%). The results of this survey of PM&R residents demonstrate both a widespread interest in the use of manual medicine and an unmet desire for more instruction. Educational experiences in manual medicine should be provided so that, as residents become practicing physiatrists, they can either utilize this form of treatment or appropriately refer patients to other practitioners.
手法医学是物理医学与康复（PM&R）实践的重要组成部分。我们使用一份分为两部分的问卷，对物理医学与康复专业住院医师进行了调查，以确定他们对手法医学的兴趣程度、对这种治疗方式的态度，以及物理医学与康复住院医师培训中提供的手法医学正规培训量。问卷被发送给了所有75个物理医学与康复住院医师培训项目。收到了1126名潜在受访者中470名住院医师（41.6%）的回复；这代表了所调查项目中的55个（73%）。在470名受访者中，363名（77.2%）认为手法医学应该成为物理医学与康复的一部分，386名（82.1%）希望接受更多手法医学培训，389名（82.8%）认为手法医学在治疗背部/颈部疼痛方面有用，392名（83.4%）会将患者转介接受手法医学治疗。然而，在物理医学与康复住院医师培训期间，只有124名（27.3%）接受了手法医学的正规指导。在305名接触过手法医学的受访者中，大多数是通过会议（88.7%）和自主阅读（66.9%）接触到的。这项对物理医学与康复住院医师的调查结果表明，对手法医学的使用普遍感兴趣，且对更多指导的需求未得到满足。应提供手法医学方面的教育经历，以便当住院医师成为执业物理治疗师时，他们能够运用这种治疗形式，或者适当地将患者转介给其他从业者。
