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Titre : | Treatment preferences and use of diagnostic imaging in midportion Achilles tendinopathy by Australian allied health professionals (2022) |
Auteurs : | Christian Bonello ; Christian Bonello ; Hylton B. Menz ; Shannon E. Munteanu ; Ebonie Rio ; Sean I. Docking |
Type de document : | Article |
Dans : | Physical therapy in sport (Vol. 53, January 2022) |
Article en page(s) : | p. 21-27 |
Note générale : | https://doi.org/10.1016/j.ptsp.2021.11.001 |
Langues: | Français |
Descripteurs : |
HE Vinci Australie ; Auxiliaires de santé ; Études transversales ; Humains ; Imagerie diagnostique ; Pratique factuelle (EBP) ; Réadaptation ; Tendinopathie ; Tendon calcanéen ; Tendons ; Thérapie |
Mots-clés: | Allied health personnel ; Exercise |
Résumé : | Objectives The objectives of this study were to examine the treatment preferences and use of diagnostic imaging by Australian allied health professionals in the management of midportion Achilles tendinopathy. Design Cross-sectional survey of Australian allied health professionals. Methods An online survey was distributed to registered Australian physiotherapists, podiatrists, myotherapists, exercise physiologists, osteopaths, and chiropractors between September 2018 and October 2019. This survey captured information on clinician demographic, treatment modalities, frequency of use and the reasons for their preferences. A descriptive analysis of the data was employed with nominal and ordinal data analysed using frequency counts. Results Valid responses were captured from 283 respondents, the majority (229, 80.9%) being physiotherapists. Exercise-based therapy and education were the most commonly used treatments (98.6% and 92.6%, respectively), with the majority of respondents (91.8% and 89.3%) stating that they ?always? provided these interventions. Respondents stated that they utilised a number of exercise modalities within the last three years (median = 3, IQR = 3 to 4). Other interventions used as adjunct treatments included heel lifts for shoes (70.0%), massage (59.4%), and taping (40.3%). The majority of respondents (76.7%) never or rarely used diagnostic imaging, citing its limited impact on treatment decision-making and potential for negative impact on patient outcomes. Conclusions Australian allied health professionals predominantly use exercise and education, but also use adjuncts such as heel lifts and massage, in the management of midportion Achilles tendinopathy. The results of this study may inform research priorities to generate high quality evidence that best reflects clinical practice. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1466853X21001760 |