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Published on: May 1, 2018
The Recognition, Utilization Rates, Barriers, and Application Accuracy of the Hamstring Strain Clinical Practice
Edward Mulligan1, Liana Wooten2, Tara Dickson2
1Department of Rehabilitation Science Tufts University Phoenix.
Physical therapists show high awareness of the Hamstring Strain Injury in Athletes (HSIA) Clinical Practice Guideline (CPG). Most find it valuable for improving athletic injury care and decision-making.
Area of Science:
- Sports Physical Therapy
- Evidence-Based Practice
- Clinical Practice Guidelines
Background:
- Clinical practice guidelines (CPGs) are essential for standardizing evidence-based healthcare.
- The Hamstring Strain Injury in Athletes (HSIA) CPG aims to guide physical therapists in managing athletic hamstring injuries.
Purpose of the Study:
- To assess physical therapists' awareness and attitudes toward the HSIA CPG.
- To identify barriers and utility associated with HSIA CPG adoption.
- To correlate guideline knowledge and utilization with therapist characteristics and practices.
Main Methods:
- An explorative survey was distributed to members of the American Academy of Sports Physical Therapy (AASPT).
- Descriptive statistics and nonparametric analyses were employed.
- Forward stepwise regression identified predictors of CPG awareness and usage.
Main Results:
- 87% of surveyed physical therapists were aware of the HSIA CPG, with 56% integrating it into practice.
- Respondents viewed the CPG positively regarding necessity, decision support, and outcome improvement.
- Key barriers included the guideline's adaptability to provider expertise and diverse patient needs.
Conclusions:
- The HSIA CPG is recognized as a valuable tool for physical therapists managing athletic hamstring injuries.
- The guideline facilitates improved rehabilitative care through clear recommendations and evidence.
- Physical therapists demonstrated accurate application of evidence-based strategies when presented with injury scenarios.
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