アカデミーにおけるプロロセラピー: 混合的な方法の調査研究
Jared Dubey1, Nathan R Jones2, Jane Alice Evered1
1Department of Family Medicine and Community Health, Prolotherapy Education and Research Lab, University of Wisconsin, School of Medicine and Public Health, Madison, WI, USA.
Journal of integrative and complementary medicine
|August 27, 2025
まとめ
プロロセラピーは,米国の医療訓練プログラム,特に疼痛管理の専門分野で,ごく少数で使用され,教えられています. 慢性疼痛の治療における有効性と有効性を調べるためにさらなる研究が必要である.
科学分野:
- 統合医療
- 痛みの管理
- 医学教育
背景:
- 慢性的な痛みは 安全で効果的な治療が必要です
- プロロセラピーは,新しい証拠を持つ注射療法ですが,慣行ガイドラインでは標準ではありません.
- プロロセラピーの米国医療訓練プログラムへの統合に関する知識は限られている.
研究 の 目的:
- アメリカの大学院医学教育プログラムにおける プロロセラピーの現在の使用と教え方を評価する.
- プロロセラピーが最も普及している専門分野と訓練レベルを特定する.
- プロロセラピーの採用と教育に関する見解を理解する.
主な方法:
- 医学研究生認定委員会 (ACGME) の認定を受けたレジデンス・フェローシッププログラム (11つの慢性疼痛専門分野) のディレクターに対して,横断的な混合方法の調査が行われました.
- この調査には,プロロセラピーの使用,教え方,および関連する視点の評価に関する21の項目が含まれていました.
- データ分析には,記述的統計,ANOVA,質的コンテンツ分析が含まれています.
主要な成果:
- 854件の調査回答のうち (46.1%の返信率) 24.7%がプロロセラピーを使用していると報告し,13.9%がプロロセラピーに焦点を当てた教育を提供した.
- オステオパシー操作医学/神経筋骨格医学 (OMM/NMM) と身体医学およびリハビリテーション (PM&R) プログラム,スポーツ医学および筋骨格放射線学フェローシップは,最も頻繁に報告された使用と教育です.
- 教育的な取り組みは主に 膝,肩,肘の病理に焦点を当てており,しばしば超音波による指導を行いました. 定性的な分析では,使用しない人は限られた証拠を引用し,使用者は安全性と有効性を指摘した.
結論:
- プロロセラピーは,特にOMM/NMM,PM&R,スポーツ医学で,米国ACGME認定の医療訓練プログラムの顕著な部分で使用され,指導されています.
- プロロセラピーに関する見解は,証拠の欠如と,安全性プロファイルを含むファシリテーターを含む障壁によって異なります.
- この発見は,慢性疼痛の管理におけるプロロセラピーの使用,訓練,有効性,および有効性に関するさらなる研究の必要性を強調しています.
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