Musculoskeletal Science and Practice最新文献

{"title":"Validity of a qualitative visual method for diagnosing forward head posture","authors":"Shohei Shibasaki ,&nbsp;Tomonori Kishino ,&nbsp;Yoriko Sei ,&nbsp;Keiichiro Harashima ,&nbsp;Konomi Sakata ,&nbsp;Hiroaki Ohnishi ,&nbsp;Takashi Watanabe","doi":"10.1016/j.msksp.2025.103282","DOIUrl":"10.1016/j.msksp.2025.103282","url":null,"abstract":"<div><h3>Introduction</h3><div>Forward head posture (FHP) is quantitatively diagnosed by measuring the craniovertebral angle (CVA). A qualitative visual method has recently been introduced but the validity of this method has not been confirmed. The present study aimed to clarify the validity of the visual method, using CVA methods as a standard.</div></div><div><h3>Methods</h3><div>CVAs were measured photographically, adopting reported criteria of less than 53° or 55° to diagnose FHP. The visual method defined a positive FHP as the back of participant's head not touching the wall while standing with heels, buttocks and shoulder blades touching the wall. These studies were performed in healthy young adults. Rates of positive FHP were compared between methods. Positive predictive values were then calculated for FHP based on CVA methods.</div></div><div><h3>Results</h3><div>The study population comprised 37 men and 43 women (21 ± 1 years). With the visual method, 41% (33/80) had FHP. With CVA methods using criteria of 53° and 55°, 34% (27/80) and 50% (40/80) displayed FHP, respectively. However, the visual method exhibited a male predominance in the group with FHP compared to that without FHP, together with high body mass index (BMI). Positive predictive values were 0.42 and 0.61 for FHP by CVA methods using criteria of 53° and 55°, respectively.</div></div><div><h3>Conclusion</h3><div>The visual method exhibited positivity rates approximating those using CVA methods of 53° and 55°. However, the relatively low positive predictive values suggested the visual method was inferior to CVA methods, partly due to the increased positivity rate for males with high BMI.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"Article 103282"},"PeriodicalIF":2.2,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143427566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The International Headache Society welcomes a physiotherapy special interest group","authors":"Kerstin Luedtke,&nbsp;Zhiqi Liang PhD, MPhty, BAppSci (Phty) FACP,&nbsp;Debora Bevilaqua-Grossi PhD, M.Sci, B.Sc (Phty),&nbsp;Gwendolen Jull AO, MPhty, PhD, FACP","doi":"10.1016/j.msksp.2025.103281","DOIUrl":"10.1016/j.msksp.2025.103281","url":null,"abstract":"","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"Article 103281"},"PeriodicalIF":2.2,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endogenous pain modulation is not different in basketball or volleyball athletes with patellar tendinopathy compared to asymptomatic athletic controls","authors":"Patrick Vallance ,&nbsp;Dawson J. Kidgell ,&nbsp;Bill Vicenzino ,&nbsp;Peter Malliaras","doi":"10.1016/j.msksp.2025.103280","DOIUrl":"10.1016/j.msksp.2025.103280","url":null,"abstract":"<div><h3>Background</h3><div>Patellar tendinopathy is highly prevalent in basketball and volleyball athletes. Despite pain being the main symptom reported, underlying mechanisms are unclear.</div></div><div><h3>Objectives</h3><div>Our primary aim was to compare endogenous pain inhibition using a conditioned pain modulation protocol in basketball and volleyball athletes with patellar tendinopathy to asymptomatic athletic controls. Our secondary aim was to compare endogenous pain facilitation using a temporal summation protocol.</div></div><div><h3>Design</h3><div>Cross-sectional case-control.</div></div><div><h3>Methods</h3><div>Twenty-six athletes and 19 asymptomatic controls participated. We calculated the difference in PPT at the patellar tendon over the most painful site (pain site), the ipsilateral tibialis anterior (regional site), and the contralateral elbow lateral epicondyle (remote site), before and after immersion of the hand (ipsilateral to pain site) in painful cold-water. PPT change was used to quantify endogenous pain inhibition. Participants rated pain on a numerical rating scale (NRS; 0 = no pain to 10 = worst pain imaginable) at five, 20, 60 and 120 s during the cold-water immersion task. Change in NRS from five to 20 s quantified temporal summation.</div></div><div><h3>Results</h3><div>Median symptom duration in our patellar tendinopathy group was 39 (IQR 22.5–55.5) months, and 85% experienced symptoms bilaterally. We did not observe alterations in endogenous pain inhibition at any site, or in temporal summation, in athletes with patellar tendinopathy compared to controls (p &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>Our findings indicate that altered central nervous system function is not a predominate feature contributing to pain in jumping athletes with patellar tendinopathy. Accordingly, clinicians should view pain as being of a local tissue source if targeting this symptom.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"Article 103280"},"PeriodicalIF":2.2,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143373089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tactile acuity, left/right judgment performance, motor imagery ability, and pressure-pain threshold in patients with chronic rotator cuff-related shoulder pain: a cross-sectional case-control study","authors":"Nuray Alaca ,&nbsp;Dilek Çağrı Arslan ,&nbsp;Seda Sırlan ,&nbsp;Hacı Ahmet Yarar ,&nbsp;Onur Başcı","doi":"10.1016/j.msksp.2025.103278","DOIUrl":"10.1016/j.msksp.2025.103278","url":null,"abstract":"<div><h3>Background</h3><div>Chronic pain can alter cortical pain representation, and tests like Two-Point Discrimination Test (TPDT), Left/Right Judgment Task (LRJT), motor imagery, and Pressure-Pain Threshold (PPT) can assess these changes. However, their applicability to all pain mechanisms is uncertain.</div></div><div><h3>Objective</h3><div>To compare the TPDT, LRJT, motor imagery ability, and PPT of chronic rotator cuff-related shoulder pain (C-RCRSP) patients with asymptomatic and pain-free controls.</div></div><div><h3>Methods</h3><div>Forty-eight C-RCRSP patients and 45 pain-free controls were assessed using a caliper for TPDT and the Recognize® application for LRJT. Motor ability, PPT, physical function, fear avoidance, pain catastrophizing, and Central Sensitization Inventory (CSI) were also evaluated. As part of the subgroup analysis, C-RCRSP patients were divided into two groups based on their CSI (≥40, n = 19; &lt;40, n = 29).</div></div><div><h3>Results</h3><div>C-RCRSP patients demonstrated higher TPDT thresholds [acromion (F = 5.41, p = 0.001) and deltoid (F = 26.67, p &lt; 0.001)] but no significant differences in LRJT performance [recognition accuracy (F = 2.47, p = 0.063) and response time (F = 0.98, p = 0.414)] than pain-free controls in both shoulder joints. C-RCRSP patients had poorer motor imagery abilities (p &lt; 0.001). The deltoid region PPT differed significantly between the groups (F = 17.45, p &lt; 0.001), but it was not significant for the tibialis anterior region (F = 1.16, p = 0.33). C-RCRSP patients with a CSI≥40 reported higher night pain, reduced shoulder range of motion, slower response times, poorer motor imagery ability, and higher scores on pain-related questionnaires compared to those with a CSI&lt;40 (p = 0.043-&lt;0.001).</div></div><div><h3>Conclusion</h3><div>C-RCRSP patients demonstrated poorer tactile acuity, mechanical sensitivity, and motor imagery ability especially in those with central sensitization, which should be considered in treatment planning.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"Article 103278"},"PeriodicalIF":2.2,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143377702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do cervical spine angles differ in patients with hypermobility who suffer from neck pain?","authors":"Sibel Suzen Ozbayrak ,&nbsp;Mustafa Ozbayrak","doi":"10.1016/j.msksp.2025.103277","DOIUrl":"10.1016/j.msksp.2025.103277","url":null,"abstract":"<div><h3>Backround</h3><div>There has been a noted increase in the number of patients experiencing chronic neck pain who exhibit diminished cervical lordosis upon radiographic examinations. While neck overuse contributes to this trend, early identification and treatment of predisposing factors such as hypermobility can potentially mitigate this increase.</div></div><div><h3>Objective</h3><div>This study aims to explore the impact of hypermobility on cervical angles, neck disability and health quality in patients experiencing neck pain.</div></div><div><h3>Participants</h3><div>Participants aged between 20 and 40 years with neck pain persisting for more than three months were recruited. Patients were stratified based on hypermobility status. Lateral cervical radiographs were obtained to measure various cervical angles. Disability associated with neck pain and health-related quality of life were assessed. The influence of hypermobility on these parameters in neck pain patients was examined.</div></div><div><h3>Results</h3><div>Hypermobile patients with neck pain exhibited significantly lower C0-2 Cobb angle (Cohen's d: 0.60), decreased C2-7 angle measured by Jackson physiological stress lines (Cohen's d: 0.42), increased cranial tilt (Cohen's d: 0.561), and greater C2-7 sagittal vertical axis (Cohen's d: 0.36) compared to non-hypermobile patients with neck pain. No significant differences were observed in neck disability or health-related quality of life between hypermobile and non-hypermobile neck pain patients. There was a weak association between a more physiologic cervical lordosis and a lower disability scores among hypermobile patients with neck pain.</div></div><div><h3>Conclusion</h3><div>Hypermobility may lead to alterations in cervical spinal angles in young adults with neck pain. Early detection and intervention could help maintain cervical angles and prevent lordosis reduction.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"Article 103277"},"PeriodicalIF":2.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143350106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of mobilization with movement on conditioned pain modulation, mechanical hyperalgesia, and pain intensity in adults with chronic low back pain: A randomized controlled trial","authors":"Oliver Martínez Pozas ,&nbsp;Juan Nicolás Cuenca-Zaldívar ,&nbsp;M. Elena González-Alvarez ,&nbsp;Francisco José Selva Sarzo ,&nbsp;Hector Beltran-Alacreu ,&nbsp;Josué Fernández Carnero ,&nbsp;Eleuterio A. Sánchez Romero","doi":"10.1016/j.msksp.2024.103220","DOIUrl":"10.1016/j.msksp.2024.103220","url":null,"abstract":"<div><h3>Background</h3><div>Chronic low back pain is associated with dysfunctions in endogenous analgesia mechanisms, as evaluated through conditioned pain modulation paradigms. Although mobilization with movement has demonstrated enhancements in conditioned pain modulation among patients with conditions such as knee osteoarthritis, its efficacy in chronic low back pain patients has yet to be established.</div></div><div><h3>Objectives</h3><div>To investigate the effects of mobilization with movement compared to sham mobilization in conditioned pain modulation, mechanical hyperalgesia, and pain intensity in chronic low back pain patients.</div></div><div><h3>Design</h3><div>Randomized controlled trial following CONSORT and TIDieR guidelines.</div></div><div><h3>Method</h3><div>Fifty-eight patients with chronic low back pain (mean age 48.77 ± 13.92 years) were randomized into the experimental group, which received real mobilization with movement (n = 29), or the sham mobilization with movement group (n = 29). Only one intervention was performed. Patients were assessed before and after intervention. Conditioned pain modulation, mechanical hyperalgesia and pain intensity were assessed.</div></div><div><h3>Results</h3><div>Mobilization with movement resulted in no statistically significant differences compared to sham mobilization for conditioned pain modulation (post-treatment difference: 0.023 [-0.299, 0.345], p = 0.158), mechanical hyperalgesia (post-treatment difference: −0.198 [-0.505, 0.109], p = 0.207), or movement-related pain intensity (post-treatment difference: 0.548 [-0.068, 1.236], p = 0.079) improvements post-intervention. Effect sizes were small for conditioned pain modulation (r = 0.126), mechanical hyperalgesia (r = 0.101), and pain intensity (r = 0.208).</div></div><div><h3>Conclusions</h3><div>Mobilization with movement resulted in no significant differences compared to sham mobilization with movement after one intervention for conditioned pain modulation, mechanical hyperalgesia or pain intensity, with small effect sizes. However, the findings should be interpreted with caution due to absence of screening for appropriately eligible patients.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"Article 103220"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142793105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"IFOMPT's Educational Standards and International Monitoring: A member survey and review","authors":"Richard Ellis ,&nbsp;Irene Zeng ,&nbsp;Gwendolen Jull ,&nbsp;Renée de Ruijter ,&nbsp;Laura Finucane ,&nbsp;Rhian Lascelles ,&nbsp;Pierre Röscher ,&nbsp;Paolo Sanzo","doi":"10.1016/j.msksp.2024.103239","DOIUrl":"10.1016/j.msksp.2024.103239","url":null,"abstract":"<div><h3>Background</h3><div>The International Federation of Manual and Musculoskeletal Physical Therapists (IFOMPT) membership requires accreditation of countries postgraduate musculoskeletal physiotherapy programmes to meet IFOMPT's Educational Standards through International Monitoring. The Educational Standards and International Monitoring are both being reviewed.</div></div><div><h3>Objectives</h3><div>To seek insight and feedback from IFOMPT's membership on the Educational Standards and International Monitoring to inform the current review.</div></div><div><h3>Design</h3><div>Online survey of registered members, external assessors, programme leaders, international delegates.</div></div><div><h3>Method</h3><div>IFOMPT members were invited to participate in the Educational Standards and International Monitoring survey, between December 2023–January 2024. Content validity was assessed to refine the survey. The survey was offered in 14 languages. Descriptive and inferential analyses were used for closed questions; content analysis was used for open questions.</div></div><div><h3>Results</h3><div>869 participants were eligible and completed the survey. IFOMPT's membership clearly valued both the Educational Standards and International Monitoring, and believe they are contemporary and evidence-informed. However, opinion was divided regarding the strengths and weaknesses of the Educational Standards and International Monitoring and whether the Educational Standards represented a minimum or maximum standard. Constructive recommendations were provided for the improvement of the Educational Standards and International Monitoring, including reduction of size and complexity, with increased flexibility to ensure they are fit for purpose into the future and serve towards the growth of IFOMPT.</div></div><div><h3>Conclusions</h3><div>This was the largest member-wide survey of IFOMPT examining the Educational Standards and International Monitoring. The findings of the survey are extremely valuable to inform the current review of the Educational Standards and International Monitoring, particularly given the divided opinion concerning the useability and content of the Educational Standards.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"Article 103239"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The prognostic reasoning by physiotherapists of musculoskeletal disorders: A phenomenological exploratory study","authors":"Nicholas Mullen ,&nbsp;Samantha Ashby ,&nbsp;Robin Haskins ,&nbsp;Peter Osmotherly","doi":"10.1016/j.msksp.2024.103241","DOIUrl":"10.1016/j.msksp.2024.103241","url":null,"abstract":"<div><h3>Question(s)</h3><div>What are the prognostic reasoning practices of physiotherapists towards musculoskeletal disorders?</div></div><div><h3>Design</h3><div>Exploratory phenomenological study.</div></div><div><h3>Participants</h3><div>15 physiotherapists who currently treat musculoskeletal disorders.</div></div><div><h3>Date analysis</h3><div>Semi-structured interviews were implemented to collect data which was analysed using an inductive coding and thematic analysis approach.</div></div><div><h3>Results</h3><div>Three themes were identified. First, how physiotherapists considered prognosis within clinical practice. Whilst prognosis is an important consideration, in some circumstances it either may not be considered or is implied. Second, how physiotherapists determine prognosis for musculoskeletal disorders. Several factors shaped the ability of physiotherapists to determine prognosis including how they determine prognosis, and the barriers and facilitators towards determining prognosis. Finally, how physiotherapists discuss prognosis with individuals who have a musculoskeletal disorder. These discussions were shaped by the prognostic information provided, as well as the barriers and facilitators towards discussing prognosis.</div></div><div><h3>Conclusion</h3><div>The prognostic reasoning of physiotherapists appears to be influenced initially by whether they consider it or not. It is then shaped by both barriers and facilitators towards determining and discussing prognosis. Facilitators for this prognostic reasoning process appear to be aligned with the biomedical model of health, whilst barriers more aligned with psychosocial factors. To improve prognostic reasoning, physiotherapists should continue to strive to conceptualize prognosis within a biopsychosocial framework. Doing so will improve the ability of physiotherapists to prognosticate, which will subsequently improve outcomes associated with musculoskeletal disorders.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"Article 103241"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-term effects of exergaming on patients with chronic low back pain: A single-blind randomized controlled trial","authors":"Ru-Lan Hsieh ,&nbsp;Yann-Rong Chen ,&nbsp;Wen-Chung Lee","doi":"10.1016/j.msksp.2024.103248","DOIUrl":"10.1016/j.msksp.2024.103248","url":null,"abstract":"<div><h3>Background</h3><div>Exergaming is increasingly popular, but its impact on chronic low back pain (CLBP) remain unclear.</div></div><div><h3>Objectives</h3><div>To evaluate the effectiveness of exergaming versus traditional exercise for managing CLBP using the International Classification of Functioning, Disability and Health (ICF) framework.</div></div><div><h3>Methods</h3><div>This single-blind, randomized controlled trial included 70 participants with CLBP, who were assigned to either the exergaming or traditional exercise group. Both groups received 2 weeks of treatment with six sessions. Assessments included the Oswestry Disability Index (ODI), range of motion, Hospital Anxiety and Depression Scale (HADS), balance (Biodex Stability System), Fear-Avoidance Beliefs Questionnaire (FABQ), and physical performance tests.</div></div><div><h3>Results</h3><div>After six sessions over 2 weeks, the exergaming group showed significant improvements over the exercise group in ODI (<em>p</em> &lt; 0.001), chair-rising time (<em>p</em> = 0.001), stair ascent (<em>p</em> = 0.025) and descent times (<em>p</em> &lt; 0.001), flexion (<em>p</em> = 0.005), extension (<em>p</em> = 0.001), balance (<em>p</em> = 0.012), and FABQ subscales (physical activity: <em>p</em> = 0.003; work: <em>p</em> &lt; 0.001) at the 3-month follow-up. Group × time interaction effects favored exergaming for ODI (<em>p</em> = 0.012), chair-rising (<em>p</em> = 0.045), stair ascent (<em>p</em> = 0.010), and descent (<em>p</em> = 0.002) times. While these changes did not meet clinical significance, exergaming was not inferior to traditional exercise in improving spinal motion, physical performance, fear-avoidance beliefs, and disability.</div></div><div><h3>Conclusion</h3><div>Exergaming appears to be a viable supplementary therapy for patients with CLBP, offering benefits across all ICF domains. Future studies with longer intervention durations are needed to assess its long-term effects.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"Article 103248"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142924066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Defining core competencies for telehealth in healthcare higher education: A Delphi study","authors":"Maria Fernanda A. Jacob ,&nbsp;Junior V. Fandim ,&nbsp;Felipe J.J. Reis ,&nbsp;Jan Hartvigsen ,&nbsp;Paulo H. Ferreira ,&nbsp;Bruno T. Saragiotto","doi":"10.1016/j.msksp.2024.103244","DOIUrl":"10.1016/j.msksp.2024.103244","url":null,"abstract":"<div><h3>Background</h3><div>While technology brings many opportunities for optimizing and improving health services, the lack of professionals trained in telehealth poses an important obstacle. Despite the existance of core competency frameworks for some healthcare professions, there is currently no consensus or guidelines on the core competencies that telehealth professionals should possess within the context of a higher education curriculum. This can hinder the potential benefits of healthcare service delivery.</div></div><div><h3>Objective</h3><div>To establish a consensus on the core competencies in telehealth that should be integrated into higher education curricula for healthcare professionals.</div></div><div><h3>Methods</h3><div>A three-round international eDelphi study was conducted. The panel comprised of a diverse group of experts in telehealth, clinicians, lectures and professors, administrators, and teaching coordinators. In the first round, an international steering committee developed a list of competencies that were presented to the panel members and they were asked to rate their level of agreement and suggest additional competencies. The consensus was established based on the competencies that achieved a high level of agreement (&gt;75%) by the end of the third round.</div></div><div><h3>Results</h3><div>We included 100 panellists from 18 different countries. By the end of the third round, we reached a consensus for 47 core competencies in a telehealth curriculum organized into 12 domains: principles of telehealth; care planning and management; assessment, diagnosis, and treatment; adequacy of the environment; professionalism; legal aspects; patient privacy; patient safety; access and equity; patient preference; technology; applicability of telehealth.</div></div><div><h3>Conclusion</h3><div>We identified the core competencies in a telehealth curriculum organized into 12 domains to be used as a foundation for training future health professionals.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"Article 103244"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}