理疗师从业年限和所属单位的不同对理疗技能的影响

Yumi Okayama, Daikuya
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摘要

在日本,经过五年的实践,无论他们的水平、疗效或培训质量如何,物理治疗师都被认为是“有经验的”,并且在该领域有足够的时间。然而,这一定义不足以在日本物理治疗师中建立质量和一致性。这项研究的目的是为教育和评价的标准化奠定基础。目的是通过体重转移(WS)实际评估任务来评估物理治疗技能。本研究的参与者包括来自两个机构的10名物理治疗师。在一个模拟病人身上重复了三次WS任务。实验过程中记录模拟患者的地面反作用力(GRF)。通过将压力中心(COP)位移除以模拟患者双脚压力中心之间的距离来计算压力中心(COP)位移的比率。采用相关统计分析来证实经历年限是否会改变WS的程度。将获得的数据在不同的治疗机构之间进行比较。本研究的结果证实,所获得的数据与治疗师多年经验之间的相关性很弱或不存在。各机构的COP位移比率以及最大GRF之间存在显著差异。人们认为,治疗师的经验年数与物理治疗技能并不一定相关,特别是如果参与者有六年或六年以上的经验。不同机构在物理治疗技能方面的差异更大。
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Physiotherapy skills in the difference of years of therapists’ experience and affiliations
In Japan, a physiotherapist is considered to be ‘experienced’ and having sufficient time in the field, regardless of their level, efficacy, or quality of training, after five years of practice. However, this definition is insufficient for establishing quality and uniformity among physiotherapists in Japan. The purpose of this study was to establish the groundwork for standardisation in education and evaluation. It aimed to evaluate physiotherapy skills by means of a Weight Shift (WS) practical assessment task. Participants of this study included 10 physiotherapists from two institutions. The WS task was repeated three times on a simulated patient. The ground reaction force (GRF) of the simulated patient was recorded during the task. The ratio of the centre of pressure (COP) displacement was calculated by dividing the COP displacement by the distance between the centre of pressure of both feet of the simulated patient to normalise. Correlational statistical analysis was used to confirm whether years of experience changes the degree of WS. The obtained data was compared between the institutions of therapists. The results of this study confirm that the correlation between the data obtained and years of therapists’ experience is weak or absent. There were significant differences between each institution’s ratios for COP displacement as well as for the maximum GRF. It was considered that years of therapists’ experience does not necessarily correlate with physiotherapy skill, especially if participants had six or more years of experience. Greater differences were observed between institutions with regards to the characteristics of physiotherapy skill.
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