Physical Therapists Use of Diagnostic Ultrasound Imaging in Clinical Practice: A Review of Case Reports
# Objective Ultrasound diagnostic imaging (USI) is widely utilized in sports medicine, orthopaedics, and rehabilitation. Its use in physical therapy clinical practice is increasing. This review summarizes published patient case reports describing USI in physical therapist practice. # Design Compr...
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Format: | Article |
Language: | English |
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North American Sports Medicine Institute
2023-02-01
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Series: | International Journal of Sports Physical Therapy |
Online Access: | https://doi.org/10.26603/001c.68137 |
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author | Robert Manske Katherine Podoll Alycia Markowski Maureen Watkins Lorna Hayward Murray Maitland |
author_facet | Robert Manske Katherine Podoll Alycia Markowski Maureen Watkins Lorna Hayward Murray Maitland |
author_sort | Robert Manske |
collection | DOAJ |
description | # Objective
Ultrasound diagnostic imaging (USI) is widely utilized in sports medicine, orthopaedics, and rehabilitation. Its use in physical therapy clinical practice is increasing. This review summarizes published patient case reports describing USI in physical therapist practice.
# Design
Comprehensive literature review.
# Literature Search
PubMed was searched using the keywords "physical therapy" AND "ultrasound" AND "case report" AND "imaging". In addition, citation indexes and specific journals were searched.
# Study Selection Criteria
Papers were included if the patient was attending physical therapy, USI was necessary for patient management, the full text was retrievable, and the paper was written in English. Papers were excluded if USI was only used for interventions, such as biofeedback, or if the USI was incidental to physical therapy patient/client management.
# Data Synthesis
Categories of data extracted included: 1) Patient presentation; 2) Setting; 3) Clinical indications; 4) Who performed USI; 5) Anatomical region; 6) Methods of USI; 7) Additional imaging; 8) Final diagnosis; and 9) Case outcome.
# Results
Of the 172 papers reviewed for inclusion, 42 were evaluated. Most common anatomical regions scanned were the foot and lower leg (23%), thigh and knee (19%), shoulder and shoulder girdle (16%), lumbopelvic region (14%), and elbow/wrist and hand (12%). Fifty-eight percent of the cases were deemed static, while 14% reported using dynamic imaging. The most common indication for USI was a differential diagnosis list that included serious pathologies. Case studies often had more than one indication. Thirty-three cases (77%) resulted in confirmation of a diagnosis, while 29 case reports (67%) documented significant changes in physical therapy intervention strategies due to the USI, and 25 case reports (63%) resulted in referral.
# Conclusion
This review of cases provides details on unique ways USI can be used during physical therapy patient care, including aspects that reflect the unique professional framework. |
format | Article |
id | doaj-art-6c551f5f848343b1b95e139736167903 |
institution | Kabale University |
issn | 2159-2896 |
language | English |
publishDate | 2023-02-01 |
publisher | North American Sports Medicine Institute |
record_format | Article |
series | International Journal of Sports Physical Therapy |
spelling | doaj-art-6c551f5f848343b1b95e1397361679032025-02-11T20:27:13ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962023-02-01181Physical Therapists Use of Diagnostic Ultrasound Imaging in Clinical Practice: A Review of Case ReportsRobert ManskeKatherine PodollAlycia MarkowskiMaureen WatkinsLorna HaywardMurray Maitland# Objective Ultrasound diagnostic imaging (USI) is widely utilized in sports medicine, orthopaedics, and rehabilitation. Its use in physical therapy clinical practice is increasing. This review summarizes published patient case reports describing USI in physical therapist practice. # Design Comprehensive literature review. # Literature Search PubMed was searched using the keywords "physical therapy" AND "ultrasound" AND "case report" AND "imaging". In addition, citation indexes and specific journals were searched. # Study Selection Criteria Papers were included if the patient was attending physical therapy, USI was necessary for patient management, the full text was retrievable, and the paper was written in English. Papers were excluded if USI was only used for interventions, such as biofeedback, or if the USI was incidental to physical therapy patient/client management. # Data Synthesis Categories of data extracted included: 1) Patient presentation; 2) Setting; 3) Clinical indications; 4) Who performed USI; 5) Anatomical region; 6) Methods of USI; 7) Additional imaging; 8) Final diagnosis; and 9) Case outcome. # Results Of the 172 papers reviewed for inclusion, 42 were evaluated. Most common anatomical regions scanned were the foot and lower leg (23%), thigh and knee (19%), shoulder and shoulder girdle (16%), lumbopelvic region (14%), and elbow/wrist and hand (12%). Fifty-eight percent of the cases were deemed static, while 14% reported using dynamic imaging. The most common indication for USI was a differential diagnosis list that included serious pathologies. Case studies often had more than one indication. Thirty-three cases (77%) resulted in confirmation of a diagnosis, while 29 case reports (67%) documented significant changes in physical therapy intervention strategies due to the USI, and 25 case reports (63%) resulted in referral. # Conclusion This review of cases provides details on unique ways USI can be used during physical therapy patient care, including aspects that reflect the unique professional framework.https://doi.org/10.26603/001c.68137 |
spellingShingle | Robert Manske Katherine Podoll Alycia Markowski Maureen Watkins Lorna Hayward Murray Maitland Physical Therapists Use of Diagnostic Ultrasound Imaging in Clinical Practice: A Review of Case Reports International Journal of Sports Physical Therapy |
title | Physical Therapists Use of Diagnostic Ultrasound Imaging in Clinical Practice: A Review of Case Reports |
title_full | Physical Therapists Use of Diagnostic Ultrasound Imaging in Clinical Practice: A Review of Case Reports |
title_fullStr | Physical Therapists Use of Diagnostic Ultrasound Imaging in Clinical Practice: A Review of Case Reports |
title_full_unstemmed | Physical Therapists Use of Diagnostic Ultrasound Imaging in Clinical Practice: A Review of Case Reports |
title_short | Physical Therapists Use of Diagnostic Ultrasound Imaging in Clinical Practice: A Review of Case Reports |
title_sort | physical therapists use of diagnostic ultrasound imaging in clinical practice a review of case reports |
url | https://doi.org/10.26603/001c.68137 |
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