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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Main Authors: Robert Manske, Katherine Podoll, Alycia Markowski, Maureen Watkins, Lorna Hayward, Murray Maitland
Format: Article
Language:English
Published: North American Sports Medicine Institute 2023-02-01
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.
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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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