Exploring the Use of Musculoskeletal Ultrasound Imaging by Podiatrists: An International Survey

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aut.relation.articlenumber39en_NZ
aut.relation.journalJournal of Foot and Ankle Researchen_NZ
aut.relation.volume14en_NZ
aut.researcherDrabsch, Julie
dc.contributor.authorDando, Cen_NZ
dc.contributor.authorEllis, Ren_NZ
dc.contributor.authorCarroll, Men_NZ
dc.contributor.authorMolyneux, Pen_NZ
dc.contributor.authorGijon-Nogueron, Gen_NZ
dc.contributor.authorSiddle, HJen_NZ
dc.contributor.authorCherry, Len_NZ
dc.contributor.authorGatt, Aen_NZ
dc.contributor.authorBowen, Cen_NZ
dc.date.accessioned2021-09-10T00:48:50Z
dc.date.available2021-09-10T00:48:50Z
dc.date.copyright2021en_NZ
dc.date.issued2021en_NZ
dc.description.abstractBACKGROUND: Podiatrists, in musculoskeletal services, are demonstrating an expansion of their practice skills through the use of ultrasound imaging. There is an assumption that this practice is beneficial within the context of patient care and health systems. The aim of this research was to further investigate the use of musculoskeletal ultrasound (MSUS) by podiatrists within their clinical setting and gain additional insights into the impact that they perceive use of MSUS has on their approaches to management of musculoskeletal foot and ankle problems. METHOD: An international study utilising a cross-sectional design and an internet-based platform was undertaken. The survey was developed and implemented through three phases: 1. survey development, 2. face validity agreement via questionnaire review, and 3. survey distribution and data collection. Twenty-two survey questions were developed and set as a two-step approach collecting quantitative data (part 1) and qualitative free text data (part 2). Data was exported from SurveyMonkey and analysed using Microsoft Excel software. Counts and frequencies were calculated for responses to all twenty closed questions. Responses to the two final open-ended questions were analysed using thematic analysis to search for patterns related to podiatrists' perceptions of impact. RESULTS: Two hundred and thirty-two eligible participants consented to complete the survey. The majority (n = 159) of respondents were from the UK and Spain. Commonly MSUS has been used in practice for (i) diagnosing pathology, (ii) supporting rehabilitation, (iii) supporting interventions or (iv) research purposes. Most frequently, MSUS was used to assist in the diagnosis of injury/pathology (84%). A range of free text comments were received from the participants in response to the question relating to their thoughts on the impact of using MSUS imaging in their practice (n = 109) and on their perceptions of how the use of MSUS has influenced their approaches to management of their patients' musculoskeletal foot and ankle problems (n = 108). Thematic analysis of the free text comments generated four themes: (i) diagnosis, (ii) delivery and access of care, (iii) patient education and engagement, and (iv) patient empowerment. CONCLUSION: The perceived benefit podiatrists indicated in using MSUS as part of their practice is the perceived improvement in patient journeys through tighter, focused management plans and reduced waiting times. An additional novel finding was that MSUS provided the capacity for podiatrists to better inform patients of their diagnosis, which they believed led to improved engagement and consequent empowerment of patients in their treatment plans. We propose further investigation of patient experiences as well as testing of the model that embeds podiatrists' use of MSUS as a key skill in musculoskeletal foot and ankle services.en_NZ
dc.identifier.citationJournal of Foot and Ankle Research 14, 39 (2021). https://doi.org/10.1186/s13047-021-00478-4
dc.identifier.doi10.1186/s13047-021-00478-4en_NZ
dc.identifier.issn1757-1146en_NZ
dc.identifier.issn1757-1146en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/14489
dc.languageengen_NZ
dc.publisherBioMed Centralen_NZ
dc.relation.urihttps://jfootankleres.biomedcentral.com/articles/10.1186/s13047-021-00478-4
dc.rights© The Author(s). 2021 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectImpacten_NZ
dc.subjectMusculoskeletalen_NZ
dc.subjectPodiatryen_NZ
dc.subjectUltrasound imagingen_NZ
dc.titleExploring the Use of Musculoskeletal Ultrasound Imaging by Podiatrists: An International Surveyen_NZ
dc.typeJournal Article
pubs.elements-id430407
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Faculty of Health & Environmental Science
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Clinical Sciences
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Clinical Sciences/Physiotherapy Department
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Clinical Sciences/Podiatry Department
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
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