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Musculoskeletal practices for the preparticipation physical examination

BACKGROUND: Little is known about the musculoskeletal (MSK) exam providers use during the Preparticipation Physical Examination (PPE). The primary aims of this study were to determine current practice with regards to the MSK screening exam, if goals are being met, and if there may be opportunities f...

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Autores principales: Corrente, Connor, Silvis, Matthew, Murphy, Joseph, Gallo, Robert, Onks, Cayce
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8335993/
https://www.ncbi.nlm.nih.gov/pubmed/34348781
http://dx.doi.org/10.1186/s13102-021-00316-x
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author Corrente, Connor
Silvis, Matthew
Murphy, Joseph
Gallo, Robert
Onks, Cayce
author_facet Corrente, Connor
Silvis, Matthew
Murphy, Joseph
Gallo, Robert
Onks, Cayce
author_sort Corrente, Connor
collection PubMed
description BACKGROUND: Little is known about the musculoskeletal (MSK) exam providers use during the Preparticipation Physical Examination (PPE). The primary aims of this study were to determine current practice with regards to the MSK screening exam, if goals are being met, and if there may be opportunities for improvement. METHODS: This cross-sectional survey-based study utilized a REDCap instrument that was distributed to members of the American Academy of Family Physicians (AAFP) and the American Medical Society for Sports Medicine (AMSSM). Questions focused on participant demographics and MSK exam practices for the PPE. Descriptive statistics were used. RESULTS: The study had a total of 616 participants with a response rate of 9 %. The majority of respondents (82 %) were familiar with the 4th Edition PPE Monograph and 80 % either moderately or strongly agreed that they use this as a guideline for their MSK screening exam. The 90 s MSK screening test was implemented by 52 % of the participants. The majority of participants use an orthopedic exam as part of their PPE (82 %). Ninety-two percent of participants felt satisfied that their MSK exam would screen for current injury, while only 42 % were satisfied that it effectively screened for future injury. 86 % of participants agree that the MSK exam should be performed, while 26 % said that they don’t perform a physical exam at all. DISCUSSION: There is a lack of understanding of the PPE Monograph as there is wide variability in MSK screening techniques providers use despite the majority of participants being familiar with the guidelines described in the monograph. Additionally, providers don’t believe that the MSK exam screens for future injury. CONCLUSIONS: The goals of the MSK portion of the 4th Edition PPE monograph are not adequately being met and there is a need for further research to validate screening exams for the prevention of MSK injury.
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spelling pubmed-83359932021-08-04 Musculoskeletal practices for the preparticipation physical examination Corrente, Connor Silvis, Matthew Murphy, Joseph Gallo, Robert Onks, Cayce BMC Sports Sci Med Rehabil Research Article BACKGROUND: Little is known about the musculoskeletal (MSK) exam providers use during the Preparticipation Physical Examination (PPE). The primary aims of this study were to determine current practice with regards to the MSK screening exam, if goals are being met, and if there may be opportunities for improvement. METHODS: This cross-sectional survey-based study utilized a REDCap instrument that was distributed to members of the American Academy of Family Physicians (AAFP) and the American Medical Society for Sports Medicine (AMSSM). Questions focused on participant demographics and MSK exam practices for the PPE. Descriptive statistics were used. RESULTS: The study had a total of 616 participants with a response rate of 9 %. The majority of respondents (82 %) were familiar with the 4th Edition PPE Monograph and 80 % either moderately or strongly agreed that they use this as a guideline for their MSK screening exam. The 90 s MSK screening test was implemented by 52 % of the participants. The majority of participants use an orthopedic exam as part of their PPE (82 %). Ninety-two percent of participants felt satisfied that their MSK exam would screen for current injury, while only 42 % were satisfied that it effectively screened for future injury. 86 % of participants agree that the MSK exam should be performed, while 26 % said that they don’t perform a physical exam at all. DISCUSSION: There is a lack of understanding of the PPE Monograph as there is wide variability in MSK screening techniques providers use despite the majority of participants being familiar with the guidelines described in the monograph. Additionally, providers don’t believe that the MSK exam screens for future injury. CONCLUSIONS: The goals of the MSK portion of the 4th Edition PPE monograph are not adequately being met and there is a need for further research to validate screening exams for the prevention of MSK injury. BioMed Central 2021-08-04 /pmc/articles/PMC8335993/ /pubmed/34348781 http://dx.doi.org/10.1186/s13102-021-00316-x Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis 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/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://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.
spellingShingle Research Article
Corrente, Connor
Silvis, Matthew
Murphy, Joseph
Gallo, Robert
Onks, Cayce
Musculoskeletal practices for the preparticipation physical examination
title Musculoskeletal practices for the preparticipation physical examination
title_full Musculoskeletal practices for the preparticipation physical examination
title_fullStr Musculoskeletal practices for the preparticipation physical examination
title_full_unstemmed Musculoskeletal practices for the preparticipation physical examination
title_short Musculoskeletal practices for the preparticipation physical examination
title_sort musculoskeletal practices for the preparticipation physical examination
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8335993/
https://www.ncbi.nlm.nih.gov/pubmed/34348781
http://dx.doi.org/10.1186/s13102-021-00316-x
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