Más allá de la percepción: resultados de una encuesta sobre escalas de valoración al colectivo de médicos rehabilitadores en España

Introduction

Measurement in rehabilitation is a fundamental pillar for objectifying the functional status of patients, determining and evaluating interventions, and monitoring treatment progress. However, its use in clinical practice is not yet sufficiently widespread among physicians.

Objective

To describe the usage habits of measurement instruments, particularly validated scales, in the clinical practice of Spanish physical and rehabilitation medicine (PRM) physicians.

Methods

A structured survey was designed and distributed, consisting of 11 mandatory Likert-type questions related to clinical practice, available time, use of scales and assessment tools, perceived barriers, and training needs. Data were analyzed using descriptive statistics and correlation analysis.

Results

Out of 390 professionals, 61.8% (n = 241) reported using some type of measurement tool systematically. A total of 53 different scales were reported, with the Barthel Index being the most frequently used (42.3%, n = 103). Those who did not use scales (n = 95) relied on anamnesis and physical examination to assess patient progress. The main barrier identified was lack of time (78.4%, n = 135). A significant association was observed between longer consultation times and routine use of scales (P<.001). Additionally, 76.9% (n = 297) cited lack of training as a barrier, and 94.8% (n = 365) expressed interest in receiving specific training.

Conclusion

Although a majority of PRM physicians use measurement scales, important barriers such as limited time and lack of training remain. Addressing these factors through organizational and educational strategies could help promote wider adoption of measurement tools in clinical practice.