芝麻炎的评估和管理:新西兰奥特罗阿足科医生的焦点小组研究。

IF 2.5 3区 医学 Q1 ORTHOPEDICS
Preeti Kaur, Matthew R Carroll, Sarah Stewart
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引用次数: 0

摘要

背景:籽瘤炎是一种影响第一跖趾关节(1MTPJ)足底面籽骨的常见炎症。然而,目前还没有推荐或临床指南来支持足病医生评估或管理腱鞘炎。本研究的目的是探讨新西兰奥特罗阿的足科医生对他们评估和管理腱鞘炎患者的方法的看法。方法:本定性研究包括与注册足科医生进行焦点小组讨论。焦点小组通过Zoom在线进行,并由详细的焦点小组问题时间表指导。这些问题的设计是为了鼓励讨论用于腱鞘炎诊断的评估方法和用于管理腱鞘炎患者的治疗工具。对焦点小组的发言进行录音并逐字抄录。采用自反性主题分析对数据进行分析。结果:共有12名注册足科医生参加了三个焦点小组中的一个。我们构建了四个主题来评估籽鞘炎:(1)获得患者病史;(2)重现患者症状;(3)确定影响生物力学的因素;(4)排除鉴别诊断。本文构建了七个与芝麻炎管理相关的主题:(1)考虑患者因素;(2)患者教育;(3)籽状体的缓冲,使1MTPJ更舒适的承重;(4)籽体的压力再分配和卸载;(5)固定1MTPJ和籽体;(6)促进步态中有效的矢状面运动;(七)咨询其他卫生专业人员,寻求不同的治疗或管理患者症状的方法。结论:新西兰奥特罗阿的足科医生基于他们的临床经验和下肢解剖学知识,展示了一种分析性方法来评估和管理腱鞘炎患者。根据医生的个人喜好,以及患者的社会因素、症状学和下肢生物力学,选择一系列评估和管理技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The assessment and management of sesamoiditis: a focus group study of podiatrists in Aotearoa New Zealand.

The assessment and management of sesamoiditis: a focus group study of podiatrists in Aotearoa New Zealand.

The assessment and management of sesamoiditis: a focus group study of podiatrists in Aotearoa New Zealand.

Background: Sesamoiditis is a common inflammatory condition affecting the sesamoid bones at the plantar aspect of the first metatarsophalangeal joint (1MTPJ). However, there are currently no recommendations or clinical guidelines to support podiatrists in their assessment or management of sesamoiditis. The aim of this study was to explore the views of podiatrists in Aotearoa New Zealand on their approaches to the assessment and management of patients with sesamoiditis.

Methods: This qualitative study included focus group discussions with registered podiatrists. Focus groups took place online via Zoom and were guided by a detailed focus group question schedule. The questions were designed to encourage discussion around assessment approaches used in the diagnosis of sesamoiditis and the treatment tools used to manage patients with sesamoiditis. Focus groups were audio-recorded and transcribed verbatim. Reflexive thematic analysis was used to analyse the data.

Results: A total of 12 registered podiatrists participated in one of three focus groups. Four themes were constructed relating to the assessment of sesamoiditis: (1) obtaining a patient history; (2) recreating patient symptoms; (3) determining contributing biomechanical factors; and (4) ruling out differential diagnoses. Seven themes were constructed relating to the management of sesamoiditis: (1) consideration of patient factors; (2) patient education; (3) cushioning of the sesamoids to allow more comfortable weightbearing of the 1MTPJ; (4) pressure redistribution and offloading of the sesamoids; (5) immobilisation of the 1MTPJ and sesamoids; (6) facilitating efficient sagittal plane motion during gait; (7) referring to other health professionals to find different ways to treat or manage patient symptoms.

Conclusion: Podiatrists in Aotearoa New Zealand demonstrate an analytical approach in the assessment and management of patients with sesamoiditis based on their clinical experience and knowledge of lower limb anatomy. A range of assessment and management techniques are selected based on the practitioners personal preferences, as well as the patient's social factors, symptomology, and lower limb biomechanics.

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来源期刊
CiteScore
4.50
自引率
10.30%
发文量
83
审稿时长
>12 weeks
期刊介绍: Journal of Foot and Ankle Research, the official journal of the Australian Podiatry Association and The College of Podiatry (UK), is an open access journal that encompasses all aspects of policy, organisation, delivery and clinical practice related to the assessment, diagnosis, prevention and management of foot and ankle disorders. Journal of Foot and Ankle Research covers a wide range of clinical subject areas, including diabetology, paediatrics, sports medicine, gerontology and geriatrics, foot surgery, physical therapy, dermatology, wound management, radiology, biomechanics and bioengineering, orthotics and prosthetics, as well the broad areas of epidemiology, policy, organisation and delivery of services related to foot and ankle care. The journal encourages submissions from all health professionals who manage lower limb conditions, including podiatrists, nurses, physical therapists and physiotherapists, orthopaedists, manual therapists, medical specialists and general medical practitioners, as well as health service researchers concerned with foot and ankle care. The Australian Podiatry Association and the College of Podiatry (UK) have reserve funds to cover the article-processing charge for manuscripts submitted by its members. Society members can email the appropriate contact at Australian Podiatry Association or The College of Podiatry to obtain the corresponding code to enter on submission.
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