RESUMO
PURPOSE: To analyze the effectiveness of the American Red Cross Emergency Response Course (ARC ERC) in improving decision-making skills of physical therapists (PTs) and third semester clinical doctorate student physical therapists (SPTs) when assessing acute sports injuries and medical conditions. METHODS: An existing questionnaire was modified, with permission from the original authors of the instrument. The questionnaire was administered to PTs and SPTs before the start of and immediately after the completion of 5 different ARC ERCs. The overall percentages of "Appropriate" responses for the 17 case scenarios were calculated for each participant for the pre-and post-tests. Participants also rated their perceived level of preparedness for managing various conditions using a 5-point Likert Scale (ranging from Prepared to Unprepared). The overall percentage of "Prepared/Somewhat Prepared" responses for the 16 medical conditions was calculated for each participant for the pre-and post-tests. In addition, mean Likert scale scores were calculated for level of perceived preparedness for each of the 16 medical conditions. Paired t-tests, calculated with SPSS 20.0, were used to analyze the data. RESULTS: 37 of 37 (100.0%) of eligible PTs and 45 of 48 (93.8%) of eligible SPTs completed the pre- and post-test questionnaires. The percentage of "Appropriate" responses for all 17 cases in the aggregate (PTs: 76.8% pre-test, 89.0% post-test; SPTs: 68.5%, 84.3%), as well as the percentage of "Prepared/Somewhat Prepared" responses for all conditions in the aggregate (PTs: 67.5%, 96.5%; SPTs: 37.1%, 90.6%) were significantly different from pre-test to post-test (P = .000). There was also a significant difference (P < .05) in the mean overall preparedness Likert scale scores from pre-test to post-test for each medical condition for the SPT's, and 15 of the 16 medical conditions (muscle strains: P = .119) for the PTs. CONCLUSIONS: The ARC ERC appears to be effective in improving both PTs' and SPTs' decision-making skills related to acute sports injuries and medical conditions, as both "Appropriate" responses and perceived level of preparedness improved. LEVEL OF EVIDENCE: Level 3.
RESUMO
PURPOSE/BACKGROUND: Some physical therapists (PTs) provide services at sporting events, but there are limited studies investigating whether PTs are properly prepared to provide such services. The purpose of this study was to assess acute sports injury and medical condition management decision-making skills of PTs. METHODS: A Web-based survey presented 17 case scenarios related to acute medical conditions and sport injuries. PTs from the Sports Physical Therapy Section of The American Physical Therapy Association were e-mailed a cover letter/Web link to the survey and invited to participate over a 30-day period. Data were analyzed using SPSS 18.0. RESULTS: A total of 411 of 5158 PTs who were members of the Sports Physical Therapy Association in 2009 and had valid e-mail addresses completed the survey, of which 389 (7.5%) were appropriate for analysis. Over 75.0% of respondents felt "prepared" or "somewhat prepared" to provide immediate care for 13 out of 16 medical conditions, with seizures, spinal cord injuries, and internal organ injuries having the lowest percentages. Over 75.0% of the respondents made "appropriate" or "overly cautious" decisions for 11 of the 17 acute injury or medical condition cases. CONCLUSIONS: Results of the current study indicate that PTs felt more "prepared" and tended to make "appropriate" return to play decisions on the acute sports injury and medical condition case studies more often than coaches who participated in a similar study, regardless of level of importance of the game or whether the athlete was a starter vs. non-starter. However, for PTs who plan on assisting at sporting events, additional preparation/education may be recommended, such as what is taught in an emergency responder course.
