Video-Based Motion Analysis Use: A National Survey of Orthopedic Physical Therapists

Abstract Objectives Motion analysis is performed by physical therapists to assess and improve movement. Two-dimensional video-based motion analysis (VBMA) is available for smartphones/tablets and requires little to no equipment or cost. Research on VBMA use in clinical practice is limited. The purpo...

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Veröffentlicht in:Physical therapy 2020-10, Vol.100 (10), p.1759-1770
Hauptverfasser: Hensley, Craig P, Millican, Devyn, Hamilton, Nida, Yang, Amy, Lee, Jungwha, Chang, Alison H
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container_end_page 1770
container_issue 10
container_start_page 1759
container_title Physical therapy
container_volume 100
creator Hensley, Craig P
Millican, Devyn
Hamilton, Nida
Yang, Amy
Lee, Jungwha
Chang, Alison H
description Abstract Objectives Motion analysis is performed by physical therapists to assess and improve movement. Two-dimensional video-based motion analysis (VBMA) is available for smartphones/tablets and requires little to no equipment or cost. Research on VBMA use in clinical practice is limited. The purpose of this study was to examine the current use of VBMA in orthopedic physical therapist practice. Methods Members of the Academy of Orthopaedic Physical Therapy completed an online survey. Questions examined frequency of VBMA use, reasons for use, facilitators/barriers, device/apps used, practice patterns, other certificates/degrees, and demographic information. Results Among the final analysis sample of 477 respondents, 228 (47.8%) use VBMA. Of 228 VBMA users, 91.2% reported using it for ≤25% of their caseload, and 57.9% reported using their personal device to capture movement. Reasons for using VBMA included visual feedback for patient education (91.7%), analysis of movement (91.2%), and assessment of progress (51.8%). Barriers to use included lack of device/equipment (48.8%), lack of space (48.6%), and time restraint (32.1%). Those with ≤20 years of clinical experience (odds ratio [OR] = 1.83, 95% CI = 1.21–2.76), residency training (OR = 2.49, 95% CI = 1.14–5.43), and fellowship training (OR = 2.97, 95% CI = 1.32–6.66), and those from the West region of the United States (OR = 1.66, 95% CI = 1.07–2.56) were more likely to use VBMA. Conclusions More than 50% of surveyed orthopedic physical therapists do not use VBMA in clinical practice. Future research should be directed toward assessing reliability and validity of VBMA use by smartphones, tablets, and apps and examining whether VBMA use enhances treatment outcomes. Data security, patient confidentiality, and integration into the electronic medical record should be addressed. Impact This study is the first to our knowledge to describe the use of VBMA in orthopedic physical therapist practice in the United States. It is the first step in understanding how VBMA is used and might be used to enhance clinical assessment and treatment outcomes.
doi_str_mv 10.1093/ptj/pzaa125
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Two-dimensional video-based motion analysis (VBMA) is available for smartphones/tablets and requires little to no equipment or cost. Research on VBMA use in clinical practice is limited. The purpose of this study was to examine the current use of VBMA in orthopedic physical therapist practice. Methods Members of the Academy of Orthopaedic Physical Therapy completed an online survey. Questions examined frequency of VBMA use, reasons for use, facilitators/barriers, device/apps used, practice patterns, other certificates/degrees, and demographic information. Results Among the final analysis sample of 477 respondents, 228 (47.8%) use VBMA. Of 228 VBMA users, 91.2% reported using it for ≤25% of their caseload, and 57.9% reported using their personal device to capture movement. Reasons for using VBMA included visual feedback for patient education (91.7%), analysis of movement (91.2%), and assessment of progress (51.8%). Barriers to use included lack of device/equipment (48.8%), lack of space (48.6%), and time restraint (32.1%). Those with ≤20 years of clinical experience (odds ratio [OR] = 1.83, 95% CI = 1.21–2.76), residency training (OR = 2.49, 95% CI = 1.14–5.43), and fellowship training (OR = 2.97, 95% CI = 1.32–6.66), and those from the West region of the United States (OR = 1.66, 95% CI = 1.07–2.56) were more likely to use VBMA. Conclusions More than 50% of surveyed orthopedic physical therapists do not use VBMA in clinical practice. Future research should be directed toward assessing reliability and validity of VBMA use by smartphones, tablets, and apps and examining whether VBMA use enhances treatment outcomes. Data security, patient confidentiality, and integration into the electronic medical record should be addressed. Impact This study is the first to our knowledge to describe the use of VBMA in orthopedic physical therapist practice in the United States. It is the first step in understanding how VBMA is used and might be used to enhance clinical assessment and treatment outcomes.</description><identifier>ISSN: 0031-9023</identifier><identifier>EISSN: 1538-6724</identifier><identifier>DOI: 10.1093/ptj/pzaa125</identifier><language>eng</language><publisher>Washington: Oxford University Press</publisher><subject>Clinical outcomes ; Health aspects ; Human mechanics ; Medical care ; Medical records ; Medical research ; Medicine, Experimental ; Needs assessment ; Patient education ; Physical therapists ; Physical therapy ; Smartphones ; Surveys ; Technology application ; Therapeutics, Physiological</subject><ispartof>Physical therapy, 2020-10, Vol.100 (10), p.1759-1770</ispartof><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the American Physical Therapy Association. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2020</rights><rights>COPYRIGHT 2020 Oxford University Press</rights><rights>COPYRIGHT 2020 Oxford University Press</rights><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the American Physical Therapy Association. All rights reserved. For permissions, please email: journals.permissions@oup.com</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c607t-9dc7ccb216a90ce75abdd7461f3fa1137da42367389d02373780d1cad42a0faa3</citedby><cites>FETCH-LOGICAL-c607t-9dc7ccb216a90ce75abdd7461f3fa1137da42367389d02373780d1cad42a0faa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1584,27924,27925</link.rule.ids></links><search><creatorcontrib>Hensley, Craig P</creatorcontrib><creatorcontrib>Millican, Devyn</creatorcontrib><creatorcontrib>Hamilton, Nida</creatorcontrib><creatorcontrib>Yang, Amy</creatorcontrib><creatorcontrib>Lee, Jungwha</creatorcontrib><creatorcontrib>Chang, Alison H</creatorcontrib><title>Video-Based Motion Analysis Use: A National Survey of Orthopedic Physical Therapists</title><title>Physical therapy</title><addtitle>Physical Therapy</addtitle><description>Abstract Objectives Motion analysis is performed by physical therapists to assess and improve movement. Two-dimensional video-based motion analysis (VBMA) is available for smartphones/tablets and requires little to no equipment or cost. Research on VBMA use in clinical practice is limited. The purpose of this study was to examine the current use of VBMA in orthopedic physical therapist practice. Methods Members of the Academy of Orthopaedic Physical Therapy completed an online survey. Questions examined frequency of VBMA use, reasons for use, facilitators/barriers, device/apps used, practice patterns, other certificates/degrees, and demographic information. Results Among the final analysis sample of 477 respondents, 228 (47.8%) use VBMA. Of 228 VBMA users, 91.2% reported using it for ≤25% of their caseload, and 57.9% reported using their personal device to capture movement. Reasons for using VBMA included visual feedback for patient education (91.7%), analysis of movement (91.2%), and assessment of progress (51.8%). Barriers to use included lack of device/equipment (48.8%), lack of space (48.6%), and time restraint (32.1%). Those with ≤20 years of clinical experience (odds ratio [OR] = 1.83, 95% CI = 1.21–2.76), residency training (OR = 2.49, 95% CI = 1.14–5.43), and fellowship training (OR = 2.97, 95% CI = 1.32–6.66), and those from the West region of the United States (OR = 1.66, 95% CI = 1.07–2.56) were more likely to use VBMA. Conclusions More than 50% of surveyed orthopedic physical therapists do not use VBMA in clinical practice. Future research should be directed toward assessing reliability and validity of VBMA use by smartphones, tablets, and apps and examining whether VBMA use enhances treatment outcomes. Data security, patient confidentiality, and integration into the electronic medical record should be addressed. Impact This study is the first to our knowledge to describe the use of VBMA in orthopedic physical therapist practice in the United States. It is the first step in understanding how VBMA is used and might be used to enhance clinical assessment and treatment outcomes.</description><subject>Clinical outcomes</subject><subject>Health aspects</subject><subject>Human mechanics</subject><subject>Medical care</subject><subject>Medical records</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Needs assessment</subject><subject>Patient education</subject><subject>Physical therapists</subject><subject>Physical therapy</subject><subject>Smartphones</subject><subject>Surveys</subject><subject>Technology application</subject><subject>Therapeutics, Physiological</subject><issn>0031-9023</issn><issn>1538-6724</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNqV0lFr2zAQAGAzNljW7Wl_wDAYG8OtZNmWtbcsbG0ha8aa7lVcpXOioFiuZI9lv74KCZSUUDb0IDh9d9yhS5K3lJxSIthZ16_Our8ANC-fJSNasjqreF48T0aEMJoJkrOXyasQVoQQygsxSua_jEaXfYGAOv3ueuPadNyC3QQT0puAn9NxegXbMNj0evC_cZO6Jp35fuk61EalP5bRqvg6X6KHzoQ-vE5eNGADvtnfJ8nNt6_zyUU2nZ1fTsbTTFWE95nQiit1m9MKBFHIS7jVmhcVbVgDlDKuochZxVktdOycM14TTRXoIgfSALCT5MOubufd3YChl2sTFFoLLbohyLzIBeecFnWk7x7RlRt8HGqreFGUpRDiQS3AojRt43oPaltUjquKlGWd8zKq7IhaYBvnt67FxsTwgT894uPRuDbqaMLHg4RoevzTL2AIQV5e__wPe_XPtj6fPjXk3ipnLS5Qxn-czA79p51X3oXgsZGdN2vwG0mJ3C6njMsp98sZ9fuddkP3JLwHHp7fJQ</recordid><startdate>20201001</startdate><enddate>20201001</enddate><creator>Hensley, Craig P</creator><creator>Millican, Devyn</creator><creator>Hamilton, Nida</creator><creator>Yang, Amy</creator><creator>Lee, Jungwha</creator><creator>Chang, Alison H</creator><general>Oxford University Press</general><scope>AAYXX</scope><scope>CITATION</scope><scope>8GL</scope><scope>ISN</scope><scope>ISR</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20201001</creationdate><title>Video-Based Motion Analysis Use: A National Survey of Orthopedic Physical Therapists</title><author>Hensley, Craig P ; Millican, Devyn ; Hamilton, Nida ; Yang, Amy ; Lee, Jungwha ; Chang, Alison H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c607t-9dc7ccb216a90ce75abdd7461f3fa1137da42367389d02373780d1cad42a0faa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Clinical outcomes</topic><topic>Health aspects</topic><topic>Human mechanics</topic><topic>Medical care</topic><topic>Medical records</topic><topic>Medical research</topic><topic>Medicine, Experimental</topic><topic>Needs assessment</topic><topic>Patient education</topic><topic>Physical therapists</topic><topic>Physical therapy</topic><topic>Smartphones</topic><topic>Surveys</topic><topic>Technology application</topic><topic>Therapeutics, Physiological</topic><toplevel>online_resources</toplevel><creatorcontrib>Hensley, Craig P</creatorcontrib><creatorcontrib>Millican, Devyn</creatorcontrib><creatorcontrib>Hamilton, Nida</creatorcontrib><creatorcontrib>Yang, Amy</creatorcontrib><creatorcontrib>Lee, Jungwha</creatorcontrib><creatorcontrib>Chang, Alison H</creatorcontrib><collection>CrossRef</collection><collection>Gale In Context: High School</collection><collection>Gale In Context: Canada</collection><collection>Gale In Context: Science</collection><collection>Physical Education Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Physical therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hensley, Craig P</au><au>Millican, Devyn</au><au>Hamilton, Nida</au><au>Yang, Amy</au><au>Lee, Jungwha</au><au>Chang, Alison H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Video-Based Motion Analysis Use: A National Survey of Orthopedic Physical Therapists</atitle><jtitle>Physical therapy</jtitle><addtitle>Physical Therapy</addtitle><date>2020-10-01</date><risdate>2020</risdate><volume>100</volume><issue>10</issue><spage>1759</spage><epage>1770</epage><pages>1759-1770</pages><issn>0031-9023</issn><eissn>1538-6724</eissn><abstract>Abstract Objectives Motion analysis is performed by physical therapists to assess and improve movement. Two-dimensional video-based motion analysis (VBMA) is available for smartphones/tablets and requires little to no equipment or cost. Research on VBMA use in clinical practice is limited. The purpose of this study was to examine the current use of VBMA in orthopedic physical therapist practice. Methods Members of the Academy of Orthopaedic Physical Therapy completed an online survey. Questions examined frequency of VBMA use, reasons for use, facilitators/barriers, device/apps used, practice patterns, other certificates/degrees, and demographic information. Results Among the final analysis sample of 477 respondents, 228 (47.8%) use VBMA. Of 228 VBMA users, 91.2% reported using it for ≤25% of their caseload, and 57.9% reported using their personal device to capture movement. Reasons for using VBMA included visual feedback for patient education (91.7%), analysis of movement (91.2%), and assessment of progress (51.8%). Barriers to use included lack of device/equipment (48.8%), lack of space (48.6%), and time restraint (32.1%). Those with ≤20 years of clinical experience (odds ratio [OR] = 1.83, 95% CI = 1.21–2.76), residency training (OR = 2.49, 95% CI = 1.14–5.43), and fellowship training (OR = 2.97, 95% CI = 1.32–6.66), and those from the West region of the United States (OR = 1.66, 95% CI = 1.07–2.56) were more likely to use VBMA. Conclusions More than 50% of surveyed orthopedic physical therapists do not use VBMA in clinical practice. Future research should be directed toward assessing reliability and validity of VBMA use by smartphones, tablets, and apps and examining whether VBMA use enhances treatment outcomes. Data security, patient confidentiality, and integration into the electronic medical record should be addressed. Impact This study is the first to our knowledge to describe the use of VBMA in orthopedic physical therapist practice in the United States. It is the first step in understanding how VBMA is used and might be used to enhance clinical assessment and treatment outcomes.</abstract><cop>Washington</cop><pub>Oxford University Press</pub><doi>10.1093/ptj/pzaa125</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record>
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source Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Clinical outcomes
Health aspects
Human mechanics
Medical care
Medical records
Medical research
Medicine, Experimental
Needs assessment
Patient education
Physical therapists
Physical therapy
Smartphones
Surveys
Technology application
Therapeutics, Physiological
title Video-Based Motion Analysis Use: A National Survey of Orthopedic Physical Therapists
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