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Master Thesis

Utilisation de l'échographie de l’appareil locomoteur par les médecins de médecine physique et de réadaptation en France : enquête descriptive

Abstract : Background: Musculoskeletal ultrasound (MSUS) is essential in physical medicine and rehabilitation (PRM). The main objective is to describe its use by PRM physicians in France. Methods: The study is a descriptive, cross-sectional, declarative survey. A computerized questionnaire was developed and sent by e-mail to PRM physicians in France in 2020. The analysis was quantitative and qualitative with a Chi² test and a post-hoc test based on Pearson's adjusted residuals. Results: Out of 78 responses, 42 practiced MSUS and 36 did not. The main advantages found were the guidance and security of interventional procedures, assistance in diagnosis, indolence of the gesture, intellectual interest and diversification of the practice. The main obstacles are training, motivation, cost and the dependent operative act. The interest in EAL is major by all. Only 18 of the practitioners had a diploma and carried out significantly more diagnoses Chi² = 19.00 p = .0001 and gradations Chi² = 11.73 p = .0012. Those without a diploma had significantly fewer diagnoses Chi² = 19.00 p = .0081 and Chi² = 11.73 p = .0065. Discussion & conclusion: MSUS is seen as essential. Two types of practices emerge, one interventional and one diagnostic and should have specific training. MSUS suffers from a lack of training. The situation has deteriorated since the reform of the 3rd cycle and the Buzyn Law, especially for interns A better availability of equipment and discovery-oriented courses seem to be important, starting from the internship.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03202242
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Submitted on : Monday, April 19, 2021 - 4:24:47 PM
Last modification on : Tuesday, October 19, 2021 - 11:34:51 PM
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  • HAL Id : dumas-03202242, version 1
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Mathis Lechevrel. Utilisation de l'échographie de l’appareil locomoteur par les médecins de médecine physique et de réadaptation en France : enquête descriptive. Médecine humaine et pathologie. 2020. ⟨dumas-03202242⟩

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