The reported use of musculoskeletal rehabilitative ultrasound: A scoping review

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Authors
Faulkner-Gilmour, Suzanna
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Degree
Master of Osteopathy
Grantor
Unitec, Te Pūkenga - New Zealand Institute of Skills and Technology
Date
2023
Supervisors
Moran, Robert
Mason, Jesse
Aminian, Saeideh
Type
Masters Thesis
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Keyword
musculoskeletal disorders
diagnostic ultrasound
ultrasound imaging (USI)
rehabilitation providers
scoping reviews
Citation
Faulkner-Gilmour, S. (2023). The reported use of musculoskeletal rehabilitative ultrasound: A scoping review (An unpublished 90-credit thesis submitted in fulfilment of the requirements for the degree of Masters of Osteopathy) Unitec, Te Pūkenga - New Zealand Institute of Skills and Technology https://hdl.handle.net/10652/6294
Abstract
BACKGROUND Rehabilitative ultrasound imaging (RUSI) has been a progressively growing area of interest for rehabilitation providers. The origins of ultrasound imaging were founded in its utility for diagnosing organs and soft tissue structures, but it has become apparent that it may have clinical utility for rehabilitation providers by providing real time images that can be used to guide assessment and clinical outcomes in musculoskeletal disorders. RUSI is an established and reliable tool however the current literature is sparse and heterogenous, prompting the need for further investigation and synthesis. OBJECTIVES The objectives of this study were to examine and synthesis the nature, range and extent of the current literature available on the topic of RUSI. In addition, to report the ways in which RUSI is being used and for what purpose. It also aimed to outline any implications and limitations to its integration into clinical practice for rehabilitation providers. METHOD The six-stage scoping review design developed by Arksey & O’Malley was used as the methodological framework for this review. Reporting was guided by the PRISMA extension for scoping reviews and Joanna Briggs Institute (JBI). EBSCO, Scopus and PubMed electronic databases were used to identify articles with no date restrictions and included grey literature such as conference proceedings and theses. A thematic and descriptive analysis was then conducted. RESULTS A total of 84 articles were included in this review of which a cross-sectional design represented the highest proportion of articles. Four main findings were reported which included: the nature of articles included, and the main categories of use were for musculoskeletal measurements, biofeedback and other which primarily consisted of literature reviews and expert opinion articles. CONCLUSION The findings of this study indicated the main limitations to integration of RUSI into clinical practice was the nebulous nature and lack of consensus-based definition for RUSI as well as the apparent absence of guidelines from regulatory bodies on if or how RUSI falls into the scope of practice of rehabilitation provider.
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