Simulation in physiotherapy students for clinical decisions during interaction with people with low back pain: randomised controlled trial

BMC Medical Education

Angélica del Pilar Villarraga-Nieto¹  Ruth Liliana Goyeneche-Ortegón²  Elisa Andrea Cobo-Mejía²  Carolina Sandoval-Cuellar²  Rocío del Pilar Castellanos-Vega²  Adriana Lucia Castellanos-Garrido³  Margareth Lorena Alfonso-Mora³  Martha Lucia Acosta-Otalora³ 

[1] Center of Clinical Simulation, Universidad de La Sabana, Chía, Colombia;Universidad de Boyacá, Tunja, Colombia;Universidad de La Sabana, Chía, Colombia;

关键词: Simulation;    Physiotherapy;    Clinical skill;    Simulated patient;   

DOI  :  10.1186/s12909-021-02812-7

来源: Springer

【 摘 要 】

BackgroundLow back pain (LBP) is a condition with a high global prevalence, which is getting health professionals’ attention, including physiotherapists as they must have the skills to provide treatment that increases the patient’s quality of life. Clinical simulations could be a pedagogic strategy that facilitates adequate training for students to acquire skills to improve their professional reasoning in this clinical situation.ObjectiveThis study sought to determine the effects of clinical simulations with simulated patients (SP) on the physiotherapy students’ clinical decision-making within a role-playing (RP) scenario while caring of LBP patients.MethodsThis experimental study included 42 participants from two Colombian universities, randomized into two groups (SP, n = 21; RP, n = 21). The clinical skill of performing the Objective Structured Clinical Examination (OSCE-LBP) was evaluated while students cared for patients with LBP; after that, a pedagogical method was conducted that included clinical simulation and, finally, the OSCE-LBP was applied again to compare both groups.ResultsChanges occurred in the OSCE-LBP among both groups of students: the scores increased (0.66 and 0.59 in RP and SP, respectively), and neither of the two was superior (p value 0.01; 95%CI − 0.21 to 0.23).ConclusionBoth types of simulation favor decision-making in professional reasoning in physiotherapy students during interactions with individuals with LBP.Trial registrationhttps://clinicaltrials.gov/ct2/show/NCT04428892 Identifying number: NCT04428892. It was retrospectively registered.

【 授权许可】

CC BY