Format

Send to

Choose Destination
See comment in PubMed Commons below
Cardiopulm Phys Ther J. 2013 Mar;24(1):7-13.

Facilitators and barriers to implementation of the ankle brachial index in outpatient physical therapy practice: a qualitative study.

Author information

1
Widener University Institute for Physical Therapy Education.

Abstract

INTRODUCTION:

The ankle brachial index (ABI) is a valid and reliable measurement of lower extremity circulation and can be used as a screening tool for peripheral arterial disease (PAD), but the usage pattern in physical therapy practice is virtually unknown.

PURPOSE:

This study was performed to describe the phenomenon of using the ABI in outpatient physical therapy practice.

METHODS:

Nine participants from 3 different outpatient physical therapy clinics were provided with a hand held Doppler and education on how to accurately perform an ABI. Over a 3-month period, participants performed the ABI on any patient presenting with age > 50 with at least two risk factors for PAD. Immediately following the 3-month data collection period, two focus group interviews were performed to examine the therapist's experience using the ABI. Transcripts were analyzed to identify facilitators and barriers to implementation.

RESULTS:

Facilitators identified include familiarity, ease of use, accuracy, and confidence with results. Barriers included flow and routine disruption, patient did not want/refused, and issues related to direct access.

CONCLUSION:

Although some barriers to use of the ABI in an outpatient clinical setting need to be considered, most participants found the experience of using the ABI positive and feasible.

KEYWORDS:

ankle brachial index; peripheral arterial disease; physical therapy

PMID:
23754934
PMCID:
PMC3677180
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for PubMed Central
    Loading ...
    Support Center