title: Orthopedic surgeon perspectives on appropriate referral of trauma patients to physical therapy (PT).
abstract: OBJECTIVE
  To evaluate orthopedic surgeon referral of trauma patients to PT.
  
  
  METHODS
  Cross-sectional survey.
  
  
  METHODS
  Alberta, Canada.
  
  
  METHODS
  Orthopedic surgeons and residents.
  
  
  METHODS
  A web-based survey was utilized to poll orthopedic surgeons and residents on referral practices. Statistical analysis using Kruskal-Wallis One-Way Analysis of Variance by Ranks; Post hoc analysis using the minimum significant difference method for multiple comparisons and nonparametric correlations using Spearman's rho.
  
  
  RESULTS
  The overall response rate was 48 %. Key indications for referral were range of motion deficits, failure to progress, strength and gait training. Of those surveyed, 72.5 and 26.1 % felt that there was either moderate or significant improvement following PT, respectively. Years in practice had a significant effect on survey responses. Residents and surgeons in practice for >20 years viewed PT as being less important in orthopedic trauma (p < 0.05) and were less likely to refer orthopedic trauma patients to PT (p < 0.05). Residents were less likely to view PT in orthopedic trauma as evidence-based (0.05) and more likely to disagree with the statement that formalized PT results in better outcomes than a prescribed home exercise program (p < 0.05).
  
  
  CONCLUSIONS
  There are potential differences in the referral practices of orthopedists of varying levels of experience. Although outcome is viewed as positive following PT, it appears that many orthopedists view a prescribed home exercise program as an acceptable equivalent to formalized PT in the setting of orthopedic trauma. Future research should be directed at determining indicators for formalized PT.
authors: Department of Surgery, Section of Orthopedic Surgery, University of Calgary, 2500 University Drive NW, Calgary, Alberta, Canada. cjdusik@gmail.com
authors: Chris J
authors: CJ
authors: Dusik
authors: Richard E
authors: RE
authors: Buckley
authors: Connal
authors: C
authors: Robertson-More
mesh_terms: D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D019538:Health Care Surveys; D006801:Humans; D020407:Internet; D009985:Orthopedics; D026741:Physical Therapy Modalities; D010818:Practice Patterns, Physicians'; D012017:Referral and Consultation; D014947:Wounds and Injuries / Q000534:rehabilitation*