Exploring the adoption of diaphragm and lung ultrasound (DLUS) by physiotherapists, physical therapists, and respiratory therapists: an updated scoping review
Abstract Background The adoption of diaphragm and lung ultrasound (DLUS) by physiotherapists, physical therapists, and respiratory therapists (“therapists”) to examine and assess the diaphragm and lungs continues to grow. The aim of this updated scoping review is to re-explore and re-collate the evi...
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2025-01-01
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Online Access: | https://doi.org/10.1186/s13089-025-00412-w |
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author | Simon Hayward Camella Cardinael Chloe Tait Michael Reid Andrew McCarthy |
author_facet | Simon Hayward Camella Cardinael Chloe Tait Michael Reid Andrew McCarthy |
author_sort | Simon Hayward |
collection | DOAJ |
description | Abstract Background The adoption of diaphragm and lung ultrasound (DLUS) by physiotherapists, physical therapists, and respiratory therapists (“therapists”) to examine and assess the diaphragm and lungs continues to grow. The aim of this updated scoping review is to re-explore and re-collate the evidence around the adoption of DLUS by therapists. Methods This scoping review followed the PRISMA-ScR guidelines. Data sources searched included AMED, EmCare, CINAHL, Embase, Medline, PubMed and Pedro. Grey literature sources were searched alongside communication with leading authors in the field. The Participants, Concept and Context (PCC) approach was employed to formulate the research question. A charting form was developed and piloted to extract: title, authors, year of publication, country of origin, professional group involved (population), lung or diaphragm ultrasound (concept), evaluation method, educational, clinical or research setting (context), subject/disease/patient group, sample size, study design and professional group performing DLUS. Results 133 studies met all inclusion criteria, an increase of 107 new studies compared to the original scoping review searches 7-years ago. Studies were included from 17 new countries and included 17 new participant populations. Lung ultrasound saw the largest increase in study number with education and implementation emerging as a new area of investigation. Full list of included studies is provided in Supplementary File 1. Conclusion The number of DLUS studies involving therapists continues to show international growth with studies investigating an increasing range of participant populations. Published studies now include research on DLUS adoption, implementation, and utility amongst all three of the therapy professions who use DLUS. The potential of DLUS and its direct impact on patient outcomes still needs to be explored further. However, DLUS remains a novel and innovative imaging technique in the hands of physiotherapists, physical therapists, and respiratory therapists as its utility continues to grow in various research, clinical and educational settings. |
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language | English |
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series | The Ultrasound Journal |
spelling | doaj-art-21e98d5e50a649ed82357194591b361c2025-01-26T12:21:34ZengSpringerOpenThe Ultrasound Journal2524-89872025-01-011711910.1186/s13089-025-00412-wExploring the adoption of diaphragm and lung ultrasound (DLUS) by physiotherapists, physical therapists, and respiratory therapists: an updated scoping reviewSimon Hayward0Camella Cardinael1Chloe Tait2Michael Reid3Andrew McCarthy4Physiotherapy Department, Blackpool Teaching Hospitals NHS Foundation TrustAcute Medicine Physiotherapy, Lancashire Teaching Hospitals NHS Foundation Trust, Sharoe Green LanePhysiotherapy Department, Blackpool Teaching Hospitals NHS Foundation TrustLibrary and Knowledge Services, Blackpool Teaching Hospitals NHS Foundation TrustPhysiotherapy Department, Blackpool Teaching Hospitals NHS Foundation TrustAbstract Background The adoption of diaphragm and lung ultrasound (DLUS) by physiotherapists, physical therapists, and respiratory therapists (“therapists”) to examine and assess the diaphragm and lungs continues to grow. The aim of this updated scoping review is to re-explore and re-collate the evidence around the adoption of DLUS by therapists. Methods This scoping review followed the PRISMA-ScR guidelines. Data sources searched included AMED, EmCare, CINAHL, Embase, Medline, PubMed and Pedro. Grey literature sources were searched alongside communication with leading authors in the field. The Participants, Concept and Context (PCC) approach was employed to formulate the research question. A charting form was developed and piloted to extract: title, authors, year of publication, country of origin, professional group involved (population), lung or diaphragm ultrasound (concept), evaluation method, educational, clinical or research setting (context), subject/disease/patient group, sample size, study design and professional group performing DLUS. Results 133 studies met all inclusion criteria, an increase of 107 new studies compared to the original scoping review searches 7-years ago. Studies were included from 17 new countries and included 17 new participant populations. Lung ultrasound saw the largest increase in study number with education and implementation emerging as a new area of investigation. Full list of included studies is provided in Supplementary File 1. Conclusion The number of DLUS studies involving therapists continues to show international growth with studies investigating an increasing range of participant populations. Published studies now include research on DLUS adoption, implementation, and utility amongst all three of the therapy professions who use DLUS. The potential of DLUS and its direct impact on patient outcomes still needs to be explored further. However, DLUS remains a novel and innovative imaging technique in the hands of physiotherapists, physical therapists, and respiratory therapists as its utility continues to grow in various research, clinical and educational settings.https://doi.org/10.1186/s13089-025-00412-wDiaphragmLungUltrasonographyPhysiotherapistPhysical therapistRespiratory therapist |
spellingShingle | Simon Hayward Camella Cardinael Chloe Tait Michael Reid Andrew McCarthy Exploring the adoption of diaphragm and lung ultrasound (DLUS) by physiotherapists, physical therapists, and respiratory therapists: an updated scoping review The Ultrasound Journal Diaphragm Lung Ultrasonography Physiotherapist Physical therapist Respiratory therapist |
title | Exploring the adoption of diaphragm and lung ultrasound (DLUS) by physiotherapists, physical therapists, and respiratory therapists: an updated scoping review |
title_full | Exploring the adoption of diaphragm and lung ultrasound (DLUS) by physiotherapists, physical therapists, and respiratory therapists: an updated scoping review |
title_fullStr | Exploring the adoption of diaphragm and lung ultrasound (DLUS) by physiotherapists, physical therapists, and respiratory therapists: an updated scoping review |
title_full_unstemmed | Exploring the adoption of diaphragm and lung ultrasound (DLUS) by physiotherapists, physical therapists, and respiratory therapists: an updated scoping review |
title_short | Exploring the adoption of diaphragm and lung ultrasound (DLUS) by physiotherapists, physical therapists, and respiratory therapists: an updated scoping review |
title_sort | exploring the adoption of diaphragm and lung ultrasound dlus by physiotherapists physical therapists and respiratory therapists an updated scoping review |
topic | Diaphragm Lung Ultrasonography Physiotherapist Physical therapist Respiratory therapist |
url | https://doi.org/10.1186/s13089-025-00412-w |
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