Abstract

BackgroundPhysical therapists (PTs) work in a variety of healthcare settings with varied levels of physical activity demands placed on them. The purpose of this study is to compare the physical activity (PA) levels between PTs in inpatient versus outpatient environments for one work week using a cross-sectional design.MethodsSixty-one PTs (30 inpatient, 31 outpatient) wore a tri-axial accelerometer and inclinometer for one work-week. The number steps-per-day, PA intensities, energy expenditures and postural positions adopted during the work day were recorded.ResultSignificantly longer amounts of time spent sitting was found for inpatient PTs regardless of the significantly higher number of steps-per-day. Outpatient PTs had a higher number of breaks from sedentary activity with those breaks being longer than the inpatient PTs. The percentage of time spent performing moderate-vigorous PA approached significance implying more time was spent performing these types of activities for outpatient PTs. The energy expenditures between the two groups of PTs were not different.ConclusionThis study compared the differences in physical activity levels between physical therapists who worked at inpatient versus outpatient environment as little is known about their activity levels. Inpatient physical therapists took more steps per day than outpatient physical therapists but the outpatient physical therapists were less sedentary and took more frequent and longer breaks from sedentary activities. The energy expenditures were similar between both types of therapists and this may be reflective of the gender and bodyweight differences between the groups that equalizes the energy expenditures. The findings of this study suggests that there are differences in the physical activity demands between inpatient and outpatient physical therapists. The results of this study may serve dual purposes: (1) employers may be able to more accurately describe the expected physical activity demands to future employees; (2) individuals tasked with preparing PTs to physically manage their work environment can outline training programs that are diverse based on the specific work environment of PTs.Electronic supplementary materialThe online version of this article (doi:10.1186/s13104-016-2119-y) contains supplementary material, which is available to authorized users.

Highlights

  • Physical therapists (PTs) work in a variety of healthcare settings with varied levels of physical activity demands placed on them

  • This study compared the differences in physical activity levels between physical therapists who worked at inpatient versus outpatient environment as little is known about their activity levels

  • The findings of this study suggests that there are differences in the physical activity demands between inpatient and outpatient physical therapists

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Summary

Introduction

Physical therapists (PTs) work in a variety of healthcare settings with varied levels of physical activity demands placed on them. The physical demand level of PTs has been labeled as “heavy” by the 1993 Leonard Matheson & Ministry of Labor [4] which is defined as an energy expenditure of 6.4–7.5 metabolic energy equivalents (METS) with occasional, frequent and constant lifting of loads that range from 23 to 45, 11 to 23, and 4.5 to 9 kg, respectively. PTs in the United States require a minimum of a bachelor’s degree with approximately 30 % of them possessing an entry-level doctoral degree to obtain licensure to practice [7]. Over 50 % of PTs hold an entry-level or post- professional doctoral degree which places them among the approximate 3 % of individuals in the United States who have a doctoral degree. The median income of PTs in the United States is approximately $85,000 which is a salary that is $15,000 higher than the year 2013 median household income of $65,587 [5,6,7]

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