Valências consideradas prioritárias pelos fisioterapeutas na avaliação de pacientes e atletas nos contextos esportivo e traumato-ortopédico: estudo transversal

Abstract

Introduction: Sports injuries are multifactorial events resulting from the interaction of physical, biomechanical, psychological, and social factors. Despite advances in the understanding of the biopsychosocial model, physiotherapy assessment remains frequently fragmented, with limited integration across clinical dimensions and low standardization of assessment tools. Technological resources, such as mobile applications, may represent a promising strategy to integrate clinical data and optimize assessment processes. Objective: To develop the conceptual framework of an application designed for clinical data assessment and integration in sports and musculoskeletal physiotherapy, based on the identification of physical capacities and clinical tests considered priorities by specialists. Methods: This is a cross-sectional study. Fifty physiotherapists with experience in orthopedics, traumatology, and/or sports physiotherapy and postgraduate qualifications participated in the study. Participants completed structured questionnaires addressing professional profile, clinical assessment practices, use of technological resources, and the most commonly used clinical tests. Data were analyzed using descriptive statistics with absolute and relative frequencies. Results: Most participants worked simultaneously in sports and musculoskeletal physiotherapy (83%), systematically assessed patients (98%), and recognized the importance of the biopsychosocial model (98%). Assessments were predominantly focused on the lower limbs (90%), and the use of applications and spreadsheets was highly prevalent (89%). Mobility (70%) and stability (50%) were identified as the most relevant physical capacities. A total of 85 distinct tests were identified, with the Lunge Test, Y Balance Test, dynamometry, Thomas Test, and jump tests being the most frequently cited. These findings supported the development of a conceptual framework for an application integrating physical, functional, and psychosocial data. Conclusion: The findings identified key components considered relevant in contemporary physiotherapy assessment and provided support for the development of a more standardized, integrated digital tool aligned with the biopsychosocial model.