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Musculoskeletal physiotherapists’ discharge practices for people treated with low back pain : a UK survey
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Smith, Toby O., Singh, G., McNamee, G. and Newton, C. (2024) Musculoskeletal physiotherapists’ discharge practices for people treated with low back pain : a UK survey. Musculoskeletal Care, 22 (1). e1851. doi:10.1002/msc.1851 ISSN 1478-2189.
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Official URL: https://doi.org/10.1002/msc.1851
Abstract
Background
Persistent low back pain (LBP) is the leading cause of disability, and a major burden on the healthcare system globally. Many people with LBP experience recurrent pain flares and receive repeated appointments and re-referrals to services such as physiotherapy. However, it is not clear what the criteria are for discharging people with LBP from physiotherapy services. This study aims to describe the current practices for discharging people from physiotherapy for LBP in the United Kingdom (UK).
Methods
A cross-sectional study using an anonymous online national (UK) survey was conducted among qualified physiotherapists who treat people with LBP in UK musculoskeletal out-patient services.
Results
A total of 104 surveys were completed. The majority of respondents reported using (i) a shared decision-making (77%) and (ii) person-physiotherapist goal attainment (74%) approach to discharging people with LBP. Sixty-three percent of respondents reported using a patient-initiated follow-up (PIFU) approach. Only 8% of respondents reported using a graded discharge approach with ‘booster’ appointments. A PIFU or graded discharge approach was considered most pertinent for people at higher risk of a pain flare (97%; 86%) and with low self-efficacy to self-manage their LBP.
Conclusions
This UK survey established that discharge practices for people with LBP after physiotherapy vary. Whilst the majority of people are currently discharged with a PIFU appointment, a graded discharge approach may be more beneficial for people who are less likely to initiate a PIFU appointment. Further consideration on the development of such a pathway is now required.
Item Type: | Journal Article | ||||||||
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Subjects: | R Medicine > RD Surgery R Medicine > RM Therapeutics. Pharmacology |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||||
Library of Congress Subject Headings (LCSH): | Backache , Backache -- Patients -- Rehabilitation , Backache -- Physical therapy, Physical therapy -- Decision making | ||||||||
Journal or Publication Title: | Musculoskeletal Care | ||||||||
Publisher: | John Wiley & Sons Ltd. | ||||||||
ISSN: | 1478-2189 | ||||||||
Official Date: | March 2024 | ||||||||
Dates: |
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Volume: | 22 | ||||||||
Number: | 1 | ||||||||
Article Number: | e1851 | ||||||||
DOI: | 10.1002/msc.1851 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||||
Date of first compliant deposit: | 22 November 2023 | ||||||||
Date of first compliant Open Access: | 15 January 2024 | ||||||||
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