Associations between community-based physiotherapy for musculoskeletal injury and health related quality of life (EQ-5D): a multi-centre retrospective analysis

Caplan, Nick, Robson, Helen, Robson, Aimee, Barry, Gillian and Wilkes, Graeme (2017) Associations between community-based physiotherapy for musculoskeletal injury and health related quality of life (EQ-5D): a multi-centre retrospective analysis. Health and Quality of Life Outcomes, 15. p. 212. ISSN 1477-7525

[img]
Preview
Text (Article)
s12955-017-0789-3.pdf - Published Version
Available under License Creative Commons Attribution 4.0.

Download (381kB) | Preview
Official URL: https://doi.org/10.1186/s12955-017-0789-3

Abstract

Background: Community-based musculoskeletal physiotherapy is used to improve function and health related quality of life (HRQoL). The purpose of this retrospective, multi-centre observational study was to determine the association between community-based physiotherapy management for musculoskeletal disorders and changes in HRQoL.

Method: 4112 patients’ data were included in the study. Patients were included if they received a single period of treatment for a musculoskeletal injury or disorder. Patients were only included if they were being treated for a single morbidity. Patients received standard physiotherapy appropriate to their specific disorder, which could include health education/advice, exercise therapy, manual therapy, taping, soft tissue techniques, electrotherapy and/or acupuncture. Health related quality of life was assessed using the EQ-5D index.

Results: EQ-5D improved by 0.203 across all patients (d=1.10). When grouped by anatomical site of symptom, the largest increases in EQ-5D was in foot pain (0.233; d=1.29) and lumbar pain (0.231; d=1.13). Improvements in EQ-5D greater than the minimum clinically important difference (MCID) were seen in 68.4% of all patients. The highest proportion of patients with positive responses to treatment were in ankle pain (74.2%) and thoracic pain (73.4%). The hand (40.5%), elbow (34.7%), and hip (33.9%) showed the greatest proportion of patients that did not respond to treatment.

Conclusions: Community-based musculoskeletal physiotherapy is associated with improved health related quality of life. A randomised controlled trial is needed to determine any causal relationship between community-based physiotherapy and health related quality of life improvements.

Item Type: Article
Uncontrolled Keywords: rehabilitation; intervention; physical therapy; quality of life; musculoskeletal
Subjects: B100 Anatomy, Physiology and Pathology
L500 Social Work
Department: Faculties > Health and Life Sciences > Psychology
Faculties > Health and Life Sciences > Sport, Exercise and Rehabilitation
Depositing User: Becky Skoyles
Date Deposited: 16 Oct 2017 08:00
Last Modified: 12 Oct 2019 11:01
URI: http://nrl.northumbria.ac.uk/id/eprint/32324

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics