PMID- 29065895
OWN - NLM
STAT- MEDLINE
DCOM- 20180319
LR  - 20181202
IS  - 1477-7525 (Electronic)
IS  - 1477-7525 (Linking)
VI  - 15
IP  - 1
DP  - 2017 Oct 25
TI  - Associations between community-based physiotherapy for musculoskeletal injury and 
      health related quality of life (EQ-5D): a multi-centre retrospective analysis.
PG  - 212
LID - 10.1186/s12955-017-0789-3 [doi]
LID - 212
AB  - 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. METHODS: Four thousand one hundred twelve 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.
FAU - Caplan, Nick
AU  - Caplan N
AD  - Faculty of Health and Life Sciences, Northumbria University, Northumberland 
      Building, Newcastle upon Tyne, NE1 8ST, UK. nick.caplan@northumbria.ac.uk.
FAU - Robson, H
AU  - Robson H
AD  - Connect Health, Newcastle upon Tyne, UK.
FAU - Robson, A
AU  - Robson A
AD  - Connect Health, Newcastle upon Tyne, UK.
FAU - Barry, G
AU  - Barry G
AD  - Faculty of Health and Life Sciences, Northumbria University, Northumberland 
      Building, Newcastle upon Tyne, NE1 8ST, UK.
FAU - Wilkes, G
AU  - Wilkes G
AD  - Connect Health, Newcastle upon Tyne, UK.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Observational Study
DEP - 20171025
PL  - England
TA  - Health Qual Life Outcomes
JT  - Health and quality of life outcomes
JID - 101153626
SB  - IM
MH  - Adult
MH  - Community Health Services
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Musculoskeletal Diseases/*psychology/*rehabilitation
MH  - Musculoskeletal System/*injuries
MH  - *Physical Therapy Modalities
MH  - *Quality of Life
MH  - Retrospective Studies
MH  - Surveys and Questionnaires
PMC - PMC5655980
OTO - NOTNLM
OT  - Intervention
OT  - Musculoskeletal
OT  - Physical therapy
OT  - Quality of life
OT  - Rehabilitation
COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: This study was approved by the 
      Northumbria University Ethics Committee as a retrospective service evaluation. 
      CONSENT FOR PUBLICATION: Not applicable. COMPETING INTERESTS: HR, AR and GW are 
      employees of Connect Health. PUBLISHER'S NOTE: Springer Nature remains neutral 
      with regard to jurisdictional claims in published maps and institutional 
      affiliations.
EDAT- 2017/10/27 06:00
MHDA- 2018/03/20 06:00
PMCR- 2017/10/25
CRDT- 2017/10/26 06:00
PHST- 2017/06/13 00:00 [received]
PHST- 2017/10/16 00:00 [accepted]
PHST- 2017/10/26 06:00 [entrez]
PHST- 2017/10/27 06:00 [pubmed]
PHST- 2018/03/20 06:00 [medline]
PHST- 2017/10/25 00:00 [pmc-release]
AID - 10.1186/s12955-017-0789-3 [pii]
AID - 789 [pii]
AID - 10.1186/s12955-017-0789-3 [doi]
PST - epublish
SO  - Health Qual Life Outcomes. 2017 Oct 25;15(1):212. doi: 10.1186/s12955-017-0789-3.