Outcome

An evaluation of virtual physiotherapy as an alternative to in-person treatment.

Until recently, virtual physiotherapy services represented the minority of support offered by the private and public healthcare sectors. The Covid-19 outbreak created a sudden need for digital health services to be rolled out more widely.

Ascenti wanted to use its dataset of 27,000+ virtual appointments to see how results for online physiotherapy compared with those for in-clinic care and to gather views from patients and clinicians to enable further improvement.

Integrating Physiotherapy into an Adult Social Care Occupational Therapy service.

The Occupational Therapy (OT) service at Leicester City Council (LCC) faced some difficulties when they were working with a person who required Physiotherapy (PT) input in the community. Namely the long waitlist for input and an inability to establish a person’s baseline level of mobility when this was needed before recommending care packages, equipment or adaptations. The impacts on LCC were an increased need for formal care, equipment and adaptations as well as increases in OT staff’s workloads and/or delays in picking up new cases. Additionally, the cost to the person is highlighted as delays in accessing PT input can lead to further deterioration in their abilities (dependence) and/or the need to wait longer for equipment/ adaptations which may put them at risk.

Effects of a Multi-Disciplinary Physical and Psychological Programme on Kinesiophobia, Self-Efficacy and Functionality in Persistent Low Back Pain Service Users

Persistent Low Back Pain (PLBP) is the leading cause of disability worldwide. Disability and costs attributed to PLBP are projected to increase in coming decades (Hartvigsen et al, 2018). Research has now established that for people with PLBP, their cognitions and coping mechanisms play a bigger role in the progression from acute to persistent pain than physical features (Wertli et al, 2014). Clinical guidance (NICE, 2016) recommends that service users (SUs) who are not responding to routine management or have significant psychosocial obstacles to recovery, should be considered for a combined physical and psychological programme (CPPP). However, there are no clear current guidelines on the best format for a CPPP. The Back in Action (BiA) programme was introduced to address the needs of these SUs. This service evaluation aims to assess the effectiveness of the BiA 58 hour multi-disciplinary CPPP format on SUs pain related cognitions and function.

 

Managing complexity in a rare condition: A single case report of novel forearm tendon transfers for Inclusion Body Myositis

Inclusion body myositis (IBM) is an acquired, inflammatory myopathy presenting in the over 50´s. Characterised with progressive muscle weakness and atrophy in the quadriceps and long finger flexors. Currently, this complex health problem, that has a prevalence of 5-10 per million, does not have an effective treatment or cure, therefore forearm tendon transfers provide a viable option to address finger weakness in suitable patients. The marked finger flexor weakness poses a significant limitation to patients´ quality of life and functional abilities.

This case demonstrates how physiotherapists can be pivotal in managing complex and challenging conditions through multi-disciplinary team (MDT) working, demonstrating how our roles evolve in response to complex cases.

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