Evaluation of the Southampton Children’s Hospital Physiotherapy led back pain clinic

Purpose

To evaluate the management of Paediatric back pain in the physiotherapy led clinic at Southampton University Hospital NHS Foundation Trust by evaluating patient experience having a physiotherapist as 'first contact' (through questionnaire) and evaluating outcomes (measured by MYMOP and Roland Morris scores)

Minimum of 72%
improvement in functional outcome following advice and treatment

Approach

Patients that were seen within the Physiotherapy Led Paediatric back pain clinic between September 2015 and September 2017 were included. 100 patients were asked to complete a questionnaire regarding their experience of their physiotherapy consultation and these were collated. Each patient in the clinic also completed a MYMOP and Roland Morris questionnaire on their initial physiotherapy assessment and these were repeated at their review in clinic following rehabilitation. The patients were given advice and exercises at their initial consultation and according to individual need commenced either an individualised physiotherapy home exercise programme, one to one physiotherapy sessions, referred to a spinal fitness group or hydrotherapy.

Outcomes

Patient experience was measured with the completion of 100 questionnaires which showed a 100% satisfaction rate for all the questions and no complaints about the service.

All patients responded positively to the physiotherapy advice and treatment as measured by MYMOP and Roland Morris. Their functional outcomes improved by a minimum of 72% (range 72%-100%)

Implications

This clinical review shows physiotherapy is beneficial in the treatment of children with back pain. The results demonstrate excellent patient experience from seeing a physiotherapist as 'first contact' and it is clear that the outcome measures of MYMOP and Roland Morris were shown to be effective for evaluating progress and helping to direct ongoing physiotherapy management.

LBP is a common MSK condition in childhood and, while it can be associated with serious pathology, this is rare and, for the majority, symptoms are mild, non-specific, and self-limiting and that an organic cause is seldom found.

The Physiotherapy led Paediatric back pain clinic has been successful in allowing treatment to start at first point of contact following referral from the GP. The children still have access to a thorough assessment, individualised treatment, we liaise with the consultant regarding need for further investigation such as x-rays/ bloods and MRI and these are organised appropriate to each patient.

This has shown that we could implement other Paediatric physiotherapy clinics for other MSK conditions.

Fund acknowledgements

This work was not funded.

Additional notes

This work was presented at Physiotherapy UK 2018.