Research & implementation

The Network Spinal Cord Compression Service

The incidence of cancer is increasing; people are living longer with better quality of life, however, the risk of developing MSCC remains high for many patients. Prompt diagnosis and treatment is essential to prevent paralysis and failure to recognise the early signs can have devastating implications with the added financial burden of caring for bedbound patients.

All front-line clinicians have a vital role to play in referring suspected MSCC patients into the MSCC service in a timely manner. This includes physiotherapists working in most settings, e.g. MSK, A&E, walk-in centres, community and private sector.

Producing a data-inputting and analysis calculator to facilitate the standardisation of outcome measures

The advantages for using patient-reported outcome measures (PROMS) have been well documented in the literature. The need for physiotherapists to use standardised PROMS has been recognised and is recommended in clinical guidelines. Although the importance of standardising the use of PROMS within the physiotherapy profession is well recognised, it has largely failed to be delivered in practice. A number of barriers for implementation of standardised outcome measures has been reported including the lack of knowledge and the lack of instructions in relation to the application, scoring and interpretation of the outcome measure(s).

Musculoskeletal (MSK) physiotherapy teams within Staffordshire and Stoke on Trent Partnership Trust (SSOTP) used a variety of outcome measures including the EuroQol (EQ-5D-5L) alongside condition specific PROMS and a patient experience-reported experience measure, in line with CSP recommendations. Nevertheless, the teams did not use the same outcome measure and data collection, inputting and analysis methods varied considerably. Therefore, the use of outcome measures and data collection needed to be standardised.

UEA & Norwich City: A partnership approach

The poster provides an overview of the partnership established between the UEA and Norwich City over the past 5 years. It outlines the way that the MSc pre-registration physiotherapy students develop their research dissertation topics through a collaborative approach with physiotherapists at the Norwich City football club academy. It identifies the research questions investigated by current and previous Masters students. The final section demonstrates the benefits of using research to inform practice in the elite professional football academy setting and the value of making explicit links between research, education and practice. It does this through the narrative of the physiotherapists, students and academic staff themselves.

Compliance with NICE Metastatic Spinal Cord Compression Guidelines

1) To identify variations from NICE MSCC guidelines in the MSK pathway for patients regarding timelines from early detection and time to MRI 2) To use this clinical audit data to inform clinical commissioning groups (CCGs) and local hospital providers about access of referral

Physiotherapy use of thoracic ultrasound

The use of diagnostic thoracic ultrasound (TUS) by physiotherapists to examine the pleura, lung parenchyma and diaphragm is gaining in popularity. In the medical profession it has been shown to have efficacy in the diagnosis of pulmonary conditions such as pneumonia, pleural effusions and diaphragm dysfunction. It is unclear how effective TUS is in the hands of a physiotherapist. The aim of this scoping review is to explore the emerging evidence surrounding physiotherapy use of TUS to inform research and clinical practice.  

The National Physiotherapy Hip Sprint Audit

The purpose of the audit is to gain a detailed understanding of the physiotherapy management of patients with hip fracture, so that recommendations can be made which will result in improvements. By using a standardised national audit tool, data and information will enable physiotherapists to understand how to improve both the service delivery and the experience of physiotherapy for hip fracture patients. This audit will also demonstrate to external stakeholders the professions readiness to embrace the findings from the audit, in order to make improvements

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