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Banerjee A, Hendrick P, Blake H. Predictors of self-management in patients with chronic low back pain: a longitudinal study. BMC Musculoskelet Disord 2022; 23:1071. [PMID: 36476492 PMCID: PMC9727914 DOI: 10.1186/s12891-022-05933-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/13/2022] [Accepted: 10/28/2022] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Self-management (SM) is a key recommended strategy for managing chronic low back pain (CLBP). However, SM programmes generate small to moderate benefits for reducing pain and disability in patients with CLBP. The benefits of the SM programme can potentially be optimised by identifying specific subgroups of patients who are the best responders. To date, no longitudinal study has examined the predictive relationships between SM and biopsychosocial factors in patients with CLBP. The aim was to determine whether biopsychosocial factors predict SM and its change over time in patients with CLBP. METHODS In this multi-centre longitudinal cohort study, we recruited 270 working-age patients with CLBP (mean age 43.74, 61% female) who consulted outpatient physiotherapy for their CLBP. Participants completed self-reported validated measures of pain intensity, disability, physical activity, kinesiophobia, catastrophising, depression and SM at baseline and six months. SM constructs were measured using eight subscales of the Health Education Impact Questionnaire (heiQ), including Health Directed Activity (HDA), Positive and Active Engagement in Life (PAEL), Emotional Distress (ED), Self-Monitoring and Insight (SMI), Constructive Attitudes and Approaches (CAA), Skill and Technique Acquisition (STA), Social Integration and Support (SIS) and Health Service Navigation (HSN). Data were analysed using General Linear Model (GLM) regression. RESULTS Physical activity and healthcare use (positively) and disability, depression, kinesiophobia, catastrophising (negatively) predicted (p < 0.05, R2 0.07-0.55) SM constructs at baseline in patients with CLBP. Baseline depression (constructs: PAEL, ED, SMI, CAA and STA), kinesiophobia (constructs: CAA and HSN), catastrophising (construct: ED), and physical disability (constructs: PAEL, CAA and SIS) negatively predicted a range of SM constructs. Changes over six months in SM constructs were predicted by changes in depression, kinesiophobia, catastrophising, and physical activity (p < 0.05, R2 0.13-0.32). CONCLUSIONS Self-reported disability, physical activity, depression, catastrophising and kinesiophobia predicted multiple constructs of SM measured using the heiQ subscales in working-age patients with CLBP. Knowledge of biopsychosocial predictors of SM may help triage patients with CLBP into targeted pain management programmes. TRIAL REGISTRATION The study protocol was registered at ClinicalTrials.gov on 22 December 2015 (ID: NCT02636777).
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Affiliation(s)
- A. Banerjee
- grid.9757.c0000 0004 0415 6205Keele University, School of Allied Health Professions, Staffordshire, ST5 5BG UK ,Nottingham CityCare Partnership CIC, Nottingham, UK
| | - P. Hendrick
- grid.4563.40000 0004 1936 8868University of Nottingham, School of Health Sciences, Nottingham, UK
| | - H. Blake
- grid.4563.40000 0004 1936 8868University of Nottingham, School of Health Sciences, Nottingham, UK ,grid.511312.50000 0004 9032 5393NIHR Nottingham Biomedical Research Centre, Nottingham, UK
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King S, Scott M, Diver C, Hendrick P. Does post-operative neuropathic pain after shoulder surgery affect secondary health care utilisation? A service evaluation. Physiotherapy 2021. [DOI: 10.1016/j.physio.2021.10.271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Goodwin R, Moffatt F, Hendrick P, Stynes S, Bishop A, Logan P. Evaluation of the First Contact Physiotherapy (FCP) model of primary care: a qualitative insight. Physiotherapy 2021; 113:209-216. [PMID: 34583834 PMCID: PMC8612276 DOI: 10.1016/j.physio.2021.08.003] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2020] [Revised: 06/25/2021] [Accepted: 08/02/2021] [Indexed: 12/16/2022]
Abstract
OBJECTIVE First Contact Physiotherapy (FCP) is a primary care model where expert musculoskeletal (MSK) physiotherapists undertake the first patient consultation, to enhance MSK-patient care and free-up GP capacity. The authors report the qualitative findings from the FCP National Evaluation (Phase 3) which evaluated the FCP model against pre-agreed success criteria. DESIGN AND SETTING A mixed-methods 24-month service evaluation involving FCP sites across England. METHODS Data were collected at 2 time points, year 1 and year 2. Data were collected using individual interviews and focus groups, transcribed verbatim and analysed using a hybrid inductive and deductive thematic analysis. Participants were recruited from all stakeholder groups; patients, physiotherapists, general practitioners and administration staff. RESULTS A total of 6 sites were recruited over both rounds of data collection demonstrating a wide range of service models. Thirty-nine participants were recruited including fourteen patients. All six qualitative success criteria were met. GPs' discourse reflected confidence in the FCP service and competence of the FCPs. Patient discourse reflected self-efficacy and confidence in self-management techniques and reported FCP as a positive experience. FCPs saw providing advice about work related issues as integral to their role and patient discourse reflected perceived benefit from the advice offered. Staff discourse reflected a positive experience of working with, and in, the FCP services. CONCLUSION Ahead of the planned scale-up of the FCP primary care model across the UK, this evaluation provides useful insights and recommendations to facilitate successful FCP implementation in terms of patient outcome and experience, and staff experience.
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Affiliation(s)
- R Goodwin
- Division of Rehabilitation, Ageing and Wellbeing, Faculty of Medicine & Health Sciences, University of Nottingham, United Kingdom.
| | - F Moffatt
- Physiotherapy and Sport Rehabilitation, Faculty of Medicine & Health Sciences, University of Nottingham, United Kingdom
| | - P Hendrick
- Physiotherapy and Sport Rehabilitation, Faculty of Medicine & Health Sciences, University of Nottingham, United Kingdom
| | - S Stynes
- Keele University, School of Medicine, Keele, United Kingdom; Midlands Partnership Foundation NHS Trust, Haywood Hospital Spinal Interface Service, Staffordshire, United Kingdom
| | - A Bishop
- Keele University, School of Medicine, Keele, United Kingdom
| | - P Logan
- Division of Rehabilitation, Ageing and Wellbeing, Faculty of Medicine & Health Sciences, University of Nottingham, United Kingdom
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Sahota O, van Berkel D, Ong T, Drummond A, Hendrick P, Quraishi N, Salem K. Pelvic fragility fractures-the forgotten osteoporotic fracture! Osteoporos Int 2021; 32:785-786. [PMID: 33491138 PMCID: PMC8026450 DOI: 10.1007/s00198-021-05848-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Accepted: 01/12/2021] [Indexed: 02/07/2023]
Affiliation(s)
- O Sahota
- Depart HCOP, Nottingham University Hospitals NHS Trust, Nottingham, UK.
- The Centre for Spinal Studies and Surgery, Nottingham University Hospitals NHS Trust, Nottingham, UK.
- Faculty of Medicine & Health Sciences, University of Nottingham, Nottingham, UK.
- National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre (BRC), Nottingham, UK.
- National Institute for Health Research (NIHR) Collaboration for Applied Health Research and Care (CLAHRC) East Midlands, Nottingham, UK.
| | - D van Berkel
- Depart HCOP, Nottingham University Hospitals NHS Trust, Nottingham, UK
| | - T Ong
- Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - A Drummond
- Faculty of Medicine & Health Sciences, University of Nottingham, Nottingham, UK
| | - P Hendrick
- Faculty of Medicine & Health Sciences, University of Nottingham, Nottingham, UK
| | - N Quraishi
- The Centre for Spinal Studies and Surgery, Nottingham University Hospitals NHS Trust, Nottingham, UK
| | - K Salem
- The Centre for Spinal Studies and Surgery, Nottingham University Hospitals NHS Trust, Nottingham, UK
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Smith B, Hendrick P, M.Bateman, Moffatt F, Rathleff M, Selfe J, Smith T, Logan P. A loaded self-managed exercise programme for patellofemoral pain: a mixed methods feasibility study. Physiotherapy 2020. [DOI: 10.1016/j.physio.2020.03.053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Thacker D, Smith B, Hendrick P, Webber R, Rathleff M, Landorf K, Mawson S. Comparative effectiveness of exercise or self-management of plantar heel pain: a systematic review and meta-analysis. Physiotherapy 2020. [DOI: 10.1016/j.physio.2020.03.313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Goodwin R, Hendrick P, Moffatt F, Logan P. First point of contact physiotherapy for patients with musculoskeletal conditions: how do professional issues influence implementation? A realist review. Physiotherapy 2019. [DOI: 10.1016/j.physio.2018.11.062] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Smith B, Moffatt F, Hendrick P, Bateman M, Rathleff M, Selfe J, Smith T, Logan P. Barriers and facilitators of loaded self-managed exercises and physical activity in people with patellofemoral pain - a UK qualitative study. Physiotherapy 2019. [DOI: 10.1016/j.physio.2018.11.189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Goodwin R, Moffatt F, Hendrick P, Logan P. Sociocultural challenges faced in implementing self-referral physiotherapy in primary care – a qualitative evaluation of staff opinions. Physiotherapy 2017. [DOI: 10.1016/j.physio.2017.11.157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Smith B, Hendrick P, Smith T, Bateman M, Moffatt F, Rathleff M, Selfe J, Logan P. Should exercises be painful? A systematic review and meta-analysis. Physiotherapy 2017. [DOI: 10.1016/j.physio.2017.11.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Morabito A, Steimes J, Bontems O, Al Zohbi G, Hendrick P. Set-up of a pump as turbine use in micro-pumped hydro energy storage: a case of study in Froyennes Belgium. ACTA ACUST UNITED AC 2017. [DOI: 10.1088/1742-6596/813/1/012033] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Banerjee A, Hendrick P, Bhattacharjee P, Blake H. A systematic review of outcome measures utilised to measure change in self-management in clinical trials in non-cancer chronic pain. Physiotherapy 2016. [DOI: 10.1016/j.physio.2016.10.153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Wood L, Hendrick P, Boszczyk B, Dunstan E. A review of the surgical conversion rate and independent management of spinal extended scope practitioners in a secondary care setting. Ann R Coll Surg Engl 2016; 98:187-91. [PMID: 26741663 DOI: 10.1308/rcsann.2016.0054] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Spinal orthopaedic triage aims to reduce unnecessary referrals to surgical consultants, thereby reducing waiting times to be seen by a surgeon and to surgical intervention. This paper presents an evaluation of a spinal orthopaedic triage service in the third largest spinal unit in the UK. METHODS A retrospective service evaluation spanning 2012 to 2014 was undertaken by members of the extended scope practitioner (ESP) team to evaluate the ESPs' ability to manage patient care independently and triage surgical referrals appropriately. Data collected included rates of independent management, referral rates for surgical consideration and conversion to surgery. Patient satisfaction rates were evaluated retrospectively from questionnaires given to 5% of discharged patients. RESULTS A total of 2,651 patients were seen. The vast majority (92%) of all referrals seen by ESPs were managed independently. Only 8% required either a discussion with a surgeon to confirm management or for surgical review. Of the latter, 81% were considered to be suitable surgical referrals. A 99% satisfaction rate was reported by discharged patients. CONCLUSIONS ESP services in a specialist spinal service are effective in managing spinal conditions conservatively and identifying surgical candidates appropriately. Further research is needed to confirm ESPs' diagnostic accuracy, patient outcomes and cost effectiveness.
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Affiliation(s)
- L Wood
- Nottingham University Hospitals NHS Trust , UK
| | | | - B Boszczyk
- Nottingham University Hospitals NHS Trust , UK
| | - E Dunstan
- Nottingham University Hospitals NHS Trust , UK
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Baxter ML, Milosavljevic S, Ribeiro DC, Hendrick P, McBride D. Psychometric properties of visually based clinical screening tests for risk of overuse injury. Physical Therapy Reviews 2014. [DOI: 10.1179/1743288x14y.0000000138] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Baxter M, McBride D, Milosavljevic S, Hendrick P. Psychometric properties of the functional screening test: A review of current literature. J Sci Med Sport 2013. [DOI: 10.1016/j.jsams.2013.10.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Rajabi R, Mobarakabadi L, Alizadhen HM, Hendrick P. Thoracic kyphosis comparisons in adolescent female competitive field hockey players and untrained controls. J Sports Med Phys Fitness 2012; 52:545-550. [PMID: 22976742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
AIM The aim of this study was to compare the thoracic kyphosis angles of adolescent female field hockey players and non-athletes and to examine the relationship between the thoracic kyphosis and training regimes in hockey. METHODS Seventy-four female participants including 37 field hockey players (mean age 19.03 ±1.24 years) and 37 non-athletes (mean age 18.21± 1.22) were recruited in this cross-sectional study. The hockey players met a minimum criterion of 3 years of experience in the Iranian first division female hockey league. The thoracic kyphosis degree was measured between T1-T12 using a non-invasive flexible ruler. RESULTS A significant difference in the thoracic kyphosis degree between athletes (M=41. 71°, SD=5.38°) and non-athletes (M=36.72°, SD=6.01°); t (72)=3.76, P=0.001 was revealed. The magnitude of these differences in the means was very large (eta squared=0.016). There was a moderately positive correlation between the athletic history (number of years of hockey participation) and thoracic kyphosis, r=0.36, N.=37, P=0.031. However, the relationship between the cumulative training exposure (yearly training hours) and the degree of thoracic kyphosis was not significant. CONCLUSION Thoracic kyphosis was significantly increased in adolescent female field hockey players and was found to be associated with the cumulative number of years of hockey participation. These results suggest a possible association between the semi-crouched posture in field hockey and thoracic kyphosis in elite adolescent athletes The results also suggest that number of years of field hockey participation is a determinant in the increased kyphosis.
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Affiliation(s)
- R Rajabi
- Physical Education and Sport Sciences, Department Health and Sport Medicine Group, University of Tehran, Iran.
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Melloh M, Elfering A, Egli Presland C, Roder C, Hendrick P, Darlow B, Theis JC. Predicting the transition from acute to persistent low back pain. Occup Med (Lond) 2011; 61:127-31. [DOI: 10.1093/occmed/kqq194] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Hendrick P, Te Wake AM, Tikkisetty AS, Wulff L, Yap C, Milosavljevic S. The effectiveness of walking as an intervention for low back pain: a systematic review. Eur Spine J 2010; 19:1613-20. [PMID: 20414688 DOI: 10.1007/s00586-010-1412-z] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/14/2010] [Revised: 03/08/2010] [Accepted: 04/11/2010] [Indexed: 11/29/2022]
Abstract
As current low back pain (LBP) guidelines do not specifically advocate walking as an intervention, this review has explored for the effectiveness of walking in managing acute and chronic LBP. CINAHL, Medline, AMED, EMBASE, PubMed, Cochrane and Scopus databases, as well as a hand search of reference lists of retrieved articles, were searched. The search was restricted to studies in the English language. Studies were included when walking was identified as an intervention. Four studies met inclusion criteria, and were assessed with a quality checklist. Three lower ranked studies reported a reduction in LBP from a walking intervention, while the highest ranked study observed no effect. Heterogeneity of study design made it difficult to draw comparisons between studies. There is only low-moderate evidence for walking as an effective intervention strategy for LBP. Further investigation is required to investigate the strength of effect for walking as a primary intervention in the management of acute and chronic LBP.
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Affiliation(s)
- P Hendrick
- Centre for Physiotherapy Research, School of Physiotherapy, University of Otago, PO Box 56, Dunedin, New Zealand
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Abstract
The aims of this study were to investigate the associations between an activity logbook and the RT3 accelerometer and to assess whether the RT3 can discriminate activity levels in healthy adults. Ten participants completed two trials wearing an RT3 accelerometer over a 4-6 h period and completed a detailed activity log. Results showed a poor correlation between the RT3 in moderate activities (r = 0.22) in comparison to low (r = 0.52) and hard (r = 0.70) from the logbook. A significant difference was found in average RT3 vector magnitude (VM) counts/min in each activity level (p < 0.0001). Discriminant analysis demonstrated that an RT3VM counts/min value of approximately 500 was found to have high sensitivity (88%), and specificity (88%) for discriminating between low and moderate activity levels from the logbook. This study found that accelerometry has the potential to discriminate activity levels in free living. This study is the first to investigate whether tri-axial accelerometry can discriminate different levels of free-living activity recorded in an activity logbook. The RT3 accelerometer can discriminate between low and moderate physical activities and offers a methodology that may be applicable to future research in occupational settings.
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Affiliation(s)
- P Hendrick
- Centre for Physiotherapy Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand.
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Abstract
A system for long-term monitoring of mouse eating and drinking behavior with 6-s resolution is described. The apparatus utilizes infrared beams to monitor activity at a single feeding port and electronic contact detector circuitry to record individual licks at two drinking ports. Eight SWR/J mice were monitored using this system and data from the last day of testing with food and water were analyzed. Mice ate an average of 4.54 +/- 0.40 g of powdered food and drank an average of 5.81 +/- 0.65 ml of water. Mice had an average of 36.25 +/- 3.96 food bouts and 32.25 +/- 7.56 water bouts lasting 3.00 +/- 0.48 and 0.88 +/- 0.35 min, respectively. Information regarding the temporal association between eating and drinking and the circadian patterns of ingestion was provided, utilizing customized software that augments the system. Important implications for the use of mice in ingestion pattern research are discussed.
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Affiliation(s)
- K S Gannon
- Psychology Department, Florida State University, Tallahassee 32306-1051
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