Identifying peripheral arterial diseases or flow limitations of the lower limb: Important aspects for cardiovascular screening for referral in physiotherapy

Feller, Daniel; Giudice, Andrea; Faletra, Agostino; Salomon, Mattia; Galeno, Erasmo; Rossettini, Giacomo; Brindisino, Fabrizio; Maselli, Filippo; Hutting, Nathan; Mourad, Firas

doi:10.1016/j.msksp.2022.102611

Cited by 5 publications

(7 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The continuous aging of the global population in the future may further increase the prevalence of serious pathologies. Therefore, primary healthcare professionals, especially if involved in direct access settings, need to be trained and capable of triaging the typical clinical presentations of such pathologies, which potentially mimic symptoms of most common musculoskeletal disorders [ 9 , 42 , 43 , 44 , 45 , 46 ]. Certain categories of primary healthcare professionals should further improve their knowledge and clinical reasoning skills to match the necessary knowledge and skills for a proper screening for referral process as currently performed by specific healthcare professionals [ 42 , 43 , 44 , 45 , 46 ].…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, primary healthcare professionals, especially if involved in direct access settings, need to be trained and capable of triaging the typical clinical presentations of such pathologies, which potentially mimic symptoms of most common musculoskeletal disorders [ 9 , 42 , 43 , 44 , 45 , 46 ]. Certain categories of primary healthcare professionals should further improve their knowledge and clinical reasoning skills to match the necessary knowledge and skills for a proper screening for referral process as currently performed by specific healthcare professionals [ 42 , 43 , 44 , 45 , 46 ]. For these reasons, it would be appropriate for these skills to become a milestone of the core competence of all healthcare professionals, both for bachelor and post-graduate academic paths, and to make these skills mandatory topics in academic programs.…”

Section: Discussionmentioning

confidence: 99%

“…For these reasons, it would be appropriate for these skills to become a milestone of the core competence of all healthcare professionals, both for bachelor and post-graduate academic paths, and to make these skills mandatory topics in academic programs. Improvements in theoretical and practical knowledge will improve the quality of the pathway of care and daily clinical practice, and specifically, in the case of serious pathologies, it will increase screening for referral skills in order to ensure the most favorable prognosis for patients [ 9 , 42 , 43 , 44 , 45 , 46 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Screening for Referral of Serious Pathology by Physical Examination Tests in Patients with Back or Chest Pain: A Systematic Review

Andreoletti¹,

Maselli

Storari

et al. 2022

IJERPH

Self Cite

View full text Add to dashboard Cite

Objective: To investigate the most common physical examination tests (PET) for the screening for referral of patients with back or chest pain caused by serious pathology. Methods: A systematic review was conducted. Searches were performed on seven electronic databases between June 2020 and December 2021. Only studies evaluating patients with back and/or chest pain with clear reporting of PETs and prompt patient referrals were included. Results: 316 full texts were included. Only 26 of them described suspicion of serious disease due to at least one positive PET, and these studies had a total of 474 patients. Cardiac/pulmonary auscultation and heartbeats/blood pressure measurements were the most frequently reported tests. None of the reported studies included physiotherapists and chiropractors who reported the use of various tests, such as: cardiac and pulmonary auscultation, lung percussion, costovertebral angle tenderness, and lymph node palpation, highlighting a lack of attention in measuring vital parameters. On the contrary, doctors and nurses reported the assessment of the range of motion of the thoracolumbar spine and hip less frequently. Conclusions: Appropriate reporting of PETs is sparse, and their utilization is heterogeneous among different healthcare professionals. Further primary studies are needed to describe PETs results in patients suffering from back and/or chest pain.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Screening for Referral of Serious Pathology by Physical Examination Tests in Patients with Back or Chest Pain: A Systematic Review

Andreoletti¹,

Maselli

Storari

et al. 2022

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

“…4 Montgomery Osteopractic Physiotherapy & Acupuncture Clinic, Montgomery, Alabama, USA. 5 Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Spain. 6 Cátedra de Investigación, Clínica y Docencia en Fisioterapia: Terapia Manual, Punción Seca y Ejercicio, Universidad Rey Juan Carlos, Madrid, Alcorcón, Spain.…”

Section: Supplementary Informationunclassified

“…Patients with musculoskeletal disorders frequently present with significant cardiovascular risk factors and disease (CVD). Patients may also present with unrecognized or undiagnosed risk factors and disease, which may require referral [1][2][3][4][5]. An estimated 69% of outpatient musculoskeletal physical therapists encounter patients daily if not twice per week with an established diagnosis of or moderate/high risk factors for cardiovascular disease [2].…”

Section: Introductionmentioning

confidence: 99%

Assessing cardiovascular parameters and risk factors in physical therapy practice: findings from a cross-sectional national survey and implication for clinical practice

Faletra

Bellin

Dunning

et al. 2022

BMC Musculoskelet Disord

Self Cite

View full text Add to dashboard Cite

Background Cardiovascular diseases are the leading cause of death and comorbidity worldwide. High blood pressure and resting heart rate are risk factors (or vital signs) critical to cardiovascular health, patient safety, and medical management. Physiotherapists play a fundamental role in risk factor identification, early diagnosis, and subsequent management of cardiovascular disease. To date there is limited research in Europe investigating the level of knowledge and skills possessed by physiotherapists regarding cardiovascular disease screening. Three studies previously observed inadequate vital signs screening behaviors of physiotherapists practicing in the United States and Saudi Arabia. The primary aim of this study was to investigate cardiovascular knowledge and screening practices among Italian physiotherapists, according to the current practice recommendations. Methods A Cross-Sectional Survey was developed adapting two previous surveys. The survey was administered to members of the Italian Physiotherapy Association. Chi squared test, Mann-Whitney test or Kruskal-Wallis test were used to study differences among subgroups and question responses. Results The required sample size was met with total of 387 Italian physiotherapists completing the survey. 80% consider relevant cardiovascular assessment. However, 72.2% were not familiar to guidelines recommendations and only 50% screen vital signs routinely. Their knowledge of normative blood pressure (high-normal, 16%; hypertension, 12%) and heart rate values (bradycardia, 24%; tachycardia, 26%) were low. Although participants reported being skilled for blood pressure measurement (quite sure, 52%; sure, 27%), their adherence to guidelines is low (baseline measurement on both arm, 25%; 3 repeated measures, 46%). Only 27.8% reported to measure exercise related BP and 21.3% of them understood the concept of exaggerated BP. No significant differences between subgroups were found. Conclusions Our study revealed that a concerning proportion of Italian physiotherapists are not versed in fundamentals of properly performing cardiovascular screenings. This lack of knowledge is present across the profession and may impact on appropriate triage and management. The poorly executed screening has the potential to negatively impact the patient and the practitioner. Given the absence of Italian guidelines, we produced and implemented three infographics for public use, which have the dual objective of raising awareness about this subject and providing practical resources for everyday practice.

show abstract

Guideline adherent screening and referral: do third year Doctor of Physical Therapy students identify red and yellow flags within descriptive patient cases? a United States based survey study

Bourassa

Kolb

Barrett

et al. 2023

Journal of Manual & Manipulative Therapy

View full text Add to dashboard Cite

Identifying peripheral arterial diseases or flow limitations of the lower limb: Important aspects for cardiovascular screening for referral in physiotherapy

Cited by 5 publications

References 20 publications

Screening for Referral of Serious Pathology by Physical Examination Tests in Patients with Back or Chest Pain: A Systematic Review

Screening for Referral of Serious Pathology by Physical Examination Tests in Patients with Back or Chest Pain: A Systematic Review

Assessing cardiovascular parameters and risk factors in physical therapy practice: findings from a cross-sectional national survey and implication for clinical practice

Guideline adherent screening and referral: do third year Doctor of Physical Therapy students identify red and yellow flags within descriptive patient cases? a United States based survey study

Contact Info

Product

Resources

About