Physiotherapists' telephone consultations regarding back pain: A method to analyze screening of risk factors

Demmelmaier, Ingrid; Denison, Eva; Lindberg, Per; Åsenlöf, Pernilla

doi:10.3109/09593980903433938

Cited by 6 publications

(13 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Finally, a study by Demmelmaier et al 55 used a checklist of pre-determined items to objectively assess the content of 17 telephone consultations conducted by Swedish physiotherapists involved in the diagnostic screening of patients with back pain to analyze their screening of, primarily, Yellow Flags. They found that the extent of screening for seven specific psychosocial Flags was very low; with the median number of screened risk factors being two (range 0-4).…”

Section: Physiotherapists' Skills In the Assessment Of Psychosocial Fmentioning

confidence: 99%

Physiotherapists’ assessment and management of psychosocial factors (Yellow and Blue Flags) in individuals with back pain

Gray

Howe

2013

Physical Therapy Reviews

View full text Add to dashboard Cite

Background: Personal and work-related psychosocial factors play an important role in persisting symptoms and delaying return to work in individuals with back pain. Therefore, it is essential that physiotherapists have the motivation and skills to assess and manage psychosocial factors as part of back pain management. Objectives: To systematically review and summarize the literature on physiotherapists' perceptions of and skills in assessing and managing psychosocial factors (Yellow and Blue Flags) in individuals with back pain. Methods: Searches were conducted of the: Ovid versions of MEDLINE, PsycINFO and EMBASE; EBSCO CINAHL; Cochrane Database of Systematic Reviews; Cochrane Central Register of Controlled Trials (Clinical Trials); and Physiotherapy Evidence Database (PEDro) from inception until end October 2011.Results: There were 384 hits of which 17 papers describing 15 studies met the inclusion criteria; these were: two randomized controlled trials; two observational studies; six survey based studies; two qualitative studies; and three using Delphi consensus development. Studies found that although physiotherapists theoretically support a biospychosocial management approach to back pain, in practice few are doing so adequately, even following training in cognitive behavioral principles. Physiotherapists expressed reluctance to engage in the management of work-related psychosocial factors (Blue Flags), perceiving that tackling work issues was outside their professional role. Conclusions: Despite evidence of the barriers to doing so, we put out a call to action that physiotherapists embrace the importance of integrating psychosocial factors in their everyday professional practice. In particular, gaining confidence in tackling Blue Flags is critical to establish physiotherapists as essential players in combating the growing public health concern of worklessness.

show abstract

Section: Physiotherapists' Skills In the Assessment Of Psychosocial Fmentioning

confidence: 99%

Physiotherapists’ assessment and management of psychosocial factors (Yellow and Blue Flags) in individuals with back pain

Gray

Howe

2013

Physical Therapy Reviews

View full text Add to dashboard Cite

show abstract

“…One observational study [ 48 ] and the remaining case studies/series included in this review, investigated the use of telehealth assessments for participants with either low back pain [ 48 , 53 , 75 ], gender health concerns (pelvic dysfunction or post-partum support) [ 44 , 57 ] or cancer care [ 42 ]. Of these studies, one study reported telehealth consultation lengths ranging from 3-21 minutes (mean 8.5 minutes) with consultation time devoted to pain, administrative issues, and actions, ie, bookings and advice on physical activity [ 48 ]. The value of interprofessional practice, including ability to mentor, train and provide patient-centred care was recognised, along with the benefits of decreased travel time and childcare requirements [ 53 ].…”

Section: Resultsmentioning

confidence: 99%

The utility of physiotherapy assessments delivered by telehealth: A systematic review

et al. 2021

View full text Add to dashboard Cite

Background Telehealth use is increasing due to its ability to overcome service access barriers and provide continued care when disease transmission is of concern. However, little is known of the validity, reliability and utility of performing physiotherapy assessments using synchronous forms of telehealth across all physiotherapy practice areas. The aim of this systematic review was to determine the current clinometric value of performing physiotherapy assessments using synchronous forms of telehealth across all areas of physiotherapy practice. Methods A comprehensive search of databases (PubMed/MEDLINE, The Cochrane Library, Embase and EBSCO) was undertaken to identify studies investigating the clinometric value of performing physiotherapy assessments using synchronous forms of telehealth across all physiotherapy practice areas. Following selection, a quality appraisal was conducted using the Brink and Louw or Mixed Methods Appraisal Tool. Evidence regarding validity, reliability and utility of synchronous telehealth physiotherapy assessments was extracted and synthesised using a critical narrative approach. Results Thirty-nine studies conducted in a variety of simulated (n = 15) or real-world telehealth environments (n = 24), were included. The quality of the validity, reliability and utility studies varied. Assessments including range of movement, muscle strength, endurance, pain, special orthopaedic tests (shoulder/elbow), Berg Balance Scale, timed up and go, timed stance test, six-minute walk test, steps in 360-degree turn, Movement Assessment Battery for Children (2 nd Edition), step test, ABILHAND assessment, active straight leg raise, and circumferential measures of the upper limb were reported as valid/reliable in limited populations and settings (many with small sample sizes). Participants appeared to embrace telehealth technology use, with most studies reporting high levels of participant satisfaction. If given a choice, many reported a preference for in-person physiotherapy assessments. Some inconsistencies in visual/auditory quality and challenges with verbal/non-verbal communication methods were reported. Telehealth was considered relatively cost-effective once services were established. Conclusions Performing physiotherapy assessments using synchronous forms of telehealth appears valid and reliable for specific assessment types in limited populations. Further research is needed in all areas of physiotherapy practice, to strengthen the evidence surrounding its clinometric value. Clinicians contemplating using this assessment mode should consider the client/family preferences, assessment requirements, cultural needs, environment, cost considerations, access and confidence using technology. Protocol registration PROSPERO: CRD42018108166.

show abstract

“…� 2 studies scored 20% (Demmelmaier et al, 2012;Overmeer et al, 2009) � 1 study scored 40% (Parker, 2007) � 3 studies scored 60% (Cooney et al, 2011;Demmelmaier et al, 2010;Man et al, 2019) � 5 studies scored 80% (Beales et al, 2016;Driver et al, 2021;Haggman et al, 2004;Miki et al, 2020;Oostendorp et al, 2015) � 9 studies scored 100% (Bishop & Foster, 2005;Brunner et al, 2018;Calley et al, 2010;Emilson et al, 2016;Hill et al, 2010;Singla et al, 2015;Teo et al, 2020;Wassinger & Sole, 2021;Zangoni & Thomson, 2017) Although the MMAT is useful as a generic tool to assess the quality of different studies and provide a score, it is not a substitute for individual and study-specific critical appraisal.…”

Section: Quality Of Included Studiesmentioning

confidence: 99%

The ability of physiotherapists to identify psychosocial factors in patients with musculoskeletal pain: A scoping review

Henning

Smith

2022

Musculoskeletal Care

View full text Add to dashboard Cite

show abstract

Physiotherapists' telephone consultations regarding back pain: A method to analyze screening of risk factors

Abstract: The method of analysis appears reliable. It will be used in an intervention study that evaluates to what extent physiotherapists can learn to screen in concordance with guidelines in initial telephone consultations.

Cited by 6 publications

References 32 publications

Physiotherapists’ assessment and management of psychosocial factors (Yellow and Blue Flags) in individuals with back pain

Physiotherapists’ assessment and management of psychosocial factors (Yellow and Blue Flags) in individuals with back pain

The utility of physiotherapy assessments delivered by telehealth: A systematic review

The ability of physiotherapists to identify psychosocial factors in patients with musculoskeletal pain: A scoping review

Contact Info

Product

Resources

About