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Implementing and developing a staff physiotherapy service to improve the health and wellbeing of trust staff
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Abstracts / Manual Therapy 25 (2016) e57ee169
in the proximal direction because of the reduction of the pulling force in the distal direction as a result of softening of the gastrocnemius muscle. Implications: It is likely that simultaneous treatment across multiple segments along the myofascial sequence, but not treatment of a single segment, is effective in curing fascial dysfunction occurring along the myofascial sequence. Funding Acknowledgements: Research expenses in Tokyo Metropolitan University Ethics Approval: The Research Safety and Ethics Committee of the Tokyo Metropolitan University, Arakawa Campus (approval number 12061)
Implications: This service has proved to be effective and highly valued. Further development of the service in line with the five year NHS plan is anticipated. Funding Acknowledgements: A legacy fund was donated to the trust specifically for staff health and wellbeing initiatives and activities, which was matched by charitable funds. Ethics Approval: No ethics approval has been required Disclosure of Interest: None Declared Keywords: None
Disclosure of Interest: None Declared Keywords: Center of coordination, Fascial Manipulation, Myofascial sequence Health promotion/Public health PO3-AP-005 IMPLEMENTING AND DEVELOPING A STAFF PHYSIOTHERAPY SERVICE TO IMPROVE THE HEALTH AND WELLBEING OF TRUST STAFF C. Alexander.
Health promotion/Public health PO3-EX-031 THE COMPARATIVE EFFECTIVENESS OF EXERCISE-BASED GROUP AND INDIVIDUAL PHYSIOTHERAPY FOR MUSCULOSKELETAL CONDITIONS: A SYSTEMATIC REVIEW AND META-ANALYSIS M. O'Keeffe 1,*, A. Hayes 1, K. McCreesh 1, H. Purtill 2, K. O'Sullivan 1. 1 Clinical Therapies, Ireland; 2 Mathematics and Statistics, University of Limerick, Limerick, Ireland * Corresponding author.
Background: Western Sussex Hospitals NHS Trust identified high rates of sickness absence due to stress and musculoskeletal (MSK) problems. The Occupational Health Department did not include physiotherapy but there was a strong request for direct access to a designated staff physiotherapy service. As a result of this, eighteen months ago the Staff Physiotherapy Service was implemented. This built on the foundations of the Boorman report (2009) which stated “NHS organisations which prioritise staff health and wellbeing achieve enhanced performance; improve patient care; are better at retaining staff and have lower rates of sickness absence”. Purpose: The reason for developing this service was to improve management of MSK problems for members of staff and reduce sickness absence. The service was developed to give staff direct access to physiotherapists experienced in Occupational Health to help support them at work and on their return to work. The team liaise with Occupational Health Advisors, Manual Handling Team and managers on how to best manage MSK conditions. The service forms part of the Health and Wellbeing Steering Group which monitors services and discuss how to further progress these and events for staff. Methods: The service was developed with 0.8 WTE band 7 and 0.2 band 6 physiotherapists and promoted through Occupational Health, information on the trust Intranet, via training and induction programmes and through word of mouth. Staff access the service via self-referral routes, either electronically, by paper or by phone. Referrals can also be received from GP’s, consultants, and managers, or the Trust Occupational Health Advisors and Manual Handling Team. Telephone triage takes place within 7 days. At this point staff are either given advice +/- exercises, or booked an appointment. Those solely given advice and exercise contact the department if their condition is not resolving. Results: The service received 53.8 referrals per month on average with 25% of staff living out of the local CCG referral area. This group would not usually have been able to access physiotherapy through the Trust. 44% of staff seen required advice on occupational health matters. Feedback was very positive, detailing the efficiency and appropriateness of the service through a satisfaction survey. Waiting times were 1-30 days with an average of 7 days for first contact. Outcomes measure demonstrated a significant improvement in visual analogue pain scores, with an average improvement of 4.73 points, and significant PSFS (Patient Specific Functional Scale) improvement with an average change of 4.42. Conclusion: The staff physiotherapy service has been received well by staff, managers and the Health and Wellbeing steering group. Staff members have direct access to MSK physiotherapy to enable them to remain at work, prevent and manage MSK conditions, reduce sickness absence and support return to work. More time and resources are needed to improve health promotion and prevention.
Background: Musculoskeletal pain is a common and costly disorder. Both group and individual physiotherapy programmes which incorporate exercise have shown positive effects on pain and disability. However, it remains unclear whether the additional time and costs associated with individual programmes result in superior outcomes. Purpose: The aim of this review was to assess the comparative effectiveness of group and individual exercise-based physiotherapy on pain and disability in patients with musculoskeletal pain conditions. Methods: 11 electronic databases were searched by two independent reviewers. Randomised controlled trials (RCTs) including participants with musculoskeletal conditions which compared exercise-based group and individual physiotherapy interventions were eligible. Study quality was assessed using the PEDRO scale by two independent reviewers, and treatment effects were compared using meta-analyses. Results: 14 RCT’s were included; seven were on low back pain, three on neck pain, two on knee pain and one on shoulder pain. No statistically significant benefit for pain and disability was found for individual exercise programmes across a range of musculoskeletal conditions in the short-, medium- and long-term. Conclusion: Based on this review, it is difficult to justify physiotherapy exercise programmes which are delivered on an individual basis. There may be a need for individual care to better match exercise prescriptions to an individual’s baseline exercise capacity and progress appropriately, and/ or consider other barriers to recovery from pain across the biopsychosocial spectrum. Implications: This review suggests that group physiotherapy should be implemented more often in clinical practice for treating people with musculoskeletal pain. Funding Acknowledgements: Mary O’Keeffe was funded by the Irish Research Council. Ethics Approval: Not applicable Disclosure of Interest: None Declared Keywords: Group physiotherapy, Individual physiotherapy, Musculoskeletal Health promotion/Public health PO3-LB-038 THE PREVALENCE OF LOW BACK PAIN IN AFRICA L. Morris*, K. Daniels, Q. Louw. Physiotherapy, Stellenbosch University, Cape Town, South Africa * Corresponding author.
Background: According to the Global Burden of Disease (GBD) 2010 study, low back pain (LBP) is currently the sixth highest burden on a list of 291
Abstracts / Manual Therapy 25 (2016) e57ee169
in the proximal direction because of the reduction of the pulling force in the distal direction as a result of softening of the gastrocnemius muscle. Implications: It is likely that simultaneous treatment across multiple segments along the myofascial sequence, but not treatment of a single segment, is effective in curing fascial dysfunction occurring along the myofascial sequence. Funding Acknowledgements: Research expenses in Tokyo Metropolitan University Ethics Approval: The Research Safety and Ethics Committee of the Tokyo Metropolitan University, Arakawa Campus (approval number 12061)
Implications: This service has proved to be effective and highly valued. Further development of the service in line with the five year NHS plan is anticipated. Funding Acknowledgements: A legacy fund was donated to the trust specifically for staff health and wellbeing initiatives and activities, which was matched by charitable funds. Ethics Approval: No ethics approval has been required Disclosure of Interest: None Declared Keywords: None
Disclosure of Interest: None Declared Keywords: Center of coordination, Fascial Manipulation, Myofascial sequence Health promotion/Public health PO3-AP-005 IMPLEMENTING AND DEVELOPING A STAFF PHYSIOTHERAPY SERVICE TO IMPROVE THE HEALTH AND WELLBEING OF TRUST STAFF C. Alexander.
Health promotion/Public health PO3-EX-031 THE COMPARATIVE EFFECTIVENESS OF EXERCISE-BASED GROUP AND INDIVIDUAL PHYSIOTHERAPY FOR MUSCULOSKELETAL CONDITIONS: A SYSTEMATIC REVIEW AND META-ANALYSIS M. O'Keeffe 1,*, A. Hayes 1, K. McCreesh 1, H. Purtill 2, K. O'Sullivan 1. 1 Clinical Therapies, Ireland; 2 Mathematics and Statistics, University of Limerick, Limerick, Ireland * Corresponding author.
Background: Western Sussex Hospitals NHS Trust identified high rates of sickness absence due to stress and musculoskeletal (MSK) problems. The Occupational Health Department did not include physiotherapy but there was a strong request for direct access to a designated staff physiotherapy service. As a result of this, eighteen months ago the Staff Physiotherapy Service was implemented. This built on the foundations of the Boorman report (2009) which stated “NHS organisations which prioritise staff health and wellbeing achieve enhanced performance; improve patient care; are better at retaining staff and have lower rates of sickness absence”. Purpose: The reason for developing this service was to improve management of MSK problems for members of staff and reduce sickness absence. The service was developed to give staff direct access to physiotherapists experienced in Occupational Health to help support them at work and on their return to work. The team liaise with Occupational Health Advisors, Manual Handling Team and managers on how to best manage MSK conditions. The service forms part of the Health and Wellbeing Steering Group which monitors services and discuss how to further progress these and events for staff. Methods: The service was developed with 0.8 WTE band 7 and 0.2 band 6 physiotherapists and promoted through Occupational Health, information on the trust Intranet, via training and induction programmes and through word of mouth. Staff access the service via self-referral routes, either electronically, by paper or by phone. Referrals can also be received from GP’s, consultants, and managers, or the Trust Occupational Health Advisors and Manual Handling Team. Telephone triage takes place within 7 days. At this point staff are either given advice +/- exercises, or booked an appointment. Those solely given advice and exercise contact the department if their condition is not resolving. Results: The service received 53.8 referrals per month on average with 25% of staff living out of the local CCG referral area. This group would not usually have been able to access physiotherapy through the Trust. 44% of staff seen required advice on occupational health matters. Feedback was very positive, detailing the efficiency and appropriateness of the service through a satisfaction survey. Waiting times were 1-30 days with an average of 7 days for first contact. Outcomes measure demonstrated a significant improvement in visual analogue pain scores, with an average improvement of 4.73 points, and significant PSFS (Patient Specific Functional Scale) improvement with an average change of 4.42. Conclusion: The staff physiotherapy service has been received well by staff, managers and the Health and Wellbeing steering group. Staff members have direct access to MSK physiotherapy to enable them to remain at work, prevent and manage MSK conditions, reduce sickness absence and support return to work. More time and resources are needed to improve health promotion and prevention.
Background: Musculoskeletal pain is a common and costly disorder. Both group and individual physiotherapy programmes which incorporate exercise have shown positive effects on pain and disability. However, it remains unclear whether the additional time and costs associated with individual programmes result in superior outcomes. Purpose: The aim of this review was to assess the comparative effectiveness of group and individual exercise-based physiotherapy on pain and disability in patients with musculoskeletal pain conditions. Methods: 11 electronic databases were searched by two independent reviewers. Randomised controlled trials (RCTs) including participants with musculoskeletal conditions which compared exercise-based group and individual physiotherapy interventions were eligible. Study quality was assessed using the PEDRO scale by two independent reviewers, and treatment effects were compared using meta-analyses. Results: 14 RCT’s were included; seven were on low back pain, three on neck pain, two on knee pain and one on shoulder pain. No statistically significant benefit for pain and disability was found for individual exercise programmes across a range of musculoskeletal conditions in the short-, medium- and long-term. Conclusion: Based on this review, it is difficult to justify physiotherapy exercise programmes which are delivered on an individual basis. There may be a need for individual care to better match exercise prescriptions to an individual’s baseline exercise capacity and progress appropriately, and/ or consider other barriers to recovery from pain across the biopsychosocial spectrum. Implications: This review suggests that group physiotherapy should be implemented more often in clinical practice for treating people with musculoskeletal pain. Funding Acknowledgements: Mary O’Keeffe was funded by the Irish Research Council. Ethics Approval: Not applicable Disclosure of Interest: None Declared Keywords: Group physiotherapy, Individual physiotherapy, Musculoskeletal Health promotion/Public health PO3-LB-038 THE PREVALENCE OF LOW BACK PAIN IN AFRICA L. Morris*, K. Daniels, Q. Louw. Physiotherapy, Stellenbosch University, Cape Town, South Africa * Corresponding author.
Background: According to the Global Burden of Disease (GBD) 2010 study, low back pain (LBP) is currently the sixth highest burden on a list of 291