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Physiotalk – understanding the reach of a social media community
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The 4th European Congress of the ER-WCPT / Physiotherapy 102S (2016) eS67–eS282
POS102 Effect of kinesio tape in myofascial pain syndrome ‘Randomized Control Trial’ A. Abdelfattah 1,∗ , O. Kattabei 1 , S. Nasef 1 , A. Semaya 2 1 Faculty
of Physical Therapy – Cairo University, Basic Science Department, Cairo, Egypt 2 Faculty of Medicine – Alexandria University, Orthopedic Surgery Department, Alexandria, Egypt Relevance: Myofascial pain syndrome is one of the most common examples of musculoskeletal pain; the evidence suggests that unique hypersensitive loci, named myofascial trigger points are present in myofascial pain syndrome. Kinesio tape is the adhesive pliable material, directly applied to the skin, differs from classical tape in its physical characteristics. This tape claims four effects, normalizing muscular function, increasing lymphatic and vascular flow, diminishing pain and aiding in the correction of possible articular misalignment. Kinesio tape technique is frequently applied for pathologies in the musculoskeletal system. Purpose: This study was conducted to show the efficacy of kinesio tape technique on pain threshold, functional level and pain severity level on neck myofascial pain syndrome patients in randomized trial. Methods/analysis: Thirty subjects with myofacial pain syndrome (14 males and 16 females), with age ranged from 20 to 50 years old participated in this study. They were randomly assigned and allocated using simple randomization technique into two equal groups each one has 15 subjects: group ‘A’ kinesio tape for three days. Group ‘B’ (control group) did not receive any physical therapy modality. Pressure algometry, neck disability index and visual analogue scale were used to evaluate participants before and after application of kinesio tape technique and for patients in the control group for three days. Results: There was a significant increase in pressure pain threshold, decrease in pain level and function disability index with kinesio tape group with percentages of (46%, 40%, and 52%). While there was no significant difference in the same measuring variables in the control group. Comparison between groups revealed that there was a significant difference between groups and in between each group in pressure pain threshold (PPT) and visual analogue scale (VAS) and neck disability index (NDI), P: probability ≤ 0.05. Discussion and conclusions: Kinesio tape technique is effective method of treatment of neck myofascial pain syndrome. Impact and implications: Kinesio tape can be useful treatment methods in musculoskeletal and neuro muscular disorders.
Funding acknowledgement: Not funded. http://dx.doi.org/10.1016/j.physio.2016.10.160 POS103 Physiotalk – understanding the reach of a social media community J. Thomas 1,2,∗ , N. McVey 3 , R. Twogood 4 1 Queen
Margaret University, Edinburgh, United Kingdom 2 NHS Fife, Dunfermline, United Kingdom 3 Centre for Professional Workforce Development, Salford, United Kingdom 4 Lewisham and Greenwich NHS Trust, London, United Kingdom Relevance: Physiotalk is an online community with a stated aim of using social media to support physiotherapists professional development. Purpose: Physiotalk was launched in 2013, influenced by other tweetchat communities for nursing staff and occupational therapists. Its main purpose is to help physiotherapists learn, share, influence, and improve services for patients and communities, through fortnightly tweetchats and related blogs. Its objectives are to: - facilitate discussion about physiotherapy education, evidence and practice - support the sharing and adoption of good practice - demonstrate how social media can support quality improvement and CPD. Approach/evaluation: Physiotalk’s main digital presence is the Twitter account @physiotalk, supported by the website physiotalk.co.uk and a Facebook page. Tweetchats are hosted by the Physiotalk team or guest hosts using a pre-agreed hashtag. Each chat has structured pre-chat information posted to the website and promoted via social media. A transcript of each tweetchat is added afterwards and provides a record for future reference. Chats cover a diverse range of areas including clinical, service and professional development topics. Physiotalk has required minimal financial investment; the community is run by 3 UK-based physiotherapists in their spare time, and without ongoing funding. After 2 years, an evaluation of the reach of Physiotalk was carried out using 4 existing analytical tools including Symplur and Tweepsmap to provide descriptive statistics and analyse key metrics for the Twitter account, tweetchats and website. Outcomes: In February 2016 @Physiotalk had 12,592 followers from 113 countries with an average growth of 557 followers a month during 2015.
The 4th European Congress of the ER-WCPT / Physiotherapy 102S (2016) eS67–eS282
There have been 61 tweetchats over 2 years, an average of 46 people have taken part per tweetchat, ranging between 20 and 99. #physiotalk has been used on twitter by 4900 people in over 38,500 tweets, gaining over 68 million tweet impressions. The website has been accessed over 56,000 times from 136 different countries. Discussion and conclusions: Physiotalk has created a significant digital community and achieved global reach despite being self-organised and without funding. The tweetchats have provided opportunities for physiotherapists, healthcare professionals and members of the public to discuss areas of practice across geographical and hierarchical boundaries. This initial review has identified 2 areas for development: 1. Active participation in chats by non-UK based participants – this may be due to time zone issues during a live chat as well as a ‘.co.uk’ website. 2. Proportion of followers who have not joined a tweetchat: the phenomenon of ‘lurking’ is well known on Twitter. Followers may watch the tweetchat in real time, or view the transcript afterwards, but do not actively participate. This may lead to underestimation of the reach of Physiotalk as these individuals are not represented in chat analytics. The second stage of evaluation is ongoing, focussing on determining the impact of engaging with Physiotalk on individual practice, service development and patient care. Impact and implications: Healthcare faces significant challenges in adopting evidence-based practice and innovation at pace and scale. Social media networks such as Physiotalk enable physiotherapists to share resources, experience and good practice with unprecedented speed, reach and accessibility. Funding acknowledgement: The Department of Health (UK) funded two tweetchats in 2014. http://dx.doi.org/10.1016/j.physio.2016.10.161 POS104 A critical exploration of challenges relating to newly qualified physiotherapists K. Mitchell Eastbourne District General Hospital, Eastbourne, United Kingdom Relevance: It is widely acknowledged that newly qualified professionals find the early stages of autonomous professional work challenging. A better understanding and addressing the challenges experienced by newly qualified physiotherapists is important to optimise transition processes to improve effectiveness, quality of care, and job satisfaction. There are additional considerations concerning support
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requirements, retention costs and rates of attrition from an organisational perspective for maximising return of investment. Purpose: The aim was to undertake an evaluation of existing literature on the challenges faced in the early stages of professional practice. Insights from the review aimed to extend understanding to inform and guide the transition process, experiences and organisation strategies to optimise development and transition. Approach/evaluation: A systematic literature review with thematic analysis was undertaken applying critical evaluation of both the methodologies and research findings on challenges for newly qualified physiotherapists during early stages of professional practice. Outcomes: It is evident that there are a multitude of challenges facing newly qualified physiotherapists, which are individual, varied, and often interdependent. No single model or overview of factors and influences that encompasses all the challenges for newly qualified physiotherapists within the literature. There is significant variability in how transition is described and conceptualised across the literature, and in supporting strategies and programmes. The literature review has identified four distinct themes that conceptualise and encompass the varied aspects of the challenges: Situation, Role, Personal, and Learning and Development. Learning and Development was as a key link and influence concerning these other aspects. This is illustrated in a new model. Discussion and conclusions: Varying strategies to support the transition process exist; however, do not address or support the multivariate and diverse aspects of challenge identified by this review. To address the challenges in the early stages of professional practice, a multi-strategy approach would be recommended to encompass the potential areas of importance identified by the review. Formal and informal strategies such as preceptorship programmes, Flying Start and tools such as mentoring, senior support, and appraisal integrated into working practice are suggested. This systematic literature review has provided a more comprehensive understanding of the challenges that may be experienced by newly qualified physiotherapists. Four aspects of challenge were identified which include Situation, Role, Personal, and Learning and Development. The new model can be used as an overview for undergraduates, newly qualified physiotherapists, seniors, managers and organisations, to understand the varied challenges. This new model offers a more encompassing approach to supporting the professional, clinical and personal development of newly qualified physiotherapists. Impact and implications: Barriers to learning and development, proficiency and practice have negative impacts for individuals and organisations and are important to deal with in an appropriate, timely and context-specific manner. Factors influencing challenges may manifest as poor coping mechanisms, limited competencies or difficulty with progression and are important to deal with.
The 4th European Congress of the ER-WCPT / Physiotherapy 102S (2016) eS67–eS282
POS102 Effect of kinesio tape in myofascial pain syndrome ‘Randomized Control Trial’ A. Abdelfattah 1,∗ , O. Kattabei 1 , S. Nasef 1 , A. Semaya 2 1 Faculty
of Physical Therapy – Cairo University, Basic Science Department, Cairo, Egypt 2 Faculty of Medicine – Alexandria University, Orthopedic Surgery Department, Alexandria, Egypt Relevance: Myofascial pain syndrome is one of the most common examples of musculoskeletal pain; the evidence suggests that unique hypersensitive loci, named myofascial trigger points are present in myofascial pain syndrome. Kinesio tape is the adhesive pliable material, directly applied to the skin, differs from classical tape in its physical characteristics. This tape claims four effects, normalizing muscular function, increasing lymphatic and vascular flow, diminishing pain and aiding in the correction of possible articular misalignment. Kinesio tape technique is frequently applied for pathologies in the musculoskeletal system. Purpose: This study was conducted to show the efficacy of kinesio tape technique on pain threshold, functional level and pain severity level on neck myofascial pain syndrome patients in randomized trial. Methods/analysis: Thirty subjects with myofacial pain syndrome (14 males and 16 females), with age ranged from 20 to 50 years old participated in this study. They were randomly assigned and allocated using simple randomization technique into two equal groups each one has 15 subjects: group ‘A’ kinesio tape for three days. Group ‘B’ (control group) did not receive any physical therapy modality. Pressure algometry, neck disability index and visual analogue scale were used to evaluate participants before and after application of kinesio tape technique and for patients in the control group for three days. Results: There was a significant increase in pressure pain threshold, decrease in pain level and function disability index with kinesio tape group with percentages of (46%, 40%, and 52%). While there was no significant difference in the same measuring variables in the control group. Comparison between groups revealed that there was a significant difference between groups and in between each group in pressure pain threshold (PPT) and visual analogue scale (VAS) and neck disability index (NDI), P: probability ≤ 0.05. Discussion and conclusions: Kinesio tape technique is effective method of treatment of neck myofascial pain syndrome. Impact and implications: Kinesio tape can be useful treatment methods in musculoskeletal and neuro muscular disorders.
Funding acknowledgement: Not funded. http://dx.doi.org/10.1016/j.physio.2016.10.160 POS103 Physiotalk – understanding the reach of a social media community J. Thomas 1,2,∗ , N. McVey 3 , R. Twogood 4 1 Queen
Margaret University, Edinburgh, United Kingdom 2 NHS Fife, Dunfermline, United Kingdom 3 Centre for Professional Workforce Development, Salford, United Kingdom 4 Lewisham and Greenwich NHS Trust, London, United Kingdom Relevance: Physiotalk is an online community with a stated aim of using social media to support physiotherapists professional development. Purpose: Physiotalk was launched in 2013, influenced by other tweetchat communities for nursing staff and occupational therapists. Its main purpose is to help physiotherapists learn, share, influence, and improve services for patients and communities, through fortnightly tweetchats and related blogs. Its objectives are to: - facilitate discussion about physiotherapy education, evidence and practice - support the sharing and adoption of good practice - demonstrate how social media can support quality improvement and CPD. Approach/evaluation: Physiotalk’s main digital presence is the Twitter account @physiotalk, supported by the website physiotalk.co.uk and a Facebook page. Tweetchats are hosted by the Physiotalk team or guest hosts using a pre-agreed hashtag. Each chat has structured pre-chat information posted to the website and promoted via social media. A transcript of each tweetchat is added afterwards and provides a record for future reference. Chats cover a diverse range of areas including clinical, service and professional development topics. Physiotalk has required minimal financial investment; the community is run by 3 UK-based physiotherapists in their spare time, and without ongoing funding. After 2 years, an evaluation of the reach of Physiotalk was carried out using 4 existing analytical tools including Symplur and Tweepsmap to provide descriptive statistics and analyse key metrics for the Twitter account, tweetchats and website. Outcomes: In February 2016 @Physiotalk had 12,592 followers from 113 countries with an average growth of 557 followers a month during 2015.
The 4th European Congress of the ER-WCPT / Physiotherapy 102S (2016) eS67–eS282
There have been 61 tweetchats over 2 years, an average of 46 people have taken part per tweetchat, ranging between 20 and 99. #physiotalk has been used on twitter by 4900 people in over 38,500 tweets, gaining over 68 million tweet impressions. The website has been accessed over 56,000 times from 136 different countries. Discussion and conclusions: Physiotalk has created a significant digital community and achieved global reach despite being self-organised and without funding. The tweetchats have provided opportunities for physiotherapists, healthcare professionals and members of the public to discuss areas of practice across geographical and hierarchical boundaries. This initial review has identified 2 areas for development: 1. Active participation in chats by non-UK based participants – this may be due to time zone issues during a live chat as well as a ‘.co.uk’ website. 2. Proportion of followers who have not joined a tweetchat: the phenomenon of ‘lurking’ is well known on Twitter. Followers may watch the tweetchat in real time, or view the transcript afterwards, but do not actively participate. This may lead to underestimation of the reach of Physiotalk as these individuals are not represented in chat analytics. The second stage of evaluation is ongoing, focussing on determining the impact of engaging with Physiotalk on individual practice, service development and patient care. Impact and implications: Healthcare faces significant challenges in adopting evidence-based practice and innovation at pace and scale. Social media networks such as Physiotalk enable physiotherapists to share resources, experience and good practice with unprecedented speed, reach and accessibility. Funding acknowledgement: The Department of Health (UK) funded two tweetchats in 2014. http://dx.doi.org/10.1016/j.physio.2016.10.161 POS104 A critical exploration of challenges relating to newly qualified physiotherapists K. Mitchell Eastbourne District General Hospital, Eastbourne, United Kingdom Relevance: It is widely acknowledged that newly qualified professionals find the early stages of autonomous professional work challenging. A better understanding and addressing the challenges experienced by newly qualified physiotherapists is important to optimise transition processes to improve effectiveness, quality of care, and job satisfaction. There are additional considerations concerning support
eS141
requirements, retention costs and rates of attrition from an organisational perspective for maximising return of investment. Purpose: The aim was to undertake an evaluation of existing literature on the challenges faced in the early stages of professional practice. Insights from the review aimed to extend understanding to inform and guide the transition process, experiences and organisation strategies to optimise development and transition. Approach/evaluation: A systematic literature review with thematic analysis was undertaken applying critical evaluation of both the methodologies and research findings on challenges for newly qualified physiotherapists during early stages of professional practice. Outcomes: It is evident that there are a multitude of challenges facing newly qualified physiotherapists, which are individual, varied, and often interdependent. No single model or overview of factors and influences that encompasses all the challenges for newly qualified physiotherapists within the literature. There is significant variability in how transition is described and conceptualised across the literature, and in supporting strategies and programmes. The literature review has identified four distinct themes that conceptualise and encompass the varied aspects of the challenges: Situation, Role, Personal, and Learning and Development. Learning and Development was as a key link and influence concerning these other aspects. This is illustrated in a new model. Discussion and conclusions: Varying strategies to support the transition process exist; however, do not address or support the multivariate and diverse aspects of challenge identified by this review. To address the challenges in the early stages of professional practice, a multi-strategy approach would be recommended to encompass the potential areas of importance identified by the review. Formal and informal strategies such as preceptorship programmes, Flying Start and tools such as mentoring, senior support, and appraisal integrated into working practice are suggested. This systematic literature review has provided a more comprehensive understanding of the challenges that may be experienced by newly qualified physiotherapists. Four aspects of challenge were identified which include Situation, Role, Personal, and Learning and Development. The new model can be used as an overview for undergraduates, newly qualified physiotherapists, seniors, managers and organisations, to understand the varied challenges. This new model offers a more encompassing approach to supporting the professional, clinical and personal development of newly qualified physiotherapists. Impact and implications: Barriers to learning and development, proficiency and practice have negative impacts for individuals and organisations and are important to deal with in an appropriate, timely and context-specific manner. Factors influencing challenges may manifest as poor coping mechanisms, limited competencies or difficulty with progression and are important to deal with.