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dc.contributor.authorSteen, Eliza
dc.contributor.authorMcCrumb, Carol
dc.contributor.authorCairns, Mindy
dc.date.accessioned2021-02-09T10:59:41Z
dc.date.available2021-02-09T10:59:41Z
dc.date.issued2021-02-05
dc.identifier.citationSteen , E , McCrumb , C & Cairns , M 2021 , ' Physiotherapists' awareness, knowledge and confidence in screening and referral of suspected axial spondyloarthritis: A survey of UK clinical practice ' , Musculoskeletal Care . https://doi.org/10.1002/msc.1537
dc.identifier.issn1478-2189
dc.identifier.otherPURE: 19190803
dc.identifier.otherPURE UUID: 97336805-27ac-466a-aa83-8b5523164f59
dc.identifier.otherScopus: 85100503691
dc.identifier.urihttp://hdl.handle.net/2299/23883
dc.description© 2021 The Authors. Musculoskeletal Care published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. https://creativecommons.org/licenses/by/4.0/
dc.description.abstractBackground: Axial spondyloarthritis (axSpA) is an inflammatory disease associated with significant diagnostic delays and is commonly missed in assessments of persistent back pain. Objective: To explore musculoskeletal physiotherapists' awareness, knowledge and confidence in screening for signs, symptoms and risk factors of suspected axSpA and criteria for rheumatology referral. Design: An online UK survey was undertaken combining back pain vignettes (reflecting axSpA, non-specific back pain and radicular syndrome) and questioning on features of suspected axSpA. Recruitment utilised online professional forums and social media. Data analysis included descriptive statistics and conceptual content analysis for free text responses. Results: 132 survey responses were analysed. Only 67% (88/132) of respondents identified inflammatory pathologies as a possible cause of persistent back pain. Only 60% (79/132) recognised the axSpA vignette compared to non-specific low back pain (94%) and radicular syndrome (80%). Most suspecting axSpA would refer for specialist assessment (77/79; 92%). Awareness of national referral guidance was evident in only 50% of ‘clinical reasoning’ and 20% of ‘further subjective screening’ responses. There was misplaced confidence in recognising clinical features of axSpA (≥7/10) compared to knowledge levels shown, including high importance given to inflammatory markers and human leucocyte antigen B27 (median = 8/10). Conclusions: Musculoskeletal physiotherapists may not be giving adequate consideration to axSpA in back pain assessments. Awareness of national referral guidance was also limited. Professional education on screening and referral for suspected axSpA is needed to make axSpA screening and referral criteria core knowledge in musculoskeletal clinical practice, supporting earlier diagnosis and better outcomes.en
dc.format.extent13
dc.language.isoeng
dc.relation.ispartofMusculoskeletal Care
dc.subjectAxial spondyloarthritis
dc.subjectSpondyloarthritis
dc.subjectBack Pain
dc.subjectPhysiotherapy
dc.subjectDiagnostic delay
dc.subjectScreening
dc.subjectspondyloarthritis
dc.subjectscreening
dc.subjectback pain
dc.subjectprofessional education
dc.subjectmusculoskeletal
dc.subjectChiropractics
dc.subjectRehabilitation
dc.subjectPhysical Therapy, Sports Therapy and Rehabilitation
dc.subjectNursing (miscellaneous)
dc.subjectRheumatology
dc.subjectOrthopedics and Sports Medicine
dc.titlePhysiotherapists' awareness, knowledge and confidence in screening and referral of suspected axial spondyloarthritis: A survey of UK clinical practiceen
dc.contributor.institutionAllied Health Professions
dc.contributor.institutionPhysiotherapy
dc.contributor.institutionDepartment of Allied Health Professions, Midwifery and Social Work
dc.contributor.institutionSchool of Health and Social Work
dc.description.statusPeer reviewed
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85100503691&partnerID=8YFLogxK
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1002/msc.1537
rioxxterms.typeJournal Article/Review


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