Show simple item record

dc.contributor.authorSteen, Eliza
dc.contributor.authorMcCrum, Carol
dc.contributor.authorCairns, Melinda
dc.date.accessioned2022-11-23T16:00:03Z
dc.date.available2022-11-23T16:00:03Z
dc.date.issued2022-11-21
dc.identifier.citationSteen , E , McCrum , C & Cairns , M 2022 , ' A UK survey evaluation of First Contact Practitioners' and musculoskeletal physiotherapists' confidence, recognition, and referral of suspected axial spondyloarthritis ' , Musculoskeletal Care . https://doi.org/10.1002/msc.1706
dc.identifier.issn1478-2189
dc.identifier.otherPURE: 32324688
dc.identifier.otherPURE UUID: 805c3760-c4d6-4520-9cd4-2b5685195ac5
dc.identifier.otherJisc: 738086
dc.identifier.otherpublisher-id: msc1706
dc.identifier.otherORCID: /0000-0002-0736-1090/work/123559373
dc.identifier.urihttp://hdl.handle.net/2299/25916
dc.description© 2022 The Authors. Musculoskeletal Care published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution‐Non Commercial‐No Derivatives License. https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.description.abstractBackground: Axial Spondyloarthritis is an inflammatory disease associated with significant diagnostic delays. Steen et al. (2021) found inadequate consideration of axial Spondyloarthritis (axSpA) in physiotherapists back pain assessments. Since the previous survey, increased professional education on axSpA has occurred and First Contact Practitioners (FCPs), now widely established in General Practice, are key in supporting earlier recognition. Objectives: (1) To re‐evaluate physiotherapists' and evaluate FCPs' awareness, knowledge, and confidence in screening for and recognising features of axSpA and criteria prompting referral to rheumatology. (2) To compare these results to previous research (Steen et al., 2021). Design: As per Steen et al. (2021), an online survey was undertaken combining back pain vignettes (reflecting axSpA, non‐specific low back pain [NSLBP] and radicular syndrome) and questioning on features of suspected axSpA. Results: 165 surveys were analysed. Only 73% (n = 120/165) of respondents recognised the axSpA vignette compared to NSLBP 91% (n = 80/88) and radicular syndrome 88% (n = 68/77). An improvement in axSpA recognition was demonstrated compared with previous data. FCPs performed slightly better with 77% (n = 67/87) of respondents recognising the axSpA vignette. Adequate awareness of national referral guidance was evident in only 55% of ‘clinical reasoning’ and 6% of ‘further subjective screening’ responses. There was still misplaced confidence in recognising clinical features of axSpA compared to knowledge levels shown, including high importance given to inflammatory markers. Conclusion(s): Musculoskeletal physiotherapists demonstrate some improved knowledge and awareness of axSpA compared with previous study findings. Consideration of axSpA is still not universal in musculoskeletal physiotherapists' or FCPs' approaches to persistent back pain assessments and awareness of national referral guidance remains limited. This study highlights the continued need for professional education. Enhanced knowledge of screening and referral criteria in musculoskeletal clinical practice would support earlier diagnosis and better outcomes.en
dc.format.extent17
dc.language.isoeng
dc.relation.ispartofMusculoskeletal Care
dc.subjectRESEARCH ARTICLE
dc.subjectback pain
dc.subjectfirst contact practitioners
dc.subjectmusculoskeletal
dc.subjectscreening
dc.subjectspondyloarthritis
dc.titleA UK survey evaluation of First Contact Practitioners' and musculoskeletal physiotherapists' confidence, recognition, and referral of suspected axial spondyloarthritisen
dc.contributor.institutionPhysiotherapy
dc.contributor.institutionDepartment of Allied Health Professions, Midwifery and Social Work
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionAllied Health Professions
dc.description.statusPeer reviewed
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1002/msc.1706
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record