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Development of a Consensus about Important Outcomes in Physiotherapy for Neck Pain - A Delphi Study
(2020)
Background
Neck pain is a frequent reason to seek physiotherapy treatment. Evaluating the results of the treatment is often not routine practice. A core outcome set (COS) for physiotherapists is currently lacking.
Objective
To develop a consensus on important outcome domains that should be used by physiotherapists to measure the outcomes of patients with nonspecific neck pain. Method Initially a systematic research was carried out to identify outcome domains. Subsequently in a Delphi survey physiotherapists and patients rated the importance of outcome domains using a 9-point rating scale in round 1 and then re-rated outcomes in round 2 and 3 after reviewing other respondents' suggestions. For each outcome measure, central tendency and measures of dispersion were calculated.
Results
62 physiotherapists and nine patients participated in the first round of the Delphi survey. Further Delphi rounds with the patients were stopped due to the low number of participants. Patients considered "range of motion of the cervical spine in different directions of movement" and "health-related quality of life" as important outcomes. 50 (81%) and 37 (74%) physiotherapists completed the second and third round of the Delphi survey. The outcome domains that met the inclusion criteria for the consensus were "problems with everyday activities due to the neck pain" and "ability to self-management/self-responsible handling with the neck pain".
Conclusion
A first consensus was reached on important outcome domains from the physiotherapist's point of view. For the development of a COS future research is required e.g. to confirm the outcome domains and to include the patient's point of view.
Subacromiales Impingment
(2021)
Bei der Schultersteife handelt es sich um ein häufiges Krankheitsbild in der Orthopädie bzw. Schulterchirurgie, das sowohl bei Ärztinnen und Ärzten (Allgemeinmedizinerinnen und mediziner, Fachärztinnen und -ärzte) als auch bei sonstigem medizinischem Fachpersonal, z.B. der Physiotherapie oder Pflege, nur einen geringen Bekanntheitsgrad besitzt. Zielorientierung dieser Leitlinie war es, eine fundierte Hilfestellung und Richtlinie in Bezug auf das Krankheitsbild für Ärztinnen, Ärzte und medizinisches Fachpersonal zu schaffen, den aktuellen evidenz-basierten Wissensstand zu vermitteln und eine bessere Patientinnen- und Patientenversorgung zu erzielen, inkl. der intensiven Aufklärung der Betroffenen durch die behandelnden Berufsgruppen und – wenn von den Betroffenen gewünscht – einer gemeinsamen Entscheidungsfindung bezüglich der Behandlung.