Clinical practice in line with evidence? : A survey among primary care physiotherapists in western Sweden

Susanne Bernhardsson (Author), Birgitta Öberg (Author), Kajsa Johansson (Author), Per Nilsen (Author), Maria E. H. Larsson (Author)

URI http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-122555, URN urn:nbn:se:liu:diva-122555, DOI 10.1111/jep.12380

Linköpings universitet Institutionen för medicin och hälsa (Publisher), Linköpings universitet Medicinska fakulteten (Publisher), Linköpings universitet Institutionen för medicin och hälsa (Publisher)

publication

John Wiley & Sons, 2015

Is part of

Journal of Evaluation In Clinical Practice · ISSN 1356-1294

21:6, 1169-1177

Component part, Online resource

Available online:

http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-122555

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Subject

Medical and Health Sciences, Health Sciences, Health Care Service and Management, Health Policy and Services and Health Economy, Medicin och hälsovetenskap, Hälsovetenskap, Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi, Medical and Health Sciences, Clinical Medicine, General Practice, Medicin och hälsovetenskap, Klinisk medicin, Allmänmedicin, clinical practice, evidence, evidence-based practice, interventions, physical therapy, treatment

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Summary

Rationale, aims and objectives Evidence-based practice is becoming increasingly important in primary care physiotherapy. Clinical practice needs to reflect current best evidence and be concordant with evidence-based clinical guidelines. There is limited knowledge about therapeutic interventions used in primary care physiotherapy in Sweden. The objectives were to examine preferred treatment interventions reported by publicly employed physiotherapists in primary care for three common musculoskeletal disorders (low back pain, neck pain and subacromial pain), the extent to which these interventions were supported by evidence, and associations with demographic variables. Methods 419 physiotherapists in primary care in western Sweden were surveyed using a validated web-based questionnaire. Results The survey was completed by 271 respondents (65%). Median number of interventions reported was 7 (range 1–16). The most common treatment interventions across the three conditions were advice on posture (reported by 82–94%), advice to stay active (86–92%), and different types of exercise (65–92%). Most of these interventions were supported by evidence. However, interventions with insufficient evidence, such as advice on posture, TENS and aquatic exercise, were also used by 29–96%. Modalities such as laser therapy and ultrasound were sparingly used (<5%), which is in line with evidence. For neck pain, use of evidence-based interventions was associated with gender and for subacromial pain, with work experience. Conclusions Advice and exercise therapy were the interventions most frequently reported across the three diagnoses, illustrating an active treatment strategy. While most reported interventions are supported by evidence, interventions with unclear or no evidence of effect were also used to a high extent.

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Contributor and role

Susanne Bernhardsson (Author), Birgitta Öberg (Author), Kajsa Johansson (Author), Per Nilsen (Author), Maria E. H. Larsson (Author)

Contributor and role

Identifier

URI http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-122555, URN urn:nbn:se:liu:diva-122555, DOI 10.1111/jep.12380

Title resource

Clinical practice in line with evidence? : A survey among primary care physiotherapists in western Sweden

Is part of

Journal of Evaluation In Clinical Practice · ISSN 1356-1294

Part

21:6, 1169-1177

publication

John Wiley & Sons, 2015

associated media

http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-122555 http://dx.doi.org/10.1111/jep.12380 http://liu.diva-portal.org/smash/get/diva2:868011/FULLTEXT01

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Note

<p>Funding agencies: local Research and Development Board for Gothenburg and Sodra Bohuslan; Linkoping University</p>
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associated media

http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-122555 http://dx.doi.org/10.1111/jep.12380 http://liu.diva-portal.org/smash/get/diva2:868011/FULLTEXT01

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gratis

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Eplikt

control number

20161146

Resource ID / Permalink: https://libris.kb.se/vd6kqwg62gbmkkx#it

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