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© 1978 British Society for Rheumatology


research-article

PHYSIOTHERAPY: ITS PRESCRIPTION AND IMPLEMENTATION FOR ORTHOPAEDIC OUT-PATIENTS

A. W. M. WARD1,, B. T. WILLIAMS2 and R. A. DIXON3

1Medical Care Research Unit, Department of Community Medicine, University of Sheffield
2Trent Regiomi Health Authority
3Department of Community Medicine, University of Sheffield

Correspondence to: Requests for reprints to Dr. A. W. M. Ward, Medical Care Research Unit, Department of Community Medicine, University of Sheffield Medical School, Beech Hill Road, Sheffield Sb 2RX

During a three-month period, 1462 (29%) of the new out-patients seen by 18 orthopaedic surgeons were prescribed physiotherapy. The rates of referral among the surgeons ranged widely, from 15% to 56%, and the differing characteristics of the patients did not account for these variations. For specific conditions examined, physiotherapy appeared to be one of a range of possible therapies. The majority of prescriptions gave clinical details and specified the type of treatment, but its duration was specified in less than half; the frequency and aims of treatment were hardly ever given.

Nearly 90 % of the patients completed their course. Fourteen different types of treatment were applied, but only four of these—heat, exercises, electrical stimulation, and traction—were applied to more than 3% of the patients. Physiotherapists nearly always carried out the treatments prescribed and augmented them in nearly a quarter of cases, usually with heat and/or exercises.


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