© 1978 British Society for Rheumatology
research-article |
PHYSIOTHERAPY: ITS PRESCRIPTION AND IMPLEMENTATION FOR ORTHOPAEDIC OUT-PATIENTS
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 theseheat, exercises, electrical stimulation, and tractionwere 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.