Faculty of Medicine and Health Science, University of Antwerp, Antwerp, Belgium.
School of Health Sciences, Institute of Clinical Sciences, University of Liverpool, Liverpool, UK.
Musculoskelet Sci Pract. 2021 Apr;52:102347. doi: 10.1016/j.msksp.2021.102347. Epub 2021 Feb 17.
Routine utilisation of outcome measures (OMs) is an integral part of physiotherapy rehabilitation when managing non-specific neck pain (NSNP). Numerous relevant OMs exist; however, the extent to which OMs are used by physiotherapists in the UK for NSNP is unknown.
To determine current utilisation patterns of OMs in UK physiotherapy practice when managing NSNP.
An online web-based survey instrument was developed and physiotherapists were invited to participate if they were currently practicing in the UK and had some experience of managing patients with neck pain. Logistic regression analyses using the generalised linear models was carried out to identify characteristics associated with OMs utilisation.
A total of 2101 surveys were completed. One-third of the respondents reported not using OMs when managing NSNP. Lack of time and clear guidance about the suitability of available OMs were the most commonly reported reasons. A majority of the two-thirds of those who reported using OMs were consistently using pain and range of motion rating measures. Physical/functional limitations, psychological distress, and quality of life constructs, which are frequently associated with NSNP, were rarely measured. Years of practice (p = 0.000), nation (p = 0.019) and proportion of patients with neck pain (p = 0.034) variables were found to be independently associated with frequent use of OMs.
This survey established the poor integration of OMs in the UK when managing NSNP. Further attention is required to identify or develop OMs which are feasible for use in busy clinical practice and to market them more effectively to physiotherapists.
在管理非特异性颈痛（NSNP）时，常规使用结局测量（OMs）是物理治疗康复的一个组成部分。有许多相关的 OMs 存在；然而，英国物理治疗师在管理 NSNP 时使用 OMs 的程度尚不清楚。
确定英国物理治疗实践中管理 NSNP 时 OMs 的当前使用模式。
开发了一种在线网络调查工具，并邀请目前在英国从事实践且有一定管理颈痛患者经验的物理治疗师参与。使用广义线性模型进行逻辑回归分析，以确定与 OMs 使用相关的特征。
共完成了 2101 份调查。三分之一的受访者报告在管理 NSNP 时不使用 OMs。缺乏时间和明确的指导，了解可用 OMs 的适用性是最常报告的原因。报告使用 OMs 的三分之二的大多数人始终使用疼痛和活动范围评定措施。与 NSNP 经常相关的身体/功能限制、心理困扰和生活质量结构很少被测量。实践年限（p=0.000）、国家（p=0.019）和颈痛患者比例（p=0.034）变量被发现与频繁使用 OMs 独立相关。
这项调查确定了英国在管理 NSNP 时 OMs 整合不良。需要进一步关注确定或开发在繁忙的临床实践中可行的 OMs，并更有效地向物理治疗师推广它们。
