Brett Vaughan

and 5 more

Rationale, aims and objectives Health-related quality of life (HRQoL) is comprised of the physical, social and mental health domains. A wide variety of single and multi-item measures of HRQoL are available. The PROMIS© V1.2 Scale – Global Health is a 10-item measure covering the physical, social and mental health domains. The aim of the study was to explore the use of the PROMIS© V1.2 Scale – Global Health in a patient cohort seeking care for a musculoskeletal care. Method Patients an osteopathy clinic (Melbourne, Australia) were invited to complete the PROMIS© V1.2 Scale – Global Health along with other health demographics prior to their initial consultation. The PROMIS© V1.2 Scale – Global Health was scored as per the instructions. Inferential and correlation statistics were used to explore associations with patient age, gender and complaint chronicity. Results Three hundred and ninety-five (n=395) completed the PROMIS© V1.2 Scale – Global Health scale. The Physical Health mean T-score was 46.04 (+/- 6.06) and the Mental Health mean T-score was 49.38 (+/- 7.26). Age and complaint chronicity were not significantly different for both the Physical and Mental health T-scores. Physical health mean T-scores were lower for female patients compared to males with a medium effect size (p<0.01, d=0.31). Conclusion(s) Physical health scores were lower than the American general population norm. However, this is to be expected to given the patient cohort sought care for a musculoskeletal complaint. The PROMIS© V1.2 Scale – Global Health has the potential to be utilised as a patient-reported outcome measure for those patients seeking musculoskeletal care.

Michael Fleischmann

and 2 more

Introduction: Exercise is beneficial for improving general health, wellbeing and specific medical conditions. In musculoskeletal conditions such as chronic low back and neck pain, prescribed exercise has been found to be moderately effective in decreasing pain and improving function. Osteopaths are primary contact health professionals who manage predominantly musculoskeletal complaints. This work presents a secondary data analysis of the Australian osteopathy practice-based research network and profiles the characteristics of osteopaths who often use exercise prescription in patient care. Methodology: Secondary analysis of a cross-sectional survey of 992 osteopaths registered with the Osteopathy Research and Innovation Network, an Australian practice-based research network. Demographic, practice and treatment characteristics of Australian osteopaths who ‘often’ use exercise prescription in patient care were examined. Results: Seven-hundred and thirty-three Australian osteopaths (74%) indicated they use exercise prescription ‘often’ in patient care. Australian osteopaths who often use exercise prescription are more likely to be co-located with another osteopath (ORa 1.54), and send referrals to an exercise physiologist; (ORa 1.94). Those osteopaths who often use exercise prescription were also more likely to discuss physical activity (ORa 5.61), and nutrition (ORa 1.90). Australian osteopaths who use exercise prescription often were more likely to treat patients with sports injuries (ORa 2.43), and use soft tissue techniques (ORa 1.92), trigger point techniques (ORa 2.72) and sports taping (ORa 1.78). Conclusion: Osteopaths who utilise exercise prescription were more likely to discuss physical activity, diet and nutrition, and utilise referral networks with specialist medical practitioners and exercise physiologists. Australian osteopaths who often use exercise prescription were also more likely to treat sport injury patients. The results support the conclusion that Australian osteopaths use exercise prescription and have referral networks with other health professionals for patient management. Further work is required to explore the type of exercise prescription used and for what conditions.