| |
Centre for Policy on Ageing | |
 | |
|
Effectiveness of community physiotherapy and enhanced pharmacy review for knee pain in people aged over 55 presenting to primary care
— pragmatic randomised trial | | Author(s) | Elaine M Hay, Nadine E Foster, Elaine Thomas |
| Journal title | British Medical Journal, vol 333 no 7576, 11 November 2006 |
| Pages | pp 995-998 |
| Source | http://www.bmj.com |
| Keywords | Arthritis ; Pain ; Physiotherapy ; Drugs ; General practice ; Clinical surveys ; Longitudinal surveys ; Newcastle-under-Lyme. |
| Annotation | 325 adults aged 55+ (mean age 68) consulting with knee pain at 15 general practices in North Staffordshire were recruited between May 2001 and March 2004. All received an information leaflet, modelled on the Arthritis Research Campaign leaflet on knee osteoarthritis, which gave advice about pain control and simple exercise. Those in one intervention group received advice from a community pharmacist on controlling pain, while another group had exercises with community physiotherapists for 3-6 sessions of about 20 mins duration over 10 weeks. The control group received the information leaflet only. Significantly fewer participants in the physiotherapy group reported consulting the GP for knee pain in the follow-up (postal questionnaires at 3, 6, and 12 months); and use of non-steroidal and anti-inflamatory drugs was lower in the physiotherapy and pharmacy groups than in the control group. Evidence based care for older people with knee pain, delivered by primary care physiotherapists and pharmacists, resulted in short term improvements to health outcomes, reduced use of non-steroidal and anti-inflamatory drugs, and high patient satisfaction. Physiotherapy seemed to produce a shift in consultation behaviour away from the national general practitioner led model of care. (RH). |
| Accession Number | CPA-061129201 A |
| Classmark | CLA: CT7: LOA: LLD: L5: 3G: 3J: 8STH * |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|