Physician referral to physical therapy in a cohort of workers compensated for low back pain

Physical Therapy
D Ehrmann-FeldmanD Gobeille

Abstract

This study described the physical therapy referral of workers compensated for back injury; characterized physical therapy by duration and choice of therapeutic techniques; and compared workers who were and were not referred for physical therapy in terms of age, gender, diagnosis, and absence from work. A cohort of 2,147 subjects were randomly selected from 54,401 workers compensated for back injuries in 1988. Each subject was followed for 2 years from date of entry into the study. Data were obtained from the Quebec Worker's Compensation Board computerized files, medical files, and initial reports completed by physical therapists. Of the cohort, 389 subjects (18%) had received physical therapy after referral by their physician. Exercise, heat, ultrasound, back education, manipulation, and transcutaneous electrical nerve stimulation were the most frequently selected treatments. Implementation of physical therapy within 1 month of back injury had a strong protective effect on return to work within 60 days. Female gender and presence of a specific diagnosis were predictors for greater than 60 days' absence. This study demonstrated that physicians request physical therapy services based on certain patient characteristics. Patients w...Continue Reading

Citations

May 24, 2007·Journal of Evaluation in Clinical Practice·Stéphane PoitrasMichel Rossignol
Aug 31, 2007·Disability and Rehabilitation·Mauro ZampoliniLuigi Tesio
Mar 10, 2012·The Journal of Orthopaedic and Sports Physical Therapy·Gary BrooksDennis L Hart
Aug 8, 2012·Journal of Occupational Rehabilitation·Janneke Berecki-GisolfRoderick J McClure
Aug 27, 2015·The Physician and Sportsmedicine·Robert LongstaffeJason Peeler
May 25, 1999·Journal of Occupational and Environmental Medicine·J A TacciD C Christiani
Aug 13, 2005·Disability and Rehabilitation·Laurent AzoulayMichel Rossignol
May 12, 2010·Disability and Rehabilitation·Salvatore GiaquintoEnzo Palma
Jun 21, 2005·BMC Musculoskeletal Disorders·John D ChildsAnthony Delitto
Nov 5, 2005·The Journal of Orthopaedic and Sports Physical Therapy·Todd E DavenportCheryl Resnik
Mar 5, 2003·The Clinical Journal of Pain·Michael J L Sullivan, William D Stanish
Jan 13, 2016·The Journal of Orthopaedic and Sports Physical Therapy·Heidi A OjhaAlfred C Gellhorn
Dec 4, 1998·The Journal of Orthopaedic and Sports Physical Therapy·K M Alexander, T L LaPier
Jan 18, 2006·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Praneet PensriSuzanne M McDonough
Mar 3, 2009·The Journal of Orthopaedic and Sports Physical Therapy·Michael T Lebec, Carleen E Jogodka
Sep 3, 2011·Physiotherapy Canada. Physiothérapie Canada·Nirtal Shah, Yuka Nakamura
Apr 3, 2012·The Journal of Orthopaedic and Sports Physical Therapy·John D ChildsRobert S Wainner
Feb 6, 2017·Physiotherapy Canada. Physiothérapie Canada·Tatiana OrozcoMaude Laliberté

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