The quality of the PROMs varied greatly , with Satisfaction most commonly measured utilizing non-st and ardized locally-devised tools ; the EuroQol five-dimensions question naire ( EuroQoL-5D ) and 36-Item Short-Form ( SF-36 ) cited most frequently to capture QoL ; and the Visual Analogue Scale ( VAS ) to capture Pain .
APPs utilized a multiplicity of PROMs across a range of MSK disorders .
OBJECTIVE Advanced practice physiotherapists ( APPs ) , also known as extended scope physiotherapists , provide a new model of service delivery for musculoskeletal ( MSK ) disorders .
Research to date has largely focused on health service efficiencies , with less emphasis on patient outcomes .
The present systematic review aim ed to identify the  patient-reported outcome measures ( PROMs ) being utilized by APPs .
Clinical outcomes from a physiotherapist-led intra-articular hyaluronic acid injection clinic.
OBJECTIVES To describe the clinical course of knee osteoarthritis following a single course of intra-articular hyaluronic acid ( HA ) injection clinic , and specifically to explore treatment withdrawal . DESIGN Prospect i ve consecutive case series with follow-up , set in an innovative physiotherapist-led clinic , based in a hospital orthopaedic surgery department . PARTICIPANTS A total of 100 patients with knee osteoarthritis referred to the clinic received a single course of five injections of Hyalgan . Patients were followed up in clinic at five , 13 , 26 and 52 weeks . The primary outcome measures were Western Ontario McMaster Universities Osteoarthritis Index ( WOMAC ) Likert 3.0 pain ( 0 - 20 ) and physical function ( 0 - 68 ) scores . In addition , at 13 and 26 weeks , patients were review ed independently by an orthopaedic surgeon , with the option of withdrawing for alternative management those patients who had not responded . RESULTS Ninety ( 90 % ) patients were successfully followed to study endpoint . Improvements were seen at five weeks and , to a lesser extent , at 13 weeks ( mean reduction in WOMAC pain at 13 weeks = 1.3 ; 95 % confidence interval [ CI ] 0.5 , 2.0 ; mean reduction in WOMAC Physical Function at 13 weeks = 5.6 ; 95 % CI 3.0 , 8.1 ) . Of 34 treatment withdrawals , most had returned to baseline levels by 13 weeks . The remaining 56 patients maintained improvements up to 52 weeks , although the pattern of outcome was highly variable between individuals . Withdrawals and non-responders had higher initial pain severity . CONCLUSIONS Physiotherapist-led intra-articular HA clinics are feasible . Clinical outcomes for individual patients are highly heterogeneous up to one year after injections . Patients with initially high levels of pain may be less likely to benefit
The quality of the PROMs varied greatly , with Satisfaction most commonly measured utilizing non-st and ardized locally-devised tools ; the EuroQol five-dimensions question naire ( EuroQoL-5D ) and 36-Item Short-Form ( SF-36 ) cited most frequently to capture QoL ; and the Visual Analogue Scale ( VAS ) to capture Pain .
APPs utilized a multiplicity of PROMs across a range of MSK disorders .
OBJECTIVE Advanced practice physiotherapists ( APPs ) , also known as extended scope physiotherapists , provide a new model of service delivery for musculoskeletal ( MSK ) disorders .
Research to date has largely focused on health service efficiencies , with less emphasis on patient outcomes .
The present systematic review aim ed to identify the  patient-reported outcome measures ( PROMs ) being utilized by APPs .