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The role of extended scope physiotherapists in managing patients with inflammatory arthropathies: a systematic review

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dc.contributor.authorStanhope, J.
dc.contributor.authorBeaton,
dc.contributor.authorGrimmer- Somers, K.
dc.contributor.authorMorris,
dc.date.issued2012
dc.description.abstractObjectives: To review the literature to identify whether, and how, physiotherapists working in extended scope of practice (ESP) engage with patients with inflammatory arthropathies. Measures of effectiveness of ESP were particularly sought. Methods: A comprehensive library database search was conducted to identify English language studies published in full text in peer-reviewed journals during the years 2002–2012. Studies were allocated into the National Health and Medical Research Council hierarchy of evidence, but were not critically appraised. Data was extracted on conditions treated, ESP roles and responsibilities, and effectiveness. Data was analyzed and reported descriptively. Results: We identified 123 studies, and included four. All were low hierarchy (highest being one level III_2 study). Commonly reported conditions were rheumatoid arthritis and ankylosing spondylitis. Information was provided on activities of role extension, such as triaging patients, monitoring and recommending changes to medications, referring to other health and medical professionals, and ordering and interpreting imaging. There was blurring between ESP and non-ESP roles. No study reported measures of effectiveness. Conclusion: There are descriptors of ESP physiotherapy activities, but no evidence of effectiveness of ESP physiotherapy in managing patients with inflammatory arthropathies.
dc.description.statementofresponsibilityJessica Stanhope, Kate Beaton, Karen Grimmer-Somers, Joanne Morris
dc.identifier.citationOpen Access Rheumatology: Research and Reviews, 2012; 2012(4):49-55
dc.identifier.doi10.2147/OARRR.S31465
dc.identifier.issn1179-156X
dc.identifier.issn1179-156X
dc.identifier.orcidStanhope, J. [0000-0002-6657-3317]
dc.identifier.urihttp://hdl.handle.net/2440/95911
dc.language.isoen
dc.publisherDove Medical Press
dc.rights© 2012 Stanhope et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
dc.source.urihttps://doi.org/10.2147/OARRR.S31465
dc.subjectESP
dc.subjectextended scope
dc.subjectrheumatoid arthritis
dc.subjectankylosing spondylitis
dc.subjectinflammatory arthropathy
dc.subjectphysiotherapy
dc.titleThe role of extended scope physiotherapists in managing patients with inflammatory arthropathies: a systematic review
dc.typeJournal article
pubs.publication-statusPublished

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