Life questionnaires in AposTherapy
The use of pain, function and quality of life questionnaires in AposTherapy
In AposTherapy the use of validated and reliable, pain, function and quality of life questionnaires is standard procedure to evaluate the effectiveness of the treatment for each individual patient who attends an AposTherapy Centre and to enable informed clinical decision making. The results of the surveys are made available, upon patient consent, to referring clinicians and insurance companies as outcome measures.
AposTherapy and Pain, Function and Quality of Life Questionnaires
In addition to the SF-36 patients will then fill out a disease specific questionnaire which is validated for their presenting condition. By using a specific measure there is focus on problems and areas of function which are specifically related to the disease. In a review of the literature about the SF-36, Ware (2) found that the most useful types of research studies were those that used the SF-36 as a core measurement and then supplemented it with a disease specific measure. By using the two types of measurements, the generic health survey and a disease specific measure as standard clinical practise AposTherapists are provided with a full overview of each individual patient’s perspective throughout their treatment.
The Oswestry Disability Index is used for patients presenting with low back pain. In an article published in Spine (2000), Bombardier (4) summarises the available outcome assessments for spinal disorders and recommends both the Oswestry and the SF-36 for use.
In addition the Foot and Ankle Survery (FAOS) is used for patient’s presenting with foot and ankle problems and the Harris Hip Score for patient’s post total hip arthoplasty.
An important aspect of pain and quality of life questionnaires at AposTherapy is that they are completed on a computerised system, without the presence of the AposTherapist. This significantly decreases possible bias.
The AposTherapist has access to the patient’s questionnaires via the Patient Questionnaire Tracking System which displays the results in a graphical and numerical format enabling easy comparison between the patient’s status now and at previous points throughout their treatment journey. This tool demonstrates to both the AposTherapist and the patient the improvement in well being and reduction in reported pain and disability levels and can also highlight any deterioration.
- Garratt A, Schmedit L, Mackintosh A, Fitzpatrick. Quality of life measurement: bibliographic study of patient assessed health outcome measures. BMJ 2002;324:1417-9
- Ware, J. SF-36® Health Survey Update
- Bellamy N. WOMAC Osteoarthritis Index User Guide. Version V. Brisbane, Australia 2002.
- Bombardier, C. Outcome Assessments in the Evaluation of Treatment of Spinal Disorders: Summary and General Recommendations. Spine 2000;24:3100-3103