A survey to explore the current use of injection therapy as part of a conservative treatment plan for degenerative meniscal lesions within UK based, injection trained physiotherapy members of the society of musculoskeletal medicine
Objectives: To explore the current use of injection therapy as part of a conservative treatment plan for degenerative meniscal lesions (DML) within UK based physiotherapy members of the Society of Musculoskeletal Medicine (SOMM) with injection training. Methods: An online survey was distributed via...
Published in: | International Musculoskeletal Medicine |
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Format: | Article in Journal/Newspaper |
Language: | English |
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Taylor and Francis
2016
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Online Access: | https://eprints.mdx.ac.uk/20684/ https://eprints.mdx.ac.uk/20684/1/Caldwelletal.pdf https://eprints.mdx.ac.uk/20684/2/Caldwelletal_table.pdf https://doi.org/10.1080/17536146.2016.1237063 |
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ftmiddlesex:oai:eprints.mdx.ac.uk:20684 2023-05-15T16:01:22+02:00 A survey to explore the current use of injection therapy as part of a conservative treatment plan for degenerative meniscal lesions within UK based, injection trained physiotherapy members of the society of musculoskeletal medicine Arithoppah, Rikesh Caldwell, Kay Smith, Gordon 2016-04-02 application/pdf https://eprints.mdx.ac.uk/20684/ https://eprints.mdx.ac.uk/20684/1/Caldwelletal.pdf https://eprints.mdx.ac.uk/20684/2/Caldwelletal_table.pdf https://doi.org/10.1080/17536146.2016.1237063 en eng Taylor and Francis https://eprints.mdx.ac.uk/20684/1/Caldwelletal.pdf https://eprints.mdx.ac.uk/20684/2/Caldwelletal_table.pdf Arithoppah, Rikesh </view/creators/Arithoppah=3ARikesh=3A=3A.html>, Caldwell, Kay </view/creators/Caldwell=3AKay=3A=3A.html> and Smith, Gordon </view/creators/Smith=3AGordon=3A=3A.html> (2016) A survey to explore the current use of injection therapy as part of a conservative treatment plan for degenerative meniscal lesions within UK based, injection trained physiotherapy members of the society of musculoskeletal medicine. International Musculoskeletal Medicine <https://eprints.mdx.ac.uk/view/publications/International_Musculoskeletal_Medicine.html>, 38 (2) . pp. 63-73. ISSN 1753-6146 [Article] (doi:10.1080/17536146.2016.1237063 <https://doi.org/10.1080/17536146.2016.1237063>) Article PeerReviewed 2016 ftmiddlesex https://doi.org/10.1080/17536146.2016.1237063 2022-03-03T06:43:24Z Objectives: To explore the current use of injection therapy as part of a conservative treatment plan for degenerative meniscal lesions (DML) within UK based physiotherapy members of the Society of Musculoskeletal Medicine (SOMM) with injection training. Methods: An online survey was distributed via email to all UK based, SOMM physiotherapists who had trained and received their injection diploma through the SOMM (n = 203) with a response rate of 32% (n = 64). The data were analysed using descriptive statistics, contingency tables and the Fisher's exact test. A P value ≤0.05 was considered significant. Ethical clearance was gained through the SOMM and Middlesex University. Results: Of the respondents 98% (n = 62) of current UK based, injection trained SOMM physiotherapists utilize conservative treatment for DML of which 81% (n = 52) include injection therapy. Seventy-seven per cent (n = 49) who currently use injection therapy for DML administer a combination of 40 mg Depomedrone combined with local anaesthetic via a patellofemoral approach. Those not using injection therapy as part of their management of DML attributed this to local department restrictions and lack of evidence. Discussion: This research has helped further understand the use of injection therapy for DML and where it fits within a conservative treatment plan. The benefit from injection therapy reported by respondents is similar to previous research but could be influenced by injection exposure and potentially steroid choice. Overall a consensus is starting to appear regarding dosage, steroid, and administration; however, differences arise when comparing individual department guidelines to CSP and NICE guidelines. Article in Journal/Newspaper DML Middlesex University London: Research Repository International Musculoskeletal Medicine 38 2 63 73 |
institution |
Open Polar |
collection |
Middlesex University London: Research Repository |
op_collection_id |
ftmiddlesex |
language |
English |
description |
Objectives: To explore the current use of injection therapy as part of a conservative treatment plan for degenerative meniscal lesions (DML) within UK based physiotherapy members of the Society of Musculoskeletal Medicine (SOMM) with injection training. Methods: An online survey was distributed via email to all UK based, SOMM physiotherapists who had trained and received their injection diploma through the SOMM (n = 203) with a response rate of 32% (n = 64). The data were analysed using descriptive statistics, contingency tables and the Fisher's exact test. A P value ≤0.05 was considered significant. Ethical clearance was gained through the SOMM and Middlesex University. Results: Of the respondents 98% (n = 62) of current UK based, injection trained SOMM physiotherapists utilize conservative treatment for DML of which 81% (n = 52) include injection therapy. Seventy-seven per cent (n = 49) who currently use injection therapy for DML administer a combination of 40 mg Depomedrone combined with local anaesthetic via a patellofemoral approach. Those not using injection therapy as part of their management of DML attributed this to local department restrictions and lack of evidence. Discussion: This research has helped further understand the use of injection therapy for DML and where it fits within a conservative treatment plan. The benefit from injection therapy reported by respondents is similar to previous research but could be influenced by injection exposure and potentially steroid choice. Overall a consensus is starting to appear regarding dosage, steroid, and administration; however, differences arise when comparing individual department guidelines to CSP and NICE guidelines. |
format |
Article in Journal/Newspaper |
author |
Arithoppah, Rikesh Caldwell, Kay Smith, Gordon |
spellingShingle |
Arithoppah, Rikesh Caldwell, Kay Smith, Gordon A survey to explore the current use of injection therapy as part of a conservative treatment plan for degenerative meniscal lesions within UK based, injection trained physiotherapy members of the society of musculoskeletal medicine |
author_facet |
Arithoppah, Rikesh Caldwell, Kay Smith, Gordon |
author_sort |
Arithoppah, Rikesh |
title |
A survey to explore the current use of injection therapy as part of a conservative treatment plan for degenerative meniscal lesions within UK based, injection trained physiotherapy members of the society of musculoskeletal medicine |
title_short |
A survey to explore the current use of injection therapy as part of a conservative treatment plan for degenerative meniscal lesions within UK based, injection trained physiotherapy members of the society of musculoskeletal medicine |
title_full |
A survey to explore the current use of injection therapy as part of a conservative treatment plan for degenerative meniscal lesions within UK based, injection trained physiotherapy members of the society of musculoskeletal medicine |
title_fullStr |
A survey to explore the current use of injection therapy as part of a conservative treatment plan for degenerative meniscal lesions within UK based, injection trained physiotherapy members of the society of musculoskeletal medicine |
title_full_unstemmed |
A survey to explore the current use of injection therapy as part of a conservative treatment plan for degenerative meniscal lesions within UK based, injection trained physiotherapy members of the society of musculoskeletal medicine |
title_sort |
survey to explore the current use of injection therapy as part of a conservative treatment plan for degenerative meniscal lesions within uk based, injection trained physiotherapy members of the society of musculoskeletal medicine |
publisher |
Taylor and Francis |
publishDate |
2016 |
url |
https://eprints.mdx.ac.uk/20684/ https://eprints.mdx.ac.uk/20684/1/Caldwelletal.pdf https://eprints.mdx.ac.uk/20684/2/Caldwelletal_table.pdf https://doi.org/10.1080/17536146.2016.1237063 |
genre |
DML |
genre_facet |
DML |
op_relation |
https://eprints.mdx.ac.uk/20684/1/Caldwelletal.pdf https://eprints.mdx.ac.uk/20684/2/Caldwelletal_table.pdf Arithoppah, Rikesh </view/creators/Arithoppah=3ARikesh=3A=3A.html>, Caldwell, Kay </view/creators/Caldwell=3AKay=3A=3A.html> and Smith, Gordon </view/creators/Smith=3AGordon=3A=3A.html> (2016) A survey to explore the current use of injection therapy as part of a conservative treatment plan for degenerative meniscal lesions within UK based, injection trained physiotherapy members of the society of musculoskeletal medicine. International Musculoskeletal Medicine <https://eprints.mdx.ac.uk/view/publications/International_Musculoskeletal_Medicine.html>, 38 (2) . pp. 63-73. ISSN 1753-6146 [Article] (doi:10.1080/17536146.2016.1237063 <https://doi.org/10.1080/17536146.2016.1237063>) |
op_doi |
https://doi.org/10.1080/17536146.2016.1237063 |
container_title |
International Musculoskeletal Medicine |
container_volume |
38 |
container_issue |
2 |
container_start_page |
63 |
op_container_end_page |
73 |
_version_ |
1766397264815718400 |