Table 1 Clinical service characteristics and diagnostic criteria, treatment aims and outcome measures for ankle OA
QUESTIONS | RESPONSE OPTIONS | TOTAL N (%) |
|---|---|---|
Number of patients seen weekly with ankle OA | 1 | 50 (51) |
2 | 16 (16) | |
3 | 8 (9) | |
4 | 6 (6) | |
5 | 4 (4) | |
> 5 | 13 (14) | |
Source of ankle OA referrals* | GENERAL PRACTITIONER | 69 (70) |
ORTHOPAEDIC SURGEON | 66 (67) | |
SELF-REFERRAL/ PATIENT REFERRAL | 39 (40) | |
RHEUMATOLOGIST | 37 (38) | |
PHYSIOTHERAPIST | 30 (31) | |
PODIATRIST | 25 (26) | |
CHIROPRACTOR/ OSTEOPATH | 9 (9) | |
OTHER | 4 (4) | |
Duration of the first treatment session | 10 MINUTES | 2 (2) |
20 MINUTES | 6 (6) | |
30 MINUTES | 20 (20) | |
40 MINUTES | 37 (38) | |
50 MINUTES | 9 (9) | |
60 MINUTES | 22 (23) | |
> 60 MINUTES | 2 (2) | |
Number of treatment sessions including the first | 1 | 7 (7) |
2 | 13 (13) | |
3 | 26 (27) | |
4 | 23 (24) | |
5 | 12 (12) | |
6 | 9 (9) | |
> 6 | 8 (8) | |
Do you work as a part of a multi-disciplinary team while managing ankle OA? | YES | 48 (49) |
NO | 50 (51) | |
To which other healthcare practitioners do you refer individuals with ankle OA?* | ORTHOPAEDIC SURGEON | 78 (80) |
RHEUMATOLOGIST | 23 (24) | |
PHYSIOTHERAPIST | 46 (47) | |
PODIATRIST | 55 (56) | |
ORTHOTIST | 39 (40) | |
OTHER | 11 (11) | |
Features used to diagnose ankle OA* | AGE | 66 (67) |
PAIN ON PALPATION | 60 (61) | |
SITE OF PAIN (ANKLE JOINT LINE) | 81 (83) | |
EARLY MORNING PAIN | 63 (64) | |
JOINT STIFFNESS RELIEVED ON MOVEMENT | 78 (80) | |
GENERAL SIGNS AND SYMPTOMS OF INFLAMMATION (WARMTH, REDNESS, SWELLING, ETC.) | 63 (64) | |
CREPITUS | 62 (63) | |
PAIN ON WEIGHT BEARING | 76 (78) | |
REDUCED ANKLE RANGE OF MOTION | 90 (92) | |
OVERWEIGHT | 39 (40) | |
HISTORY OF TRAUMA | 71 (73) | |
ACTIVITY STATUS (HISTORY/ PAST) | 39 (40) | |
IMAGING DIAGNOSIS (PLAIN X-RAY, CT SCANS, MRI, US) | 85 (87) | |
PAIN RELIEF AFTER LOCAL ANAESTHETIC INJECTION | 22 (22) | |
NO TEST/CRITERIA | 1 (1) | |
OTHER | 6 (6) | |
Treatment aims* | REDUCE PAIN | 87 (89) |
IMPROVE ANKLE STABILITY | 59 (60) | |
IMPROVE RANGE OF MOTION | 60 (61) | |
IMPROVE STRENGTH | 65 (66) | |
IMPROVE PROPRIOCEPTION | 69 (60) | |
IMPROVE ACTIVITIES OF DAILY LIFE (BATHING, GROOMING, FEEDING, SHOPPING, AMBULATION, DOING LAUNDRY) | 71 (72) | |
IMPROVE CARDIOVASCULAR/ AEROBIC FITNESS | 28 (29) | |
IMPROVE QUALITY OF LIFE | 82 (84) | |
SLOW DOWN THE PROGRESSION OF OA | 36 (37) | |
PREPARE FOR SURGERY | 16 (16) | |
TEACH SELF-MANAGEMENT | 81 (83) | |
OTHERS | 2 (2) | |
Outcome measures* | NONE | 7 (7) |
VISUAL ANALOGUE SCALE for PAIN | 51 (52) | |
NUMERICAL RATING SCALE for PAIN | 42 (43) | |
QUALITY OF LIFE QUESTIONNAIRE SCORE (SHORT FORM 36/12/6D, ETC.) | 28 (29) | |
ANKLE OA SCALE (FOOT AND ANKLE OUTCOME SCORE (FAOS), AMERICAN ACADEMY of ORTHOPEDIC SURGEONS FOOT AND ANKLE QUESTIONNAIRE, ETC.) | 13 (13) | |
WESTERN ONTARIO AND MCMASTER UNIVERSITIES OSTEOARTHRITIS (WOMAC) QUESTIONNAIRE | 2 (2) | |
PATIENT SATISFACTION | 62 (63) | |
GLOBAL RATING OF CHANGE SCORE (GROC) | 4 (4) | |
OTHERS | 23 n |