A survey of current practice of the physiotherapy management of patients with adolescent idiopathic scoliosis (continued)

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Physiotherapy provision as part of the conservative management of AIS:

6. What is the source of referrals to physiotherapy for patients with AIS? Please indicate the proportion of referrals that come from each source.

No cases

Rare cases (<10%)

Selected cases

Most cases (>90%)

All cases

Primary care (e.g. GP)

Secondary care (e.g. Hospital Consultants)

Self referral

Other

Please describe other sources of referral:

7. How many conservatively managed new NHS patients with AIS do you see per month? (whole number)

8. How many conservatively managed follow-up NHS patients with AIS do you see per month? (whole number)

9. Which of the following methods are used to monitor the progress of each patient’s condition? Please indicate the proportion of patients for which each method is used.

No cases

Rare cases (<10%)

Selected cases

Most cases (>90%)

All cases

Symptoms (Please define below)

Cobb angle

Scoliometer

Visual estimation

Surface topography

MRI

Respiratory function

Other (please describe below)

Please describe the types of symptoms used to monitor progress:

Please describe the other methods used to monitor progress:

No cases

Rare cases (<10%)

Selected cases

Most cases (>90%)

All cases

10. What proportions of patients with AIS presenting to physiotherapy are braced?

Curve type

Curve magnitude

Curve progression

Patient compliance

Sex

Age

Risser sign

Consultant preference

No cases

Rare cases (<10%)

Selected cases

Most cases (>90%)

All cases

12. For what proportion of AIS cases do you think bracing is helpful?

TLSO

Milwaukee

Boston Wilmington

Lyonese

Cheneau

SpineCor

TrIAC

Other (please state below)

None

Please state which other types of braces you use:

No variation

Some variation

Wide variation

14. In your department how much variation in bracing prescription is there between consultants?

When are patients referred to physiotherapy for conservative management?

15. Please indicate what proportion of AIS cases would fall into each category.

No cases

Rare cases (<10%)

Selected cases

Most cases (>90%)

All cases

When surgery is not indicated

If they have been newly diagnosed

For management/monitoring of bracing

For monitoring of their condition generally

To be given an exercise programme to improve posture and muscle strength

For education about their condition

If they have body image issues

If their curve has a particular presentation (please specify below)

If patients are a certain age (please specify below)

If patients are a certain sex (please specify below)

Other reason (please specify below)

If you have received patient referrals due to particular curve presentation, please specify:

If you have received patient referrals due to a certain age, please specify:

If you have received patient referrals of a certain sex, please specify:

16. In what proportion of AIS cases do you think physiotherapy and exercise can limit curve progression?

No cases

Rare cases (<10%)

Selected cases

Most cases (>90%)

All cases

For pre menarche girls/boys <14 yrs

For post menarche girls/boys >14 yrs

17. In what proportion of AIS cases do you think physiotherapy and exercise can reverse curve progression?

No cases

Rare cases (<10%)

Selected cases

Most cases (>90%)

All cases

For pre menarche girls/boys<14yrs

For post menarche girls/boys>14yrs

18. In what proportion of cases would you use the following physiotherapy treatments in conservative management of patients with AIS:

No cases

Rare cases (<10%)

Selected cases

Most cases (>90%)

All cases

Joint mobilisation

Joint manipulation

Core stability-type exercises

Strengthening exercises

Stretching exercises

Postural correction exercises

Proprioception/balance exercises

Acupuncture

Electrotherapy

Education about the condition

Other (please specify below)

Please specify what other treatments you would use not in the list above

Schroth

SEAS

Lyon

Dobosiewiz

Other (please state below)

Yes

If Yes please describe

21. On average, how many out-patient sessions do you provide for AIS patients? (whole number)

22. How long do you keep AIS patients as part of your case load?

23. In what proportion of cases would you use the following physiotherapy treatment formats as part of conservative management of patients with AIS?

No cases

Rare cases (<10%)

Selected cases

Most cases (>90%)

All cases

In-patient one-to-one sessions (not pre- or post-op treatment)

In-patient Group sessions (not pre- or post-op treatment)

Out-patient one-to-one sessions

Out-patient group sessions

Other (please specify below)

What other physiotherapy treatment formats do you use (if indicated above)

Involvement in research

Yes

If yes, please specify

Yes

If no, please explain

Yes

If No, please explain

Yes

If No, please explain

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A survey of current practice of the physiotherapy management of patients with adolescent idiopathic scoliosis (continued)

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