In this case study, we sat down with Anna-Louise Bouvier, Founder and Creative Director of Physiocise, to explore how her clients have benefitted from using PROMs (patient reported outcome measures) questionnaires.
Physiocise was founded over 25 years ago by Anna-Louise. During that time, the clinic has assessed over 12,000 individual clients and continues to be a leader in in the field of exercise rehabilitation for chronic, recurrent pain and problems across the spectrum of clients’ lives. Physiocise uses PROMs with its clients to ensure that every client has a tailored experience that considers factors that will help their overall rehabilitation and wellbeing, outside of just their physical improvement. Anna-Louise notes that PROMs questionnaires allow her to identify crucial data on function, fear and pain to improve her clients’ outcomes.
What are PROMs questionnaires?
PROMs are defined as “Any report of the status of a client’s health condition that comes directly from the client, without interpretation of the client’s response by a clinician or anyone else.” according to the U.S. Department of Health and Human Services FDA.
Anna-Louise notes that PROMs have been important to help communicate internally with Physiocise staff, externally with referees, and to set up a framework for clients.
Which questionnaires does Physiocise use for different PROMs areas?
Physiocise physiotherapists use PROMs to test the key areas of function, fear and pain. The following table outlines which questionnaires they use for each key testing area.
|Testing Area||PROMs questionnaires used|
|Function||– Roland-Morris questionnaire |
– Patient-specific scale
|Fear||– Tampa Scale of Kinesiophobia (fear-avoidance questionnaire) |
– Pain catastrophising questionnaire
|Pain||– Bothersome scale and simple VAS|
Anna-Louise explains that she completes the questionnaires during assessment/consultations, so the clients feel more comfortable and aren’t overwhelmed or confused by the questions.
How PROMs can help physiotherapists approach each client’s consultation
Physiocise has created a combination of key factors that helps its physiotherapists understand how they can communicate with clients and design a consultation for each client’s unique scenario.
Anna-Louise explores some key examples of how the data from PROMs can inform how physiotherapists can design each therapy program:
Client with low fear and high dysfunction.
Despite having a greater injury, a physiotherapist would be able to focus on the functional aspect of therapy and schedule more exercises etc. due to Eliza’s low levels of fear.
Client with high fear and low dysfunction.
In comparison, even though Johnny has lower physical dysfunction to Eliza, the assessment and approach wouldn’t necessarily be more function focused. Instead, Anna-Louise notes that “a lot of the work would be around cognitive re-training” due to Johnny being fearful about therapy and his physical condition.
Anna-Louise has found that using PROMs to understand the function, fear and pain of clients has allowed Physiocise to create a tailored framework for each client and their unique circumstances. PROMs have improved communications, with referees internally within the Physiocise team and with clients.
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