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Lessons to Be Learned: A Retrospective Analysis of Physiotherapy Injury Claims.
MedLine Citation:
PMID:  22711215     Owner:  NLM     Status:  Publisher    
Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:"; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;} STUDY DESIGN: Retrospective, descriptive analysis. OBJECTIVES: To describe the prevalence and nature of insurance claims for injuries attributed to physiotherapy care. BACKGROUND: In New Zealand a national insurance scheme, the Accident Compensation Corporation (ACC) provides comprehensive, no-fault personal injury coverage. The patterns of injury sustained during physiotherapy care have not previously been described. METHOD: De-identified data for all injuries registered with the ACC from 2005 to 2010 and attributed to physiotherapy were accessed. Prevalence patterns (percentages) of new-claim data were determined for physiotherapy intervention category, body region, nature of injury, and age and sex. A sub-category, exercise related injuries, was analyzed according to body location and whether the injury was related (primary) or unrelated (secondary) to the intended therapeutic goal. RESULTS: There were 279 claims related to physiotherapy care filed with the ACC during the studied reporting period. Injury was attributed predominantly to exercise n=88 (31.5%) of cases and manual therapy n=74 (26.5%). The prevalence of events categorized as exercise-related was greatest in the 55 to 59 years old age range n=14; 16.3%.and higher in females n=47; 54.7%. Of the exercise-related injuries 39.8% were in the lower limb region and 35.2%% were categorized as sprains/strains. CONCLUSION: The prevalence of injuries attributed to exercise far exceeded injuries linked to other therapies provided by the physiotherapists yet exercise therapy rarely features as a cause of physiotherapy adverse events reported to the profession. The proportion of exercise-related injury events underlines the need for ensuring safe and careful consideration of exercise prescription. J Orthop Sports Phys Ther, Epub 18 June 2012. doi:10.2519/jospt.2012.3877.
Gillian M Johnson; Margot A Skinner; Rachel E Stephen
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-6-18
Journal Detail:
Title:  The Journal of orthopaedic and sports physical therapy     Volume:  -     ISSN:  1938-1344     ISO Abbreviation:  -     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-6-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7908150     Medline TA:  J Orthop Sports Phys Ther     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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