Has the quality of physiotherapy care in patients with Whiplash-associated disorders (WAD) improved over time? A retrospective study using routinely collected data and quality indicators

Rob AB Oostendorp1 Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands, [email protected];2 Department of Manual Therapy, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Brussels, Belgium, [email protected];3 Pain in Motion International Research Group, Free University Brussels, Brussels, Belgium, [email protected];4 Practice Physiotherapy and Manual Therapy, Heeswijk-Dinther, the Netherlands, [email protected]Correspondence[email protected]

Hans Elvers5 Department of Public Health and Research, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands;6 Methodological Health-Skilled Institute, Beuningen, the Netherlands

Emiel van Trijffel7 SOMT University of Physiotherapy, Amersfoort, the Netherlands;8 Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Free University Brussels, Brussels, Belgium

Geert M Rutten9 Institute of Health Studies, Faculty of Health and Social Studies, HAN University of Applied Science, Nijmegen, the Netherlands;10 Faculty of Science and Engineering, University College Venlo, Maastricht University, Maastricht, the Netherlands

Gwendolyne GM Scholten-Peeters11 Department of Human Movement Sciences, Faculty of Behavioral and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands

Marcel Heijmans4 Practice Physiotherapy and Manual Therapy, Heeswijk-Dinther, the Netherlands, [email protected]

Erik Hendriks12 Department of Epidemiology, Center of Evidence-Based Physiotherapy, Maastricht University, Maastricht, the Netherlands;13 Practice Physiotherapy ‘Klepperheide’, Druten, the Netherlands

Emilia Mikolajewska14 Department of Physiotherapy, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Toruń, Poland;15 Neurocognitive Laboratory, Centre for Modern Interdisciplinary Technologies, Nicolaus Copernicus University, Toruń, Poland

Margot De Kooning3 Pain in Motion International Research Group, Free University Brussels, Brussels, Belgium, [email protected];8 Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Free University Brussels, Brussels, Belgium;16 Department of Physical Medicine and Physiotherapy, University Hospital Brussels, Brussels, Belgium

Marjan Laekeman17 Department of Nursing Sciences, Faculty of Health, University Witten/Herdecke, Witten, Germany

Jo Nijs3 Pain in Motion International Research Group, Free University Brussels, Brussels, Belgium, [email protected];8 Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Free University Brussels, Brussels, Belgium;16 Department of Physical Medicine and Physiotherapy, University Hospital Brussels, Brussels, Belgium

Nathalie Roussel18 Department of Rehabilitation Sciences and Physiotherapy (MOVANT), Faculty of Medicine and Health Sciences, University of Antwerp, Belgium

Han Samwel19 Department of Medical Psychology, Canisius Wilhelmina Hospital, Nijmegen, the Netherlands

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Figures & data

Figure 1 Formula for frequency of indicator (∑I = sum scores of items per indicator, N_k = number of items per indicator, and N_j = number of respondents per year).

Figure 2 Number of referrals per year 1996–2011 (N = 810).

Table 1 Diagnostic process: differences between Group A 1996–2002 (n = 353) and Group B 2003–2011 (n = 457) regarding the clinical reasoning process in patients with Whiplash-associated disorders (WAD)

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Table 2 Therapeutic and evaluative process: differences between Group A 1996–2002 (n = 353) and Group B 2003–2011 (n = 457) regarding the clinical reasoning process in patients with Whiplash-associated disorders (WAD) N = 810; n (%) unless otherwise stated

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Table 3 Differences between Group A 1996–2002 (n = 353) and Group B 2003–2011 (n = 457) expressed as percentages of QIs of the clinical reasoning process and performance target for physiotherapy in patients with Whiplash-associated disorders (WAD)

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Has the quality of physiotherapy care in patients with Whiplash-associated disorders (WAD) improved over time? A retrospective study using routinely collected data and quality indicators

Table 1 Diagnostic process: differences between Group A 1996–2002 (n = 353) and Group B 2003–2011 (n = 457) regarding the clinical reasoning process in patients with Whiplash-associated disorders (WAD)

Table 2 Therapeutic and evaluative process: differences between Group A 1996–2002 (n = 353) and Group B 2003–2011 (n = 457) regarding the clinical reasoning process in patients with Whiplash-associated disorders (WAD) N = 810; n (%) unless otherwise stated

Table 3 Differences between Group A 1996–2002 (n = 353) and Group B 2003–2011 (n = 457) expressed as percentages of QIs of the clinical reasoning process and performance target for physiotherapy in patients with Whiplash-associated disorders (WAD)

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Has the quality of physiotherapy care in patients with Whiplash-associated disorders (WAD) improved over time? A retrospective study using routinely collected data and quality indicators

Figures & data

Table 1 Diagnostic process: differences between Group A 1996–2002 (n = 353) and Group B 2003–2011 (n = 457) regarding the clinical reasoning process in patients with Whiplash-associated disorders (WAD)

Table 2 Therapeutic and evaluative process: differences between Group A 1996–2002 (n = 353) and Group B 2003–2011 (n = 457) regarding the clinical reasoning process in patients with Whiplash-associated disorders (WAD) N = 810; n (%) unless otherwise stated

Table 3 Differences between Group A 1996–2002 (n = 353) and Group B 2003–2011 (n = 457) expressed as percentages of QIs of the clinical reasoning process and performance target for physiotherapy in patients with Whiplash-associated disorders (WAD)

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