PRE PLACEMENT INFORMATION
Version 3
Last updated 17/03/2010
Update planned 07/03/2011
Aims and Objectives of your GGBPS Placement
Your specific aims and objectives will depend on your particular course and level at time of Greater Glasgow Back Pain Service (GGBPS) placement. However the following are core objectives of your time with GGBPS. It is likely you will want to discuss and set additional aims with your clinical supervisor.
Aims:
To increase the student’s confidence in their personal skill, knowledge and understanding of the overall management of a patient presenting with low back pain (LBP).
To present the current evidence base for the management of patients presenting with LBP.
To outline “best practice” in the physiotherapy management of patients presenting with LBP.
Objectives:
By the end of the placement you will be able to:
Identify the current guidelines and their relevance to the physiotherapy management of patients with LBP
Identify “red flags” in a patient presentation and discuss the implications for management in patients with LBP
Recognize “yellow flags” and discuss their significance in the management of patients with LBP
Define pain mechanisms that are relevant in patients with LBP and relate this to patient management.
Select the appropriate questioning technique to obtain the maximum, relevant information from a patient during an assessment.
Background information to Greater Glasgow Back Pain Service
The GGBPS aims to provide the highest standards of care to the healthcare users of Greater Glasgow. The service is evidence based, and systematically evaluated and developed to ensure this. Patient centred, we will respect the individuality of all patients and their carers. Using a bio psychosocial model of back pain, self-management and the principles of rehabilitation are central to the service approach; the aim is to develop the GGBPS as a centre of excellence for the management of patients with low back pain.
The GGBPS is led by a lead Physiotherapist overseeing service organisation and the management of all patients with LBP within Greater Glasgow. Permanent funding was granted for 10 WTE Clinical Physiotherapy Specialists, including the Lead Clinician, 2.8 WTE Psychologists to allow appropriate service development and 1.2 WTE administrative and clerical support to provide service support for GGBPS. This is a physiotherapy-led and delivered service. It extends beyond the scope of the initial service by integrating the physiotherapy management of patients with both acute and non-acute LBP. Furthermore as a city-wide service the Clinical Physiotherapy Specialists cross Primary Care and Acute boundaries. This provides individual patients with equity of access to appropriate resources dependent on their individual need, rather than location. The GGBPS was launched on 9th September 2002.
Relevant Guidelines
As a service, the GGBPS incorporates all the relevant guidelines to ensure the delivery of a clinically effective service. The use of guidelines for LBP patients assists in the improvement of clinical assessment, promotes appropriate investigation and referral for physical therapy or to other disciplines as required and, helps in the prevention of chronic LBP and disability. The service is based on the Royal Collage of General Practitioners Guidelines for the management of LBP (Hutchison et al (1997)).
Essential reading
Greater Glasgow Back Pain Service Pathway Document 2.1 (2010). Found on GGBPS web-site at
Greenhalgh, S & Selfe, J (2006) Red Flags: A guide to identifying serious pathology of the spine. Churchill Livingstone, Elsevier.
Ferguson F, et al. (2007) Cauda Equina Syndrome: The development of a citywide physiotherapy pathway of care. International Journal of Therapy and Rehabilitation Vol. 14 (1) pp24-29
Kendall, N. Linton, S. Main, C. (1997) Guide to Assessing Psychosocial Yellow Flags in Acute Back Pain: Risk Factors for Long-Term Disability and Work Loss. Accident Rehabilitation & Compensation Insurance Corporation of New Zealand and the National Health Committee. Wellington, New Zealand
NHS Quality Improvement Scotland, National Physiotherapy Low Back Pain Audit
Further suggested reading
Aina A, May S, Clare H (2004) The Centralisation phenomenon of spinal symptoms – a systematic review. Manual Therapy Vol. 9 pp134-143
Bigos S J et al. (2009) High quality controlled trails on preventing episodes of back problems: systematic literature review in working-age adults. The Spine Journal 9 pp147-168
Bogduk N. (2009) On the definitions and physiology of back pain, referred pain and radicular pain. Pain Vol. 147 pp17-19
Burton, A. K.; Waddell, G.; Tillotson, K. M.; Summerton, N. (2000). Information and advice to patients with back pain does have a positive effect: an RCT of an educational booklet in primary care. Journal of Bone & Joint Surgery - British Vol. 82-B Supplement I:38-39,
Ferreira Manuela L, et al. (2002) Does spinal manipulative therapy help people with chronic low back pain? Australian Journal of Physiotherapy Vol. 48 pp277-284
Frost, H, Lamb SE, Doll HA, Carver, PT,and Stewart-Brown S. (2004)
Randomised controlled trial of physiotherapy compared with advice for low back painBMJ, Vol. 329 pp. 708-712.
Hutchinson, A, Waddell G, Feder G, et al. Clinical Guidelines for the Management of Acute Low Back Pain. London: Royal College of General Practitioners; 1996
Long, A Donelson, R, Fung, T. (2004) Does it Matter Which Exercise?: A Randomized Control Trial of Exercise for Low Back Pain. Spine Vol. 29(23) pp2593-2602
MoseleyG. L. (2003) A pain neuromatrix approach to patients with chronic pain Manual Therapy Vol. 8(3) pp.130–140
Back Pain Education for Scotland site: (you may require an ATHENS password for access to this site)
Student co-ordinator: Fraser Ferguson
Contact:
How to find your clinical site
Being a student with GGBPS will often involve spending time with differentmembers of the specialist team. Details on how to find these clinical sites are below. Normally you will have one clinical base and trips elsewhere will be discussed in advance.
It is important that you contact your clinical supervisor, at least 2 weeks before your placement starts to clarify your base, starting times etc. Staff move around and move on, so specific contact details are not given. However, you will be provided with these before your placement starts.
Back Pain Service Clinics:
Information regarding location of the clinics is given below. Information regarding travel to and from the clinics including advice on timetables and routes can be obtained from the Traveline Scotland site:
Castlemilk H.C. Physiotherapy Department
Castlemilk Health Centre.
71 Dougrie Drive
G45 9AW
Tel. 531 8560
Limited parking facilities at the Health Centre.
Clarkston H.C.Physiotherapy Department
Clarkston Clinic
56 Busby Road
G76 7AA
Tel. 300 1214
Train Service: to Clarkston Train Station
Parking: Parking at the Clinic is limited, particularly first thing in the morning.
Alternatively parking is available at the Train Station opposite the Clinic.
Clydebank H.C.:Physiotherapy Department
Clydebank Health Centre.
Kilbowie Road
G81 2TQ
Tel. 531 6324 / 6329
Parking: Available at the H.C.
Train Service: to Singer or Clydebank
DrumchapelH.C.:Physiotherapy Department
Drumchapel Health Centre
80/90 Kinfauns Drive
G15 7TS
Tel. 211 6147
Bus Service: There is a bus stop outside the Health Centre on Kinfauns Drive.
Train Service: to Drumchapel Train Station
Parking: Limited parking by the Health Centre.
Easterhouse H.C. Physiotherapy Department
Easterhouse Health Centre.
9 Auchinlea Road
G34 9HQ
Tel. 531 8140
Train Services: to Easterhouse Train Station
Parking: Parking is available at the Health Centre.
GartnavelGeneralPhysiotherapy Department
Gartnavel General Hospital
1053 Great Western Road
G12 0YN.
Tel. 211 3021
Bus Service: Bus route to Great Western Road.
Train Service: to Hyndland Train Station
Parking: Limited to 4 hours within the grounds. Heavy fines apply where this is breached.
Govanhill H.C.Physiotherapy Department
Govanhill Health Centre.
233 Calder Street
G42 7DR
Tel. 531 8339
Bus Service: to Govanhill
Train Service: to Polloksheilds East/ Polloksheilds West/ Queen’s Park train stations
There is parking available at the Health Centre.
Kirkintilloch H.C.Physiotherapy Department
Townhead Clinic
Lenzie Road
Kirkintilloch
G66 3BQ
Tel. 304 7424
Bus Service: Various
Train Service: to Lenzie Train Station
Parking: Parking is available at the clinic
MaryhillH.C.Physiotherapy Department
Maryhill Health Centre.
41 Shawpark Street
G20 9DR
Tel. 531 8730
Bus Service: Bus service to Maryhill Road
Train Service: to Maryhill train station.
Parking: Parking is available at the Clinic.
MilngavieH.C.Physiotherapy Department
Milngavie Clinic
1, North Campbell Avenue
G62 7AA
Tel. 232 4808
Bus Service: East Dunbartonshire Ring ‘n’ Ride service, Bus No.600
Train Service: From Queen Street Station to Milngavie
Parking: Limited parking at the Clinic
Pollok H.C.Physiotherapy Department
Pollok Health Centre.
21 Cowglen Road
G53 6EQ
Tel. 531 6878
Parking: Is available at the Health Centre.
Royal Infirmary Physiotherapy Department
Glasgow Royal Infirmary
Queen Elizabeth Building
16 Alexandra Parade
G31 2ER
Tel. 211 4778
The Physiotherapy department is located on the ground floor of the “new building” from the Alexandra Parade entrance
Bus Services: to Alexandra Parade.
Train Services: to Alexandra Parade.
Parking is extremely limited around GRI. Charges apply.
Rutherglen H.C.Physiotherapy Department
Rutherglen Primary Care Centre
130 Stonelaw Road
G73 2PQ.
Tel. 531 4155
Bus Service: Regularly from Glasgow City Centre and East Kilbride
Train Service: to Rutherglen train station
Parking: There is parking available at the clinic.
ShettlestonH.C.Physiotherapy Department
Shettleston Health Centre.
420 Old Shettleston Road
G32 7JZ
Tel. 531 6217
Train Service: to Shettleston train station
Parking: Parking is limited at the Health Centre.
Southern GeneralPhysiotherapy Department
Southern General Hospital
1345 Govan Road
G51 4TF
Tel. 201 1498
Bus Service: to the Southern General
Underground: to Govan followed by 20 minute walk.
Parking: Limited to 4 hours within the grounds. Heavy fines apply where this is breached. There is street parking available outside the grounds but owners leave their car at their own risk.
Springburn H.C.Physiotherapy Department
Springburn Health Centre.
200 Springburn Way
G21 1TR
Tel. 531 6753
Bus Service: to Springburn.
Train Service: to Springburn train station
Parking: Parking is available at the clinic
StobhillHospital Physiotherapy Department
Stobhill General Hospital
133 Balornock Road
G21 3UW
Tel. 201 3587
Bus Service: Various
Parking is normally available with in the grounds.
Victoria Infirmary: Physiotherapy Department
New Victoria Hospital
Grange Rd
G42 9LF
Tel: 347 8685
Train Service: to Mount Florida train station
Parking: Limited to 4 hours within the grounds. Heavy fines apply where this is breached.
Western Infirmary Physiotherapy Department
Western Infirmary
Dumbarton Road
G11 6NT
Tel. 211 2445
Bus Service: Bus stops on Dumbarton Road and Byres Road
Underground: Hillhead or Kelvinhall
Parking: Limited to 4 hours within the grounds. Heavy fines apply where this is breached.
Woodside H.C. Physiotherapy Department
Woodside Health Centre.
Barr Street
G20 7LR
Tel. 531 9243
Underground: St. George's Cross
Bus: Maryhill Rd.
Parking: Parking is limited at the Clinic.
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GGBPS Pre Placement Package. Version 3 SM/FF March 2010. Review 2011