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  5. UK Consensus: Best care for RPI - Back-up
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Questions marked with a * are required Exit Survey
 
 
Hello: You are invited to participate in our survey that aims to ratify a proposed UK Consensus for best practice in the management of Recurrent Patellar Instability (RPI). The document under scrutiny was drawn up following discussions by an expert panel of senior Physiotherapists convened on the 13th April 2016.

The survey will take approximately 15-20 minutes to complete. All responses will be anonymised to those conducting the study and data from this research will be reported only in the aggregate. Your participation in this study is completely voluntary, and you may withdraw from the survey at any time.

If you have questions about the survey, you may contact Dr. V Paraoan by email at Vlad.Paraoan @nhs.net.

Thank you very much for your time and support.
 
 
 
* Do you agree with the points rasied in "Education and Advice" i.e. ongoing eduction/advice with discussion of the relevant factors and length of first consultation? (If no, please elaborate)
 
Yes
 
No
 
 
 
* Do you agree with the points raised in "Reduce Pain and Resolve Swelling"?
 
Yes I agree
 
No, I would suggest the following changes...
 
 
 
* Would you you make any changes to the "Optimise range of motion" point?
 
I would not make any changes
 
I would remove it as I don't think it adds anything
 
I would make the following changes...
 
 
 
* Regarding "Quadriceps strengthening", do you agree with the specified treatment goal and approach suggested to achieve it?
 
Yes I agree
 
No, because...

 
 
 
* Thinking about assessing and managing the factors highlighted in point 5, do you foresee any issues with applying this to real clinical practice? Are there too many to address? Or is there a key factor that you feel should be mentioned?
   
 
 
 
* Do you agree with the suggested thresholds for pain/presence of swelling as a preclusion to continuing the existing exercise prescription?
 
Yes
 
No - I think that...
 
 
In terms of maximising adherence with an exercise programme, what do you think, based on your own experience, is the optimum number of exercises for patients to complete during a single session?



N.B. please give the answer you feel is most appropriate as the routine for most patients
* Number of exercises
-
 
 
How satisfied are you with the stages of "Functional progression", and the suggested transitions/objective criteria for each sub-point (a-c)?
Not appropriate Not specific enough Mostly agree - minor changes required Agree - no changes required
* a. early to middle phases
* b. middle to late phases
* c. movement of patients "fluidly" between phases
 
 
Regarding the specific aims of the early phase of treatment, do you agree with the sub-points (a-e)?
Disagree - should be removed Disagree - move to middle phase Mostly agree - minor changes required Agree - no changes required
* a. Reduction of pain and swelling.
* b. Restoration of ROM as pain allows.
* c. Pain free quadriceps activation exercises avoiding inner-range exercises.
* d. Aim to normalise gait pattern when the ROM allows and there is adequate muscle activation.
* e. Begin to activate abdominal, abductor and lateral hip rotator control (whilst avoiding TFL over-activity).