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Looking at Our 2016 Patient Outcomes

PDR differentiates itself from other rehabilitation programs by specializing specifically in neck and back treatment. We are experts at what we do because that is all we do – and have done for over 23 years. We help treat the “whole” person by looking not only at the physiological issue but also at the psychosocial barriers that may exist as a result of chronic neck and back pain. Our Road To Recovery combines MedX rehabilitation with Cognitive Behavioral Coaching (CBC) to ensure the greatest opportunity for overall, long-term recovery.

This is an image that displays the patient outcomes for 2016 for PDR Clinics patients.
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We are proud to present our patient outcomes for 2016. The results of this data is the culmination of years of refinement to our program, and the talent and dedication of our staff. Our data shows that patients that treat at PDR Clinics report reduced pain, reduced use of medication, and more.

For those looking for a short-and-sweet overview of our 2016 outcomes, we’ve created a handy infographic to read. If you want a more detailed look at our data, continue reading.

 

Patient Outcomes – 2016

The following information has been made publicly available by Physicians’ Diagnostics & Rehabilitation. It allows patients and physicians to learn more about the world-class neck and back pain treatment provided at PDR Clinics. Healthcare providers can request physical copies of our 2016 Outcomes & Quality report by emailing IT@PDRClinics.com.

Total Perceived Recovery

Definition: Patients report overall recovery on a scale from 0-10 (0 = no improvement, 10 = complete recovery).

Outcome: Patients rated their recovery at 7.5 out of 10 on average. This demonstrates therapy to be effective and yet assumes that patient will continue ongoing recovery with home exercise. This is the desired outcome level to ensure cost-effectiveness and reduce over utilization of services. (N = 1212).

In a six month follow up survey, 48% of patients reported continued improvement.

Reduced Pain

Definition: Patient reported reduction of pain at discharge.

Outcome: 74% of patients rate their reduction in pain between 50 – 100%. (N = 1053).

Reduced Medication

Definition: Patient reported reduction of medication use at discharge.

Outcome: 66% of patients rate their reduction in medication use between 50 – 100%. (N = 506).

Reduced Headaches

Definition: Patient reported reduction of headaches at discharge.

Outcome: 70% of patients rate their reduction in headaches between 50 – 100%. (N = 396).

MedX Spinal Function

Objective: Objective spinal strength and range of motion testing using standardized test procedures on MedX spinal equipment. PDR collected data over 12 years.

Outcome:

Cervical Flexion & Extension – Improvement 132.1%. (N = 3929).
Cervical Rotation – Improvement 164.9%. (N = 5022).
Lumbar Flexion & Extension – Improvement 107.1%. (N = 5219).
Rotary Torso – Improvement 121.5%. (N = 5662).

Psychological Metric – Keele STarT Back Tool

Definition: The Keele STarT Back inventory stratifies patients into a low, medium, or high risk of poor outcomes based upon fears, catastrophization, and anxieties about pain, mood, and motivation.

Data suggests that a reduction in Keele Scores can be a long range indicator of one’s ability to cope effectively. Addressing psychosocial effects of chronic pain can lead to improved recovery and over-all reduced downstream healthcare costs.1

Outcome:

Initial High: 87% converted to Medium or Low Risk
Initial Medium: 78% converted to Low Risk

Functional Oswestry Low Back Pain Disability Index (ODI)

Definition: Standardized inventory of functional abilities. Inventory scores (0 – 100) compared of final and initial averages, and within disability category.

A 10-12 point and/ or 30% improvement in ODI scores is determined to be clinically significant.2 (N = 1105).

Outcome by Category:

Moderately limited – improved an average of 14 points
Severely limited – improved an average of 21 points
Crippled – improved an average of 27 points

Maintenance

Definition: PDR provides patients the ability to participate in a Maintenance Program to maintain the gains they made during rehabilitation. It is recommended patients come in one time every three to four weeks for MedX Core training. A study was performed to measure the effectiveness in maintaining gains made during rehabilitation.3

Outcome: Participants involved in the Maintenance Program were able to maintain their recovery scores, pain levels and dynamic strength at a reduced frequency.4


References

1  Hill J.C., Dunn K.M., Lewis M., Mullis R., Main C.J., Foster N.E., A primary care back pain screening tool: identifying patient subgroups for initial treatment. Arthritis Rheum. 2008;59(5):632-641.
2  Ostelo RW, Deyo RA, Stratford P, et al. Interpreting change scores for pain and functional status in low back pain. Spine 2008; 1:90-94.
3  Tucci J, Carpenter D, Pollock M, et al. Effect of Reduced Frequency of Training and Detraining on Lumbar Extension Strength. Spine 1992: 17:1497-1501.
4  Narveson M., et al. Recovery Scores and Dynamic Strength of Patients Participating in a Decreased Frequency MedX Maintenance Program. Unpublished study: 2009.