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Analysis of institutional authors

Penacoba-Puente, CeciliaAuthorGalan-Del-Rio, FernandoAuthorOrtega-Santiago, RicardoAuthor

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June 19, 2023
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Patient-reported outcome measurements (PROMs): Use during the physical therapy practice and associated factors

Publicated to:Musculoskeletal Science And Practice. 64 102744- - 2023-04-01 64(), DOI: 10.1016/j.msksp.2023.102744

Authors: Otero-Ketterer, Emilia; Penacoba-Puente, Cecilia; Valera-Calero, Juan Antonio; Galan-del-Rio, Fernando; Ortega-Santiago, Ricardo

Affiliations

Catedra Inst Docencia Clin & Invest Fisioterapia, Alcorcon, Spain - Author
Mutua Universal Mugenat, Physiotherapy Dept, Madrid, Spain - Author
Univ Complutense Madrid, Fac Nursery Physiotherapy & Podiatry, Dept Radiol Rehabil & Physiotherapy, Madrid 28040, Spain - Author
Univ Rey Juan Carlos, Dept Phys Therapy Occupat Therapy Phys Med & Reha, Alcorcon, Spain - Author
Univ Rey Juan Carlos, Dept Psychol, Alcorcon, Spain - Author
Univ Rey Juan Carlos, Escuela Int Doctorado, Alcorcon, Spain - Author
Univ Rey Juan Carlos, Terapia Manual, Punc Seca & Ejercicio Terapeut, Alcorcon, Spain - Author
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Abstract

Objective: To assess the current level of routine use of psychosocial-related patient-reported outcome measure-ments (PROMs) in physical therapy practice and which physical therapist-level factors are associated with the use of these measurement instruments. Methods: We conducted an online survey study among Spanish physical therapists involved in the treatment of LBP patients in Public Health Service, Mutual Insurance Companies, and private practice during 2020. Descriptive analyses were conducted for reporting the number and instruments utilized. Thus, sociodemographic and professional features differences between PTs using and not using PROM were analyzed.Results: From 485 physiotherapists completing the questionnaire nationwide, 484 were included. A minority of therapists routinely used psychosocial-related PROMs (13.8%) in LBP patients and only 6.8% did so through standardized measurements instruments. The Tampa Scale for Kinesiophobia (28.8%) and the Pain Cata-strophizing Scale (15.1%) were used most frequently. Physiotherapists working in Andalucia and Pais Vasco regions, in private practice environments, educated in psychosocial factors evaluation and management, considering psychosocial factors during the clinical practice and expecting patients' collaborative attitudes demonstrated significantly greater use of PROMS (p < 0.05).Conclusions: This study showed that the majority of physiotherapists in Spain do not use PROMs for evaluating LBP (86.2%). From those physiotherapists using PROMs, approximately the half use validated instruments such as the Tampa Scale for Kinesiophobia or the Pain Catastrophizing Scale while the other half limit their evaluation to anamnesis and non-validated questionnaires. Therefore, developing effective strategies to implement and facilitate the use of psychosocial-related PROMs would enhance the evaluation during the clinical practice.

Keywords

AdultArticleCatastrophizationCatastrophizingClinical practiceClinical-prediction rulesControlled studyDescriptive researchFear-avoidance beliefsFemaleHumanHumansImplementation strategyLow back painLow-back-painMaleManagementOrebro musculoskeletal painPain catastrophizing scalePatient -reported outcome measurementPatient attitudePatient reported outcome measuresPatient-reported outcomePatient-reported outcome measurementPhysical therapistsPhysical therapy educationPhysical therapy modalitiesPhysiotherapistPhysiotherapistsPhysiotherapyPhysiotherapy practicePrivate practicePsychologyQuestionnaireSocial psychologySociodemographicsSpainSpaniardStart backTampa scale for kinesiophobiaUnited statesValidation

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Musculoskeletal Science And Practice due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2023, it was in position 29/170, thus managing to position itself as a Q1 (Primer Cuartil), in the category Rehabilitation.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 4.48, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Aug 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-08-04, the following number of citations:

  • WoS: 2
  • Scopus: 3
  • Europe PMC: 2

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-08-04:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 41.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 48 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 3.35.
  • The number of mentions on the social network X (formerly Twitter): 5 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.

Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author () and Last Author (Ortega Santiago, Ricardo).