{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T14:55:58Z","timestamp":1777647358048,"version":"3.51.4"},"reference-count":43,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,10,6]],"date-time":"2024-10-06T00:00:00Z","timestamp":1728172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Magnetic Resonance Imaging (MRI) is increasingly used by Advanced Practice Physiotherapists (APPs) to confirm the diagnosis of lumbosacral radiculopathy (LSR) and to exclude other spinal pathologies. There is evidence of correlation between Advanced Practice Physiotherapists' diagnosis of lumbosacral radiculopathy and positive MRI findings, but there is limited evidence regarding the correlation between the full physiotherapy assessment and MRI findings. There are also conflicting evidence regarding the effect of MRI findings on treatment planning post\u2010imaging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study aims to examine the extent to which Advanced Practice Physiotherapists' diagnoses of lumbosacral radiculopathy correlate with those made after MRI, and to examine Advanced Practice Physiotherapists use of the local MRI referral pathway with respect to treatment plans, including testing correlation between pre\u2010and post\u2010MRI treatment plans.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional, multi\u2010centre, retrospective audit was conducted on 482 patients (276 female, 206 male) referred for lumbosacral MRI between January 2018 and December 2019. Non\u2010linear regression analysis was performed to examine the relationships between diagnosis and treatment plans in LSR before and after MRI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The results show a significant positive correlation (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001; <jats:italic>R<\/jats:italic>\u00a0=\u00a00.196) between pre\u2010 and post\u2010MRI diagnoses of lumbosacral radiculopathy. There was a significant positive correlation between pre\u2010 and post\u2010MRI treatment plans for LSR (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.001; <jats:italic>R<\/jats:italic>\u00a0=\u00a00.159). On comparison of pre\u2010 and post\u2010MRI diagnoses of LSR, there is a weak positive correlation with high statistical significance (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001; <jats:italic>R<\/jats:italic>\u00a0=\u00a00.196). Reliability, tested using the intraclass correlation coefficient (ICC) across the four categories, was (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.041; <jats:italic>R<\/jats:italic>\u00a0=\u00a00.033). This shows a weak positive correlation with statistical significance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Advanced Practice Physiotherapists can confidently diagnose and treat lumbosacral radiculopathy following initial assessment, although a minority of referrals lack a clear or appropriate treatment plan.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.1944","type":"journal-article","created":{"date-parts":[[2024,10,7]],"date-time":"2024-10-07T03:33:55Z","timestamp":1728272035000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Correlation Between Magnetic Resonance Imaging Findings and Advanced Practice Physiotherapists' Assessment Findings in Diagnosing Lumbosacral Radiculopathy, and the Impact of Imaging Findings on Treatment Plans: A Retrospective Clinical Audit"],"prefix":"10.1002","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4532-4102","authenticated-orcid":false,"given":"\u00c1ine","family":"Tunney","sequence":"first","affiliation":[{"name":"Connect Health Ltd.  Newcastle\u2010Upon\u2010Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prasad","family":"Chakradeo","sequence":"additional","affiliation":[{"name":"Connect Health Ltd.  Newcastle\u2010Upon\u2010Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matt","family":"Jones","sequence":"additional","affiliation":[{"name":"Connect Health Ltd.  Newcastle\u2010Upon\u2010Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"Krouwel","sequence":"additional","affiliation":[{"name":"Connect Health Ltd.  Newcastle\u2010Upon\u2010Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matt","family":"Zasada","sequence":"additional","affiliation":[{"name":"Faculty of Health, Social Care and Education St. George's University of London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Cuff","sequence":"additional","affiliation":[{"name":"Connect Health Ltd.  Newcastle\u2010Upon\u2010Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,6]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/14739879.2014.11494274"},{"key":"e_1_2_12_3_1","unstructured":"Alexander C. andM.Varacallo.2020.Lumbosacral Radiculopathy.https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK430837\/."},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2013.02.007"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.4085\/1062\u20106050\u201046.1.99"},{"key":"e_1_2_12_6_1","volume-title":"The Practice of Social Research","author":"Babbie E.","year":"2010"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974\u20108237.121619"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.5934"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A4173"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(09)60172\u20100"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003\u20104819\u2010154\u20103\u2010201102010\u201000008"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2011.593"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1179\/2042618611Y.0000000009"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2020.9971"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1460458205055684"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/2Fs12891\u2010017\u20101513\u20105"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2014.06.007"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/brs.0b013e31823a03cc"},{"key":"e_1_2_12_19_1","volume-title":"National Low Back and Radicular Pain Pathway","author":"Greenough C.","year":"2017"},{"key":"e_1_2_12_20_1","unstructured":"Health Education England (HEE).2021.What Is Advanced Clinical Practice?https:\/\/www.hee.nhs.uk\/our\u2010work\/advanced\u2010clinical\u2010practice\/what\u2010advanced\u2010clinical\u2010practice."},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/brs.0b013e318276450f"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.1871"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/ajp.0b013e31826f9a52"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2015.01.005"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.2340\/16501977\u20101034"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.5313\/wja.v7.i3.20"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h6234"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.7326\/l15\u20100566"},{"key":"e_1_2_12_29_1","unstructured":"National Institute for Health and Care Excellence (NICE).2020.Low Back Pain and Sciatica in over 16s: Assessment and Management (NICE Guideline 59).https:\/\/www.nice.org.uk\/guidance\/NG59."},{"key":"e_1_2_12_30_1","unstructured":"NHS England (NHSE).2019.Diagnostic Imaging Dataset Statistical Release.https:\/\/www.england.nhs.uk\/statistics\/wp\u2010content\/uploads\/sites\/2\/2019\/07\/Provisional\u2010Monthly\u2010Diagnostic\u2010Imaging\u2010Dataset\u2010Statistics\u20102019\u201007\u201018.pdf."},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-098194"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2014.04.006"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2020.06.176"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.7326\/m16\u20102367"},{"key":"e_1_2_12_35_1","unstructured":"Royal College of Radiologists.2017.iRefer. Making the Best Use of Clinical Radiology.8th ed.https:\/\/www.rcr.ac.uk\/system\/files\/publication\/field_publication_files\/irefer_cover.pdf."},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2017.11.005"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999\u2010014\u20103505\u20101"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475\u20106773.2011.01265.x"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12883\u2010019\u20101333\u20103"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010016\u20101383\u20102"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007431.pub2"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2014.06.005"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hkpj.2016.12.002"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744806918768972"}],"container-title":["Musculoskeletal Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/msc.1944","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T02:23:09Z","timestamp":1735266189000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/msc.1944"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,6]]},"references-count":43,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1002\/msc.1944"],"URL":"https:\/\/doi.org\/10.1002\/msc.1944","archive":["Portico"],"relation":{},"ISSN":["1478-2189","1557-0681"],"issn-type":[{"value":"1478-2189","type":"print"},{"value":"1557-0681","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,6]]},"assertion":[{"value":"2024-08-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e1944"}}