Cited by 94Musculoskeletal pain and rehabilitationMedical Practices and RehabilitationHealthcare Policy and Management

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Use of Outpatient Physical Therapy Services by People With Musculoskeletal Conditions

Carter, Stephanie K, Rizzo, John A·2007·Physical Therapy

DOI 10.2522/ptj.20050218

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Abstract

Background and Purpose: Because musculoskeletal conditions contribute to functional decline and activity limitation, physical therapy intervention may be an appropriate health care resource. The purpose of this research was to identify determinants of outpatient physical therapy use by people with musculoskeletal conditions. Subjects: The subjects were adult noninstitutionalized civilians who participated in the Medical Expenditure Panel Survey from 1996 to 2000 and who had at least one musculoskeletal condition (N=18,546). Methods: Logistic regression was used to identify predisposing, need, and enabling variables associated with receiving outpatient physical therapy services. Results: Factors that were positively associated with receiving physical therapy services were having more than one musculoskeletal condition, having some limitation in function, having 7 or more ICD-9 (International Classification of Diseases, 9th Revision) codes, having a college or advanced degree, and residing in an urban area. Factors that were negatively associated with receiving physical therapy services were being older than 65 years of age, having no high school degree, Hispanic ethnicity, African-American race, having public insurance or no insurance, and living in any US census region besides the Northeast. Discussion and Conclusion: The results of this study indicate that health- and non–health-related factors influence outpatient physical therapy use.

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Authors: Carter, S. K., & Rizzo, J. A.
Affiliations: University of Toledo (US)
Stony Brook University (US)
Corresponding author: Carter, Stephanie K
ORCID: Rizzo, John A
Venue: Physical Therapy
Publisher: Oxford University Press (OUP)
Published: 2007-05-01
Volume: 87
Issue: 5
Pages: 497-512
ISSN: 0031-9023 (ISSN-L)
1538-6724
DOI: 10.2522/ptj.20050218
OpenAlex: W2166967571
Cited by: 94
References: 53
Citations by year: 2026: 7 · 2025: 10 · 2024: 6 · 2023: 6 · 2022: 10 · 2021: 7 · 2020: 7 · 2019: 2 · 2018: 6 · 2017: 5 · 2016: 1 · 2015: 5 · 2014: 1 · 2013: 1 · 2012: 3
FWCI: 2.45
Type: journal article
Language: en
Open access: closed
Locations: Physical Therapy (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
Keywords: outpatient physical therapy, musculoskeletal disorders, health care utilization, determinants of service use, functional limitations, health insurance status, racial and ethnic disparities, educational attainment, urban-rural differences, older adults, Medical Expenditure Panel Survey
MeSH terms: Adolescent, Adult, Age Factors, Aged, Ambulatory Care, Educational Status, Female, Humans, Insurance, Health, Male, Middle Aged, Musculoskeletal Diseases, Residence Characteristics, United States, Urban Population, Logistic Models, Medically Uninsured, Health Care Surveys, Physical Therapy Modalities, International Classification of Diseases, Racial Groups, Mobility Limitation

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