Pattern of physical examination of GP(-residents) facing a patient with peripheral SpA in round 1 and 2
| Item checked by GP or GP-resident | Educational group (n = 19) | Control group (n = 40) | ||||
|---|---|---|---|---|---|---|
| Round 1 | Round 2 | Change score | Round 1 | Round 2 | Change score | |
| Range of motion affected finger or toe | 12 (63) | 10 (53) | –2 (–11) | 22 (55) | 14 (35) | –8 (–20) |
| Range of motion wrist or ankle of affected limb | 1 (5) | 3 (16) | 2 (11) | 2 (5) | 1 (3) | –1 (–2) |
| Physical examination on both hands or feet | 6 (32) | 6 (32) | 0 (0) | 12 (30) | 6 (15) | –6 (–15) |
| Palpation joints hands or feet | 16 (84) | 11 (58) | –5 (–26) | 23 (58) | 26 (65) | 3 (8) |
| Palpation MCP or MTP joint affected finger or toe | 14 (74) | 11 (58) | –3 (–16) | 16 (40) | 22 (55) | 6 (15) |
| Palpation other MCP or MTP joints | 5 (26) | 6 (32) | 1 (5) | 9 (23) | 10 (25) | 1 (2) |
| Palpation PIP joint affected finger or toe | 13 (68) | 11 (58) | –2 (–10) | 22 (55) | 24 (60) | 2 (5) |
| Palpation other PIP joints | 4 (21) | 3 (16) | –1 (–5) | 8 (20) | 9 (23) | 1 (2) |
| Palpation DIP joint affected finger or toe | 14 (74) | 11 (58) | –3 (–16) | 21 (53) | 22 (55) | 1 (2) |
| Palpation other DIP joints | 5 (26) | 3 (16) | –2 (–10) | 6 (15) | 7 (17) | 1 (2) |
| Physical examination hands (in case of dactylitis foot) and vice versa | 0 (0) | 4 (21) | 4 (21) | 1 (3) | 3 (8) | 2 (5) |
| Physical examination Achilles tendons | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 3 (8) | 3 (8) |
| Physical examination other joints | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 2 (5) | 2 (5) |
The values are expressed as number (percentage) of GP(-residents). Numbers may not add up due to rounding. MCP = metacarpophalangeal. MTP = metatarsophalangeal. PIP = proximal interphalangeal.