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via outcome data taken over a two-year period. Methods: A six-week (once weekly) postural fitness group was run by our paediatric physiotherapy team. The group consisted of exercises based on the APPI pilates series and weekly education covering topics of stretching, seven key elements, back care and staying active. All patients referred to the postural fitness group for problems relating to poor postural awareness and/or trunk weakness, from January 2016 to December 2017 aged 11-16 years old with an identified weakness were included. Patients completed either two or three outcome measures the Measure Yourself Medical Outcome profile (MYMOP), Roland Morris Disability Questionnaire (RMDQ) and an end of group questionnaire. Results: 13 groups ran in 2016/2017 with 81 patients referred. 19 patients were not brought (WNB) to the group at all. Of the 62 that attended the groups, 77% (n1⁄4 48) completed the whole six-week course. MYMOP results comparison from pre-group to post group demonstrated improvements in all sections, with a 1-point average improvement in symptoms, and a 2-point average improvement in general wellbeing. In the RMDQ there was an average improvement of three points over the six weeks. The post group questionnaire showed that 96% found the group useful, very useful or invaluable. The questionnaire also showed an improvement in sporting activity those who felt they were able to participate in sport with minimal caution or participate fully increased from 27% pre-group to 69% after completion of the group. In addition, 100% of patients felt that they could use the exercises and advice independently if the problem re-occurred in the future. Conclusion: The results show excellent outcomes from the six-week postural fitness group, with improvements in all outcome measures used. The main limitation was the high rate of non-attendance. However, for those that did attend, most patients were then discharged from physiotherapy and felt empowered to manage their condition independently. Future work could compare the same outcomes for those unable to attend the group or who receive 1:1 treatment, and to look at ways of reducing WNB rates. Disclosure: L. Fox: None. K. Cooke: None. E. Bhullar: None.

rheumatology

P14 Does art therapy make a difference? A service review to establish the feasibility of research on the efficacy of art therapy intervention in paediatric rheumatology clinics