Musculoskeletal Pain
Conditions
Keywords
Physiotherapy, Orthopaedic, Primary care
Brief summary
Many patients with musculoskeletal pain in primary healthcare are referred to orthopaedic surgeon, however, a relatively low percentage of these patients are considered suitable for orthopaedic intervention. Physiotherapists are suitable for musculoskeletal assessments and are used as such in many countries i.e. Advanced Practice Physiotherapists or Extended Scope Physiotherapists, however, this is not an existing model of care in Sweden. To be able to consider this model for implementation in Sweden it is necessary to evaluate it from a healthcare as well as from a patient perspective. The study is a randomised controlled trial. Overall aim is to evaluate if a orthopaedic manual therapy assessment (physiotherapy) assessment of patients referred to orthopaedic surgeon bring any changes to referral routines, patient satisfaction and health-related variables when compared to standard practice.
Detailed description
The study is a randomised controlled trial. Overall aim is to evaluate if a orthopaedic manual therapy assessment (physiotherapy) assessment of patients referred to orthopaedic surgeon bring any changes to referral routines, patient satisfaction and health-related variables when compared to standard practice. Patients were randomised to either physiotherapy assessment or standard practice (orthopaedic surgeon assessment).
Interventions
PROCEDUREPhysiotherapy screening
Physiotherapy screening.
PROCEDUREStandard practice
Orthopaedic surgeon assessment
Sponsors
Vastra Gotaland Region
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 67 Years
Healthy volunteers
No
Inclusion criteria
* patients referred for orthopaedic surgeon with sub acute (four weeks to three months) or chronic (\>three months) musculoskeletal pain who had the ability to understand written and spoken Swedish.
Exclusion criteria
* diagnosed hallux valgus, ganglion or trigger finger.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of referrals after consultation as a measure of Management outcome | 12 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Scores on the Pain Belief Screening Instrument as a measure of risk for long-term disability | 12 months | — |
| Scores on the questionnaire Quality from the Patient Perspective as a measure of Patient satisfaction | 30 days | — |
| Cost per quality adjusted life year (QUALY) gained as a measure of cost-utitily | 12 months | QUALYs are calculated from the EuroQol-5D |
| Scores on the Pain Disability Index as a measure of Pain-related disability | 12 months | — |
| Number of sick-leave days | 12 months | — |
| Scores on the EuroQol-5D as a measure of Health-related quality of life | 12 months | — |
Outcome results
None listed