Musculoskeletal Diseases
Conditions
Keywords
Minor Musculoskeletal Injuries, Emergency Department, Prediction outcome, Extended Scope Physiotherapists
Brief summary
This study describes the caseload treated by the extended scope physiotherapists(ESP) working in the emergency department at Slagelse Hospital. Patients treated by the ESP during a 3 month period will be included in this study. Furthermore we aim to assess if ESPs treating patients with minor musculoskeletal injuries in the ED can predict the short-term prognosis of recovery. The prediction is made at hospital discharge using a (-7/+7) numerical rating scale (-7=poor prognosis; 7=best prognosis).
Interventions
BEHAVIORALStandard care
Treatment by an extended scope physiotherapist following Standard Operating Procedures.
Sponsors
Bispebjerg Hospital
Slagelse Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* 1 Treated by an ESP for a minor musculoskeletal injury in the emergency room * 2 Has an email address * 3 Signed informed consent form
Exclusion criteria
* 1 A condition that, in the opinion of the investigator, would preclude participation in the study (e.g., not having access to the internet, cognitive impairments etc.) * 2 Under the influence of drugs or alcohol
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Transition ratings of global perceived effect | 1 month after discharge | Using a transition questionnaire (TRANS-Q) the perceived effect of treatment will be measured by participants answering if their current health status is unchanged, worse or better compared to their pre-injury status. unchanged equals a transition score of 0. If the participant answers worse, he/she is asked to rate the degree of worsening on a 7 point Likert scale, with corresponding scores ranging from -1 to -7. If the participant answers better, he/she is asked to rate the degree of improvement on a 7 point Likert scale, with corresponding scores ranging from 1 to 7. Thus the GPE score range from -7 (worsening) to 7 (improvement), with the mid-point - 0 - representing no change. |
Secondary
| Measure | Time frame |
|---|---|
| Patient Acceptable Symptom State | 1 month after discharge |
| EuroQoL questionnaire | 1 month after discharge |
Other
| Measure | Time frame | Description |
|---|---|---|
| VAS Pain | At baseline and 1 month after discharge | The VAS pain is a measure of pain intensity, which has been widely used in diverse adult populations. The scale is a unidimensional continuous scale comprised of a horizontal line, anchored by 2 verbal descriptors, one for each symptom extreme (0 no pain, 10 the worst imaginable pain). |
| Re-injury | 1 month after discharge | The participants self-reported reinjury rate during the 1-month follow-up period will be recorded. |
| Analgesic use | 1 month after discharge | The participants self-reported use of analgesics will be collected at the 1 month follow-up. Participants will be asked to note their use of analgesic drugs, within the week before the follow-up, only related to the treated injury in the emergency room. |
| Follow-up treatments | 1 month after discharge | The participants self-reported use of follow-up visits with other allied health professionals will be recorded. All visits related to the treated injury during the 1-month follow-up period should be noted. |
Countries
Denmark
Outcome results
None listed