Musculoskeletal Disorders
Conditions
Keywords
Advanced practice, Physiotherapy, Musculoskeletal disorders, Orthopedic, Observation
Brief summary
The goal of this prospective observational study is to evaluate advanced practice physiotherapy and orthopedic surgeon care and clinical outcomes for new patients with a peripheral musculoskeletal disorders consulting at the orthopedic outpatient clinic of the Hôpital Jean-Talon. The main questions it aims to answer are: 1. To describe the models of care at the Hôpital Jean-Talon orthopedic outpatient clinic; 2. To assess change in pain, disability, quality of life and pain catastrophizing at 6, 12 and 26 weeks after the initial evaluation; 3. To assess interprofessional collaboration between the advanced practice physiotherapists and orthopedic surgeons; 4. To assess patient satisfaction with care; 5. To assess waiting time before an initial consultation. Researchers will compare patients cared in the advanced practice physiotherapy and orthopedic surgeon group and the orthopedic surgeon only group.
Interventions
OTHERAdvanced practice physiotherapy and orthopedic surgeon management
Management of their musculoskeletal condition by an advanced practice physiotherapist and an orthopedic surgeon.
OTHEROrthopedic surgeon management
Management of their musculoskeletal condition by an orthopedic surgeon.
Sponsors
Ciusss de L'Est de l'Île de Montréal
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Inclusion criteria
* Adults with peripheral musculoskeletal disorders * New consultation at the Hôpital Jean-Talon orthopedic outpatient clinic * Legally able to consent * Understand and speak French or English * Beneficiaries of the provincial universal health insurance coverage (RAMQ)
Exclusion criteria
* Patients directly referred from the emergency department (not considered as patients referred to the outpatient clinic).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Brief pain inventory severity | 6 weeks (change from baseline) | Pain questionnaire (0-10; higher score=worse) |
| Brief pain inventory inventory | 6 weeks (change from baseline) | Pain interference (disability) questionnaire (0-10; higher score=worse) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Knee injury and Osteoarthritis Outcomes Score (KOOS) | 6 weeks (change from baseline) | Disability questionnaire for knee disorders (0-100; higher=better) |
| Foot and Ankle Ability Measure (FAAM) | 6 weeks (change from baseline) | Disability questionnaire for ankle/foot disorders (0-100; higher=better) |
| EQ-5D-5L | 6 weeks (change from baseline) | Health-related quality of life questionnaire (to be converted in QALYs 0-1; higher=better) |
| EQ-5D-VAS | 6 weeks (change from baseline) | Health-related quality of life questionnaire (0-100; higher=better) |
| Pain Catastrophizing Scale (PCS) | 6 weeks (change from baseline) | Health-related quality of life questionnaire (0-50; higher=worse) |
| Patient perceptions of team effectiveness (Patient-PTE) | 0 week (post initial consultation) | Perceptions of team effectiveness questionnaire (24-144; higher=better) |
| Shortened Disability of the Arm, Shoulder and Hand (QuickDASH) | 6 weeks (change from baseline) | Disability questionnaire for upper extremity disorders (0-100; higher=worse) |
| Modified MedRisk | 12 weeks | Patient satisfaction questionnaire (0-100; higher=better) |
| Provider perceptions of team effectiveness (Prodiver-PTE) | Through study completion (once) | Perceptions of team effectiveness questionnaire (26-156; higher=better) |
| Waiting time | Pre-intervention | Waiting time (time in days and minutes) |
| Adverse events | 12 weeks | Rate of adverse events |
| Treatment and compliance | 6 weeks | Treatment received and % of treatment compliance |
| modified validated version of the 9-item visit-specific satisfaction questionnaire (VSQ-9) | 0 week (post initial consultation) | Patient satisfaction questionnaire (0-100; higher=better) |
| Hip disability and Osteoarthritis Outcomes Score (HOOS) | 6 weeks (change from baseline) | Disability questionnaire for hip disorders (0-100; higher=better) |
Countries
Canada
Outcome results
None listed