Impacts of an Advanced Practice Physiotherapy Model of Care for Adults With a Peripheral Musculoskeletal Disorders Referred to an Orthropaedic Outpatient Clinic

Ciusss de L'Est de l'Île de Montréal

Status: Completed

Conditions: Musculoskeletal Disorders

Treatments: Other: Orthopedic surgeon management; Other: Advanced practice physiotherapy and orthopedic surgeon management

Study type: Observational

Funder types: Other

Identifiers

NCT05714332

v3

Details and patient eligibility

About

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.

Enrollment: 104 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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).

Trial design

104 participants in 2 patient groups

Advanced practice physiotherapy and orthopedic surgeon group

Description:

Patients cared by both an advanced practice physiotherapist and an orthopedic surgeon.

Treatment:

Other: Advanced practice physiotherapy and orthopedic surgeon management

Orthopedic surgeon only group

Description:

Patients cared only by an orthopedic surgeon.

Treatment:

Other: Orthopedic surgeon management