Sponsor study identifier
interventional
78
1 country
1
Study Start
September 10, 2018
Actual (reported)Primary Completion
June 27, 2019
Actual (reported)Study Completion
June 27, 2019
Actual (reported)Emergency departments (ED) in several countries integrated physiotherapists in order to reduce wait times for patients with musculoskeletal disorders (MSKD). These initiatives have indeed reduced wait times, length of stay, time waited before seeing a professional and the prescription of unnecessary consultations and diagnostic tests. In Canada, such initiatives are marginal and their effects have not been studied. The objectives of the project are to evaluate the effects of physiotherapy management of patients with MSKD in ED compared to usual practice on clinical course of patients, use of services and resources, and waiting time and length of stay in ED. The hypothesis is that patients presenting with a MSKD to the ED with direct access to a physiotherapist will have better clinical outcomes and that use of services, waiting time, and length of stay are going to be inferior to those of the EP group.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
June 27, 2019
Actual (reported)Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
September 10, 2018
Actual (reported)June 27, 2019
Actual (reported)June 27, 2019
Actual (reported)July 2, 2019
Actual (reported)July 5, 2019
Actual (reported)Level of Pain: Numeric Pain Rating Scale
Scale ranging from 0 to 10 where 0 means no pain at all and 10 means the worst pain ever.
Baseline, 1 and 3 months
Pain Interference on Function: Brief Pain Inventory
List of 10 items (work, sleep, general activity, etc.) represented on a scale ranging from 0 to 10 where 0 means "Does Not Interfere" and 10 means "Completely Interferes". Subscales are averaged and the resulting score is out of 10. A higher score means a higher interference of pain on function.
Baseline, 1 and 3 months
Pain Catastrophizing: Pain Catastrophizing Scale
Baseline
Interventions received by the participants : Standardized Form
Baseline, 1 and 3 months
Diagnostic Tests : Standardized Form
Baseline, 1 and 3 months
Consultations with Another Health Professional : Standardized Form
Baseline, 1 and 3 months
Satisfaction: Visit-Specific Satisfaction Instrument
Baseline
Usual care by the EP without the intervention of the ED PT.
Direct access to a PT in the ED immediately after triage and prior to physician assessment.
Direct access to a PT in the ED immediately after triage and prior to physician assessment.
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Centre Hospitalier de l'Université Laval (CHUL)
Québec, Quebec, G1V 4G2, Canada
Gagnon R, Guertin JR, Perreault K, LaRue S, Berthelot S, Gatovo KE, Lafrance S, Hebert LJ. Could Primary Contact Physical Therapy Improve Emergency Department Care While Being Efficient? A 3-Month Cost-Utility Analysis. J Orthop Sports Phys Ther. 2026 Feb;56(2):109-118. doi: 10.2519/jospt.2025.13429.
Gagnon R, Perreault K, Matifat E, Desmeules F, Berthelot S, Hebert LJ. Diagnostic Concordance Between Physiotherapist and Emergency Physicians for Patients With a Musculoskeletal Disorder in the Emergency Department. Musculoskeletal Care. 2024 Dec;22(4):e70014. doi: 10.1002/msc.70014.
Rose Gagnon, MPT, MSc(c)
Laval University
78 participants (actual enrollment reported by the registry).
First Submitted
July 2, 2019
First Posted
July 5, 2019
Study Start
September 10, 2018
Actual (reported)Contact the study team to confirm eligibility.
Gagnon R, Perreault K, Berthelot S, Matifat E, Desmeules F, Achou B, Laroche MC, Van Neste C, Tremblay S, Leblond J, Hebert LJ. Direct-access physiotherapy to help manage patients with musculoskeletal disorders in an emergency department: Results of a randomized controlled trial. Acad Emerg Med. 2021 Aug;28(8):848-858. doi: 10.1111/acem.14237. Epub 2021 Apr 16.
Primary Completion
June 27, 2019
Actual (reported)Study Completion
June 27, 2019
Actual (reported)Last Updated
October 28, 2020
Record last verified: 2020-10
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
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