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

NCT05714332 | Completed

• 1 other identifier: v3
• Study Type: observational
• Target: 104
• Locations: 1 country
• Sites: 1

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.

Conditions

Musculoskeletal Disorders

Keywords

Advanced practice; Physiotherapy; Musculoskeletal disorders; Orthopedic; Observation

Outcome Measures

Primary Outcomes (6)

• Brief pain inventory severity

  Pain questionnaire (0-10; higher score=worse)

  6 weeks (change from baseline)

• Brief pain inventory severity

  Pain questionnaire (0-10; higher score=worse)

  12 weeks (change from baseline)

• Brief pain inventory severity

  Pain questionnaire (0-10; higher score=worse)

  26 weeks (change from baseline)

• Brief pain inventory inventory

  Pain interference (disability) questionnaire (0-10; higher score=worse)

  6 weeks (change from baseline)

• Brief pain inventory inventory

  Pain interference (disability) questionnaire (0-10; higher score=worse)

  12 weeks (change from baseline)

• Brief pain inventory inventory

  Pain interference (disability) questionnaire (0-10; higher score=worse)

  26 weeks (change from baseline)

Secondary Outcomes (32)

• Shortened Disability of the Arm, Shoulder and Hand (QuickDASH)

  6 weeks (change from baseline)

• Shortened Disability of the Arm, Shoulder and Hand (QuickDASH)

  12 weeks (change from baseline)

• Shortened Disability of the Arm, Shoulder and Hand (QuickDASH)

  26 weeks (change from baseline)

• Hip disability and Osteoarthritis Outcomes Score (HOOS)

  6 weeks (change from baseline)

• Hip disability and Osteoarthritis Outcomes Score (HOOS)

  12 weeks (change from baseline)

Study Arms (2)

Advanced practice physiotherapy and orthopedic surgeon group

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

Other: Advanced practice physiotherapy and orthopedic surgeon management

Orthopedic surgeon only group

Patients cared only by an orthopedic surgeon.

Other: Orthopedic surgeon management

Interventions

Advanced practice physiotherapy and orthopedic surgeon management OTHER

Management of their musculoskeletal condition by an advanced practice physiotherapist and an orthopedic surgeon.

Advanced practice physiotherapy and orthopedic surgeon group

Orthopedic surgeon management OTHER

Management of their musculoskeletal condition by an orthopedic surgeon.

Orthopedic surgeon only group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Adults with a peripheral musculoskeletal disorders

You may qualify if:

• 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)

You may not qualify if:

• Patients directly referred from the emergency department (not considered as patients referred to the outpatient clinic).

Sponsors & Collaborators

• Ciusss de L'Est de l'Île de Montréal: lead

Study Sites (1)

Centre de recherche de l'Hôpital Maisonneuve-Rosemont

Montreal, Quebec, H1T 2M4, Canada

Location

MeSH Terms

Conditions

Musculoskeletal Diseases

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 7, 2022
• First Posted: February 6, 2023
• Study Start: November 15, 2022
• Primary Completion: January 2, 2024
• Study Completion: January 2, 2024
• Last Updated: July 11, 2025

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)