Direct Access Physiotherapy in the Pediatric Emergency Department

NCT06069011 | Completed

• 1 other identifier: 2024-9673
• Study Type: interventional
• Target: 66
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to compare two methods of managing low acuity musculoskeletal complaints in children and adolescents ages 6 to 17.99 years in the pediatric emergency department. The main question it aims to answer is whether delivering care in two methods is feasible. Participants will receive care while in the emergency department and will be followed for a period of 1-month post-presentation.

Conditions

Musculoskeletal Pain; Musculoskeletal Diseases or Conditions

Outcome Measures

Primary Outcomes (2)

• Rate of consent

  rate of consented patients related to patients approached rate of randomization, feasibility of administration of outcomes

  through study completion an average of 4 weeks post-enrolment

• Completed outcome measures

  proportion of participants who complete all outcome measures

  through study completion an average of 4 weeks post-enrolment

Secondary Outcomes (2)

• Pain intensity on faces rating scale

  through study completion an average of 4 weeks post-enrolment

• Pain interference with function PROMIS scale

  through study completion an average of 4 weeks post-enrolment

Study Arms (2)

Interdisciplinary

EXPERIMENTAL

Interdisciplinary model for management of low acuity msk complaint

Other: Interdisciplinary management

Usual care

ACTIVE COMPARATOR

usual care

Other: usual care

Interventions

Interdisciplinary management OTHER

assessment and treatment in an interdisciplinary model

Interdisciplinary

usual care OTHER

assessment and treatment in usual care model

Usual care

Eligibility Criteria

• Age: 6 Years - 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• aged 6.00-17.99 years of age
• present to the Montreal Children's Hospital Emergency Department with a suspected MSK complaint, traumatic or not
• are given a triage score of 3 (urgent), 4 (less urgent), or 5 (nonurgent) according to the Canadian Triage and Acuity Scale (CTAS)
• are able to communicate in French or English

You may not qualify if:

• present with a major MSK condition requiring urgent care (e.g., open fracture, open wound)
• a red flag (e.g. progressive neurological disorder, infectious symptoms)
• a co-morbid unstable condition.

Sponsors & Collaborators

• McGill University Health Centre/Research Institute of the McGill University Health Centre: lead

Study Sites (1)

McGill University Health Center

Montreal, Quebec, H4A 3S5, Canada

Location

MeSH Terms

Conditions

Musculoskeletal Pain; Musculoskeletal Diseases

Condition Hierarchy (Ancestors)

Muscular Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior Investigator

Study Record Dates

• First Submitted: September 11, 2023
• First Posted: October 5, 2023
• Study Start: September 18, 2023
• Primary Completion: December 31, 2023
• Study Completion: December 31, 2023
• Last Updated: April 2, 2024

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)