Physiotherapy Assessment of Patients Referred to Orthopaedic Surgeon

Musculoskeletal Pain Clinical Trial

Official title:

Does Orthopaedic Manual Therapy Assessment of Patients Referred to Orthopaedic Surgeon Bring Any Changes to Referral Routines, Patient Satisfaction and Health-related Variables?

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02265172
• Other study ID #: EPN GBG 328-09
• Status: Completed
• Phase: N/A
• First received: October 6, 2014
• Last updated: October 24, 2014
• Start date: August 2009
• Est. completion date: January 2012

Study information

• Verified date: September 2014
• Source: Vastra Gotaland Region
• Contact: n/a
• Is FDA regulated: No
• Health authority: Sweden: Swedish Research Council
• Study type: Interventional

Clinical Trial Summary

Many patients with musculoskeletal pain in primary healthcare are referred to orthopaedic surgeon, however, a relatively low percentage of these patients are considered suitable for orthopaedic intervention.

Physiotherapists are suitable for musculoskeletal assessments and are used as such in many countries i.e. Advanced Practice Physiotherapists or Extended Scope Physiotherapists, however, this is not an existing model of care in Sweden. To be able to consider this model for implementation in Sweden it is necessary to evaluate it from a healthcare as well as from a patient perspective.

The study is a randomised controlled trial. Overall aim is to evaluate if a orthopaedic manual therapy assessment (physiotherapy) assessment of patients referred to orthopaedic surgeon bring any changes to referral routines, patient satisfaction and health-related variables when compared to standard practice.

Description:

The study is a randomised controlled trial. Overall aim is to evaluate if a orthopaedic manual therapy assessment (physiotherapy) assessment of patients referred to orthopaedic surgeon bring any changes to referral routines, patient satisfaction and health-related variables when compared to standard practice. Patients were randomised to either physiotherapy assessment or standard practice (orthopaedic surgeon assessment).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 208
• Est. completion date: January 2012
• Est. primary completion date: January 2011
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 67 Years

Eligibility

Inclusion Criteria:

• patients referred for orthopaedic surgeon with sub acute (four weeks to three months) or chronic (>three months) musculoskeletal pain who had the ability to understand written and spoken Swedish.

Exclusion Criteria:

• diagnosed hallux valgus, ganglion or trigger finger.

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Diagnostic

Related Conditions & MeSH terms

• Musculoskeletal Pain

Intervention

Procedure:
• Physiotherapy screening
Physiotherapy screening.
• Standard practice
Orthopaedic surgeon assessment

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Vastra Gotaland Region

References & Publications (2)

Samsson K, Larsson ME. Physiotherapy screening of patients referred for orthopaedic consultation in primary healthcare - a randomised controlled trial. Man Ther. 2014 Oct;19(5):386-91. doi: 10.1016/j.math.2013.10.004. Epub 2013 Oct 29. — View Citation

Samsson KS, Larsson ME. Physiotherapy triage assessment of patients referred for orthopaedic consultation - Long-term follow-up of health-related quality of life, pain-related disability and sick leave. Man Ther. 2015 Feb;20(1):38-45. doi: 10.1016/j.math. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of referrals after consultation as a measure of Management outcome		12 months	No
Secondary	Scores on the questionnaire Quality from the Patient Perspective as a measure of Patient satisfaction		30 days	No
Secondary	Scores on the EuroQol-5D as a measure of Health-related quality of life		12 months	No
Secondary	Scores on the Pain Disability Index as a measure of Pain-related disability		12 months	No
Secondary	Number of sick-leave days		12 months	No
Secondary	Cost per quality adjusted life year (QUALY) gained as a measure of cost-utitily	QUALYs are calculated from the EuroQol-5D	12 months	No
Secondary	Scores on the Pain Belief Screening Instrument as a measure of risk for long-term disability		12 months	No