Physiotherapy Assessment of Patients Referred to Orthopaedic Surgeon

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

208 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-08-31

Study Completion Date

2012-01-31

Brief Summary

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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.

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Detailed Description

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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).

Conditions

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Musculoskeletal Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Physiotherapy screening

Screening consisted of a 60-min appointment including assessment, diagnosis and management. The patients received advice regarding ergonomics, exercises and/or treatment when needed. Management options were;

* Referral for orthopaedic surgeon consultation.
* Referral back to the patient's General Practitioner.
* Referral for further investigation.
* Referral to the physiotherapy or the occupational therapy clinic.

Group Type EXPERIMENTAL

Physiotherapy screening

Intervention Type PROCEDURE

Physiotherapy screening.

Standard practice (orthopaedic surgeon)

Appointment was 15 min, including assessment, diagnosis and management. The patients received advice, prescriptions or injections when needed. Management options were;

* Referral for orthopaedic intervention.
* Referral back to the patient's General Practitioner.
* Referral for further investigation.
* Referral to the physiotherapy or the occupational therapy clinic.

Group Type ACTIVE_COMPARATOR

Standard practice

Intervention Type PROCEDURE

Orthopaedic surgeon assessment

Interventions

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Physiotherapy screening

Physiotherapy screening.

Intervention Type PROCEDURE

Standard practice

Orthopaedic surgeon assessment

Intervention Type PROCEDURE

Eligibility Criteria

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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.