Personalised physiotherapy treatment for young people experiencing pai

Not Applicable

• Conditions: Musculoskeletal pain; Musculoskeletal Diseases

• Registration Number: ISRCTN18918987
• Lead Sponsor: niversity of Southampton

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2024-07-04
• Last Update Posted: 15 July 2024
• Study Completion: 2025-09-30

Recruitment & Eligibility

• Status: Ongoing
• Sex: All
• Target Recruitment: 45

Inclusion Criteria

1. Young people aged between 14 and 18 years old who have received physiotherapy within National Health Service (NHS) outpatient services for treatment of musculoskeletal pain (pain over muscles, ligaments, bones and joints) prior to discharge from hospital services (no medical management required). This would include those who have completed medical management post injury (ligament sprains, broken bones, dislocation) or those who have pain despite no underlying disease or injury (anterior knee pain, non-specific lower back pain) or those with pain due to growth related changes (Osgood-Schlatter disease).
2. Parents or guardians of young people who fulfil the above criteria.
3. Physiotherapists who treat children and adolescents in NHS outpatient services for musculoskeletal pain prior to discharge from hospital (no medical management required)

Exclusion Criteria

1. Young people who are under the age of 14, 19-years-old, or older. Young people who experience musculoskeletal pain that still require medical management and discharge from hospital services is not an expectation. This would include musculoskeletal pain that is secondary to: a disease process e.g., Juvenile Idiopathic arthritis; a pre-existing long-term condition e.g., cerebral palsy; or an ongoing injury waiting medical management e.g. torn anterior cruciate ligament.
2. Parents of young people who fulfil these criteria.
3. Physiotherapists who treat adults with musculoskeletal pain and/or treat children and adolescents within the private sector.
Those who do not provide informed consent and those unable to communicate in English without assistance and/or express their views either verbally or in a written format due to significant learning difficulties, the use of alcohol or illegal substances or acute mental or physical ill health.
Lastly, in the unlikely event a child or family member had previously received physiotherapy treatment from the lead researcher they will be excluded.

Study & Design

• Study Type: Other
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The primary data being collected is qualitative data that will include workshop and interview transcripts, drawings, written word and typed text. Qualitative data is being collected at three time points with different participants: 1) young people at baseline; 2) young people and parents at 4-7 months and; 3) physiotherapists at 10-12 months. Reflexive thematic analysis (Braun and Clarke, 2016) will be used to establish themes from the qualitative workshop and interviews.

Secondary Outcome Measures

Name	Time	Method
To identify, from the viewpoint of young people, parents and physiotherapists (Stage 2 and 3), which outcomes (changes due to treatment) would best capture the success of the intervention. This will inform the choice of primary and secondary outcome measures for a future pragmatic trial comparing physiotherapy with and without the training.