Direct Access Physiotherapy in the Pediatric Emergency Department

Not Applicable

Completed

• Conditions: Musculoskeletal Pain; Musculoskeletal Diseases or Conditions
• Interventions: Other: Interdisciplinary management; Other: usual care

• Registration Number: NCT06069011
• Lead Sponsor: McGill University Health Centre/Research Institute of the McGill University Health Centre

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2023-09-11
• Study Start: 2023-09-18
• Study First Submitted QC: 2023-10-03
• Study First Posted: 2023-10-05
• Primary Completion: 2023-12-31
• Study Completion: 2023-12-31
• Status Verified: 2024-04
• Last Update Submitted: 2024-04-01
• Last Update Posted: 2024-04-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 66

Inclusion Criteria

• 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

Exclusion Criteria

• 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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Interdisciplinary	Interdisciplinary management	Interdisciplinary model for management of low acuity msk complaint
Usual care	usual care	usual care

Primary Outcome Measures

Name	Time	Method
Rate of consent	through study completion an average of 4 weeks post-enrolment	rate of consented patients related to patients approached rate of randomization, feasibility of administration of outcomes
Completed outcome measures	through study completion an average of 4 weeks post-enrolment	proportion of participants who complete all outcome measures

Secondary Outcome Measures

Name	Time	Method
Pain intensity on faces rating scale	through study completion an average of 4 weeks post-enrolment	Pain intensity on faces rating scale, scale from 0 to 10, with 10 being a worse score
Pain interference with function PROMIS scale	through study completion an average of 4 weeks post-enrolment	PROMIS Pediatric Pain Interference - Short Form 8a, 8 items scores from 1-5 with 5 being a worse outcome

Trial Locations

Locations (1)

McGill University Health Center; 🇨🇦 Montréal, Quebec, Canada