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OpenTrials
Completed

NCT Number: NCT06069011

Direct Access Physiotherapy in the Pediatric Emergency Department

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.

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Key information

Conditions

Musculoskeletal Pain Muscular Diseases Musculoskeletal Diseases Musculoskeletal Diseases or Conditions Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

6 year–17 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

McGill University Health Center

Montreal, Quebec, H4A 3S5, Canada

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

Interdisciplinary management

Other

assessment and treatment in an interdisciplinary model

Usual Care

Other

assessment and treatment in usual care model

Primary outcomes

  1. Rate of consent

    Time frame: 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

  2. Completed outcome measures

    Time frame: through study completion an average of 4 weeks post-enrolment

    proportion of participants who complete all outcome measures

Secondary outcomes

  1. Pain intensity on faces rating scale

    Time frame: 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

  2. Pain interference with function PROMIS scale

    Time frame: 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

Sponsors and collaborators

Lead sponsor

McGill University Health Centre/Research Institute of the McGill University Health Centre

Other

Registry information

Official study title

Improving Access to Quality Care for Children and Adolescents Presenting to the Pediatric Emergency Department With Musculoskeletal Problems: a Pilot Randomized Control Trial

Acronym: PedEDmsk

Important dates

Study start
2023
Primary completion
2023
Study completion
2023
First posted
Oct 5, 2023
Registry last updated
Apr 2, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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