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OpenTrials
Completed

NCT Number: NCT05714332

Impacts of an Advanced Practice Physiotherapy Model of Care for Adults With a Peripheral Musculoskeletal Disorders Referred to an Orthropaedic Outpatient Clinic

The goal of this prospective observational study is to evaluate advanced practice physiotherapy and orthopedic surgeon care and clinical outcomes for new patients with a peripheral musculoskeletal disorders consulting at the orthopedic outpatient clinic of the Hôpital Jean-Talon.

The main questions it aims to answer are: 1. To describe the models of care at the Hôpital Jean-Talon orthopedic outpatient clinic; 2. To assess change in pain, disability, quality of life and pain catastrophizing at 6, 12 and 26 weeks after the initial evaluation; 3. To assess interprofessional collaboration between the advanced practice physiotherapists and orthopedic surgeons; 4. To assess patient satisfaction with care; 5. To assess waiting time before an initial consultation.

Researchers will compare patients cared in the advanced practice physiotherapy and orthopedic surgeon group and the orthopedic surgeon only group.

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Key information

Conditions

Musculoskeletal Disorders Musculoskeletal Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Centre de recherche de l'Hôpital Maisonneuve-Rosemont

Montreal, Quebec, H1T 2M4, Canada

Who can participate

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

Inclusion criteria

  • Adults with peripheral musculoskeletal disorders
  • New consultation at the Hôpital Jean-Talon orthopedic outpatient clinic
  • Legally able to consent
  • Understand and speak French or English
  • Beneficiaries of the provincial universal health insurance coverage (RAMQ)

Exclusion criteria

  • Patients directly referred from the emergency department (not considered as patients referred to the outpatient clinic).

Treatment and study plan

Advanced practice physiotherapy and orthopedic surgeon management

Other

Management of their musculoskeletal condition by an advanced practice physiotherapist and an orthopedic surgeon.

Orthopedic surgeon management

Other

Management of their musculoskeletal condition by an orthopedic surgeon.

Primary outcomes

  1. Brief pain inventory severity

    Time frame: 6 weeks (change from baseline)

    Pain questionnaire (0-10; higher score=worse)

  2. Brief pain inventory severity

    Time frame: 12 weeks (change from baseline)

    Pain questionnaire (0-10; higher score=worse)

  3. Brief pain inventory severity

    Time frame: 26 weeks (change from baseline)

    Pain questionnaire (0-10; higher score=worse)

  4. Brief pain inventory inventory

    Time frame: 6 weeks (change from baseline)

    Pain interference (disability) questionnaire (0-10; higher score=worse)

  5. Brief pain inventory inventory

    Time frame: 12 weeks (change from baseline)

    Pain interference (disability) questionnaire (0-10; higher score=worse)

  6. Brief pain inventory inventory

    Time frame: 26 weeks (change from baseline)

    Pain interference (disability) questionnaire (0-10; higher score=worse)

Secondary outcomes

  1. Shortened Disability of the Arm, Shoulder and Hand (QuickDASH)

    Time frame: 6 weeks (change from baseline)

    Disability questionnaire for upper extremity disorders (0-100; higher=worse)

  2. Shortened Disability of the Arm, Shoulder and Hand (QuickDASH)

    Time frame: 12 weeks (change from baseline)

    Disability questionnaire for upper extremity disorders (0-100; higher=worse)

  3. Shortened Disability of the Arm, Shoulder and Hand (QuickDASH)

    Time frame: 26 weeks (change from baseline)

    Disability questionnaire for upper extremity disorders (0-100; higher=worse)

  4. Hip disability and Osteoarthritis Outcomes Score (HOOS)

    Time frame: 6 weeks (change from baseline)

    Disability questionnaire for hip disorders (0-100; higher=better)

  5. Hip disability and Osteoarthritis Outcomes Score (HOOS)

    Time frame: 12 weeks (change from baseline)

    Disability questionnaire for hip disorders (0-100; higher=better)

  6. Hip disability and Osteoarthritis Outcomes Score (HOOS)

    Time frame: 26 weeks (change from baseline)

    Disability questionnaire for hip disorders (0-100; higher=better)

  7. Knee injury and Osteoarthritis Outcomes Score (KOOS)

    Time frame: 6 weeks (change from baseline)

    Disability questionnaire for knee disorders (0-100; higher=better)

  8. Knee injury and Osteoarthritis Outcomes Score (KOOS)

    Time frame: 12 weeks (change from baseline)

    Disability questionnaire for knee disorders (0-100; higher=better)

  9. Knee injury and Osteoarthritis Outcomes Score (KOOS)

    Time frame: 26 weeks (change from baseline)

    Disability questionnaire for knee disorders (0-100; higher=better)

  10. Foot and Ankle Ability Measure (FAAM)

    Time frame: 6 weeks (change from baseline)

    Disability questionnaire for ankle/foot disorders (0-100; higher=better)

  11. Foot and Ankle Ability Measure (FAAM)

    Time frame: 12 weeks (change from baseline)

    Disability questionnaire for ankle/foot disorders (0-100; higher=better)

  12. Foot and Ankle Ability Measure (FAAM)

    Time frame: 26 weeks (change from baseline)

    Disability questionnaire for ankle/foot disorders (0-100; higher=better)

  13. EQ-5D-5L

    Time frame: 6 weeks (change from baseline)

    Health-related quality of life questionnaire (to be converted in QALYs 0-1; higher=better)

  14. EQ-5D-5L

    Time frame: 12 weeks (change from baseline)

    Health-related quality of life questionnaire (to be converted in QALYs 0-1; higher=better)

  15. EQ-5D-5L

    Time frame: 26 weeks (change from baseline)

    Health-related quality of life questionnaire (to be converted in QALYs 0-1; higher=better)

  16. EQ-5D-VAS

    Time frame: 6 weeks (change from baseline)

    Health-related quality of life questionnaire (0-100; higher=better)

  17. EQ-5D-VAS

    Time frame: 12 weeks (change from baseline)

    Health-related quality of life questionnaire (0-100; higher=better)

  18. EQ-5D-VAS

    Time frame: 26 weeks (change from baseline)

    Health-related quality of life questionnaire (0-100; higher=better)

  19. Pain Catastrophizing Scale (PCS)

    Time frame: 6 weeks (change from baseline)

    Health-related quality of life questionnaire (0-50; higher=worse)

  20. Pain Catastrophizing Scale (PCS)

    Time frame: 12 weeks (change from baseline)

    Health-related quality of life questionnaire (0-50; higher=worse)

  21. Pain Catastrophizing Scale (PCS)

    Time frame: 26 weeks (change from baseline)

    Health-related quality of life questionnaire (0-50; higher=worse)

  22. Patient perceptions of team effectiveness (Patient-PTE)

    Time frame: 0 week (post initial consultation)

    Perceptions of team effectiveness questionnaire (24-144; higher=better)

  23. modified validated version of the 9-item visit-specific satisfaction questionnaire (VSQ-9)

    Time frame: 0 week (post initial consultation)

    Patient satisfaction questionnaire (0-100; higher=better)

  24. Modified MedRisk

    Time frame: 12 weeks

    Patient satisfaction questionnaire (0-100; higher=better)

  25. Modified MedRisk

    Time frame: 26 weeks

    Patient satisfaction questionnaire (0-100; higher=better)

  26. Provider perceptions of team effectiveness (Prodiver-PTE)

    Time frame: Through study completion (once)

    Perceptions of team effectiveness questionnaire (26-156; higher=better)

  27. Waiting time

    Time frame: Pre-intervention

    Waiting time (time in days and minutes)

  28. Adverse events

    Time frame: 12 weeks

    Rate of adverse events

  29. Adverse events

    Time frame: 26 weeks

    Rate of adverse events

  30. Treatment and compliance

    Time frame: 6 weeks

    Treatment received and % of treatment compliance

  31. Treatment and compliance

    Time frame: 12 weeks

    Treatment received and % of treatment compliance

  32. Treatment and compliance

    Time frame: 26 weeks

    Treatment received and % of treatment compliance

Sponsors and collaborators

Lead sponsor

Ciusss de L'Est de l'Île de Montréal

Other

Registry information

Official study title

Impacts of an Advanced Practice Physiotherapy Model of Care for Adults With a Peripheral Musculoskeletal Disorders Referred to an Orthropaedic Outpatient Clinic: a Prospective Observational Study

Important dates

Study start
2022
Primary completion
2024
Study completion
2024
First posted
Feb 6, 2023
Registry last updated
Jul 11, 2025

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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