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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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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Interdisciplinary | Experimental | Interdisciplinary model for management of low acuity msk complaint |
|
| Usual care | Active Comparator | usual care |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Interdisciplinary management | Other | assessment and treatment in an interdisciplinary model |
|
| Measure | Description | Time Frame |
|---|---|---|
| Rate of consent | rate of consented patients related to patients approached rate of randomization, feasibility of administration of outcomes | through study completion an average of 4 weeks post-enrolment |
| Completed outcome measures | proportion of participants who complete all outcome measures | through study completion an average of 4 weeks post-enrolment |
| Measure | Description | Time Frame |
|---|---|---|
| Pain intensity on faces rating scale | Pain intensity on faces rating scale, scale from 0 to 10, with 10 being a worse score | through study completion an average of 4 weeks post-enrolment |
| Pain interference with function PROMIS scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| McGill University Health Center | Montreal | Quebec | H4A 3S5 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40418362 | Derived | Langevin P, Plotnick LH, Turner M, Friedman D, Agnihotram R, Greenstone I, Hebert LJ, Beaulieu C, Brody D, Osseiran L, Verboom Hahn M, Sutera E, Gagnon I. Direct-Access Physiotherapy to Improve Access to Quality Care for Children and Adolescents Presenting to the Pediatric Emergency Department With Musculoskeletal Problems: The PEDPT-MSK Pilot Randomized Control Trial. J Orthop Sports Phys Ther. 2025 Jun;55(6):1-11. doi: 10.2519/jospt.2025.13321. |
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| ID | Term |
|---|---|
| D059352 | Musculoskeletal Pain |
| D009140 | Musculoskeletal Diseases |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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| usual care | Other | assessment and treatment in usual care model |
|
PROMIS Pediatric Pain Interference - Short Form 8a, 8 items scores from 1-5 with 5 being a worse outcome
| through study completion an average of 4 weeks post-enrolment |
| D013568 |
| Pathological Conditions, Signs and Symptoms |