The quality of the PROMs varied greatly , with Satisfaction most commonly measured utilizing non-st and ardized locally-devised tools ; the EuroQol five-dimensions question naire ( EuroQoL-5D ) and 36-Item Short-Form ( SF-36 ) cited most frequently to capture QoL ; and the Visual Analogue Scale ( VAS ) to capture Pain .
APPs utilized a multiplicity of PROMs across a range of MSK disorders .
OBJECTIVE Advanced practice physiotherapists ( APPs ) , also known as extended scope physiotherapists , provide a new model of service delivery for musculoskeletal ( MSK ) disorders .
Research to date has largely focused on health service efficiencies , with less emphasis on patient outcomes .
The present systematic review aim ed to identify the  patient-reported outcome measures ( PROMs ) being utilized by APPs .
A randomised trial comparing the clinical effectiveness of different emergency department healthcare professionals in soft tissue injury management
Objectives To evaluate the clinical effectiveness of soft tissue injury management by emergency nurse practitioners ( ENPs ) and extended scope physiotherapists ( ESPs ) compared to the routine care provided by doctors in a UK emergency department ( ED ) . Design R and omised , pragmatic trial of equivalence . Setting One adult ED in Engl and . Participants 372 patients were r and omised ; 126 to the ESP group , 123 to the ENP group and 123 to the doctor group . Participants were adults ( older than 16 years ) presenting to the ED with a peripheral soft tissue injury eligible for management by any of the three professional groups . Patients were excluded if they had any of the following : injury greater than 72 hours old ; systemic disease ; dislocated joints ; recent surgery ; unable to give informed consent ( eg , dementia ) , open wounds ; major deformities ; opiate analgesia required ; concurrent chest/rib injury ; neurovascular deficits and associated fracture . Interventions Patients were r and omised to treatment by ESPs , ENPs or routine care provided by doctors ( of all grade s ) . Main outcome measures Upper-limb and lower-limb functional scores , quality of life , physical well-being , preference-based health measures and the number of days off work . Results The clinical outcomes of soft tissue injury treated by ESPs and ENPs in the ED were equivalent to routine care provided by doctors . Conclusions As all groups were clinical ly equivalent it is other factors such as cost , workforce sustainability , service provision and skill mix that become important . This result vali date s the role of the ENP , which is becoming established as an integral part of minor injuries care , and demonstrates that the ESP should be considered as part of the clinical skill mix without detriment to outcomes . IS RCT N-IS RCT N trials register number 70891354
The quality of the PROMs varied greatly , with Satisfaction most commonly measured utilizing non-st and ardized locally-devised tools ; the EuroQol five-dimensions question naire ( EuroQoL-5D ) and 36-Item Short-Form ( SF-36 ) cited most frequently to capture QoL ; and the Visual Analogue Scale ( VAS ) to capture Pain .
APPs utilized a multiplicity of PROMs across a range of MSK disorders .
OBJECTIVE Advanced practice physiotherapists ( APPs ) , also known as extended scope physiotherapists , provide a new model of service delivery for musculoskeletal ( MSK ) disorders .
Research to date has largely focused on health service efficiencies , with less emphasis on patient outcomes .
The present systematic review aim ed to identify the  patient-reported outcome measures ( PROMs ) being utilized by APPs .