Projected Prognosis as a Predictor of Short-term Outcome After Treatment of Minor Musculoskeletal Injuries in the Emergency Department

Study Overview
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Brief Summary
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This study describes the caseload treated by the extended scope physiotherapists(ESP) working in the emergency department at Slagelse Hospital. Patients treated by the ESP during a 3 month period will be included in this study. Furthermore we aim to assess if ESPs treating patients with minor musculoskeletal injuries in the ED can predict the short-term prognosis of recovery. The prediction is made at hospital discharge using a (-7/+7) numerical rating scale (-7=poor prognosis; 7=best prognosis).

Official Title
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Projected Prognosis as a Predictor of Short-term Outcome After Treatment of Minor Musculoskeletal Injuries in the Emergency Department: A Prospective Cohort Study

Conditions
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Musculoskeletal Diseases

Intervention / Treatment
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* Behavioral: Standard care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 1 Treated by an ESP for a minor musculoskeletal injury in the emergency room 2 Has an email address 3 Signed informed consent form Exclusion Criteria: 1 A condition that, in the opinion of the investigator, would preclude participation in the study (e.g., not having access to the internet, cognitive impairments etc.) 2 Under the influence of drugs or alcohol
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Caseload group<br> | Behavioral: Standard care<br>* Treatment by an extended scope physiotherapist following Standard Operating Procedures.<br>|
| Prediction group<br> | Behavioral: Standard care<br>* Treatment by an extended scope physiotherapist following Standard Operating Procedures.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Transition ratings of global perceived effect | Using a transition questionnaire (TRANS-Q) the perceived effect of treatment will be measured by participants answering if their current health status is unchanged, worse or better compared to their pre-injury status. unchanged equals a transition score of 0. If the participant answers worse, he/she is asked to rate the degree of worsening on a 7 point Likert scale, with corresponding scores ranging from -1 to -7. If the participant answers better, he/she is asked to rate the degree of improvement on a 7 point Likert scale, with corresponding scores ranging from 1 to 7. Thus the GPE score range from -7 (worsening) to 7 (improvement), with the mid-point - 0 - representing no change. | 1 month after discharge | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Acceptable Symptom State |  | 1 month after discharge | 
| EuroQoL questionnaire |  | 1 month after discharge | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Minor Musculoskeletal Injuries, Emergency Department, Prediction outcome, Extended Scope Physiotherapists