Advanced practice physiotherapists can diagnose and triage patients with musculoskeletal disorders while providing effective care: a systematic review

Lafrance, Simon; Vincent, Raphaël; Demont, Anthony; Charron, Maxime; Desmeules, François

doi:10.1016/j.jphys.2023.08.005

Journal of Physiotherapy

2023

DOI: 10.1016/j.jphys.2023.08.005

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Advanced practice physiotherapists can diagnose and triage patients with musculoskeletal disorders while providing effective care: a systematic review

Simon Lafrance,

Raphaël Vincent,

Anthony Demont

et al.

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2024

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Cited by 11 publications

References 53 publications

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Diagnostic Concordance Between Physiotherapist and Emergency Physicians for Patients With a Musculoskeletal Disorder in the Emergency Department

Gagnon,

Perreault,

Matifat

et al. 2024

Musculoskeletal Care

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BackgroundMany patients present to the emergency department (ED) with a musculoskeletal disorder. In consequence, some hospitals have integrated autonomous management of musculoskeletal disorders by physiotherapists after triage. Although potential benefits were demonstrated, few studies have examined the agreement between physiotherapists' and emergency physicians' diagnosis. A better understanding of diagnostic concordance between physiotherapists and emergency physicians could inform the implementation of this care model.Methods and FindingsSecondary analysis of data obtained through a pilot pragmatic randomised clinical trial. Data from patients presenting a minor musculoskeletal disorder managed by a physiotherapist and an emergency physician were used. Diagnostic concordance was examined using raw agreement and Gwet's first‐order agreement coefficient. Thirty‐six participants were assessed by both professionals (36.8 ± 18.2 years; W: 55.6%). Overall raw agreement was 86.1% and the diagnostic concordance was almost perfect (Gwet's AC1: 0.84, 95% CI: 0.69–0.98). The most common disagreement was when physiotherapists suspected a bone fracture or contusion, whereas emergency physicians diagnosed a ligament or meniscus disorder.ConclusionsOur results show excellent diagnostic concordance between physiotherapists and emergency physicians, thus supporting the safety of physiotherapy care in the ED. More studies are needed to confirm these results with a larger variety of diagnoses and age strata.

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Diagnostic Concordance Between Physiotherapist and Emergency Physicians for Patients With a Musculoskeletal Disorder in the Emergency Department

Gagnon,

Perreault,

Matifat

et al. 2024

Musculoskeletal Care

View full text Add to dashboard Cite

show abstract

Developing and embedding an advanced practice musculoskeletal physiotherapy service in public specialist outpatient services in Queensland: A health service masterclass

Raymer,

Swete Kelly,

O'Leary

2024

Musculoskeletal Science and Practice

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Physiotherapist managers views on advanced practice physiotherapy in Ireland. A qualitative study

Ó Mír,

Casey,

Smart

2024

Physiotherapy Theory and Practice

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Advanced practice physiotherapists can diagnose and triage patients with musculoskeletal disorders while providing effective care: a systematic review

Cited by 11 publications

References 53 publications

Diagnostic Concordance Between Physiotherapist and Emergency Physicians for Patients With a Musculoskeletal Disorder in the Emergency Department

Diagnostic Concordance Between Physiotherapist and Emergency Physicians for Patients With a Musculoskeletal Disorder in the Emergency Department

Developing and embedding an advanced practice musculoskeletal physiotherapy service in public specialist outpatient services in Queensland: A health service masterclass

Physiotherapist managers views on advanced practice physiotherapy in Ireland. A qualitative study

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