The Clinical Effectiveness of the Extended-Scope Physiotherapist Role in Musculoskeletal Triage: A Systematic Review

Musculoskeletal Care
Caroline Oakley, Carol Shacklady

Abstract

Extended-scope physiotherapists (ESPs) are working in musculoskeletal (MSK) triage clinics to assess, diagnose and refer patients for appropriate management. However, there is inadequate appraisal of their clinical effectiveness. The aim of the present systematic review was to appraise the evidence on the diagnostic ability of ESPs in MSK triage, and patient and general practitioner (GP) satisfaction when seen by an ESP in a MSK clinic. CINAHL, AMED, MEDLINE and EMBASE databases were searched from 1989 to February 2014 using the keywords 'physiotherapy', 'extended practitioner' and 'musculoskeletal disease'. Data extraction was compiled using the Centre for Reviews and Dissemination (2009) method. Diagnostic accuracy studies were assessed for methodological quality using the Scottish Intercollegiate Guideline Network (SIGN). Patient/GP satisfaction was assessed using a tool adapted by Desmeules et al. (2012). From 146 studies initially identified, 14 were eligible for review. Only one diagnostic study was of high quality, and satisfaction study scores ranged from 40% to 73%. All studies reported favourable outcomes for ESPs in MSK triage clinics, with ESPs demonstrating a good level of diagnostic ability in comparison with a go...Continue Reading

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Citations

Apr 4, 2016·Journal of Children's Orthopaedics·Marie O MirDavid Moore
Jan 25, 2017·Human Resources for Health·Tiago S JesusInês Fronteira
Mar 14, 2019·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Marie O MirOlive Lennon
Jun 4, 2019·The Journal of Rheumatology·Vandana AhluwaliaUNKNOWN Allied Health Rheumatology Triage Investigators
Sep 13, 2020·Journal of Paediatrics and Child Health·Julie CreenMichele Verdonck
Oct 20, 2017·Journal of Foot and Ankle Research·Tom P WalshNikki M McCaffrey
Jun 20, 2017·Journal of Occupational and Environmental Medicine·Timothy D Phillips, Michael J Shoemaker
Oct 31, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Simon LafranceFrançois Desmeules
Dec 4, 2020·Australian Health Review : a Publication of the Australian Hospital Association·Michelle StutePeter Buttrum
Nov 8, 2020·Best Practice & Research. Clinical Rheumatology·Kristina E ÅkessonAnthony Woolf

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