Trial registered on ANZCTR

Trial ID
Ethics application status
Date submitted
Date registered
Type of registration
Retrospectively registered

Titles & IDs
Public title
The Usefulness of On-site Physiotherapy Triage Services for Professional Orchestral Musicians - A National Study
Study title in 'Participant- Intervention- Comparator- Outcome (PICO)' format
Uptake and perceived usefulness of on-site triage physiotherapy services for performance-related musculoskeletal disorders by professional orchestral musicians.
Secondary ID 279964 0
Universal Trial Number (UTN)
Trial acronym

Health condition
Health condition(s) or problem(s) studied:
Performance-Related Musculoskeletal Disorders 285881 0
Condition category
Condition code
Physical Medicine / Rehabilitation 286069 286069 0 0
Musculoskeletal 286070 286070 0 0
Other muscular and skeletal disorders

Study type
Description of intervention(s) / exposure
Triage clinics were carried out in each of the eight professional Australian symphony orchestras on a fortnightly basis over a 16 week period. The clinics were designed to allow immediate access to an experienced physiotherapist for advice in relation to performance-related musculoskeletal disorders (PRMDs). Clinics were set up for an hour during a designated lunch break between rehearsal calls to facilitate availability. Participants could sign-up to the clinic via an anonymous booking system or attend on the day if there were available appointments. Due to time constraints physiotherapists were advised to keep appointments at an average of 15 minutes.

All triage clinics were conducted by experienced physiotherapists with post-graduate qualifications in sports, musculoskeletal or occupational physiotherapy. Physiotherapists were instructed to assess the participants’ condition and then provide a provisional diagnosis. The participants would then receive one or a combination of: a) education and advice relating to their provisional diagnosis, b) basic acute management and/or c) a referral to a suitable medical practitioner or allied health professional for further consultation or treatment. Each participant completed a three-month follow-up questionnaire to review their response to the advice given, and whether this resulted in changes to the presenting PRMD.
Intervention code 284298 0
Early detection / Screening
Intervention code 284299 0
Comparator / control treatment
Control group

Primary outcome 286549 0
Usefulness of providing on-site physiotherapy services as measured by:
1. Number of participants using the service (uptake)
2. Feedback from participants
Timepoint 286549 0
1. Immediate recording of number of consultations (at time of consultaion)
2. 3 month follow-up survey feedback
Primary outcome 286550 0
Information on performance related musculoskeletal disorders (PRMDs): prevalence in different body regions, gender differences, instrumental differences.
Timepoint 286550 0
Immediate recording of number of consultations (at time of consultation)
Secondary outcome 296141 0
Likelihood of using this on-site physiotherapy triage service if it was made available at work using a 5 point scale.
Timepoint 296141 0
3 months post-intervention
Secondary outcome 296142 0
Preventability of these performance-related musculoskeletal disorders seen at the on-site physiotherapy triage service as per the opinion of the experienced physiotherapists. This opinion is guided by the following definition: Unpreventable injuries are high-velocity, high-energy collision that coincides with a vulnerable joint poisition and cannot be avoided with appropriate conditioning. Yes/No outcome measure.
Timepoint 296142 0
Secondary outcome 296182 0
Longer term usefulness of the triage service provided using a 5 point Likert rating scale
Timepoint 296182 0
3months post intervention

Key inclusion criteria
Full time position with one of the eight orchestras of Australia (Adelaide Symphony, Sydney Symphony, Melbourne Symphony, West Australian Symphony, Tasmanian Symphony, Opera Victoria, Australian Opera and Ballet, Queensland Symphony).
Minimum age
18 Years
Maximum age
No limit
Both males and females
Can healthy volunteers participate?
Key exclusion criteria
Unable to speak fluent english.

Study design
Purpose of the study
Allocation to intervention
Non-randomised trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Allocation is not concealed
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?

Intervention assignment
Single group
Other design features
Type of endpoint(s)

Anticipated date of first participant enrolment
Actual date of first participant enrolment
Anticipated date last participant enrolled
Actual date last participant enrolled
Target sample size
Actual sample size
Recruitment status
Closed: follow-up complete
Recruitment in Australia
Recruitment state(s)

Funding & Sponsors
Funding source category 284731 0
Government body
Name 284731 0
Australian Research Council
Address 284731 0
Level 2, 11 Lancaster Place
Majura Park ACT 2609
Country 284731 0
Funding source category 284732 0
Commercial sector/Industry
Name 284732 0
Australia Council of the Arts
Address 284732 0
372 Elizabeth Street (cnr Cooper Street)
Surry Hills NSW 2010
Country 284732 0
Primary sponsor
Primary sponsor name
Dr Bronwen Ackermann
Primary sponsor address
Discipline of Biomedical Science, Room L115, Building C42, Cumberland Campus, The University of Sydney, 75 East St, Lidcombe, NSW 2141.
Primary sponsor country
Secondary sponsor category 283628 0
Name 283628 0
A/Prof Tim Driscoll
Address 283628 0
Edward Ford Building, School of Public Health, Camperdown Campus, The University of Sydney, NSW 2005.
Country 283628 0
Other collaborator category 260553 0
Name 260553 0
Mr Cliffton Chan
Address 260553 0
Discipline of Biomedical Science, Building C42, Cumberland Campus, The University of Sydney, 75 East St, Lidcombe, NSW 2141.
Country 260553 0

Ethics approval
Ethics application status
Ethics committee name 286739 0
Human Research Ethics Committee
Ethics committee address 286739 0
Level 6
Jane Foss Russell Building G02
University of Sydney NSW 2006
Ethics committee country 286739 0
Date submitted for ethics approval 286739 0
Approval date 286739 0
Ethics approval number 286739 0

Brief summary
The term triage is used to refer to health services that provide a preliminary assessment of patients reporting an injury to then determine an appropriate course of management. This approach has been shown to be successful in many other elite performance domains within the athletic and dance populations. The purpose of this study is to evaluate the effectiveness of on-site physiotherapy triage clinics in a national cohort of professional orchestral musicians. Outcomes will include recording the numbers of musicians using the service, analysing the consultation information from the physiotherapists, and evaluating the 3 month follow up feedback from the musicians on their perceived helpfulness of this service.
Trial website
Trial related presentations / publications
Public notes

Principal investigator
Name 33796 0
Address 33796 0
Country 33796 0
Phone 33796 0
Fax 33796 0
Email 33796 0
Contact person for public queries
Name 17043 0
Dr Bronwen Ackermann
Address 17043 0
Discipline of Biomedical Science, Room L115, Building C42, Cumberland Campus, The University of Sydney, 75 East St, Lidcombe, NSW 2141.
Country 17043 0
Phone 17043 0
+61 2 9351 9472
Fax 17043 0
Email 17043 0
Contact person for scientific queries
Name 7971 0
Dr Bronwen Ackermann
Address 7971 0
Discipline of Biomedical Science, Room L115, Building C42, Cumberland Campus, The University of Sydney, 75 East St, Lidcombe, NSW 2141.
Country 7971 0
Phone 7971 0
+61 2 9351 9472
Fax 7971 0
Email 7971 0