Trial from ANZCTR


Trial ID ACTRN12612000220864
Trial Status: Registered
Date Submitted: 21/02/2012
Date Registered: 21/02/2012
Retrospectively registered

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Public title The Usefulness of On-site Physiotherapy Triage Services for Professional Orchestral Musicians - A National Study
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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.
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Secondary ID [1] 279964 0
Nil
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Trial acronym
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Health condition(s) or problem(s) studied:
Performance-Related Musculoskeletal Disorders 285881 0
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Condition category: Condition code:
Physical Medicine / Rehabilitation Physiotherapy
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Musculoskeletal Other muscular and skeletal disorders
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Descriptions 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.
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Intervention Code:
Early detection / Screening 284298 0
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Prevention 284299 0
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Comparator / control treatment Nil
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Control group Uncontrolled
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Primary Outcome: Usefulness of providing on-site physiotherapy services as measured by:
1. Number of participants using the service (uptake)
2. Feedback from participants
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Timepoint: 1. Immediate recording of number of consultations (at time of consultaion)
2. 3 month follow-up survey feedback
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Primary Outcome: Information on performance related musculoskeletal disorders (PRMDs): prevalence in different body regions, gender differences, instrumental differences. 286550 0
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Timepoint: Immediate recording of number of consultations (at time of consultation) 286550 0
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Secondary Outcome: Likelihood of using this on-site physiotherapy triage service if it was made available at work using a 5 point scale. 296141 0
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Timepoint: 3 months post-intervention 296141 0
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Secondary Outcome: 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. 296142 0
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Timepoint: Immediate/baseline 296142 0
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Secondary Outcome: Longer term usefulness of the triage service provided using a 5 point Likert rating scale 296182 0
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Timepoint: 3months post intervention 296182 0
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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).
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Minimum age 18 Years
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Maximum age No limit
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Gender Both males and females
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Healthy volunteers? Yes
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Key exclusion criteria Unable to speak fluent english.
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Study type Interventional
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Purpose of the study Treatment
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Allocation to intervention Nonrandomised trial
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Describe the procedure for enrolling a subject and allocating the treatment (allocation concealment procedures) Allocation is not concealed
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Describe the methods used to generate the sequence in which subjects will be randomised (sequence generation) Allocation is not concealed
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Masking / blinding Open (masking not used)
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Who is / are masked / blinded (choose all that apply)


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Assignment Single group
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Other design features
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Type of endpoint(s) Efficacy
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Statistical Methods/Analysis
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Phase
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Anticipated date of first participant enrolment 1/07/2010
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Date of first participant enrolment
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Anticipated date last participant recruited/enrolled
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Actual date last participant recruited/enrolled
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Target sample size 150
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Recruitment status Closed: follow-up complete
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Recruitment in Australia

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Recruitment outside Australia

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Funding Source: Government body 284731 0
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Name: Australian Research Council 284731 0
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Address: Level 2, 11 Lancaster Place
Majura Park ACT 2609
AUSTRALIA
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Country: Australia 284731 0
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Funding Source: Commercial sector/Industry 284732 0
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Name: Australia Council of the Arts 284732 0
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Address: 372 Elizabeth Street (cnr Cooper Street)
Surry Hills NSW 2010
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Country: Australia 284732 0
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Primary Sponsor Individual
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Name: Dr Bronwen Ackermann
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Address: Discipline of Biomedical Science, Room L115, Building C42, Cumberland Campus, The University of Sydney, 75 East St, Lidcombe, NSW 2141.
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Country: Australia
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Secondary Sponsor: Individual 283628 0
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Name: A/Prof Tim Driscoll 283628 0
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Address: Edward Ford Building, School of Public Health, Camperdown Campus, The University of Sydney, NSW 2005. 283628 0
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Country: Australia 283628 0
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Other Collaborator: Individual 260553 0
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Name: Mr Cliffton Chan 260553 0
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Address: Discipline of Biomedical Science, Building C42, Cumberland Campus, The University of Sydney, 75 East St, Lidcombe, NSW 2141. 260553 0
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Country: Australia 260553 0
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Has the study received approval from at least one Ethics Committee? Yes
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Ethics Committee name: Human Research Ethics Committee 286739 0
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Address: Level 6
Jane Foss Russell Building G02
University of Sydney NSW 2006
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Country: Australia 286739 0
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Approval Date: 19/04/2010 286739 0
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Submitted Date: 286739 0
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HREC: 12523 286739 0
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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.
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Trial website
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Public Notes
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Principal Investigator
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Contact person for public queries
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Name: Dr Bronwen Ackermann
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Address: Discipline of Biomedical Science, Room L115, Building C42, Cumberland Campus, The University of Sydney, 75 East St, Lidcombe, NSW 2141.
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Country: Australia
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Tel: +61 2 9351 9472
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Email: bronwen.ackermann@sydney.edu.au
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Contact person for scientific queries
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Name: Dr Bronwen Ackermann
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Address: Discipline of Biomedical Science, Room L115, Building C42, Cumberland Campus, The University of Sydney, 75 East St, Lidcombe, NSW 2141.
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Email: bronwen.ackermann@sydney.edu.au
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Contact person responsible for updating information
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Name: Mr Cliffton Chan
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Address: Discipline of Biomedical Science, Building C42, Cumberland Campus, The University of Sydney, 75 East St, Lidcombe, NSW 2141.
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Country: Australia
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Addition Cancer fields
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