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Advanced practice physiotherapy in paediatrics: Implementation results.

Véronique Drapeau-Zgoralski¹, Marie Beauséjour², Ariane-Sophie Painchaud¹

¹Surgery Department, Université de Montréal, Montreal, Quebec, Canada.

Paediatrics & Child Health

|July 21, 2022

Summary

An advanced practice physiotherapist (APP) clinic effectively triages paediatric patients, with high clinician satisfaction and reduced surgical referrals compared to traditional orthopaedic care. This model improves patient management and outcomes.

Keywords:

Advanced practice physical therapist In-toeing Metatarsus adductus Paediatric gait disorders Triage clinic

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Area of Science:

Paediatric Orthopaedics
Healthcare Management
Clinical Practice Evaluation

Background:

Advanced Practice Physiotherapist (APP) roles are expanding in specialized clinics.
Evaluating the effectiveness and satisfaction of APP-led clinics is crucial for healthcare optimization.
Paediatric orthopaedic services often face challenges with patient wait times and resource allocation.

Purpose of the Study:

To assess the implementation and outcomes of an APP-led clinic within a paediatric institution.
To compare patient management and satisfaction between APP and orthopaedic surgeon consultations.
To evaluate the impact of the APP clinic on surgical referral rates and consultation delays.

Main Methods:

Retrospective cohort study comparing patient records from an APP clinic and an orthopaedic surgeon-led gait clinic.
Data collected included demographics, referral reasons, consultation delays, and treatment plans.
Clinician satisfaction was measured using standardized questionnaires and electronic surveys.

Main Results:

APP clinics managed 418 patients, with 92.6% managed independently and 86% discharged after the initial visit.
Surgical referral rates were significantly lower in the APP group (1%) compared to the orthopaedic group (6%).
While initial consultation wait times were longer in the APP group, a significant reduction was observed over time.

Conclusions:

The APP gait clinic functions as an effective triage service for paediatric orthopaedic patients.
High clinician satisfaction, particularly from APPs, supports the integration of these roles.
The model demonstrates potential for improving patient flow and reducing unnecessary surgical interventions.