The Design, Implementation and Evaluation of a Physiotherapist Led Clinic for Ortho Surveillance for Children with CP

The aim of this study was to describe the development process and the evaluation results of a new physiotherapy-led clinic for orthopedic monitoring of secondary impairments for children with cerebral palsy (CP).

A new clinic model was developed and implemented, guided by the Framework for the Development of Advanced Practice Roles and the Model for Improvement. Patient visits and wait-time statistics were measured during the implementation phase. Once implemented, an evaluation of the clinic model objectives was conducted. The Visit Specific Satisfaction (VSQ-9) Instrument and the Measure of Processes of Care (MPOC-20) questionnaire measured parent satisfaction, while the Collaboration and Satisfaction about Care Decisions (CSACD) surveyed staff’s satisfaction. Means and frequencies described the data, and the Mann-Wittney U test was used to compare the VSQ-9 and MPOC-20 scores of the physiotherapist-led and the traditional physician-led model.

Ninety-eight additional children were seen in 1 year. Mean wait time decreased by 930 days. No statistically significant difference was demonstrated in the VSQ-9 total score (p = .84) or any of the five MPOC-20 subscales (Enabling and Partnership: p = .55; Providing General Information: p = .99; Providing Specific Information: p = .46; Coordinated and Comprehensive Care for the Child and Family: p = .33; Respective and Supportive Care: p = .86) when the two models were compared. Physiotherapist-led clinic staff members were satisfied with physician collaboration.

A physiotherapist-led clinic model for orthopedic monitoring provides increased access to service for children with CP and their families without compromising the perceived quality of care.

Introduction to Neurology

Treating those with neurological impairments can seem complex and overwhelming at times. Get to grips with the basics and build strong foundations with the online introduction to neurology course.