Personalizing rehabilitation for individuals with musculoskeletal impairments: Feasibility of implementation of the Measures Associated to Prognostic (MAPS) tool

Auteurs

Nathalie Desmarais, School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada
Simon Décary, School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada; Clinical Research of the Centre Hospitalier Universitaire de Sherbrooke (CRCHUS), Sherbrooke, QC, Canada
Catherine Houle, School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada; Clinical Research of the Centre Hospitalier Universitaire de Sherbrooke (CRCHUS), Sherbrooke, QC, Canada
Christian Longtin, School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada; Clinical Research of the Centre Hospitalier Universitaire de Sherbrooke (CRCHUS), Sherbrooke, QC, Canada
Thomas Gerard, School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada; Clinical Research of the Centre Hospitalier Universitaire de Sherbrooke (CRCHUS), Sherbrooke, QC, Canada
Kadija Perreault, Center for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale-Nationale, Québec, QC, Canada; Faculty of Medicine, Université Laval, Québec, QC, Canada
Emilie Lagueux, School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada; Clinical Research of the Centre Hospitalier Universitaire de Sherbrooke (CRCHUS), Sherbrooke, QC, Canada
Pascal Tétreault, Clinical Research of the Centre Hospitalier Universitaire de Sherbrooke (CRCHUS), Sherbrooke, QC, Canada; Department of Anesthesiology, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada
Marc-André Blanchette, Department of Chiropractic, Université du Québec à Trois-Rivières, Trois-Rivières, QC, Canada
Hélène Beaudry, Quebec Pain Research Network, Sherbrooke, QC, Canada
Yannick Tousignant-Laflamme, School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada; Clinical Research of the Centre Hospitalier Universitaire de Sherbrooke (CRCHUS), Sherbrooke, QC, Canada

ORCID

Christian Longtin : 0000-0002-1038-658X

Yannick Tousignant-Laflamme : 0000-0002-1133-8707

Type de document

Études primaires

Année de publication

2024

Langue

Anglais

Titre de la revue

Physiotherapy Theory and Practice

Première page

420

Dernière page

431

Résumé

Introduction

The Measures Associated to PrognoStic (MAPS) tool is a standardized questionnaire that integrates validated prognostic tools to detect the presence of biopsychosocial prognostic factors in patients consulting for musculoskeletal disorders.

Purpose

The objectives were to assess the: 1) feasibility of implementation of the MAPS tool, 2) clinicians’ acceptability of the dashboard, and 3) patients’ acceptability of the MAPS tool.

Methods

Twenty physiotherapists and two occupational therapists from seven outpatient musculoskeletal clinics were recruited to implement the MAPS tool during a 3-month timeframe, where new patients completed the questionnaire upon initial assessment. The results were presented to the clinicians via a dashboard. Surveys and semi-structured interviews were conducted to measure feasibility and acceptability.

Results

Six out of 11 feasibility criteria (55%) and 21 out of 24 acceptability criteria (88%) reached the a priori threshold for success. The interviews allowed us to identify three main themes to facilitate implementation: 1) limiting the burden, 2) ensuring patients’ understanding of the tool’s purpose, and 3) integrating the dashboard as a clinical information tool.

Conclusion

Our quantitative and qualitative results support the feasibility of implementation and acceptability of the MAPS tool pending minor adjustments. Depicting the patients’ prognostic profile has the potential to help clinicians optimize their interventions for patients presenting with musculoskeletal disorders.

Mots-clés

Troubles musculosquelettiques, Musculoskeletal diseases, Réadaptation, Rehabilitation

Numéro de projet IRSST

n/a

Ce document n'est pas disponible pour le moment.

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