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Diagnostic Concordance Between Physiotherapist and Emergency Physicians for Patients With a Musculoskeletal Disorder in the Emergency Department

Diagnostic Agreement Between Physiotherapists and Emergency Physicians

Study Overview

Patients often visit the emergency department (ED) with musculoskeletal disorders. Some hospitals now allow physiotherapists to manage these conditions independently after initial assessment. Understanding how well physiotherapists and emergency physicians agree on diagnoses is important for implementing this care model effectively.

Research Findings

This study analyzed data from a pilot clinical trial involving patients with minor musculoskeletal issues. Both physiotherapists and emergency physicians assessed 36 participants. The results showed:

  • Overall Agreement: 86.1%
  • Diagnostic Concordance: Almost perfect (Gwet’s AC1: 0.84)

The main disagreement occurred when physiotherapists suspected a bone fracture or contusion, while emergency physicians identified ligament or meniscus issues.

Conclusion

The findings indicate strong agreement between physiotherapists and emergency physicians, highlighting the safety of physiotherapy care in the ED. Further research is needed to validate these results across different diagnoses and age groups.

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