Background: Recent advances in management of
peripheral nerve injuries is leading to a paradigm shift in the treatment of
Canadian patients. Multi-disciplinary care models provide diagnostic,
surgical and rehabilitative consultations within a single clinical
encounter. Involvement of allied health care professionals has been shown to
improve outcome. The purpose of this study was to ascertain the distribution
and composition of multidisciplinary teams, and identify regional
disparities. Methods: Representatives from clinics
across Canada were invited to participate in a survey at the Annual Canadian
Peripheral Nerve Symposium in London, Ontario in November 2019, with
telephone follow up. Results: Delegates from 17
programs responded to the survey (12 academic centre and 5 community
setting). Program provides electrodiagnostic testing, neuromuscular,
rehabilitation and surgical assessment. Access to the following services was
reported: occupational therapy=53% (9/17), physiotherapy 29% (5/17),
research assistant=17% (3/17), social work=12% (2/17), mental health=6%
(1/17). Conclusions: Complex nerve injury clinics are
being established throughout Canada. Allied health care and research support
are limited in many multi-disciplinary complex nerve injury programs. There
is variable access, likely resulting in disparities in patient care across
Canada. This data will be valuable for lobbying for resources for resources
to improve the care of these complex patients.