Current management and prognostic factors in physiotherapy practice for patients with shoulder pain: design of a prospective cohort study

Yasmaine H J M Karel, Wendy G M Scholten-Peeters, Marloes Thoomes-de Graaf, Edwin Duijn, Ramon P G Ottenheijm, Maaike P J van den Borne, Bart W Koes, Arianne P Verhagen, Geert-Jan J Dinant, Eric Tetteroo, Annechien Beumer, Joost B van Broekhoven, Marcel Heijmans, ShoCoDiP (Shoulder Complaints and using Diagnostic ultrasound in Physiotherapy practice) study group

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

BACKGROUND: Shoulder pain is disabling and has a considerable socio-economic impact. Over 50% of patients presenting in primary care still have symptoms after 6 months; moreover, prognostic factors such as pain intensity, age, disability level and duration of complaints are associated with poor outcome. Most shoulder complaints in this group are categorized as non-specific. Musculoskeletal ultrasound might be a useful imaging method to detect subgroups of patients with subacromial disorders.This article describes the design of a prospective cohort study evaluating the influence of known prognostic and possible prognostic factors, such as findings from musculoskeletal ultrasound outcome and working alliance, on the recovery of shoulder pain. Also, to assess the usual physiotherapy care for shoulder pain and examine the inter-rater reliability of musculoskeletal ultrasound between radiologists and physiotherapists for patients with shoulder pain.

METHODS: A prospective cohort study including an inter-rater reliability study. Patients presenting in primary care physiotherapy practice with shoulder pain are enrolled. At baseline validated questionnaires are used to measure patient characteristics, disease-specific characteristics and social factors. Physical examination is performed according to the expertise of the physiotherapists. Follow-up measurements will be performed 6, 12 and 26 weeks after inclusion. Primary outcome measure is perceived recovery, measured on a 7-point Likert scale. Logistic regression analysis will be used to evaluate the association between prognostic factors and recovery.

DISCUSSION: The ShoCoDiP (Shoulder Complaints and using Diagnostic ultrasound in Physiotherapy practice) cohort study will provide information on current management of patients with shoulder pain in primary care, provide data to develop a prediction model for shoulder pain in primary care and to evaluate whether musculoskeletal ultrasound can improve prognosis.

Original languageEnglish
Article number62
Pages (from-to)1-7
Number of pages7
JournalBMC Musculoskeletal Disorders
Volume14
DOIs
Publication statusPublished - 11 Feb 2013

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Shoulder Pain
Cohort Studies
Prospective Studies
Primary Health Care
Physical Therapists
Physical Examination
Ultrasonography
Logistic Models
Regression Analysis
Economics
Outcome Assessment (Health Care)
Pain

Keywords

  • Disability Evaluation
  • Humans
  • Logistic Models
  • Observer Variation
  • Pain Measurement
  • Physical Examination
  • Physical Therapy Modalities
  • Predictive Value of Tests
  • Primary Health Care
  • Prospective Studies
  • Recovery of Function
  • Reproducibility of Results
  • Research Design
  • Risk Factors
  • Shoulder Pain
  • Surveys and Questionnaires
  • Treatment Outcome
  • Ultrasonography
  • Evaluation Studies

Cite this

Karel, Y. H. J. M., Scholten-Peeters, W. G. M., Thoomes-de Graaf, M., Duijn, E., Ottenheijm, R. P. G., van den Borne, M. P. J., ... ShoCoDiP (Shoulder Complaints and using Diagnostic ultrasound in Physiotherapy practice) study group (2013). Current management and prognostic factors in physiotherapy practice for patients with shoulder pain: design of a prospective cohort study. BMC Musculoskeletal Disorders, 14, 1-7. [62]. https://doi.org/10.1186/1471-2474-14-62
Karel, Yasmaine H J M ; Scholten-Peeters, Wendy G M ; Thoomes-de Graaf, Marloes ; Duijn, Edwin ; Ottenheijm, Ramon P G ; van den Borne, Maaike P J ; Koes, Bart W ; Verhagen, Arianne P ; Dinant, Geert-Jan J ; Tetteroo, Eric ; Beumer, Annechien ; van Broekhoven, Joost B ; Heijmans, Marcel ; ShoCoDiP (Shoulder Complaints and using Diagnostic ultrasound in Physiotherapy practice) study group. / Current management and prognostic factors in physiotherapy practice for patients with shoulder pain : design of a prospective cohort study. In: BMC Musculoskeletal Disorders. 2013 ; Vol. 14. pp. 1-7.
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author = "Karel, {Yasmaine H J M} and Scholten-Peeters, {Wendy G M} and {Thoomes-de Graaf}, Marloes and Edwin Duijn and Ottenheijm, {Ramon P G} and {van den Borne}, {Maaike P J} and Koes, {Bart W} and Verhagen, {Arianne P} and Dinant, {Geert-Jan J} and Eric Tetteroo and Annechien Beumer and {van Broekhoven}, {Joost B} and Marcel Heijmans and {ShoCoDiP (Shoulder Complaints and using Diagnostic ultrasound in Physiotherapy practice) study group}",
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Karel, YHJM, Scholten-Peeters, WGM, Thoomes-de Graaf, M, Duijn, E, Ottenheijm, RPG, van den Borne, MPJ, Koes, BW, Verhagen, AP, Dinant, G-JJ, Tetteroo, E, Beumer, A, van Broekhoven, JB, Heijmans, M & ShoCoDiP (Shoulder Complaints and using Diagnostic ultrasound in Physiotherapy practice) study group 2013, 'Current management and prognostic factors in physiotherapy practice for patients with shoulder pain: design of a prospective cohort study' BMC Musculoskeletal Disorders, vol. 14, 62, pp. 1-7. https://doi.org/10.1186/1471-2474-14-62

Current management and prognostic factors in physiotherapy practice for patients with shoulder pain : design of a prospective cohort study. / Karel, Yasmaine H J M; Scholten-Peeters, Wendy G M; Thoomes-de Graaf, Marloes; Duijn, Edwin; Ottenheijm, Ramon P G; van den Borne, Maaike P J; Koes, Bart W; Verhagen, Arianne P; Dinant, Geert-Jan J; Tetteroo, Eric; Beumer, Annechien; van Broekhoven, Joost B; Heijmans, Marcel; ShoCoDiP (Shoulder Complaints and using Diagnostic ultrasound in Physiotherapy practice) study group.

In: BMC Musculoskeletal Disorders, Vol. 14, 62, 11.02.2013, p. 1-7.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - Current management and prognostic factors in physiotherapy practice for patients with shoulder pain

T2 - design of a prospective cohort study

AU - Karel, Yasmaine H J M

AU - Scholten-Peeters, Wendy G M

AU - Thoomes-de Graaf, Marloes

AU - Duijn, Edwin

AU - Ottenheijm, Ramon P G

AU - van den Borne, Maaike P J

AU - Koes, Bart W

AU - Verhagen, Arianne P

AU - Dinant, Geert-Jan J

AU - Tetteroo, Eric

AU - Beumer, Annechien

AU - van Broekhoven, Joost B

AU - Heijmans, Marcel

AU - ShoCoDiP (Shoulder Complaints and using Diagnostic ultrasound in Physiotherapy practice) study group

PY - 2013/2/11

Y1 - 2013/2/11

N2 - BACKGROUND: Shoulder pain is disabling and has a considerable socio-economic impact. Over 50% of patients presenting in primary care still have symptoms after 6 months; moreover, prognostic factors such as pain intensity, age, disability level and duration of complaints are associated with poor outcome. Most shoulder complaints in this group are categorized as non-specific. Musculoskeletal ultrasound might be a useful imaging method to detect subgroups of patients with subacromial disorders.This article describes the design of a prospective cohort study evaluating the influence of known prognostic and possible prognostic factors, such as findings from musculoskeletal ultrasound outcome and working alliance, on the recovery of shoulder pain. Also, to assess the usual physiotherapy care for shoulder pain and examine the inter-rater reliability of musculoskeletal ultrasound between radiologists and physiotherapists for patients with shoulder pain.METHODS: A prospective cohort study including an inter-rater reliability study. Patients presenting in primary care physiotherapy practice with shoulder pain are enrolled. At baseline validated questionnaires are used to measure patient characteristics, disease-specific characteristics and social factors. Physical examination is performed according to the expertise of the physiotherapists. Follow-up measurements will be performed 6, 12 and 26 weeks after inclusion. Primary outcome measure is perceived recovery, measured on a 7-point Likert scale. Logistic regression analysis will be used to evaluate the association between prognostic factors and recovery.DISCUSSION: The ShoCoDiP (Shoulder Complaints and using Diagnostic ultrasound in Physiotherapy practice) cohort study will provide information on current management of patients with shoulder pain in primary care, provide data to develop a prediction model for shoulder pain in primary care and to evaluate whether musculoskeletal ultrasound can improve prognosis.

AB - BACKGROUND: Shoulder pain is disabling and has a considerable socio-economic impact. Over 50% of patients presenting in primary care still have symptoms after 6 months; moreover, prognostic factors such as pain intensity, age, disability level and duration of complaints are associated with poor outcome. Most shoulder complaints in this group are categorized as non-specific. Musculoskeletal ultrasound might be a useful imaging method to detect subgroups of patients with subacromial disorders.This article describes the design of a prospective cohort study evaluating the influence of known prognostic and possible prognostic factors, such as findings from musculoskeletal ultrasound outcome and working alliance, on the recovery of shoulder pain. Also, to assess the usual physiotherapy care for shoulder pain and examine the inter-rater reliability of musculoskeletal ultrasound between radiologists and physiotherapists for patients with shoulder pain.METHODS: A prospective cohort study including an inter-rater reliability study. Patients presenting in primary care physiotherapy practice with shoulder pain are enrolled. At baseline validated questionnaires are used to measure patient characteristics, disease-specific characteristics and social factors. Physical examination is performed according to the expertise of the physiotherapists. Follow-up measurements will be performed 6, 12 and 26 weeks after inclusion. Primary outcome measure is perceived recovery, measured on a 7-point Likert scale. Logistic regression analysis will be used to evaluate the association between prognostic factors and recovery.DISCUSSION: The ShoCoDiP (Shoulder Complaints and using Diagnostic ultrasound in Physiotherapy practice) cohort study will provide information on current management of patients with shoulder pain in primary care, provide data to develop a prediction model for shoulder pain in primary care and to evaluate whether musculoskeletal ultrasound can improve prognosis.

KW - Disability Evaluation

KW - Humans

KW - Logistic Models

KW - Observer Variation

KW - Pain Measurement

KW - Physical Examination

KW - Physical Therapy Modalities

KW - Predictive Value of Tests

KW - Primary Health Care

KW - Prospective Studies

KW - Recovery of Function

KW - Reproducibility of Results

KW - Research Design

KW - Risk Factors

KW - Shoulder Pain

KW - Surveys and Questionnaires

KW - Treatment Outcome

KW - Ultrasonography

KW - Evaluation Studies

U2 - 10.1186/1471-2474-14-62

DO - 10.1186/1471-2474-14-62

M3 - Article

VL - 14

SP - 1

EP - 7

JO - BMC Musculoskeletal Disorders

JF - BMC Musculoskeletal Disorders

SN - 1471-2474

M1 - 62

ER -