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
C2 - 23399098
SN - 1471-2474
VL - 14
SP - 1
EP - 7
JO - BMC Musculoskeletal Disorders
JF - BMC Musculoskeletal Disorders
M1 - 62
ER -
