Interventions for shoulder pain

Green, Sally; Buchbinder, Rachelle; Glazier, Richard H.; Forbes, Andrew

doi:10.1002/14651858.cd001156

Cited by 64 publications

(46 citation statements)

References 53 publications

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“…15,35 However, once a patient undergoes a surgical procedure for shoulder pain, the categorization of the patient's shoulder problem is typically described on the basis of the surgical procedure itself. Grouping patients postoperatively on the basis of surgical intervention t studY dEsiGn: Retrospective cohort study.…”

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confidence: 99%

“…35 The prevalence of shoulder pain in the general population ranges between 6.9% and 34%. 15 The etiology and pathology of shoulder pain can be unclear, which often results in a lack of consensus regarding the appropriate classification of shoulder disorders. 15,35 However, once a patient undergoes a surgical procedure for shoulder pain, the categorization of the patient's shoulder problem is typically described on the basis of the surgical procedure itself.…”

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confidence: 99%

“…15 The etiology and pathology of shoulder pain can be unclear, which often results in a lack of consensus regarding the appropriate classification of shoulder disorders. 15,35 However, once a patient undergoes a surgical procedure for shoulder pain, the categorization of the patient's shoulder problem is typically described on the basis of the surgical procedure itself. Grouping patients postoperatively on the basis of surgical intervention t studY dEsiGn: Retrospective cohort study.…”

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confidence: 99%

“…Although most shoulder pain is related to disorders of the rotator cuff, such as impingement or cuff tears, uncertainty exists regarding the effectiveness of medical and surgical interventions. 10,12,15,18 The quality of the evidence related to the long-term results of surgical intervention for the management of shoulder problems has been questioned, because studies frequently lack appropriate methods of assessing outcomes. 12,15 For example, despite patients' ability to provide valid and reliable judgments of their benefit from treatment, self-report measures of disability are often neglected in lieu of clinical measures; yet the measure of disability is of the utmost importance to the patients themselves.…”

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confidence: 99%

“…10,12,15,18 The quality of the evidence related to the long-term results of surgical intervention for the management of shoulder problems has been questioned, because studies frequently lack appropriate methods of assessing outcomes. 12,15 For example, despite patients' ability to provide valid and reliable judgments of their benefit from treatment, self-report measures of disability are often neglected in lieu of clinical measures; yet the measure of disability is of the utmost importance to the patients themselves. 10 Specifically, evidence is lacking regarding the status of patients' pain and disability following shoulder surgery, particularly during the episode of care when a physical therapist intervenes postoperatively.…”

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confidence: 99%

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Description of Clinical Outcomes and Postoperative Utilization of Physical Therapy Services Within 4 Categories of Shoulder Surgery

Brennan

Parent²,

Cleland³

2010

J Orthop Sports Phys Ther

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provides homogenous categories of patients whose characteristics can be reported.The preponderance of literature that describes outcomes of surgical management for shoulder disorders relates to rotator cuff repair, 12,18 subacromial decomt he incidence of shoulder pain has been estimated at 11.2 per 1000 persons per year and ranks as the third most frequent musculoskeletal complaint of patients visiting a primary care provider. 35 The prevalence of shoulder pain in the general population ranges between 6.9% and 34%. 15The etiology and pathology of shoulder pain can be unclear, which often results in a lack of consensus regarding the appropriate classification of shoulder disorders. 15,35 However, once a patient undergoes a surgical procedure for shoulder pain, the categorization of the patient's shoulder problem is typically described on the basis of the surgical procedure itself. Grouping patients postoperatively on the basis of surgical intervention t studY dEsiGn: Retrospective cohort study. t MEthods: This study included 856 patients (43.7% female; mean  SD age, 51.8  14.2 years) who received outpatient physical therapy following shoulder surgery. Standardized methods for classification of patients to type of shoulder surgery and collection of outcome variables were used. Data were gathered from 57 therapists working in 12 clinics. Patients included had been classified into 1 of 4 surgical categories: repair of a unidirectional instability, rotator cuff repair, rotator cuff repair with a subacromial decompression, or subacromial decompression alone. Descriptive statistics were calculated for baseline characteristics of patients in each surgical category. For all patients, scores on the Disability of the Arm Shoulder and Hand (DASH) questionnaire and a numeric pain rating scale (NPRS) were obtained at the initial and final physical therapy visits, and the change between visits was calculated. Data on number of physical therapy sessions and length of stay (LOS) were collected. For each surgical category, independent-samples t tests were used to determine differences between genders for each initial and final clinical outcome of pain and disability, change scores, utilization of visits, and LOS. The percentage of patients who achieved a minimal clinically important difference (MCID) on the DASH was also determined for each surgical group. For each gender in each surgical category, paired t tests were used to determine if patients achieved significant change in pain and disability.t rEsults: Means for each clinical outcome for the initial and final pain and disability scores, change scores, and the percentage of patients that achieved an MCID are provided. Significant differences were observed between genders for clinical outcomes. In the group treated with unilateral instability repair, women reported significantly greater initial disability than men, and their DASH change scores were significantly greater. In the group that had rotator cuff repairs, women reported significantly greater disability initially a...

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confidence: 99%

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confidence: 99%