NHG-Standaard Schouderklachten

Winters, J.C.; Windt, Dawm Van der; Spinnewijn, Wem; Jongh, AC De; Heijden, Gjmg Van der; Buis, Paj; Boeke, A.J.P.; Feleus, Anita; Geraets, Jjxr

doi:10.1007/978-90-313-8279-8_40

Cited by 7 publications

(7 citation statements)

References 66 publications

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“…As patients come into contact with various healthcare providers, it was deemed necessary—following the Dutch General practitioners guideline for shoulder complaints (Winters et al 2008), and to supplement the Dutch Physical Therapists Guideline for aspecific complaints of arm, neck and shoulder (KNGF 2012) and the KNGF Evidence Statement for subacromial shoulder pain (Jansen et al 2011)—to create a guideline for the treatment of SAPS.…”

mentioning

confidence: 99%

Guideline for diagnosis and treatment of subacromial pain syndrome

Diercks¹,

Bron

Dorrestijn³

et al. 2014

Acta Orthopaedica

291

190

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Treatment of “subacromial impingement syndrome” of the shoulder has changed drastically in the past decade. The anatomical explanation as “impingement” of the rotator cuff is not sufficient to cover the pathology. “Subacromial pain syndrome”, SAPS, describes the condition better. A working group formed from a number of Dutch specialist societies, joined by the Dutch Orthopedic Association, has produced a guideline based on the available scientific evidence. This resulted in a new outlook for the treatment of subacromial pain syndrome. The important conclusions and advice from this work are as follows:(1) The diagnosis SAPS can only be made using a combination of clinical tests. (2) SAPS should preferably be treated non-operatively. (3) Acute pain should be treated with analgetics if necessary. (4) Subacromial injection with corticosteroids is indicated for persistent or recurrent symptoms. (5) Diagnostic imaging is useful after 6 weeks of symptoms. Ultrasound examination is the recommended imaging, to exclude a rotator cuff rupture. (6) Occupational interventions are useful when complaints persist for longer than 6 weeks. (7) Exercise therapy should be specific and should be of low intensity and high frequency, combining eccentric training, attention to relaxation and posture, and treatment of myofascial trigger points (including stretching of the muscles) may be considered. (8) Strict immobilization and mobilization techniques are not recommended. (9) Tendinosis calcarea can be treated by shockwave (ESWT) or needling under ultrasound guidance (barbotage). (10) Rehabilitation in a specialized unit can be considered in chronic, treatment resistant SAPS, with pain perpetuating behavior. (11) There is no convincing evidence that surgical treatment for SAPS is more effective than conservature management. (12) There is no indication for the surgical treatment of asymptomatic rotator cuff tears.

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mentioning

confidence: 99%

Guideline for diagnosis and treatment of subacromial pain syndrome

Diercks¹,

Bron

Dorrestijn³

et al. 2014

Acta Orthopaedica

291

190

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“…Meestal is de oorzaak een spier-, pees-of gewrichtsaandoening. 1 Maar ook neurologische aandoeningen kunnen schouderklachten veroorzaken. 2,3 Neuralgische amyotrofie (NA) is een aandoening met asymmetrische betrokkenheid van de plexus brachialis.…”

Section: Inleidingunclassified

Neuralgische amyotrofie: een onbekende oorzaak van schouderklachten

Ennik¹,

Nobacht²,

Laar³

2011

HUISARTS WETENSCHAP

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“…It may also protect against (subconscious) selective outcome reporting. Shoulder disorders are the second most common musculoskeletal complaint in the general population with a point prevalence of 20.6% [1] and cause considerable functional disability, pain and healthcare costs [2]. The reported 12-month prevalence for shoulder disorders is 6.7 to 66.7% [3].…”

Section: Introductionmentioning

confidence: 99%

“…Chronicity and recurrence of shoulder pain are common [5-7]. About 40% of the patients still experience pain after 12 months [6] and 40% re-consult their GP [2]. There is strong evidence that prognostic factors for shoulder pain such as age, high disability scores, duration of shoulder pain and pain intensity are associated with poor outcome [4,8,9].…”

Section: Introductionmentioning

confidence: 99%

“…Early treatment in general practice mainly consists of pain medication and advice [2]. The guideline for shoulder pain of the Dutch College of General Practitioners advises a referral for physiotherapy or a corticosteroid injection as a standard procedure in shoulder pain when these complaints are present for ≥ 2 weeks [2]. In the Netherlands, since 2006 patients can directly access physiotherapy care which means they do not need a referral to consult a physiotherapist (PT).…”

Section: Introductionmentioning

confidence: 99%

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

Karel

Scholten-Peeters

Graaf

et al. 2013

BMC Musculoskelet Disord

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BackgroundShoulder 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.MethodsA 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.DiscussionThe 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.

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NHG-Standaard Schouderklachten

Cited by 7 publications

References 66 publications

Guideline for diagnosis and treatment of subacromial pain syndrome

Guideline for diagnosis and treatment of subacromial pain syndrome

Neuralgische amyotrofie: een onbekende oorzaak van schouderklachten

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

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