The Epidemiology of Shoulder Pain: A Narrative Review of the Literature

Pribicevic, Mario

doi:10.5772/52931

Cited by 50 publications

(60 citation statements)

References 100 publications

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“…The postural measures chosen were undertaken using methodologies consistent with previous studies in which the reliability and practicality of the techniques were detailed. Furthermore, upper extremity/shoulder pain is more prevalent in females compared to men (22.8%-30.9% vs 13.3%-21.4%) between the ages of 25-64 50 and a significant association exists between SAIS and female gender. 51 Judging the posture of men and women by the same standards may also affect group comparisons.…”

Section: Methodological Considerations and Study Limitationsmentioning

confidence: 97%

Postural Alterations in Patients With Subacromial Impingement Syndrome

Alizadehkhaiyat

Roebuck

Makki

et al. 2017

Intl J Sports Phys Ther

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Background: An aberrant upper body posture has been proposed as one of the etiological factors contributing to the development of subacromial impingement syndrome (SAIS). Clinicians have translated this supposition into assessment and rehabilitation programs despite insufficient and conflicting evidence to support this approach. Purpose:The purpose of this study was to compare several postural variables between the SAIS patients and asymptomatic healthy controls. Study Design: Case-Control StudyMethods: A total of 75 participants including 39 patients (20 females; 19 males) and 36 healthy controls (15 females; 21 males) participated in the study. Study evaluated several postural variables including forward head posture (FHP), forward shoulder posture (FSP), thoracic kyphosis index (TKI), scapular index (SI), normalized scapular protraction (NSP), and the lateral scapular slide test (LSST). The variables were compared between patient and control groups according to sex.Results: Significant differences were observed in the female patients compared to asymptomatic controls for the FHP (49.3Њ+9.6o vs 55.5o+8.3Њ, p=0.03), FSP (45.5Њ+10.1o vs 53.6Њ+7.0Њ, p=0.02), and LSST in third position (10.2+2.1cm vs 11.5+0.7cm, p=0.01). Male patients showed a significant difference only in the FSP compared to controls (61.9o+9.4o vs 49.7Њ+9.2Њ, p<0.001).Conclusions: While inadequate data on the relationship between dysfunctional posture and SAIS has led to broad variations in current rehabilitation strategies, the results of the present study revealed different patterns of postural aberrations in female and male patients with SAIS. This clarifies the need to develop individualized or sex-specific approaches for assessing posture in men and women with SAIS and rehabilitation programs based on the assessment results. Level of Evidence: 3b

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Section: Methodological Considerations and Study Limitationsmentioning

confidence: 97%

Postural Alterations in Patients With Subacromial Impingement Syndrome

Alizadehkhaiyat

Roebuck

Makki

et al. 2017

Intl J Sports Phys Ther

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“…Indeed, only about 50% of all new episodes of shoulder complaints presenting in medical practice show a complete recovery within 6 months [1]. The majority of problems persist to some level often requiring periodic therapy.…”

Section: Introductionmentioning

confidence: 98%

“…Shoulder dysfunction, with concomitant restriction and pain, is relatively common, with reported prevalence from 15-20% or even higher, depending on the patient's age and the country of origin of the data [1].…”

Section: Introductionmentioning

confidence: 99%

Considerations for virtual environments for upper limb rehabilitation tasks

Powell

Simmonds

2014

Proceedings of the 7th International Conference on PErvasive Technologies Related to Assistive Environments

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Shoulder pain and dysfunction are relatively common, but traditional treatment approaches and their efficacy are beset with problems, due in part, to the lack of adherence to therapeutic exercise programmes. The use of novel technology to support rehabilitation is increasing in popularity, with some evidence that it may be able to decrease the perception of pain, and improve movement quality, engagement and compliance with therapy. However, indiscriminate use of off-the-shelf games technology or haphazard approaches to the design of rehabilitation applications and virtual environments may not only reduce the potential benefits, but may even exacerbate the underlying problems. We consider the potential and the pitfalls associated with the use of novel technology in virtual reality rehabilitation, and suggest some strategies for reducing the risks and optimising therapeutic outcomes in virtual environments.

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“…Musculoskeletal shoulder pain is a commonly presenting complaint to both primary care and EDs . Epidemiologic studies suggest the prevalence of shoulder pain ranges from 15–30% in the general population, though more commonly reported by women, and more prevalent in the younger population, predisposing them to chronicity . This contributes to large healthcare costs, and the attendant impact on the health and quality of life for affected patients, such as personal support costs and work‐related productivity loss .…”

Section: Introductionmentioning

confidence: 99%

“…Epidemiologic studies suggest the prevalence of shoulder pain ranges from 15–30% in the general population, though more commonly reported by women, and more prevalent in the younger population, predisposing them to chronicity . This contributes to large healthcare costs, and the attendant impact on the health and quality of life for affected patients, such as personal support costs and work‐related productivity loss . Given the significant personal and economic burden associated with shoulder pain and injuries, it is important that the ED phase of care is optimised to reduce variation in outcomes.…”

Section: Introductionmentioning

confidence: 99%

Review article: Best practice management of common shoulder injuries and conditions in the emergency department (part 4 of the musculoskeletal injuries rapid review series)

Strudwick

McPhee

Bell

et al. 2018

Emerg Medicine Australasia

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Shoulder injuries are a commonly presenting complaint to the ED. In the absence of an obvious deformity, they can be difficult to assess and definitively diagnose because of the multiple structures that cause shoulder pain, the acuity and severity of pain and the lack of range of motion in the ED setting. The quality of ED care provided to patients with musculoskeletal shoulder pain is crucial to ensure the best possible outcomes for the patient. This rapid review investigated best practice for the assessment and management of common shoulder injuries and conditions in the ED. Databases were searched in 2017, including PubMed, CINAHL, EMBASE, TRIP and the grey literature, including relevant organisational websites. Primary studies, systematic reviews and guidelines published in English-language in the past 12 years that addressed the acute assessment, management, follow-up plan or prognosis were considered for inclusion. Data extraction of included articles was conducted, followed by quality appraisal to rate the level of evidence. The search revealed 1902 articles, of which 73 were included in the review (n = 12 primary articles, n = 49 systematic reviews and n = 12 guidelines). This rapid review provides clinicians who manage shoulder dislocations, fractures and soft tissue injuries in the ED a summary of the best available evidence to enhance the quality of care for optimal patient outcomes. There is strong evidence to support taking a thorough history and physical examination, with cautious use of special tests because of their poor diagnostic accuracy. Key points regarding the diagnosis and management of these injuries are provided.

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The Epidemiology of Shoulder Pain: A Narrative Review of the Literature

Cited by 50 publications

References 100 publications

Postural Alterations in Patients With Subacromial Impingement Syndrome

Postural Alterations in Patients With Subacromial Impingement Syndrome

Considerations for virtual environments for upper limb rehabilitation tasks

Review article: Best practice management of common shoulder injuries and conditions in the emergency department (part 4 of the musculoskeletal injuries rapid review series)

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