https://www.mdlinx.com/internal-medicine/medical-news-article/2016/12/16/physiotherapy-shoulder-pain-cohort-study-primary/6963462/?
Physiotherapy, 12/16/2016
In
this study, researchers depict current physiotherapeutic diagnostic–
and therapeutic management, including the utilization of diagnostic
ultrasound, in patients with shoulder pain in primary care. Patients
with shoulder pain in physiotherapy practice much of the time display
signs of subacromial impingement syndrome. The interventions utilized by
the physiotherapists were generally in line with the guideline for
subacromial impingement syndrome, however, a small proportion of
physiotherapists utilized massage and tape/bracing techniques. A large
proportion of patients were still receiving treatment after 12 weeks
when no improvement was observed. If treatment for patients with
subacromial impingement demonstrates no benefit patients ought to be
referred back to the general practitioner or orthopedic surgeon.
Conclusions from this study may be marginally biased because of the
selection of physiotherapists.
Methods
- For this study researchers design a prospective cohort study.
- This study led in primary care physiotherapy with a 12 weeks follow–up.
- Descriptive information from physiotherapists was gathered, for example, the diagnostic hypotheses after patient history and physical examination, the utilization of particular tests and diagnostic ultrasound, the interventions utilized and possible changes in treatment plan.
Results
- Subacromial impingement syndrome was the most well–known speculation after patient history (48%) and also physical examination (39%).
- Diagnostic ultrasound was utilized in 31% and of these patients the clinical diagnosis changed in 29%.
- In all clinical diagnoses different interventions were utilized.
- 41% of patients still got physiotherapy treatment after 3 months.
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