Friday, December 16, 2016

Physiotherapy for patients with shoulder pain in primary care: A descriptive study of diagnostic- and therapeutic management

Would this help in treating your shoulder pain post-stroke? I had it for a few days, was not given any diagnosis, treatment was rest.
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.
Go to Abstract Print Article Summary Cat 2 CME Report

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