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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2013

Open Access 01-12-2013 | Study protocol

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

Authors: Yasmaine H J M Karel, Wendy G M Scholten-Peeters, Marloes Thoomes-de Graaf, Edwin Duijn, Ramon P G Ottenheijm, Maaike P J van den Borne, Bart W Koes, Arianne P Verhagen, Geert-Jan Dinant, Eric Tetteroo, Annechien Beumer, Joost B van Broekhoven, Marcel Heijmans

Published in: BMC Musculoskeletal Disorders | Issue 1/2013

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Abstract

Background

Shoulder 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.

Methods

A 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.

Discussion

The 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.
Appendix
Available only for authorised users
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Metadata
Title
Current management and prognostic factors in physiotherapy practice for patients with shoulder pain: design of a prospective cohort study
Authors
Yasmaine H J M Karel
Wendy G M Scholten-Peeters
Marloes Thoomes-de Graaf
Edwin Duijn
Ramon P G Ottenheijm
Maaike P J van den Borne
Bart W Koes
Arianne P Verhagen
Geert-Jan Dinant
Eric Tetteroo
Annechien Beumer
Joost B van Broekhoven
Marcel Heijmans
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2013
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/1471-2474-14-62

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