Incidence, prevalence, and consultation rates of shoulder complaints in general practice

Greving, K.; Dorrestijn, Oscar; Winters, Jan C.; Groenhof, Feikje; Meer, van der Klaas; Stevens, Martin; Diercks, Ron L.

doi:10.3109/03009742.2011.605390

Cited by 170 publications

(133 citation statements)

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“…Epub 26 Mar 2015. doi:10.2519/jospt.2015 T t KEY WORDS: mobilization, physical therapy, shoulder impingement syndrome, shoulder pain S houlder pain is highly prevalent and among mus culoskeletal disorders is the third most common reason for visiting a primary care physician. 16,33,46 As many as two thirds of people who have shoulder complaints receive a diagnosis of rotator cuff (RC) tendinopathy. 46 Rotator cuff tendinopathy often leads to decreased function, 34 lower health related quality of life, 34 poor sleep quality, 47 and work absenteeism.…”

Section: T T Level Of Evidencementioning

confidence: 99%

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The Efficacy of Manual Therapy for Rotator Cuff Tendinopathy: A Systematic Review and Meta-analysis

Desjardins‐Charbonneau¹,

Roy²,

Dionne³

et al. 2015

J Orthop Sports Phys Ther

119

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® T t STUDY DESIGN:Systematic review and metaanalysis. T t OBJECTIVES:To evaluate the efficacy of manual therapy (MT) for patients with rotator cuff (RC) tendinopathy. T t BACKGROUND:Rotator cuff tendinopathy is a highly prevalent musculoskeletal disorder, for which MT is a common intervention used by physical therapists. However, evidence regarding the efficacy of MT is inconclusive. T t METHODS:A literature search using terms related to shoulder, RC tendinopathy, and MT was conducted in 4 databases to identify randomized controlled trials that compared MT to any other type of intervention to treat RC tendinopathy. Randomized controlled trials were assessed with the Cochrane risk-of-bias tool. Meta-analyses or qualitative syntheses of evidence were performed. T t RESULTS:Twenty-one studies were included.The majority had a high risk of bias. Only 5 studies had a score of 69% or greater, indicating a moderate to low risk of bias. A small but statistically significant overall effect for pain reduction of MT compared with a placebo or in addition to another intervention was observed (n = 406), which may or may not be clinically important, given a mean difference of 1.1 (95% confidence interval: 0.6, 1.6) on a 10-cm visual analog scale. Adding MT to an exercise program (n = 226) significantly decreased pain (mean difference, 1.0; 95% confidence interval: 0.7, 1.4), as reported on a 10-cm visual analog scale, which may or may not be clinically important. Based on qualitative analyses, it is unclear whether MT used alone or added to an exercise program improves function. T t CONCLUSION:For patients with RC tendinopathy, based on low-to moderate-quality evidence, MT may decrease pain; however, it is unclear whether it can improve function. More methodologically sound studies are needed to make definitive conclusions. T t LEVEL OF EVIDENCE:Therapy, level 1a-. Ther 2015;45(5):330-350. Epub 26 Mar 2015. doi:10.2519/jospt.2015 T t KEY WORDS: mobilization, physical therapy, shoulder impingement syndrome, shoulder pain S houlder pain is highly prevalent and among mus culoskeletal disorders is the third most common reason for visiting a primary care physician. 16,33,46 As many as two thirds of people who have shoulder complaints receive a diagnosis of rotator cuff (RC) tendinopathy. 46 Rotator cuff tendinopathy often leads to decreased function, 34 lower health related quality of life, 34 poor sleep quality, 47 and work absenteeism. J Orthop Sports Phys 40Rotator cuff tendinopathy is a broad diagnosis, and mounting evidence suggests that diagnoses such as shoulder impingement syndrome, RC tendinitis/ tendinosis, as well as subacromial bursitis may be considered as the same clinical entity. 19 Conservative treatment of RC tendinopathy generally includes rest, nonsteroidal anti-inflammatory drugs, and rehabilitation interventions such as exercise.19 High-level evidence supports exercise as an effective treatment. 20 In conjunction with exercise, physical therapists often add manual therapy (MT) interventions to address impairm...

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Section: T T Level Of Evidencementioning

confidence: 99%

“…16,33,46 As many as two thirds of people who have shoulder complaints receive a diagnosis of rotator cuff (RC) tendinopathy. 46 Rotator cuff tendinopathy often leads to decreased function, 34 lower health related quality of life, 34 poor sleep quality, 47 and work absenteeism.…”

mentioning

confidence: 99%

The Efficacy of Manual Therapy for Rotator Cuff Tendinopathy: A Systematic Review and Meta-analysis

Desjardins‐Charbonneau¹,

Roy²,

Dionne³

et al. 2015

J Orthop Sports Phys Ther

119

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“…Studies from the industrialized nations indicated that SP constituted a tremendous burden on the healthcare system [7,20,31] particularly primary and secondary health care facilities. The main focus of the present study was to investigate the frequency of referral and pattern of management of patients with problem of SP seen over a five year period in a physiotherapy department of a tertiary hospital.…”

Section: Introductionmentioning

confidence: 99%

Pattern and Physiotherapy Management of Shoulder Pain A 5-Year Retrospective Audit of a Nigerian Tertiary Hospital

Ayanniyi¹,

Dosumu²,

Mbada³

2016

Med-Science

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“…The incidence is higher in women and in people aged over 45 years (1) . The most frequent cause of shoulder pain is subacromial impingement syndrome (SIS) (2) which is caused by compression of the rotator cuff, long head of the biceps tendon, and subacromial bursa between the humerus and coracoacromial arch as a result of an intrinsic or an extrinsic mechanism (3) .…”

Section: P Atıcı öZtürk Et Al Effectiveness Of Low-level Laser Thermentioning

confidence: 99%

Effectiveness of low-level laser therapy in patients with subacromial impingement syndrome: a randomized, placebo controlled, prospective study

Öztürk¹,

Altınay²,

Karatepe³

et al. 2015

Tepecik Dergisi

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Objective: To assess the effectiveness of low-level laser therapy [LLLT] in patients with subacromial impingement syndrome (SIS). Methods: A total of 60 patients with SIS were randomly assigned into a laser or a placebo group. All participants also received 15 sessions of superficial heat treatment, transcutaneous electrical nerve stimulation therapy, and an exercise program. Outcomes were global pain severity, active and passive shoulder range of motion (ROM), and disability assessed by the Turkish Disabilities of the Arm, Shoulder and Hand (DASH-T) Outcome Measurement. Results: There were statistically significant improvements in all outcome measurements in both groups. In comparison of both groups, median active and passive flexion, active and passive abduction, passive internal rotation, and passive external rotation scores were significantly higher in the laser group after the treatment (p=0.015, P=0.004, p=0.048, p=0.014, p=0.031, and p=0.044, respectively), but median differences in both groups were similar (P>0.05). The median differences for global visual analogue scale pain and DASH-T scores, in both groups were also similar (P>0.05). Conclusion:The results of our study demonstrated that both treatments provided improvement in pain, ROM, and disability status, but LLLT did not provide additional improvements.Key words: Subacromial impingement syndrome, low-level laser therapy, shoulder disability ÖZET Amaç: Subakromiyal sıkışma sendromu (SSS) olan hastalarda düşük doz lazer tedavisinin (DDLT) etkinliğini değerlendirmek. Yöntemler: SSS olan toplam 60 hasta lazer ve plasebo lazer gruplarına randomize edildi. Tüm katılımcılar aynı zamanda 15 seans boyunca yüzeyel sıcak uygulama, transkutanöz elektriksel sinir stimülasyon (TENS) tedavisi ve bir egzersiz programı aldı. Sonuç ölçümleri global ağrı şiddeti, aktif ve pasif omuz hareket açıklığı (EHA) ve Kol, Omuz ve El Sorunları Anketi [(Turkish Disabilities of the Arm, Shoulder and Hand Outcome Measurement (DASH-T)] idi. Bulgular: Her iki grupta da tüm sonuç ölçümlerinde istatistiksel olarak anlamlı düzelme vardı. Tedavi sonrasında iki grubun karşılaştırılmasında ortanca aktif ve pasif fleksiyon, aktif ve pasif abduksiyon, pasif iç rotasyon ve pasif dış rotasyon lazer grubunda anlamlı olarak daha yüksekken (sırasıyla p=0.015, p=0.004, p=0.048, p=0.031 ve p=0.044), farkların ortancası iki grup arasında benzerdi (p>0.05). Yine VAS ağrı farklarının ortancası ve DASH-T farklarının ortancası iki grupta benzerdi (p>0.05). Sonuç: Çalışmamızın sonuçları her iki tedavinin de ağrı, EHA ve yetersizlik durumunda iyileşme sağladığını, ancak DDLT'nin ilave iyileşmeye katkısının olmadığını gösterdi.

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Incidence, prevalence, and consultation rates of shoulder complaints in general practice

Abstract: Although the incidence of shoulder complaints in general practice is as high as 29.3 per 1000 person-years, GPs' workload is generally low, as nearly half of these patients consult their GP only once for their complaint.

Cited by 170 publications

References 20 publications

The Efficacy of Manual Therapy for Rotator Cuff Tendinopathy: A Systematic Review and Meta-analysis

The Efficacy of Manual Therapy for Rotator Cuff Tendinopathy: A Systematic Review and Meta-analysis

Pattern and Physiotherapy Management of Shoulder Pain A 5-Year Retrospective Audit of a Nigerian Tertiary Hospital

Effectiveness of low-level laser therapy in patients with subacromial impingement syndrome: a randomized, placebo controlled, prospective study

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