Lack of uniformity in diagnostic labeling of shoulder pain: Time for a different approach

Schellingerhout, Jasper Mattijs; Verhagen, Arianne P.; Thomas, Siep; Koes, Bart W.

doi:10.1016/j.math.2008.04.005

Cited by 125 publications

(88 citation statements)

References 64 publications

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“…Many studies highlight the difficulty in differentiating impingement from other shoulder pathologies, where shoulder pain can be indicative of other conditions such as joint instability, cervical radiculopathy, calcific tendinitis, adhesive capsulitis, degenerative joint disease, acromioclavicular osteoarthrosis and nerve compression. 2,[5][6][7] Consequently, the use of the term SIS as a diagnostic label has been the subject of debate, as it has been used for a spectrum of other shoulder and cervical conditions 5,6,[8][9][10][11] Diagnosis of SIS often relies upon a combination of physical examinations and further radiological investigations. However, the literature contains no suitable definition for the diagnosis of SIS using ultrasound and magnetic resonance imaging where such investigations play only a supporting role in the exclusion of other conditions.…”

Section: Introductionmentioning

confidence: 99%

Shoulder impingement syndrome: a systematic review of clinical trial participant selection criteria

et al. 2016

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Background: Shoulder impingement syndrome (SIS) is a common diagnosis for patients with pain and dysfunction of the shoulder. Variations in the signs and symptoms might lead to uncertainty regarding the definition of SIS. The aim of this review is to explore the participant selection criteria used in the literature when investigating SIS and to assess differences in criteria among treating professions. Methods: This is a PRISMA systematic review of publications from 2009 to 2014 from MEDLINE, PubMed, The Cochrane Library, Embase, Scopus and CINAHL. Results: Ninety-seven articles met inclusion criteria for this review. Twenty-five different surgical and nonsurgical treatments were investigated. Impingement-specific index tests were used in all studies. Exclusion index tests were used in 62% of studies. Twenty index tests were identified. Radiological investigations were reported in 53% of all studies, of which a further 53% reported using two or more radiological investigations. Conclusions: This systematic review has illustrated that studies investigating SIS test for various signs and symptoms, which is in keeping with describing the condition as a 'syndrome'. However, there are inconsistencies in participant selection criteria between health disciplines, highlighting a need for harmonization of the selection criteria in the form of an international editorial consensus.

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Section: Introductionmentioning

confidence: 99%

Shoulder impingement syndrome: a systematic review of clinical trial participant selection criteria

et al. 2016

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“…He defined it as coming on slowly 'with pain usually felt near the insertion of the deltoid; inability to sleep on the affected side; painful and incomplete elevation and external rotation; restriction of both spasmodic and mildly adherent type; atrophy of the spinati; little local tenderness; [and] X-rays negative except for bone atrophy' and named it 'frozen shoulder' . 1 However, there is an acknowledged absence of a specific definition of the condition 2,3 and of a diagnostic label, 3 with additional names for frozen shoulder including adhesive capsulitis, painful stiff shoulder, retractile capsulitis, Checkrein shoulder, monoarticular arthritis and steroid-sensitive arthritis. 4 Throughout this report the term 'frozen shoulder' will be used.…”

Section: Frozen Shouldermentioning

confidence: 99%

“…This is unsurprising given that there is a noted absence of a standard definition and classification for frozen shoulder. 2,3 The variations in study populations together with the lack of information on the stage of frozen shoulder mean that, even for those interventions for which there is some evidence of effectiveness, there is some uncertainty as to which frozen shoulder populations these apply to. Although potential classifications for primary and secondary frozen shoulder have been put forward, 3 a consensus on the definition of frozen shoulder is sorely needed to enable the generalisability of further research to be assessed.…”

Section: Improving the Evidence On The Effectiveness And Cost-effectimentioning

confidence: 99%

“…A review of 21 randomised controlled trials (RCTs) of interventions for frozen shoulder could not derive a consistent description of the condition from the trials investigating this patient group. 2 Although the RCTs required that participants had restricted shoulder movement, there was inconsistency across trials in the number of degrees of restriction, the type of restriction (active or passive) and the direction of the restriction (abduction or external rotation). 2 This highlights the difficulty of applying a strict definition for frozen shoulder within the context of a systematic review.…”

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confidence: 99%

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Management of frozen shoulder: a systematic review and cost-effectiveness analysis

2012

Clinical Governance: An Intl J

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address.Paying by credit card You can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume.How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeThe Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service' . The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projec...

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“…Still, the diagnostic labels of shoulder pain are still widely used in international investigations and even in clinical practice, demonstrating the need to abolish the use of these expressions to describe clinical trials to come [17] . In this sense, the research was concerned to describe the disease entity based on Eastern tradition in health in order to improve evaluation.…”

Section: Final Considerationsmentioning

confidence: 99%

Possible dialogue between acupuncture, nursing and modulation of pain: assistance experience report

Santos

2012

JNEP

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This research involves discussions between the interfaces of scientific and nursing acupuncture in pain modulation through a case study with care qualitative and descriptive and participant of a patient under care and nursing. The aim is contextualize acupuncture in nursing as a potential supplement for pain control in actual clinical practice. It was concluded that the benefits of acupuncture in relation to pain modulation were conclusive to say that the optimization of the use of acupuncture in nursing consultation contributes to the efficacy in the treatment and functional rehabilitation. The analysis of this case study involving health care reported shoulder pain and the literature review, we find the need to promote scientific research to measure the benefits of acupuncture in musculoskeletal pain modulation.

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Lack of uniformity in diagnostic labeling of shoulder pain: Time for a different approach

Cited by 125 publications

References 64 publications

Shoulder impingement syndrome: a systematic review of clinical trial participant selection criteria

Shoulder impingement syndrome: a systematic review of clinical trial participant selection criteria

Management of frozen shoulder: a systematic review and cost-effectiveness analysis

Possible dialogue between acupuncture, nursing and modulation of pain: assistance experience report

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