Pribicevic Mario, Pollard Henry, Bonello Rod
Private practice of chiropractic, Harbord NSW, Australia.
J Manipulative Physiol Ther. 2009 Feb;32(2):107-17. doi: 10.1016/j.jmpt.2008.12.005.
This survey investigated the demographic characteristics of the responding practitioners, the prevalence of shoulder pain symptoms seen in weekly chiropractic practice, the sources of shoulder pain, the chiropractor-diagnosed prevalence of shoulder clinical syndromes, and the management strategies for Australian chiropractors.
A survey was created by the authors consisting of questions seeking demographic information from the respondents, shoulder syndrome, and shoulder management information. The survey was mailed to every chiropractic practitioner based in the Australian state of New South Wales (general population 6.8 million in 2005). Contact details were derived from Yellow Pages online listings.
One thousand thirty-seven surveys were mailed to New South Wales-based chiropractors, with 192 (21%) returning a completed survey. The prevalence of shoulder pain symptoms as reported by the practitioners was 12% of the total weekly patients, with the major cause of symptoms related to overuse (32%). The most prevalent working diagnosis of shoulder pain was shoulder impingement syndrome (13%), followed by impingement syndrome with rotator cuff tendinosis (17%), impingement syndrome without rotator cuff tendinosis (14%), and chiropractic shoulder subluxation (12%). Shoulder pain is managed with a combination of manipulation, mainly diversified technique (81%), peripheral joint manipulation (82%), and various soft tissue strategies used by 92% of practitioners. Rehabilitation strategies were also used by 89% of practitioners with a main emphasis placed on rotator cuff strengthening.
The results suggest a moderate prevalence of shoulder pain in clinical practice with the most prevalent structure involved being the rotator cuff tendon. Most practitioners use a multimodal therapeutic treatment approach in managing disorders of the shoulder.
本调查研究了参与调查的从业者的人口统计学特征、每周整脊治疗实践中出现的肩痛症状的患病率、肩痛的来源、整脊师诊断的肩部临床综合征的患病率以及澳大利亚整脊师的管理策略。
作者设计了一项调查，其中包括询问受访者人口统计学信息、肩部综合征和肩部管理信息的问题。该调查被邮寄给澳大利亚新南威尔士州的每一位整脊治疗从业者（2005年总人口为680万）。联系方式来自在线黄页列表。
向新南威尔士州的整脊治疗师邮寄了1037份调查问卷，其中192份（21%）返回了完整的调查问卷。从业者报告的肩痛症状患病率为每周总患者数的12%，症状的主要原因与过度使用有关（32%）。最常见的肩痛工作诊断是肩部撞击综合征（13%），其次是伴有肩袖肌腱病的撞击综合征（17%）、不伴有肩袖肌腱病的撞击综合征（14%）和整脊肩部半脱位（12%）。肩痛的治疗采用手法治疗相结合的方式，主要是多样化技术（81%）、周围关节手法治疗（82%），92%的从业者使用各种软组织策略。89%的从业者也使用康复策略，主要侧重于加强肩袖。
结果表明，临床实践中肩痛的患病率中等，最常涉及的结构是肩袖肌腱。大多数从业者在管理肩部疾病时采用多模式治疗方法。
