Faculty of Health, Research group Diagnostics, Avans University of Applied Sciences, PO Box 90,1164800, RA, Breda, The Netherlands.
BMC Musculoskelet Disord. 2013 Feb 11;14:62. doi: 10.1186/1471-2474-14-62.
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.
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.
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.
肩部疼痛具有致残性,且对社会经济有重大影响。超过 50%的患者在初级保健就诊后仍有症状持续 6 个月;此外,疼痛强度、年龄、残疾程度和症状持续时间等预后因素与不良预后相关。该组中大多数肩部疼痛被归类为非特异性。肌肉骨骼超声可能是一种有用的成像方法,可以检测肩峰下疾病亚组的患者。本文描述了一项前瞻性队列研究的设计,该研究评估了已知的预后因素和可能的预后因素(如肌肉骨骼超声结果和工作联盟)对肩部疼痛恢复的影响。此外,还评估了肩部疼痛的常规物理治疗护理,并检查了放射科医生和物理治疗师对肩部疼痛患者进行肌肉骨骼超声的组内相关性。
一项包括组内相关性研究的前瞻性队列研究。将在初级保健物理治疗实践中出现肩部疼痛的患者纳入研究。在基线时使用经过验证的问卷来测量患者特征、疾病特异性特征和社会因素。体格检查根据物理治疗师的专业知识进行。随访测量将在纳入后 6、12 和 26 周进行。主要结局测量是采用 7 分李克特量表评估的感知恢复情况。逻辑回归分析将用于评估预后因素与恢复之间的关联。
ShoCoDiP(肩部抱怨和在物理治疗实践中使用诊断性超声)队列研究将提供有关初级保健中肩部疼痛患者当前管理情况的信息,为开发初级保健中肩部疼痛的预测模型提供数据,并评估肌肉骨骼超声是否可以改善预后。