Physiotherapy Department, School of Primary and Allied Health Care, Faculty of Medicine Nursing and Health Science, Building B, Peninsula Campus, Monash University, Victoria, 3199, Australia; A-Game Physiotherapy, Somerville, Victoria, 3912, Australia.
Physiotherapy Department, School of Primary and Allied Health Care, Faculty of Medicine Nursing and Health Science, Building B, Peninsula Campus, Monash University, Victoria, 3199, Australia.
Musculoskelet Sci Pract. 2021 Feb;51:102305. doi: 10.1016/j.msksp.2020.102305. Epub 2020 Nov 20.
Rotator cuff related shoulder pain is the most common cause of shoulder pain. Whilst guidelines recommend conservative management prior to imaging, injection or surgical management, recent findings suggest that patients experience management contrary to guideline recommendations.
The aim of this study was to investigate self-reported management among people with rotator cuff related shoulder pain (RCRSP) and their beliefs towards management.
Cross-sectional survey of people with RCRSP recruited when referred for imaging (n = 120). Electronic survey about demographic factors, management people had had (including imaging, injections, surgery, exercise, adjuncts), and beliefs about treatments. The frequency of various treatments was reported (separately for each cohort and traumatic onset) as well as the timing of interventions related to first-line care.
Most people had tried exercise (99/120, 82.5%) but only one in five people reported exercise was helpful, and one in six reported it was unhelpful or made their symptoms worse. Approximately a third of the cohort reported not receiving activity modification advice (34.2%, 41/120), those that did received inconsistent information. People with both traumatic (imaging 31/43, 72.1%; injections 13/24, 54.2%, surgery 8/21, 38.1%) and atraumatic onset pain (imaging 43/77, 55.8%; injections 31/51, 60.8%, surgery 4/19, 21.1%) had similarly high rates of intervention prior to trialling conservative management. Patient beliefs in regards to management showed trends towards interventionalist care.
Patient reported management of RCRSP is often inconsistent with guideline recommended management.
肩袖相关的肩部疼痛是肩部疼痛最常见的原因。虽然指南建议在进行影像学检查、注射或手术治疗之前进行保守治疗，但最近的研究结果表明，患者的治疗方式与指南建议相悖。
本研究旨在调查肩袖相关肩部疼痛（RCRSP）患者的自我报告管理情况及其对管理的看法。
横断面调查了 120 名因肩部影像学检查而就诊的 RCRSP 患者。电子调查了患者的人口统计学因素、接受过的治疗（包括影像学检查、注射、手术、运动、辅助治疗）以及对治疗的看法。报告了各种治疗的频率（分别针对每个队列和创伤性发作），以及与一线治疗相关的干预措施的时间。
大多数患者都尝试过运动治疗（99/120，82.5%），但只有五分之一的患者认为运动治疗有帮助，六分之一的患者认为运动治疗没有帮助或使症状恶化。大约三分之一的患者报告没有接受活动调整建议（34.2%，41/120），且这些建议的信息不一致。创伤性（影像学检查 31/43，72.1%；注射治疗 13/24，54.2%，手术治疗 8/21，38.1%）和非创伤性发作疼痛患者（影像学检查 43/77，55.8%；注射治疗 31/51，60.8%，手术治疗 4/19，21.1%）在尝试保守治疗前同样接受了较高频率的干预治疗。患者对治疗的看法显示出倾向于介入治疗的趋势。
患者报告的 RCRSP 治疗方法常常与指南推荐的治疗方法不一致。
