Private Practice, Biscarrosse, France.
Physiotherapy Department, School of Primary and Allied Health Care, Faculty of Medicine Nursing and Health Science, Monash University, Victoria, Australia.
Musculoskeletal Care. 2021 Dec;19(4):484-494. doi: 10.1002/msc.1545. Epub 2021 Mar 5.
Rotator cuff related shoulder pain (RCRSP) is a common and disabling cause of shoulder pain contributing to great socio-economic costs. Conservative management is recommended as first-line treatment, with studies performed in the United Kingdom, Belgium, the Netherlands and Australia finding practice generally consistent with guideline recommendations. Current French guidelines for management of RCRSP were published more than a decade ago, and it is unknown if French physiotherapists manage RCRSP in line with the current guideline recommendations. The aim of this survey is to evaluate if management delivered by French physiotherapists for RCRSP is in line with the current evidence.
A cross-sectional online survey was conducted and disseminated through various social media platforms and a mailing list from December 2018 to March 2019.
Two hundred and six French physiotherapists completed the survey. The results demonstrated that the majority of physiotherapists provide care consistent with recommended guideline management, through the delivery of exercise and education. Ideology and specific parameters of treatment delivery, particularly exercise treatment, were highly variable among the cohort, but comparable to findings among physiotherapists in the United Kingdom, Belgium, the Netherlands and Australia.
French physiotherapists are broadly consistent with providing guideline recommended care of RCRSP; however, heterogeneity exists in the ideals and practice of specific treatment delivery, particularly within exercise management.
肩袖相关的肩部疼痛（RCRSP）是导致肩部疼痛的常见且致残的原因，造成了巨大的社会经济成本。保守治疗被推荐作为一线治疗方法，英国、比利时、荷兰和澳大利亚的研究发现，实践通常与指南建议一致。目前针对 RCRSP 的法国管理指南已经发布了十多年，目前尚不清楚法国物理治疗师是否按照当前指南建议来管理 RCRSP。本调查的目的是评估法国物理治疗师对 RCRSP 的管理是否符合当前的证据。
采用横断面在线调查，于 2018 年 12 月至 2019 年 3 月通过各种社交媒体平台和邮件列表进行传播。
206 名法国物理治疗师完成了这项调查。结果表明，大多数物理治疗师通过提供运动和教育来提供符合推荐指南管理的护理。在该队列中，治疗方法的理念和具体参数，特别是运动治疗，存在高度的差异，但与英国、比利时、荷兰和澳大利亚的物理治疗师的发现相当。
法国物理治疗师在提供 RCRSP 的指南推荐护理方面基本一致；然而，在特定治疗方法，特别是运动管理方面，理想和实践存在差异。
