Department of Physical Therapy, Superior Center for University Studies La Salle, Autonomous University of Madrid, Madrid, Spain; Motion in Brains Research Group, Institute of Neuroscience and Movement Sciences (INCIMOV). Superior Center for University Studies La Salle. Autonomous University of Madrid, Madrid, Spain.
School of Health and Social Work, University of Hertfordshire, Hertfordshire, United Kingdom; Therapy Department, Central London Community Healthcare National Health Service Trust, London, United Kingdom; Department of Physical Therapy & Rehabilitation Science, College of Health Sciences, Qatar University, Doha, Qatar.
Braz J Phys Ther. 2022 Mar-Apr;26(2):100395. doi: 10.1016/j.bjpt.2022.100395. Epub 2022 Feb 20.
There is a lack of standardized criteria for diagnosing rotator cuff related shoulder pain (RCRSP).
To identify the most relevant clinical descriptors for diagnosing RCRSP.
A Delphi study was conducted through use of an international physical therapists expert panel. A 3-round Delphi survey involving an international panel of physical therapists experts with extensive clinical, teaching, and research experience was conducted. A search query was performed in Web of Science, along with a manual search, to find the experts. The first round was composed of items obtained from a previous pilot Delphi study along with new items proposed by the experts. Participants were asked to rate items across six clinical domains using a five-point Likert scale. An Aiken's Validity Index ≥ 0.7 was considered indicative of group consensus.
Fifteen experts participated in the Delphi survey. After the three rounds, consensus was reached on 18 clinical descriptors: 10 items were included in the "subjective examination" domain, 1 item was included in the "patient-reported outcome measures" domain, 3 items in the "diagnostic examination" domain, 2 items in the "physical examination" domain", and 2 items in the "functional tests" domain. No items reached consensus within the "special tests" domain. The reproduction of symptoms in relation to the application of load, the performance of overhead activities, and the need of active and resisted movement assessment were some of the results with greatest consensus.
In this Delphi study, a total of 18 clinical descriptors across six clinical domains were agreed upon for diagnosing RCRSP.
目前缺乏诊断肩袖相关肩痛（RCRSP）的标准化标准。
确定用于诊断 RCRSP 的最相关临床描述符。
通过使用国际物理治疗师专家小组进行了一项德尔菲研究。进行了三轮涉及具有广泛临床、教学和研究经验的国际物理治疗师专家小组的德尔菲调查。在 Web of Science 中进行了搜索查询，并进行了手动搜索，以找到专家。第一轮由之前的德尔菲试点研究获得的项目以及专家提出的新项目组成。参与者被要求使用五点李克特量表对六个临床领域的项目进行评分。Aiken 有效性指数≥0.7 被认为表示组内达成共识。
15 名专家参加了德尔菲调查。经过三轮后，18 个临床描述符达成共识：“主观检查”领域包括 10 个项目，“患者报告的结果测量”领域包括 1 个项目，“诊断检查”领域包括 3 个项目，“体检”领域包括 2 个项目，“功能测试”领域包括 2 个项目。“特殊测试”领域没有项目达成共识。与施加负荷有关的症状再现、进行头顶活动以及需要主动和抵抗运动评估是达成共识最多的结果之一。
在这项德尔菲研究中，总共达成了六个临床领域的 18 个临床描述符，用于诊断 RCRSP。
