Treatment of shoulder pathologies based on irritability: a case series.
Study Design: Case Series. Background: Shoulder pain is a prevalent problem in health care. Traditionally, treatment is based on a pathoanatomical diagnosis determined through the use of special tests. The validity of these special tests is questionable and minimal evidence exists to support these t...
| Published in: | Physiotherapy Theory & Practice Vol. 36; no. 11; pp. 1266 - 1275 |
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| Main Authors: | , , , |
| Format: | case study tables/charts Journal Article |
| Published: |
Taylor & Francis Ltd
Nov2020
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146791044&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146791044 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Nov2020 vid: 36 iid: 11 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 146791044 146791044 146791044 10.1080/09593985.2019.1571136 146791044 ppf: 1266 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Treatment of shoulder pathologies based on irritability: a case series. aug: au: Somerville, Kristin Walston, Zachary Marr, Tye Yake, Dale affil: PT Solutions Physical Therapy, Atlanta, GA, USA sug: subj: Shoulder Pathology Shoulder Anatomy and Histology Shoulder Pain Rehabilitation Adult Physical Therapy Practice Tendons Pathology Adhesive Capsulitis Pathology Signs and Symptoms Office Visits Treatment Outcomes Scales Disability Evaluation Pain Measurement Middle Age Aged Female Male Shoulder Injuries Classification Shoulder Pain Classification Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Female Male ab: Study Design: Case Series. Background: Shoulder pain is a prevalent problem in health care. Traditionally, treatment is based on a pathoanatomical diagnosis determined through the use of special tests. The validity of these special tests is questionable and minimal evidence exists to support these tests to guide treatment. The purpose of this case series is to apply the principles of irritability, proposed by McClure and Michener in the Staged Approach Rehabilitation Classification, to adult patients with varying anatomical diagnoses. Case Description: Three patients diagnosed with different shoulder pathologies by referring physicians were recruited from a physical therapy clinic. Diagnoses included unspecified disorder of synovium and tendon, adhesive capsulitis, and other shoulder lesions. Patients were classified using a system based on stages of irritability. Patients received treatment based on impairments and irritability. Outcomes: Patients were treated for a total of 14–18 visits over a course of 7 to 8 weeks. Primary outcome measures included pain measured by the numeric pain rating scale (NPRS) and disability measured by FOTO (Focus on Therapeutic Outcomes). Pain was reduced to 0/10 in all cases and all patients exceeded their predicted outcome scores on FOTO. Discussion: This case series describes the use of an irritability-based classification system for treatment of adults with varying shoulder diagnoses. The positive outcomes indicate that treatment guided by irritability appeared to be beneficial for conservative treatment of three patients in a physical therapy setting. Further research, including randomized controlled trials, is needed to determine effectiveness in a larger population. pubtype: Academic Journal doctype: case study tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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