An evaluation of a shoulder rehabilitation class in a UK hospital following evidence-based modifications.

OBJECTIVES: Shoulder pain is a common musculoskeletal disorder, which carries a high cost to healthcare systems. Exercise is a common conservative management strategy for a range of shoulder conditions and can reduce shoulder pain and improve function. Exercise classes that integrate education and s...

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Publicado en:Physiotherapy Practice & Research Vol. 42; no. 1; pp. 13 - 21
Autores principales: Kell, Emily, Hammond, John A., Andrews, Sophie, Germeni, Christina, Hingston, Helen, Khan, Saifur, Shearer, Gemma, Weeks, Sophie
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2021
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        150774067
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        10.3233/PPR-200408
        150774067
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        atl: An evaluation of a shoulder rehabilitation class in a UK hospital following evidence-based modifications.
      aug:
        au:
          Kell, Emily
          Hammond, John A.
          Andrews, Sophie
          Germeni, Christina
          Hingston, Helen
          Khan, Saifur
          Shearer, Gemma
          Weeks, Sophie
        affil: Department of Rehabilitation Sciences, Faculty of Health, Social Care and Education, St. George's University London, London, United Kingdom
      sug:
        subj:
          Shoulder Pain Rehabilitation
          Professional Practice, Evidence-Based
          Patient Education
          Human
          Retrospective Design
          Program Evaluation
          Questionnaires
          Outpatient Service
          Scales
      ab: OBJECTIVES: Shoulder pain is a common musculoskeletal disorder, which carries a high cost to healthcare systems. Exercise is a common conservative management strategy for a range of shoulder conditions and can reduce shoulder pain and improve function. Exercise classes that integrate education and self-management strategies have been shown to be cost-effective, offer psycho-social benefits and promote self-efficacy. This study aimed to examine the effectiveness of an 8-week educational and exercise-based shoulder rehabilitation programme following the introduction of evidence-based modifications. METHODS: A retrospective evaluation of a shoulder rehabilitation programme at X Trust was conducted, comparing existing anonymised Shoulder Pain and Disability Index (SPADI) and Patient-Specific Functional Scale (PSFS) scores from two cohorts of class participants from 2017-18 and 2018-19 that were previously collected by the physiotherapy team. Data from the two cohorts were analysed separately, and in comparison, to assess class efficacy. Descriptive data were also analysed from a patient satisfaction survey from the 2018-19 cohort. RESULTS: A total of 47 patients completed the 8-week shoulder rehabilitation programme during the period of data collection (2018-2019). The 2018-19 cohort showed significant improvements in SPADI (p 0.001) and PSFS scores (p 0.001). No significant difference was found between the improvements seen in the 2017-18 cohort and the 2018-19 cohort. 96% of the 31 respondents who completed the patient satisfaction survey felt the class helped to achieve their goals. CONCLUSION: A group-based shoulder rehabilitation class, which included loaded exercises and patient education, led to improvements in pain, disability and function for patients with rotator cuff related shoulder pain (RCRSP) in this outpatient setting, but anticipated additional benefits based on evidence were not observed.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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