肩袖疾病:当前(2023 年)英国物理治疗实践的最新调查。

IF 1.5 Q3 RHEUMATOLOGY Musculoskeletal Care Pub Date : 2024-03-01 DOI:10.1002/msc.1872
Maria Moffatt, Stacey Lalande, Natasha Maher, Chris Littlewood
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引用次数: 0

摘要

背景:临床指南建议由物理治疗师为因肩袖疾病导致肩部疼痛的患者提供治疗。尽管有此建议,但支持物理治疗师治疗效果的研究证据并不确定。在制定随机对照试验以检验物理治疗师对肩袖疾病引起的肩痛患者进行治疗的有效性时,我们首先要了解目前的做法,以此作为界定常规护理的基础:方法:我们根据之前一项调查中使用的临床小插图制作了一份在线调查,该调查旨在探讨物理治疗师对肩袖疾病引起的肩痛患者的治疗方法。我们邀请英国的物理治疗师通过 X 和电子邮件在专业网络中完成调查:结果:共收到 170 份完整的回复。167名受访者(98%)会为肩袖疾病患者提供建议/教育;146名受访者(86%)会进行等张锻炼(包括同心/同心加强);20名受访者(12%)会进行皮质类固醇注射;7名受访者(4%)会进行关节活动。168/169(99%)人将提供亲临现场的评估;115(68%)人希望通过三到四次治疗来提供治疗。50%的人认为物理治疗对肩袖疾病患者的治疗效果存在不确定性。76%的人认为这种疾病的患者无需物理治疗干预即可康复:运动和建议仍然是物理治疗师为肩袖疾病引起的肩部疼痛患者提供的最常见治疗方法。皮质类固醇注射很少被考虑。物理治疗师对肩袖疾病引起的肩部疼痛的治疗效果存在明显的不确定性。
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Rotator cuff disorders: An updated survey of current (2023) UK physiotherapy practice.

Background: Clinical guidelines recommend treatment by a physiotherapist for people with shoulder pain due to rotator cuff disorder. Despite this recommendation, research evidence supporting the effectiveness of treatment by a physiotherapist is uncertain. While developing a randomised controlled trial to test the effectiveness of treatment by a physiotherapist for people with shoulder pain due to rotator cuff disorders, we first aimed to understand current practice as a basis for defining usual care.

Methods: An online survey was developed based on a clinical vignette used in a previous survey exploring physiotherapy practice for people with shoulder pain due to rotator cuff disorder. UK-based physiotherapists were invited to complete the survey via X and email across professional networks.

Results: One Hundred Seventy complete responses were received. 167 (98%) respondents would offer advice/education to patients with shoulder rotator cuff disorders; 146 (86%) would use isotonic exercise (including concentric/eccentric strengthening); 20 (12%) would offer a corticosteroid injection; 7 (4%) would use joint mobilisation. 168/169 (99%) would offer in-person assessment; 115 (68%) expect to deliver treatment over three to four sessions. Fifty percent agreed there is uncertainty about the effectiveness of physiotherapy treatment for patients with shoulder rotator cuff disorders. Seventy six percent agreed that patients with this condition can recover without physiotherapy intervention.

Conclusions: Exercise and advice remain the most common treatments offered by physiotherapists for people with shoulder pain due to rotator cuff disorder. Corticosteroid injections are infrequently considered. Uncertainty about the effectiveness of treatment by a physiotherapist for shoulder pain due to rotator cuff disorder is evident.

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来源期刊
Musculoskeletal Care
Musculoskeletal Care RHEUMATOLOGY-
CiteScore
2.30
自引率
7.70%
发文量
88
期刊介绍: Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.
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