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2021 (Engelska)Ingår i: Physiotherapy, ISSN 0031-9406, E-ISSN 1873-1465, Vol. 112, s. 113-120Artikel i tidskrift (Refereegranskat) Published
Abstract [en]
Objective: The primary aim was to describe the variability within clinical presentation of patients with subacromial pain in primary care, secondly to investigate associations between clinical presentation and self-reported pain intensity, shoulder function, level of anxiety and depression, and health-related quality of life. Design and setting A cross-sectional study based on data from two clinical studies in primary care, one randomized controlled trial and one implementation study. Three components: active range of motion (AROM), rotator cuff function and scapular kinematics were analyzed to describe variability within clinical presentation and patient-reported measurements were used to investigate the impact on daily life. Participants Patients aged 30-67 years, describing pain for more than two weeks, and positive signs for a minimum of three out of the following five clinical tests: impingement sign according to Neer, impingement test according to Hawkins-Kennedy, Pattes maneuver, Jobe’s test, and painful arc. Results Among the 164 patients included, 24% displayed dysfunction in one, 50% two and 24% in all three components. Limited AROM was seen in 46%, rotator cuff dysfunction in 91% and scapular dyskinesia in 57% of the patients. Conclusions These results reveal a heterogeneity among primary care patients with subacromial pain confirming a large variability regarding the components AROM, rotator cuff function and scapular kinematics. All three components appear unique (not significantly correlated) where a rotator cuff dysfunction is very frequent while limited AROM and scapular dyskinesia are more inconsistent. There are significant, but rather weak, associations between clinical presentation and impact on daily life.
Ort, förlag, år, upplaga, sidor
ELSEVIER SCI LTD, 2021
Nyckelord
Shoulder Impingement Syndrome, Clinical Presentation, Range of Motion Articular, Rotator Cuff, Scapular Dyskinesia, Primary Health Care
Nationell ämneskategori
Sjukgymnastik
Identifikatorer
urn:nbn:se:liu:diva-172380 (URN)10.1016/j.physio.2020.10.001 (DOI)000687805600014 ()34058616 (PubMedID)
Forskningsfinansiär
Region ÖstergötlandLinköpings universitet
Anmärkning
Funding: Linkoping University, Sweden; County council of ostergotland
2021-01-082021-01-082023-12-28Bibliografiskt granskad