Towards an integrated clinical framework for patient with shoulder pain
Abstract Background Shoulder pain (SP) represents a common musculoskeletal condition that requires physical therapy care. Along the years, the usual evaluation strategies based on clinical tests and diagnostic imaging has been challenged. Clinical tests appear unable to clearly identify the structur...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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AboutScience Srl
2018-05-01
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| Series: | Archives of Physiotherapy |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40945-018-0050-3 |
| _version_ | 1797282451840565248 |
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| author | Diego Ristori Simone Miele Giacomo Rossettini Erica Monaldi Diego Arceri Marco Testa |
| author_facet | Diego Ristori Simone Miele Giacomo Rossettini Erica Monaldi Diego Arceri Marco Testa |
| author_sort | Diego Ristori |
| collection | DOAJ |
| description | Abstract Background Shoulder pain (SP) represents a common musculoskeletal condition that requires physical therapy care. Along the years, the usual evaluation strategies based on clinical tests and diagnostic imaging has been challenged. Clinical tests appear unable to clearly identify the structures that generated pain and interpretation of diagnostic imaging is still controversial. The current patho-anatomical diagnostic categories have demonstrated poor reliability and seem inadequate for the SP treatment. Objectives The present paper aims to (1) describe the different proposals of clinical approach to SP currently available in the literature; to (2) integrate these proposals in a single framework in order to help the management of SP. Conclusion The proposed clinical framework, based on a bio-psychosocial vision of health, integrates symptoms characteristics, pain mechanisms and expectations, preferences and psychosocial factors of patients that may guide physiotherapist to make a diagnostic triage and to choose the right treatment for the individual patient. |
| first_indexed | 2024-03-07T17:14:11Z |
| format | Article |
| id | doaj.art-bc22fa06b3f542fe94ec3951714c35d1 |
| institution | Directory Open Access Journal |
| issn | 2057-0082 |
| language | English |
| last_indexed | 2024-03-07T17:14:11Z |
| publishDate | 2018-05-01 |
| publisher | AboutScience Srl |
| record_format | Article |
| series | Archives of Physiotherapy |
| spelling | doaj.art-bc22fa06b3f542fe94ec3951714c35d12024-03-03T00:00:17ZengAboutScience SrlArchives of Physiotherapy2057-00822018-05-018111110.1186/s40945-018-0050-3Towards an integrated clinical framework for patient with shoulder painDiego RistoriSimone MieleGiacomo RossettiniErica MonaldiDiego ArceriMarco TestaAbstract Background Shoulder pain (SP) represents a common musculoskeletal condition that requires physical therapy care. Along the years, the usual evaluation strategies based on clinical tests and diagnostic imaging has been challenged. Clinical tests appear unable to clearly identify the structures that generated pain and interpretation of diagnostic imaging is still controversial. The current patho-anatomical diagnostic categories have demonstrated poor reliability and seem inadequate for the SP treatment. Objectives The present paper aims to (1) describe the different proposals of clinical approach to SP currently available in the literature; to (2) integrate these proposals in a single framework in order to help the management of SP. Conclusion The proposed clinical framework, based on a bio-psychosocial vision of health, integrates symptoms characteristics, pain mechanisms and expectations, preferences and psychosocial factors of patients that may guide physiotherapist to make a diagnostic triage and to choose the right treatment for the individual patient.http://link.springer.com/article/10.1186/s40945-018-0050-3Shoulder painDiagnosisRehabilitation treatmentClinical framework |
| spellingShingle | Diego Ristori Simone Miele Giacomo Rossettini Erica Monaldi Diego Arceri Marco Testa Towards an integrated clinical framework for patient with shoulder pain Archives of Physiotherapy Shoulder pain Diagnosis Rehabilitation treatment Clinical framework |
| title | Towards an integrated clinical framework for patient with shoulder pain |
| title_full | Towards an integrated clinical framework for patient with shoulder pain |
| title_fullStr | Towards an integrated clinical framework for patient with shoulder pain |
| title_full_unstemmed | Towards an integrated clinical framework for patient with shoulder pain |
| title_short | Towards an integrated clinical framework for patient with shoulder pain |
| title_sort | towards an integrated clinical framework for patient with shoulder pain |
| topic | Shoulder pain Diagnosis Rehabilitation treatment Clinical framework |
| url | http://link.springer.com/article/10.1186/s40945-018-0050-3 |
| work_keys_str_mv | AT diegoristori towardsanintegratedclinicalframeworkforpatientwithshoulderpain AT simonemiele towardsanintegratedclinicalframeworkforpatientwithshoulderpain AT giacomorossettini towardsanintegratedclinicalframeworkforpatientwithshoulderpain AT ericamonaldi towardsanintegratedclinicalframeworkforpatientwithshoulderpain AT diegoarceri towardsanintegratedclinicalframeworkforpatientwithshoulderpain AT marcotesta towardsanintegratedclinicalframeworkforpatientwithshoulderpain |