Subacromial impingement syndrome: a survey of Italian physiotherapists and orthopaedics on diagnostic strategies and management modalities
Abstract Background and aim The subacromial impingement syndrome (SIS) represents a common cause of disability in approximately 74% of patients with Shoulder Pain (SP). Even if contemporary research suggests that this mechanism is not (always) the dominant driver in SP, SIS is still a source of deba...
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| Format: | Article |
| Language: | English |
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AboutScience Srl
2020-09-01
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| Series: | Archives of Physiotherapy |
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| Online Access: | http://link.springer.com/article/10.1186/s40945-020-00087-7 |
| _version_ | 1797285163572396032 |
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| author | Fabrizio Brindisino Diego Ristori Mariangela Lorusso Simone Miele Leonardo Pellicciari Giacomo Rossettini Francesca Bonetti John Duane Heick Marco Testa |
| author_facet | Fabrizio Brindisino Diego Ristori Mariangela Lorusso Simone Miele Leonardo Pellicciari Giacomo Rossettini Francesca Bonetti John Duane Heick Marco Testa |
| author_sort | Fabrizio Brindisino |
| collection | DOAJ |
| description | Abstract Background and aim The subacromial impingement syndrome (SIS) represents a common cause of disability in approximately 74% of patients with Shoulder Pain (SP). Even if contemporary research suggests that this mechanism is not (always) the dominant driver in SP, SIS is still a source of debate among scholars and clinicians. From a clinical point of view, evidence has suggested that clinicians can use both medical and physiotherapy approaches as effective methods to treat SIS. This survey aims to investigate models of management of patients with SIS in a sample of Italian physiotherapist specialists (Orthopaedic Manipulative Physical Therapists, −OMPTs-) and orthopaedic surgeons. Materials and methods An online survey with 29-item questionnaire was administered to assess the knowledge of OMPTs and orthopaedic surgeons about: a) strategies of clinical examination; b) the role of imaging in the diagnostic process; c) the physiotherapy management; and d) the pharmacological and surgical management in patients with SIS. Results Six-hundred and twenty-nine respondents completed the survey (511 OMPTs (79.97%) and 128 orthopaedic surgeons (20.03%)). Ninety-two percent (n = 470) of the OMPTs and 80.5% (n = 103) of orthopaedic surgeons stated that in patients with SIS, a combination of diagnostic tests produced better accuracy (p = < 0.001). Twenty point seven % of OMPTs (n = 106) and 4.7% of orthopaedic surgeon (n = 6) stated that the Lift off was the most specific test (p = < 0.001). Four-hundred-and-twenty-four OMPTs (83%) and 40 orthopaedic surgeons (31.3%) answered that the gold standard for diagnosis of a patient with SIS are history and clinical examination (p < 0.001). Conclusion OMPTs and orthopaedic surgeons approach patients with SIS differently during both the assessment and the treatment. OMPTs appear to be appropriate in planning and managing clinical examination and therapeutic strategies to use with patients with SIS. |
| first_indexed | 2024-03-07T17:59:17Z |
| format | Article |
| id | doaj.art-fcb350538a8846359418d5c91f31a68a |
| institution | Directory Open Access Journal |
| issn | 2057-0082 |
| language | English |
| last_indexed | 2024-03-07T17:59:17Z |
| publishDate | 2020-09-01 |
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| series | Archives of Physiotherapy |
| spelling | doaj.art-fcb350538a8846359418d5c91f31a68a2024-03-02T11:21:10ZengAboutScience SrlArchives of Physiotherapy2057-00822020-09-0110111710.1186/s40945-020-00087-7Subacromial impingement syndrome: a survey of Italian physiotherapists and orthopaedics on diagnostic strategies and management modalitiesFabrizio Brindisino0Diego Ristori1Mariangela Lorusso2Simone Miele3Leonardo Pellicciari4Giacomo Rossettini5Francesca Bonetti6John Duane Heick7Marco Testa8Department of Medicine and Health Science “Vincenzo Tiberio”, University of Molise C/da Tappino c/o Cardarelli HospitalDepartment of Neuroscience, Rehabilitation, Ophtalmology, Genetics, Maternal and Child Health – University of Genova – Campus of SavonaDepartment of Clinical Sciences and Translational Medicine, Tor Vergata University of RomeDepartment of Neuroscience, Rehabilitation, Ophtalmology, Genetics, Maternal and Child Health – University of Genova – Campus of SavonaNeurorehabilitation Research Laboratory, IRCCS San Raffaele PisanaDepartment of Neuroscience, Rehabilitation, Ophtalmology, Genetics, Maternal and Child Health – University of Genova – Campus of SavonaDepartment of Clinical Sciences and Translational Medicine, Tor Vergata University of RomeDepartment of Physical Therapy and Athletic Training, Northern Arizona University FlagstaffDepartment of Neuroscience, Rehabilitation, Ophtalmology, Genetics, Maternal and Child Health – University of Genova – Campus of SavonaAbstract Background and aim The subacromial impingement syndrome (SIS) represents a common cause of disability in approximately 74% of patients with Shoulder Pain (SP). Even if contemporary research suggests that this mechanism is not (always) the dominant driver in SP, SIS is still a source of debate among scholars and clinicians. From a clinical point of view, evidence has suggested that clinicians can use both medical and physiotherapy approaches as effective methods to treat SIS. This survey aims to investigate models of management of patients with SIS in a sample of Italian physiotherapist specialists (Orthopaedic Manipulative Physical Therapists, −OMPTs-) and orthopaedic surgeons. Materials and methods An online survey with 29-item questionnaire was administered to assess the knowledge of OMPTs and orthopaedic surgeons about: a) strategies of clinical examination; b) the role of imaging in the diagnostic process; c) the physiotherapy management; and d) the pharmacological and surgical management in patients with SIS. Results Six-hundred and twenty-nine respondents completed the survey (511 OMPTs (79.97%) and 128 orthopaedic surgeons (20.03%)). Ninety-two percent (n = 470) of the OMPTs and 80.5% (n = 103) of orthopaedic surgeons stated that in patients with SIS, a combination of diagnostic tests produced better accuracy (p = < 0.001). Twenty point seven % of OMPTs (n = 106) and 4.7% of orthopaedic surgeon (n = 6) stated that the Lift off was the most specific test (p = < 0.001). Four-hundred-and-twenty-four OMPTs (83%) and 40 orthopaedic surgeons (31.3%) answered that the gold standard for diagnosis of a patient with SIS are history and clinical examination (p < 0.001). Conclusion OMPTs and orthopaedic surgeons approach patients with SIS differently during both the assessment and the treatment. OMPTs appear to be appropriate in planning and managing clinical examination and therapeutic strategies to use with patients with SIS.http://link.springer.com/article/10.1186/s40945-020-00087-7Shoulder impingement syndromeOrthopaedic manipulative physical therapistsOrthopaedic surgeonsItalian surveyShoulder pain |
| spellingShingle | Fabrizio Brindisino Diego Ristori Mariangela Lorusso Simone Miele Leonardo Pellicciari Giacomo Rossettini Francesca Bonetti John Duane Heick Marco Testa Subacromial impingement syndrome: a survey of Italian physiotherapists and orthopaedics on diagnostic strategies and management modalities Archives of Physiotherapy Shoulder impingement syndrome Orthopaedic manipulative physical therapists Orthopaedic surgeons Italian survey Shoulder pain |
| title | Subacromial impingement syndrome: a survey of Italian physiotherapists and orthopaedics on diagnostic strategies and management modalities |
| title_full | Subacromial impingement syndrome: a survey of Italian physiotherapists and orthopaedics on diagnostic strategies and management modalities |
| title_fullStr | Subacromial impingement syndrome: a survey of Italian physiotherapists and orthopaedics on diagnostic strategies and management modalities |
| title_full_unstemmed | Subacromial impingement syndrome: a survey of Italian physiotherapists and orthopaedics on diagnostic strategies and management modalities |
| title_short | Subacromial impingement syndrome: a survey of Italian physiotherapists and orthopaedics on diagnostic strategies and management modalities |
| title_sort | subacromial impingement syndrome a survey of italian physiotherapists and orthopaedics on diagnostic strategies and management modalities |
| topic | Shoulder impingement syndrome Orthopaedic manipulative physical therapists Orthopaedic surgeons Italian survey Shoulder pain |
| url | http://link.springer.com/article/10.1186/s40945-020-00087-7 |
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