Rotator cuff disorders: a survey of current (2016) UK physiotherapy practice.
Rotator cuff disorders: a survey of current (2016) UK physiotherapy practice.
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DOI：
10.1177/1758573217717103
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发表时间：
2018-01-01
期刊：
影响因子：
--
通讯作者：
Littlewood, Chris
中科院分区：
文献类型：
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作者：
Bury, Julie;Littlewood, Chris
背景：肩部疼痛是一种常见的肌肉骨骼症状，其中肩袖 (RC) 疾病被认为是最常见的原因。保守治疗通常是初始治疗；然而，之前的调查结果显示临床实践存在相当大的差异，包括使用文献中不支持的方式，这表明研究并未影响实践。本研究旨在调查英国当前治疗 RC 疾病的物理治疗实践，并确定自上次调查以来的 5 年内这种情况是否发生了变化。方法：对英国物理治疗师进行了一项横断面在线调查。结果：191 名受访者完成了调查，结果表明建议/教育和某种形式的运动疗法是最常用的 RC 疾病管理策略。然而，对于运动处方缺乏共识。该调查表明被动方式的使用较少，这表明过去 5 年中实践取得了进步，与当前的证据一致。结论：本研究强调，调查受访者的临床实践符合当前研究的建议。因此，与 5 年前进行的调查相比，研究似乎正在影响实践，这是一个积极的发现。
BACKGROUND: Shoulder pain is a common musculoskeletal presentation, with disorders of the rotator cuff (RC) regarded as the most frequent cause. Conservative treatment is often the initial management; however, findings from a previous survey showed considerable variations in clinical practice, including the use of modalities that are not supported in the literature, suggesting that research is not impacting on practice. The present study aimed to survey current UK physiotherapy practice for the management of RC disorders and to determine whether this has changed over the 5-year period since the last survey was conducted.METHODS: A cross-sectional online survey of UK physiotherapists was conducted.RESULTS: One hundred and ninety-one respondents completed the survey which showed that advice/education and some form of exercise therapy are most commonly used as a management strategy for RC disorders. There is a lack of agreement however regarding exercise prescription. The survey suggests less use of passive modalities, indicating that practice has advanced over the last 5 years in line with the current evidence.CONCLUSIONS: The present study has highlighted that the clinical practice of the survey respondents was in line with current recommendations from research. Hence, in contrast to the survey conducted 5 years previously, research appears to be impacting on practice, which is a positive finding.