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dc.contributor.authorLaslett, Mark
dc.contributor.authorSteele, Mike
dc.contributor.authorHing, Wayne
dc.contributor.authorMcNair, Peter
dc.contributor.authorCadogan, Angela
dc.date.accessioned2017-09-08T12:30:24Z
dc.date.available2017-09-08T12:30:24Z
dc.date.issued2015
dc.identifier.issn1651-2081
dc.identifier.urihttp://hdl.handle.net/10072/339122
dc.description.abstractObjective: Identify predictor variables and models for clinical outcomes for primary care shoulder pain patients to 12 months follow-up. Design: A non-randomized audit with measures of pain and disability at 3 weeks, 3, 6 and 12 months. Patients: Of 208 patients, 161 agreed to participate with 96.9, 98.1, 87.0 and 83.9% follow-up at 3 weeks, 3, 6 and 12 months respectively. Treatment consisted of exercise and manual therapy-based physiotherapy and corticosteroid injection under specified selection criteria. Methods: Potentially useful baseline variables were evaluated in univariate logistic regressions with the dependent variables determined by SPADI Questionnaire at 3 weeks, 3, 6 and 12 months. Variables associated (p-value ≤ 0.2) were retained for potential inclusion within multiple logistic regression analyses. Results: Pain not improved by rest, intermittent pain, lower pain intensity with physical tests and absence of subacromial bursa pathology on ultrasound at the 3-week follow-up, constant pain and lower pain intensity with physical tests are predictors of excellent outcomes at the 3-month follow-up. Worse baseline pain and disability, no history of asthma, pain better with rest, better physical functioning, greater fear avoidance, male gender, no history of pain in the opposite shoulder, pain referred below the elbow, sleep disturbed by pain, smaller waist circumference, lower pain intensity with physical tests are factors predictive of excellent outcomes at the 12-month follow-up. Only higher pain intensity with physical tests was associated with a poor clinical outcome. Conclusion: Predictive models for clinical outcomes in primary-care patients with shoulder pain were achieved for excellent clinical outcomes, successfully classifying 70–90% of cases.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherStiftelsen Rehabiliteringsinformation
dc.publisher.urihttp://www.ingentaconnect.com/content/mjl/sreh/2015/00000047/00000001/art00010
dc.relation.ispartofpagefrom66
dc.relation.ispartofpageto71
dc.relation.ispartofjournalJournal of Rehabilitation Medicine
dc.relation.ispartofvolume47
dc.subject.fieldofresearchClinical Sciences not elsewhere classified
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchHuman Movement and Sports Sciences
dc.subject.fieldofresearchcode110399
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1106
dc.titleShoulder Pain in Primary Care - Part 2: Predictors of Clinical Outcome to 12 Months
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© The Author(s) 2015. The attached file is reproduced here in accordance with the copyright policy of the publisher. For information about this journal please refer to the journal’s website or contact the author[s].
gro.hasfulltextFull Text
gro.griffith.authorSteele, Mike


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