Neck or Shoulder? Establishing Consensus for Spine Screening in Patients with Shoulder Pain: an International Modified Delphi Study.

Autor:	Requejo-Salinas N; Department of Physical Therapy, Superior Center for University Studies La Salle, Autonomous University of Madrid, Madrid, Spain.; International Doctoral School, Rey Juan Carlos University, Alcorcón, Spain., Fernández-Matías R; Research Unit, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, Spain., Cadogan A; Advance Physiotherapy, Christchurch, New Zealand., Chester R; School of Health Sciences, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK., Roy JS; Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Québec City, Canada.; Faculty of Medicine, Université Laval, Québec City, Canada., Struyf F; Department of Rehabilitation Sciences and Physiotherapy, University of Antwerp, Wilrijk, Belgium., Bateman M; Derby Shoulder Unit, University Hospitals of Derby & Burton NHS Foundation Trust, Derby, UK., Balster S; Melbourne Shoulder Group, 305 High Street, Prahran, Victoria, Australia., Haik MN; Department of Physical Therapy, Federal University of São Carlos, São Carlos, Brazil., Seitz AL; Department of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA., Bisset L; School of Health Sciences and Social Work, Griffith University, Gold Coast, Australia., Camargo PR; Laboratory of Analysis and Intervention of the Shoulder Complex, Department of Physical Therapy, Universidade Federal de São Carlos, São Carlos, SP, Brazil., Brismée JM; Center for Rehabilitation Research, Texas Tech University Health Sciences Center, Lubbock, Texas, USA., May S; Independent Physiotherapy Consultant, Sheffield, UK., Walker T; IG Medical, Ilkley Moor Medical Practice, West Yorkshire, England., Wassinger C; Physical Therapy, East Tennessee State University, Johnston City, Tennessee, USA., Lenssen R; Melbourne Shoulder Group, 305 High Street, Prahran, Victoria, Australia., Powell JK; Faculty of Health Science and Medicine, Bond Institute of Health and Sport, Bond University, Robina, Queensland, Australia., McCreesh K; School of Allied Health, University of Limerick, Limerick, Ireland.; Ageing Research Centre, Health Research Institute, University of Limerick, Limerick, Ireland., Gibson J; Rehab4Performance, Liverpool, UK., Ludewig PM; Division of Rehabilitation Science, Dept. of Rehabilitation Medicine, University of Minnesota, Minneapolis, Minnesota, USA.; Division of Physical Therapy, Dept. of Rehabilitation Medicine, University of Minnesota, Minneapolis, Minnesota, USA., La Touche R; Department of Physical Therapy, Superior Center for University Studies La Salle, Autonomous University of Madrid, Madrid, Spain.; Neuroscience and Craneofacial Pain Institute (INDCRAN), Madrid, Spain., Lluch-Girbés E; Physiotherapy in Motion, Multi-Speciality Research Group (PTinMOTION), Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Valencia, Spain.; Pain in Motion International Research Group, Vrije Universiteit Brussel, Brussels, Belgium.
Jazyk:	angličtina
Zdroj:	Physical therapy [Phys Ther] 2024 Sep 06. Date of Electronic Publication: 2024 Sep 06.
DOI:	10.1093/ptj/pzae133
Abstrakt:	Objective: There is no established consensus for screening the spine in patients with shoulder pain. The aim of this study was to explore the role of the spine in shoulder pain and generate a set of recommendations for assessing the potential involvement of the spine in patients with shoulder pain. Methods: A modified Delphi study was conducted through use of an international shoulder physical therapist's expert panel. Three domains (clinical reasoning, history, physical examination) were evaluated using a Likert scale, with consensus defined as Aiken Validity Index ≥0.7. Results: Twenty-two physical therapists participated. Consensus was reached on a total of 30 items: clinical reasoning (n = 9), history (n = 13), and physical examination (n = 8). The statement that spinal and shoulder disorders can coexist, sometimes influencing each other and at other times remaining independent issues, along with the concept of radiating pain as an explanatory phenomenon for the spine contribution to shoulder pain, achieved the highest degree of consensus. Conclusion: International physical therapists shoulder experts reached consensus on key aspects when screening the spine in people with shoulder pain, including consideration of the distal location of symptoms relative to the shoulder, the presence or previous history of neck pain, the changes in symptoms related to neck movements, and the presence of neuropathic-like symptoms. They also acknowledged the importance of assessing active cervical or cervicothoracic movements and the usefulness of the Spurling test and symptom modification techniques applied to the spine. (© The Author(s) 2024. Published by Oxford University Press on behalf of the American Physical Therapy Association. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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