Posterior Shoulder Instability Classification, Assessment, and Management: An International Delphi Study
| Autor: | Kenneth J. Faber, Nan Wu, Corinne Lalonde, Joy C. MacDermid, Marjorie Weber, Erik Torchia, Lyn Watson, Jackie Sadi |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Joint Instability
musculoskeletal diseases medicine.medical_specialty Delphi Technique education Delphi method Physical Therapy Sports Therapy and Rehabilitation Delphi Return to Work Physical medicine and rehabilitation Outcome Assessment Health Care Medicine and Health Sciences medicine Humans PSI health care economics and organizations computer.programming_language Shoulder Joint business.industry Subgroups General Medicine Return to Sport Shoulder Injuries Classifications business human activities computer Posterior shoulder |
| Zdroj: | Bone and Joint Institute |
| ISSN: | 1938-1344 0190-6011 |
| DOI: | 10.2519/jospt.2020.9225 |
| Popis: | Copyright ©2020 Journal of Orthopaedic & Sports Physical Therapy® U OBJECTIVE: To reach consensus among international shoulder experts on the most appropriate assessment and management strategies for posterior shoulder instability (PSI). U DESIGN: Delphi. U METHODS: In phase 1 of the study, we reviewed the literature, generated the Delphi items, created the survey, and identified clinical experts. In phase 2 of the study, clinical shoulder experts (physical therapists, orthopaedic surgeons, sports medicine physicians, and researchers) participated in a 3-round e-Delphi survey. For consensus, we required a minimum of 70% agreement per round. Descriptive statistics were used to present the characteristics of the respondents, the response rate of the experts in each round, and the consensus for PSI classification, assessment, and management. U RESULTS: Round 3 was completed by 47 individuals from 5 different countries. The response rate ranged from 57/70 (81%) to 47/50 (94%) per round. Respondents agreed on 3 subgroups to define PSI: traumatic (100% agreement), microtraumatic (98% agreement), and atraumatic (98% agreement). U CONCLUSION: International shoulder experts agreed that the clinical presentation, management strategy, and outcome expectations differ for traumatic, microtraumatic, and atraumatic PSI. Their recommendations provide a framework for managing these subgroups, with additional consideration of sport and work participation and subsequent risks. |
| Databáze: | OpenAIRE |
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