|Smith, Michael, Jones, Denise, Connor, Clare, Sparkes, Valerie and Van Deursen, Robert William Martin 2009. Clinical assessment of scapulohumeral function in patients with subacromial impingement: What do shoulder physiotherapists think and what do they do? [Abstract]. Manual Therapy 14 (S1) , S50. 10.1016/j.math.2009.09.001|
Introduction: Altered scapulohumeral function (SHF) has been implicated in numerous shoulder pathologies including subacromial impingement (SI) and this provides a rationale for assessing SHF in the clinical setting. However a spectrum of approaches for assessing SHF is described in the published literature and there is anecdotal evidence that the methods of assessment used in the clinical setting vary widely between clinicians. Methods: In order to investigate current opinion and practice in relation to the clinical assessment of SHF, a questionnaire was issued at the 2008 British Elbow and Shoulder Society conference. Seventy-one percent (n ¼ 64) of attending Physiotherapists completed the questionnaire, with a mean experience of 14.4 years. Results: All Physiotherapist respondents indicated that they considered SHF to be relevant in a patient with SI. Whilst movement quality and control were considered to be ‘‘very relevant’’ by 92% of such respondents, only 38% of respondents rated scapulohumeral position so highly. The primary method by which SHF was recorded was by the use of descriptive terminology (used by 97% of respondents). An established classification system was used by only 9% of respondents, whilst the majority employed a heterogeneous mix of descriptive terms. Discussion: Such findings, combined with respondent’s comments such as ‘‘I use terminology that will remind me of what I’ve seen, but appreciate that if others read my notes they would not necessarily perceive exactly the same picture’’, provides evidence that whilst SHF is considered highly relevant, there is inconsistency in how SHF is assessed and recorded. Data from this questionnaire therefore provides a justification for the development of a clinic-based methodology to standardise the describing and recording of SHF. Such a methodology is currently under development and clinicians will be invited to participate in its development.
|Subjects:||R Medicine > RM Therapeutics. Pharmacology|
|Uncontrolled Keywords:||Scapulohumeral movement; Subacromial impingement; Shoulder; Classification|
|Additional Information:||3rd International Conference on Movement Dysfunction ICMD2009 - Delegate Manual, Abstract P33|
|Last Modified:||25 Oct 2016 02:33|
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