TY - JOUR
T1 - Physiotherapists deliver management broadly consistent with recommended practice in rotator cuff tendinopathy
T2 - An observational study
AU - Smythe, A.
AU - White, J.
AU - Littlewood, C.
AU - Bury, J.
AU - Haines, T.
AU - Malliaras, P.
N1 - Funding Information:
Chris Littlewood is currently funded through an NIHR Post-Doctoral-fellowship (Dr Chris Littlewood, PDF-2018-11-ST2-005). The views expressed in this publication are those of the author(s) and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health and Social Care.
Publisher Copyright:
© 2020 Elsevier Ltd
PY - 2020/6/1
Y1 - 2020/6/1
N2 - Background: Rotator cuff tendinopathy is a common and disabling cause of shoulder pain. While conservative treatment is recommended as initial management, recent findings suggest that general practitioners and rheumatologists do not consistently align with recommended care. This study aimed to survey Australian physiotherapists to explore the extent to which recommended management is being applied. Methods: A cross-sectional online survey. Results: Five hundred and two Australian physiotherapists completed the survey. Results demonstrated the majority of physiotherapists provide conservative management consistent with guideline recommendations, through delivery of exercise and education, comparable to management by physiotherapists in the United Kingdom, Belgium and the Netherlands. Parameters and construction of exercise treatment programs were highly variable within the cohort, qualitative analysis highlighting varied reasoning underpinning these management decisions. Conclusions: Australian physiotherapists are broadly consistent with providing recommended management, however heterogeneity exists in the methods and parameters of treatment delivery.
AB - Background: Rotator cuff tendinopathy is a common and disabling cause of shoulder pain. While conservative treatment is recommended as initial management, recent findings suggest that general practitioners and rheumatologists do not consistently align with recommended care. This study aimed to survey Australian physiotherapists to explore the extent to which recommended management is being applied. Methods: A cross-sectional online survey. Results: Five hundred and two Australian physiotherapists completed the survey. Results demonstrated the majority of physiotherapists provide conservative management consistent with guideline recommendations, through delivery of exercise and education, comparable to management by physiotherapists in the United Kingdom, Belgium and the Netherlands. Parameters and construction of exercise treatment programs were highly variable within the cohort, qualitative analysis highlighting varied reasoning underpinning these management decisions. Conclusions: Australian physiotherapists are broadly consistent with providing recommended management, however heterogeneity exists in the methods and parameters of treatment delivery.
KW - Management
KW - Rotator cuff
KW - Tendinopathy
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U2 - 10.1016/j.msksp.2020.102132
DO - 10.1016/j.msksp.2020.102132
M3 - Article (journal)
C2 - 32148327
AN - SCOPUS:85080023578
SN - 2468-8630
VL - 47
JO - Musculoskeletal Science and Practice
JF - Musculoskeletal Science and Practice
M1 - 102132
ER -