Interrater agreement and reliability of clinical tests for assessment of patients with shoulder pain in primary care.

Interrater agreement and reliability of clinical tests for assessment of patients with shoulder pain in primary care. Physiother Theory Pract. 2019 Mar 22;:1-20 Authors: Apeldoorn AT, Den Arend MC, Schuitemaker R, Egmond D, Hekman K, Van Der Ploeg T, Kamper SJ, Van Tulder MW, Ostelo RW Abstract BACKGROUND: There is limited information about the agreement and reliability of clinical shoulder tests. OBJECTIVES: To assess the interrater agreement and reliability of clinical shoulder tests in patients with shoulder pain treated in primary care. METHODS: Patients with a primary report of shoulder pain underwent a set of 21 clinical shoulder tests twice on the same day, by pairs of independent physical therapists. The outcome parameters were observed and specific interrater agreement for positive and negative scores, and interrater reliability (Cohen's kappa (κ)). Positive and negative interrater agreement values of ≥0.75 were regarded as sufficient for clinical use. For Cohen's κ, the following classification was used:
Source: Physiotherapy Theory and Practice - Category: Physiotherapy Authors: Tags: Physiother Theory Pract Source Type: research

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Journal of Orthopaedic&Sports Physical Therapy, Ahead of Print.
Source: The Journal of Orthopaedic and Sports Physical Therapy - Category: Physiotherapy Authors: Source Type: research
ConclusionThe results of the present metanalysis support a paradigm shift in arthrogenous TMJ disorder treatment. There is a new evidence (though on a very low to moderate quality level) that minimally invasive procedures, particularly in combination with IAI of adjuvant pharmacological agents (PRP, HA or CS), are significantly more effective than conservative treatments for both pain reduction and improvement of MMO in both short (≤5 months) and intermediate term (6 months to 4 years) periods. In contrast to traditional concepts mandating exhaustion of conservative treatment options, minimally invasive procedures, ther...
Source: Journal of Cranio Maxillofacial Surgery - Category: ENT & OMF Source Type: research
Discussion: This case report describes the use of MSK US imaging as part of the clinical decision-making process when treating a patient with cervicogenic headaches. This case illustrates the successful management using manual therapy to restore position, mobility, decrease muscle tone, and normalize upright posture. Complementary research is necessary to further validate MSK US imaging as the preferred method to objectivize joint mobility and guide decision-making. Additionally, the cause-effect relationship between the treatment and positive outcomes in this case report has to be further validated. PMID: 31686564 [P...
Source: Physiotherapy Theory and Practice - Category: Physiotherapy Authors: Tags: Physiother Theory Pract Source Type: research
CONCLUSION: Measuring task-specific sensitivity is predictive of pain intensity after 3 months in patients with LBP. The prognostic value appears limited in respect to disability. LEVEL OF EVIDENCE: Prognosis, level 1b. J Orthop Sports Phys Ther, Epub 30 Oct 2019. doi:10.2519/jospt.2020.8953. PMID: 31663814 [PubMed - as supplied by publisher]
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: J Orthop Sports Phys Ther Source Type: research
Resumo O Problema Cr ônico de Coluna (PCC) é uma das doenças mais prevalentes no mundo e representa uma das principais causas de anos de vida perdidos por incapacidade. Embora de grande relevância para a saúde pública, estudos sobre o acesso e a utilização dos tipos de tratamento são escassos. O objetivo deste artigo é descrever os principais tratamentos para PCC no Brasil, analisar os fatores associados à sua utilização e discutir possíveis desigualdades na utilização de fisioterapia /exercícios e a utiliza...
Source: Ciencia e Saude Coletiva - Category: Occupational Health Source Type: research
CONCLUSIONS: Therapeutic exercise reduces pain intensity in patients with primary dysmenorrhea. PMID: 31665789 [PubMed - in process]
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: Phys Ther Source Type: research
A question I’ve asked myself many times! As a small profession with a long history (as long as physiotherapy, TBH), it does seem odd that there are many, many pain rehabilitation services where never an occupational therapist has darkened the door. Some of the reasons lie within the profession: in general, occupational therapists are busy being clinicians and have little time for research. In New Zealand, few occupational therapists pursue higher degrees, and many avoid statistical analyses, experimental design, randomised controlled studies. In fact, some occupational therapists have argued that the tailored appr...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: ACT - Acceptance & Commitment Therapy Clinical reasoning Cognitive behavioral therapy Coping strategies Occupational therapy Pain conditions Resilience/Health interprofessional teams pain rehabilitation persistent pain Source Type: blogs
Once you begin to dip your toes into psychological therapies, it doesn’t take long before you begin to see TLAs all over the place. So today I’m going to post on two things: some of the TLAs, and why or how we might consider using these approaches in pain rehabilitation. The first one is CBT, or cognitive behavioural therapy. CBT grew out of two movements: behaviour therapy (Skinner and the pigeons, rats and all that behaviour modification stuff), and cognitive therapy (Ellis and Beck and the “cognitive triad” – more on this later). When the two approaches to therapy are combined, we have c...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: ACT - Acceptance & Commitment Therapy Clinical reasoning Cognitive behavioral therapy Coping strategies Interdisciplinary teams Occupational therapy Physiotherapy Professional topics Psychology Research Science in practice Source Type: blogs
Kaia Health, a health technology company based in New York City, has developed a smartphone app that can guide users through exercises to help with back pain and COPD. The technology uses AI powered motion tracking technology to monitor users’ ...
Source: Medgadget - Category: Medical Devices Authors: Tags: Exclusive Medicine Orthopedic Surgery Source Type: blogs
Conclusions: Statistics also revealed that propulsion pattern was a predictor of response to therapy, as was weekly therapeutic duration, wheelchair-specific focus by the therapists, and stretching.
Source: Pediatric Physical Therapy - Category: Pediatrics Tags: RESEARCH REPORTS Source Type: research
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