NDLI: Predicting the outcome of conservative treatment with physiotherapy in adults with shoulder pain associated with partial-thickness rotator cuff tears

Content Provider	Springer Nature : BioMed Central
Author	Braun, Cordula Hanchard, Nigel C. Handoll, Helen H. Betthäuser, Andreas
Abstract	Background Rotator cuff disorders represent the commonest type of painful shoulder complaints in clinical practice. Although conservative treatment including physiotherapy is generally recommended as first-line treatment, little is known about the precise treatment indications for subgroups of rotator cuff disorders, particularly people with shoulder pain associated with partial-thickness tears of the rotator cuff, PTTs: “symptomatic PPTs”. The aim of this study was to develop a prognostic model for predicting the outcome of a phase of conservative treatment primarily with physiotherapy in adults with symptomatic PTTs. Methods A prospective observational cohort study was conducted in an outpatient setting in Germany. Ten baseline factors were selected to evaluate nine pre-defined multivariable candidate prognostic models (each including between two and nine factors) in a cohort of adults with symptomatic atraumatic PTTs undergoing a three-month phase of conservative treatment primarily with physiotherapy. The primary outcome was change in the Western Ontario Rotator Cuff Index. The models were developed using linear regression and an information-theoretic analysis approach: Akaike’s Information Criterion (AICC). Results Eight candidate models were analyzed using data from 61 participants. Two “best models” were identified: smoking & pain catastrophizing and disability & pain catastrophizing. However, none of the models had a satisfactory performance or precision. Conclusions We could not determine a prognostic model with satisfactory performance and precision. Further high-quality prognostic model studies with larger samples are needed, but should be underpinned, and thus preceded, by robust research that enhances knowledge of relevant prognostic factors. Study registration DRKS00004462 . Registered 08 April 2014; retrospectively registered (prior to the analysis).
Related Links	https://bmcmusculoskeletdisord.biomedcentral.com/counter/pdf/10.1186/s12891-018-2239-8.pdf
Ending Page	12
Page Count	12
Starting Page	1
File Format	HTM / HTML
ISSN	14712474
DOI	10.1186/s12891-018-2239-8
Journal	BMC Musculoskeletal Disorders
Issue Number	1
Volume Number	19
Language	English
Publisher	BioMed Central
Publisher Date	2018-09-11
Access Restriction	Open
Subject Keyword	Orthopedics Rehabilitation Rheumatology Sports Medicine Internal Medicine Epidemiology Shoulder pain Rotator cuff Conservative treatment Physical therapy Prognosis Prognostic model development
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Rheumatology
Journal Impact Factor	2.2/2023
5-Year Journal Impact Factor	2.6/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Conservative versus surgical management for patients with rotator cuff tears: a systematic review and META-analysis

Critical shoulder angle and failure of conservative treatment in patients with atraumatic full thickness rotator cuff tears

Magnetic resonance imaging could precisely define the mean value of tendon thickness in partial rotator cuff tears

The association between acromial anatomy and articular-sided partial thickness of rotator cuff tears

Current management and prognostic factors in physiotherapy practice for patients with shoulder pain: design of a prospective cohort study

Predicting change in symptoms and function in patients with persistent shoulder pain: a prognostic model development study

The relationship between the shape of rotator cuff tears and shoulder anatomical parameters

Anatomy features of the shoulder joint in asymptomatic chinese Han adults

Neuropathic pain in patients with rotator cuff tears

Predicting the outcome of conservative treatment with physiotherapy in adults with shoulder pain associated with partial-thickness rotator cuff tears – a prognostic model development study

Similar Documents

Conservative versus surgical management for patients with rotator cuff tears: a systematic review and META-analysis

Critical shoulder angle and failure of conservative treatment in patients with atraumatic full thickness rotator cuff tears

Magnetic resonance imaging could precisely define the mean value of tendon thickness in partial rotator cuff tears

The association between acromial anatomy and articular-sided partial thickness of rotator cuff tears

Current management and prognostic factors in physiotherapy practice for patients with shoulder pain: design of a prospective cohort study

Predicting change in symptoms and function in patients with persistent shoulder pain: a prognostic model development study

The relationship between the shape of rotator cuff tears and shoulder anatomical parameters

Anatomy features of the shoulder joint in asymptomatic chinese Han adults

Neuropathic pain in patients with rotator cuff tears

Predicting the outcome of conservative treatment with physiotherapy in adults with shoulder pain associated with partial-thickness rotator cuff tears – a prognostic model development study