Margit Kooijman

84 Conclusions Present review shows that there is strong evidence that higher shoulder pain intensity, concomitant neck pain and a longer duration of symptoms predict poorer outcome in primary care settings. In secondary care populations, strong evidence was found for the association between greater disability and poorer outcome and between the existence of previous shoulder pain and poorer outcome. Since these are clinical variables that can be influenced, clinicians may take these factors into account in the management of their patients.