Margit Kooijman

Prognostic factors | 93 Van der Windt et al. (2007) 83 587 patients 3 months Multivariate analysis Shoulder pain General practice Perceived recovery (persistent symptoms) Psychological factors (pain catastrophising, distress, somatisation, fear-avoidance) n.s. Functional disability (persistant disability) Psychological factors (pain catastrophising, distress, somatisation, fear-avoidance) n.s. Secondary care Bartolozzi et al. (1994) 56 170 patients Mean 20 months Univariate analysis Impingement syndrome Orthopaedic dept Shoulder rating system University of California Los Angeles (≥ 29 points) Female RR female/male = 1.03 (0.81, 1.31) Age RR 40-60/<40y = 1.10 (0.78, 1.56) RR >60/<40y = 1.23 (0.89, 1.71) Dominance RR non-dominant/dom = 0.95 (0.74, 1.24) Onset of symptoms RR insidious/acute = 0.97 (0.75, 1.26) Duration of pre-treatment symptoms* RR 3-6 mnths/<3 mnths = 0.90 (0.72, 1.14) RR >6 mnths/<3 mnths = 0.69 (0.52, 0.91) Functional impairment* RR moderate/mild = 0.81 (0.60, 1.09) RR severe/mild = 0.65 (0.46, 0.91) Recreational or occupational demands RR moderate/low = 1.18 (0.85, 1.64) RR severe/low = 1.25 (0.97, 1.62) Instability RR present/absent = 0.97 (0.64, 1.46) ROM RR mild/none = 0.85 (0.60, 1.20) RR moderate/none = 0.78 (0.45, 1.36) RR severe/none = 0.96 (0.63, 1.46) Weakness RR yes/no = 0.68 (0.49, 0.93) Rotator cuff pathology:* Impingement or tendinitis RR = 1.0 Partial or small full thickness tear RR = 0.82 (0.53, 1.26) Moderate or large tear RR = 0.34 (0.14, 0.80) Treatment No significant differences Binder et al. (1984) 50 42 patients Mean 44 months Mean difference abduction Frozen shoulder Patients Rheumatology dept ROM Non-dominant side involved Manual work Therapy: mobilisation versus injections, ice, or no additional treatment Better: 12 0 (P < 0.05) Worse: 15 0 (P < 0.05) Worse: 15 0 (P < 0.05)