Prognostic indicators in shoulder impingement (Full Version)

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proud -> Prognostic indicators in shoulder impingement (May 27, 2008 10:22:23 AM)

I recall some time ago, I read a study that looked at variables that tend to predict poor outcome with conservative treatment of shoulder impingement.

Is anyone aware of a study that looks at that?



bonez -> RE: Prognostic indicators in shoulder impingement (May 27, 2008 2:07:07 PM)

Yes I too would be interested in that info.



pwrandall -> RE: Prognostic indicators in shoulder impingement (May 27, 2008 2:30:32 PM)

One study was Morrison et al: 79-A:732-737. Journal of Bone and Joint Surgery, 1997.  Basically showed that success is based on Acromion Type and length of symptoms with patients having a Type I Acromion and symptoms for less than 4 weeks having the best success.  I don't have the full text or abstact, but maybe someone else can find it.



proud -> RE: Prognostic indicators in shoulder impingement (May 27, 2008 7:18:13 PM)

I don't think that was it although I do recall acromion type and duration of symptoms was in there. If I recall correctly( and I'm getting older...much older so...). But I recall presence of painful arc without a +ve Hawkins kennedy was also predictive in some way.

I think it was all common sense stuff but the statistics had some utility for me.



SJBird55 -> RE: Prognostic indicators in shoulder impingement (May 27, 2008 8:53:18 PM)

Kennedy CA, Manno M, Hogg-Johnson S et. al.  Prognosis in Soft Tissue Disorders of the Shoulder: Predicting both change in disability and level of disability after treatment.  Phys Ther.  2006; 86 (7): 1013-1032.

I doubt the above article is what you read, but I have it and the article you might have read might be in the reference list (yeah, I know, a backwards way of remembering an article, but sometimes it jogs the memory).
 
Ginn KA, Cohen ML. Conservative treatment for shoulder pain: prognostic indicators of outcome. Arch Phys Med Rehabil. 2004;85:1231-1235.
 
Warner JJ, Micheli LJ, Arslanian LE, Kennedy J, Kennedy R. Patterns of flexibility, laxity, and strength in normal shoulders and shoulders with instability and impingement. Am J Sports Med. 1990;18:366-375.
 
 



TexasOrtho -> RE: Prognostic indicators in shoulder impingement (May 27, 2008 9:06:47 PM)

Awesome references on that SJ.  I'll check them out.



Nicole Matoushek PT MPH CSHE CEES -> RE: Prognostic indicators in shoulder impingement (May 29, 2008 11:19:48 AM)

Great post!



proud -> RE: Prognostic indicators in shoulder impingement (May 29, 2008 10:44:14 PM)

Thank you SJ. That is great.



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