Prognostic models in adults undergoing physiotherapy for rotator cuff disorders - a systematic review

Hdl Handle:
http://hdl.handle.net/10149/583914
Title:
Prognostic models in adults undergoing physiotherapy for rotator cuff disorders - a systematic review
Authors:
Braun, C. (Cordula); Hanchard, N. C. A. (Nigel); Batterham, A. M. (Alan); Handoll, H. H. G. (Helen); Betthauser, A.
Affiliation:
Teesside University. Health and Social Care Institute
Citation:
Braun, C., Hanchard, N. C. A., Batterham, A. M., Handoll, H. H. G., Betthauser, A. (2015) 'Prognostic models in adults undergoing physiotherapy for rotator cuff disorders - a systematic review' Physical Therapy; 2015 Dec 4. [Epub ahead of print]
Publisher:
American Physical Therapy Association
Journal:
Physical Therapy
Issue Date:
2015
URI:
http://hdl.handle.net/10149/583914
Additional Links:
http://ptjournal.apta.org/content/early/2015/12/02/ptj.20150475.long
Abstract:
Background: Rotator cuff related disorders represent the largest subgroup of shoulder complaints. Despite the availability of various conservative and surgical treatment options, the precise indications for these options remain unclear. Purpose: The purpose of this systematic review was to synthesize the available research on prognostic models for predicting outcomes in adults undergoing physiotherapy for painful rotator cuff disorders. Data sources: We searched Medline, Embase, Cinahl, Cochrane CENTRAL, PEDro and trial registries up to October 2015. Study selection: We included primary studies exploring prognostic models in adults undergoing physiotherapy, with or without other conservative measures, for painful rotator cuff disorders. Primary outcomes were pain, disability and adverse events. Inclusion was limited to prospective investigations of prognostic factors elicited at the baseline assessment. Study selection was independently performed by two reviewers. Data extraction: We used a piloted form to extract data on key aspects of study design, characteristics, analyses and results. Risk of bias and applicability was independently assessed by two reviewers using the PROBAST tool. Data synthesis: Five studies were included in the review. These were extremely heterogeneous in many aspects of design, conduct and analysis. The findings were analysed narratively. Limitations: All included studies were rated as at high risk of bias, and none of the resulting prognostic models was found to be usable in clinical practice. Conclusions: There are no prognostic models ready to inform clinical practice in the context of the review question, highlighting the need for further research on prognostic models for predicting outcomes in adults who undergo physiotherapy for painful rotator cuff disorders. The design and conduct of future studies should be receptive to developing methodologies.
Type:
Article
Language:
en
ISSN:
0031-9023
Rights:
As advised by publisher: following 12 month embargo author may archive published version: © [2015] American Physical Therapy Association. [Recieved: 14/12/2015]

Full metadata record

DC FieldValue Language
dc.contributor.authorBraun, C. (Cordula)en
dc.contributor.authorHanchard, N. C. A. (Nigel)en
dc.contributor.authorBatterham, A. M. (Alan)en
dc.contributor.authorHandoll, H. H. G. (Helen)en
dc.contributor.authorBetthauser, A.en
dc.date.accessioned2015-12-14T15:10:10Zen
dc.date.available2015-12-14T15:10:10Zen
dc.date.issued2015en
dc.identifier.citationPhysical Therapy; 2015 Dec 4. [Epub ahead of print]en
dc.identifier.issn0031-9023en
dc.identifier.urihttp://hdl.handle.net/10149/583914en
dc.description.abstractBackground: Rotator cuff related disorders represent the largest subgroup of shoulder complaints. Despite the availability of various conservative and surgical treatment options, the precise indications for these options remain unclear. Purpose: The purpose of this systematic review was to synthesize the available research on prognostic models for predicting outcomes in adults undergoing physiotherapy for painful rotator cuff disorders. Data sources: We searched Medline, Embase, Cinahl, Cochrane CENTRAL, PEDro and trial registries up to October 2015. Study selection: We included primary studies exploring prognostic models in adults undergoing physiotherapy, with or without other conservative measures, for painful rotator cuff disorders. Primary outcomes were pain, disability and adverse events. Inclusion was limited to prospective investigations of prognostic factors elicited at the baseline assessment. Study selection was independently performed by two reviewers. Data extraction: We used a piloted form to extract data on key aspects of study design, characteristics, analyses and results. Risk of bias and applicability was independently assessed by two reviewers using the PROBAST tool. Data synthesis: Five studies were included in the review. These were extremely heterogeneous in many aspects of design, conduct and analysis. The findings were analysed narratively. Limitations: All included studies were rated as at high risk of bias, and none of the resulting prognostic models was found to be usable in clinical practice. Conclusions: There are no prognostic models ready to inform clinical practice in the context of the review question, highlighting the need for further research on prognostic models for predicting outcomes in adults who undergo physiotherapy for painful rotator cuff disorders. The design and conduct of future studies should be receptive to developing methodologies.en
dc.language.isoenen
dc.publisherAmerican Physical Therapy Associationen
dc.relation.urlhttp://ptjournal.apta.org/content/early/2015/12/02/ptj.20150475.longen
dc.rightsAs advised by publisher: following 12 month embargo author may archive published version: © [2015] American Physical Therapy Association. [Recieved: 14/12/2015]en
dc.titlePrognostic models in adults undergoing physiotherapy for rotator cuff disorders - a systematic reviewen
dc.typeArticleen
dc.contributor.departmentTeesside University. Health and Social Care Instituteen
dc.identifier.journalPhysical Therapyen
or.citation.harvardBraun, C., Hanchard, N. C. A., Batterham, A. M., Handoll, H. H. G., Betthauser, A. (2015) 'Prognostic models in adults undergoing physiotherapy for rotator cuff disorders - a systematic review' Physical Therapy; 2015 Dec 4. [Epub ahead of print]en
dc.eprint.versionAuthor accepted manuscripten
dc.date.accepted2015-11-22en
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