Classification of Shoulder Pain: Difference between revisions

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== Introduction ==
== Introduction ==
Classification provides a general framework for identifying subgroups of patients based on the primary goal of treatment, with the ultimate aim of matching indivuals to specific interventions from which they are most likely to benefit <ref>Childs MJ, Fritz JM, Piva SR, Whitman JM. [http://www.jospt.org/doi/pdf/10.2519/jospt.2004.34.11.686 Proposal of a Classification System for Patients with Neck Pain.] Journal of Orthopaedic & Sports Physical Therapy. 2004 Nov;34(11):686-700.</ref>. Diagnostic algorithms and classification may be beneficial to clinical decision making and allows clinicians to easily identify the correct intervention strategy and predict a patient’s prognosis. Traditionally, diagnostic categories are based on a pathoanatomic medical model aimed at identifying the pathologic tissues. However, the pathoanatomic model may not provide diagnostic categories that effectively guide treatment decision making in rehabilitation. <ref name=":0">McClure, P. W., & Michener, L. A. (2015). Staged Approach for Rehabilitation Classification: Shoulder Disorders (STAR-Shoulder). ''Physical Therapy'', ''95''(5), 791–800. <nowiki>http://doi.org/10.2522/ptj.20140156</nowiki></ref>
Classification provides a general framework for identifying subgroups of patients based on the primary goal of treatment, with the ultimate aim of matching indivuals to specific interventions from which they are most likely to benefit <ref>Childs MJ, Fritz JM, Piva SR, Whitman JM. [http://www.jospt.org/doi/pdf/10.2519/jospt.2004.34.11.686 Proposal of a Classification System for Patients with Neck Pain.] Journal of Orthopaedic & Sports Physical Therapy. 2004 Nov;34(11):686-700.</ref>. Diagnostic algorithms and classification may be beneficial to clinical decision making and allows clinicians to easily identify the correct intervention strategy and predict a patient’s prognosis. Traditionally, diagnostic categories are based on a pathoanatomic medical model aimed at identifying the pathologic tissues. However, the pathoanatomic model may not provide diagnostic categories that effectively guide treatment decision making in rehabilitation. <ref name=":0">McClure, P. W., & Michener, L. A. (2015). Staged Approach for Rehabilitation Classification: Shoulder Disorders (STAR-Shoulder). ''Physical Therapy'', ''95''(5), 791–800. <nowiki>http://doi.org/10.2522/ptj.20140156</nowiki></ref>

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Introduction[edit | edit source]

Classification provides a general framework for identifying subgroups of patients based on the primary goal of treatment, with the ultimate aim of matching indivuals to specific interventions from which they are most likely to benefit [1]. Diagnostic algorithms and classification may be beneficial to clinical decision making and allows clinicians to easily identify the correct intervention strategy and predict a patient’s prognosis. Traditionally, diagnostic categories are based on a pathoanatomic medical model aimed at identifying the pathologic tissues. However, the pathoanatomic model may not provide diagnostic categories that effectively guide treatment decision making in rehabilitation. [2]

Evidence for the conservative management of shoulder pain currently does not support any particular approach and it remains unclear as to what the most effective method of treatment is in terms of costs, time and resolution. As a result there has been a shift from the pathoanatomical model of diagnosis towards into treatment-oriented subgroups that will inform patient management and be cost effective [2]. This form of classification provides a general framework for identifying subgroups of patients based on the primary goal of treatment, with the ultimate aim of matching individuals to specific interventions from which they are most likely to benefit.[2]

Classification Types[edit | edit source]

Pathoanatomical[edit | edit source]

Treatment Based[edit | edit source]

Summary[edit | edit source]

References[edit | edit source]

  1. Childs MJ, Fritz JM, Piva SR, Whitman JM. Proposal of a Classification System for Patients with Neck Pain. Journal of Orthopaedic & Sports Physical Therapy. 2004 Nov;34(11):686-700.
  2. 2.0 2.1 2.2 McClure, P. W., & Michener, L. A. (2015). Staged Approach for Rehabilitation Classification: Shoulder Disorders (STAR-Shoulder). Physical Therapy, 95(5), 791–800. http://doi.org/10.2522/ptj.20140156