Classification of Shoulder Pain

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Top Contributors - Naomi O'Reilly, Olajumoke Ogunleye, Shaimaa Eldib, Kim Jackson, Simisola Ajeyalemi, Lauren Lopez, Stacy Schiurring, Rachael Lowe, Tony Lowe, Fasuba Ayobami and Claire Knott  

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 . 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.

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 . 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.

Classification Types

Pathoanatomical

Treatment Based

Summary

References