05/04/2022
Hoping I can be one of those physios helping more of you with your shoulder pains! A brilliant designed joint, needs specific rehabilitation, just lifting weights wont fix it!
🆕 Paper:
Shoulder pain, disability and psychosocial dimensions: Profile of patients attending shoulder physiotherapy clinics.
📒 NZ Journal of Physiotherapy (2022)
Congratulations to Roger on this publication. We've summarised a few of our key findings in this infographic. I've provided a few other reflections on the practicalities of collecting the data in the clinical setting here:
1️⃣ Be aware of 'questionnaire burden'. The reality of collecting this information in the clinical setting is that patients have varying tolerance for completing forms that they perceive 'don't apply to me', or where 'questions are repetitive'. Choose a small number of pre-appointment questionnaires that cover key dimensions in the majority of your clinical population.
2️⃣ Individual question responses can be helpful. Pre-appointment questionnaires are a good way of collecting baseline data, but the total scores often don't tell the full story. Responses to individual questions can provide good direction for follow-up questioning in specific patients.
3️⃣ Literacy. Some patients may have dyslexia, or can't read. Be sensitive and ask if people need help if they appear reluctant to complete questionnaires.
4️⃣ Use questionnaires validated in your clinical population. Some questionnaires may not adequately capture pain and disability (or other measures) in certain clinical populations. Many questionnaires ask only about ADLs (e.g 'brushing your hair', or 'reaching a shelf'). If pain is not a major factor (sometimes instabilty is the primary symptom) and their activity demands are high choose a questionnaire that reflects their symptoms and activities e.g 'instability' questionnaires (WOSI, Oxford) may be more appropriate for these patients.
Some outcome questionnaires for the shoulder can be found here: https://www.drangelacadogan.co.nz/outcome-questionnaires.html
Full text article: https://pnz.org.nz/Attachment?Action=Download&Attachment_id=2436