Interprofessional Inconsistencies in the Diagnosis of Shoulder Instability: Survey Results of Physicians and Rehabilitation Providers

# Background Clinicians of many specialties within sports medicine care for athletes with shoulder instability, but successful outcomes are inconsistent. Consistency across specialties in the diagnosis of shoulder instability is critical for care of the athlete, yet the extent of divergence in its d...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Constantine P Nicolozakes, Xinning Li, Tim L Uhl, Guido Marra, Nitin B Jain, Eric J Perreault, Amee L Seitz
Formato:	article
Lenguaje:	EN
Publicado:	North American Sports Medicine Institute 2021
Materias:	Sports medicine RC1200-1245
Acceso en línea:	https://doaj.org/article/03ca82e1d29a444ca30e758592399334
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:03ca82e1d29a444ca30e758592399334
record_format	dspace
spelling	oai:doaj.org-article:03ca82e1d29a444ca30e7585923993342021-12-02T16:58:59ZInterprofessional Inconsistencies in the Diagnosis of Shoulder Instability: Survey Results of Physicians and Rehabilitation Providers2159-2896https://doaj.org/article/03ca82e1d29a444ca30e7585923993342021-08-01T00:00:00Zhttps://ijspt.scholasticahq.com/article/25170-interprofessional-inconsistencies-in-the-diagnosis-of-shoulder-instability-survey-results-of-physicians-and-rehabilitation-providers.pdfhttps://doaj.org/toc/2159-2896# Background Clinicians of many specialties within sports medicine care for athletes with shoulder instability, but successful outcomes are inconsistent. Consistency across specialties in the diagnosis of shoulder instability is critical for care of the athlete, yet the extent of divergence in its diagnosis is unknown. # Hypothesis Physicians differ from rehabilitation providers in which findings they deem clinically important to differentiate shoulder instability from impingement, and in how they diagnose athlete scenarios with atraumatic shoulder instability. # Study Design Cross-sectional study. # Methods Physicians (orthopaedic surgeons, primary care sports medicine physicians) and rehabilitation providers (physical therapists, athletic trainers) were asked via an online survey to rate clinical factors used to diagnose shoulder instability. Clinicians were also asked to diagnose two athlete scenarios with concurrent clinical findings of atraumatic shoulder instability and impingement, differentiated by the absence or presence of a positive sulcus sign. # Results Responses were recorded from 888 clinicians. Orthopaedic surgeons (N=170) and primary care sports medicine physicians (N=108) ranked physical examination factors as more important for the diagnosis of shoulder instability than patient history factors, whereas physical therapists (N=379) and athletic trainers (N=231) preferred patient history factors. Orthopaedic surgeons differed from physical therapists and athletic trainers in their clinical diagnoses for both scenarios (P≤0.001). # Conclusion A lack of consistency exists among sports medicine clinicians in recognizing which clinical factors are important when used to diagnose shoulder instability and in diagnoses given with concurrent findings of impingement. # Level of Evidence Level 3.Constantine P NicolozakesXinning LiTim L UhlGuido MarraNitin B JainEric J PerreaultAmee L SeitzNorth American Sports Medicine InstitutearticleSports medicineRC1200-1245ENInternational Journal of Sports Physical Therapy, Vol 16, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sports medicine RC1200-1245
spellingShingle	Sports medicine RC1200-1245 Constantine P Nicolozakes Xinning Li Tim L Uhl Guido Marra Nitin B Jain Eric J Perreault Amee L Seitz Interprofessional Inconsistencies in the Diagnosis of Shoulder Instability: Survey Results of Physicians and Rehabilitation Providers
description	# Background Clinicians of many specialties within sports medicine care for athletes with shoulder instability, but successful outcomes are inconsistent. Consistency across specialties in the diagnosis of shoulder instability is critical for care of the athlete, yet the extent of divergence in its diagnosis is unknown. # Hypothesis Physicians differ from rehabilitation providers in which findings they deem clinically important to differentiate shoulder instability from impingement, and in how they diagnose athlete scenarios with atraumatic shoulder instability. # Study Design Cross-sectional study. # Methods Physicians (orthopaedic surgeons, primary care sports medicine physicians) and rehabilitation providers (physical therapists, athletic trainers) were asked via an online survey to rate clinical factors used to diagnose shoulder instability. Clinicians were also asked to diagnose two athlete scenarios with concurrent clinical findings of atraumatic shoulder instability and impingement, differentiated by the absence or presence of a positive sulcus sign. # Results Responses were recorded from 888 clinicians. Orthopaedic surgeons (N=170) and primary care sports medicine physicians (N=108) ranked physical examination factors as more important for the diagnosis of shoulder instability than patient history factors, whereas physical therapists (N=379) and athletic trainers (N=231) preferred patient history factors. Orthopaedic surgeons differed from physical therapists and athletic trainers in their clinical diagnoses for both scenarios (P≤0.001). # Conclusion A lack of consistency exists among sports medicine clinicians in recognizing which clinical factors are important when used to diagnose shoulder instability and in diagnoses given with concurrent findings of impingement. # Level of Evidence Level 3.
format	article
author	Constantine P Nicolozakes Xinning Li Tim L Uhl Guido Marra Nitin B Jain Eric J Perreault Amee L Seitz
author_facet	Constantine P Nicolozakes Xinning Li Tim L Uhl Guido Marra Nitin B Jain Eric J Perreault Amee L Seitz
author_sort	Constantine P Nicolozakes
title	Interprofessional Inconsistencies in the Diagnosis of Shoulder Instability: Survey Results of Physicians and Rehabilitation Providers
title_short	Interprofessional Inconsistencies in the Diagnosis of Shoulder Instability: Survey Results of Physicians and Rehabilitation Providers
title_full	Interprofessional Inconsistencies in the Diagnosis of Shoulder Instability: Survey Results of Physicians and Rehabilitation Providers
title_fullStr	Interprofessional Inconsistencies in the Diagnosis of Shoulder Instability: Survey Results of Physicians and Rehabilitation Providers
title_full_unstemmed	Interprofessional Inconsistencies in the Diagnosis of Shoulder Instability: Survey Results of Physicians and Rehabilitation Providers
title_sort	interprofessional inconsistencies in the diagnosis of shoulder instability: survey results of physicians and rehabilitation providers
publisher	North American Sports Medicine Institute
publishDate	2021
url	https://doaj.org/article/03ca82e1d29a444ca30e758592399334
work_keys_str_mv	AT constantinepnicolozakes interprofessionalinconsistenciesinthediagnosisofshoulderinstabilitysurveyresultsofphysiciansandrehabilitationproviders AT xinningli interprofessionalinconsistenciesinthediagnosisofshoulderinstabilitysurveyresultsofphysiciansandrehabilitationproviders AT timluhl interprofessionalinconsistenciesinthediagnosisofshoulderinstabilitysurveyresultsofphysiciansandrehabilitationproviders AT guidomarra interprofessionalinconsistenciesinthediagnosisofshoulderinstabilitysurveyresultsofphysiciansandrehabilitationproviders AT nitinbjain interprofessionalinconsistenciesinthediagnosisofshoulderinstabilitysurveyresultsofphysiciansandrehabilitationproviders AT ericjperreault interprofessionalinconsistenciesinthediagnosisofshoulderinstabilitysurveyresultsofphysiciansandrehabilitationproviders AT ameelseitz interprofessionalinconsistenciesinthediagnosisofshoulderinstabilitysurveyresultsofphysiciansandrehabilitationproviders
_version_	1718382250246012928

Interprofessional Inconsistencies in the Diagnosis of Shoulder Instability: Survey Results of Physicians and Rehabilitation Providers

Ejemplares similares