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dc.contributor.authorChester, R.
dc.contributor.authorJerosch-Herold, Christina
dc.contributor.authorLewis, Jeremy
dc.contributor.authorShepstone, Lee
dc.date.accessioned2017-07-03T16:22:53Z
dc.date.available2017-07-03T16:22:53Z
dc.date.issued2016-07-21
dc.identifier.citationChester , R , Jerosch-Herold , C , Lewis , J & Shepstone , L 2016 , ' Psychological factors are associated with the outcome of physiotherapy for people with shoulder pain: a multicentre longitudinal cohort study ' , British Journal of Sports Medicine , vol. 52 , no. 4 . https://doi.org/10.1136/bjsports-2016-096084 , https://doi.org/10.1136/bjsports-2016-096084
dc.identifier.issn0306-3674
dc.identifier.otherPURE: 10670995
dc.identifier.otherPURE UUID: fbcdf929-03e6-4d93-9c0c-3f6150d6e5fd
dc.identifier.otherScopus: 84979247632
dc.identifier.urihttp://hdl.handle.net/2299/18737
dc.descriptionThis is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: https://creativecommons.org/licenses/by/4.0/
dc.description.abstractBackground/aim Shoulder pain is a major musculoskeletal problem. We aimed to identify which baseline patient and clinical characteristics are associated with a better outcome, 6 weeks and 6 months after starting a course of physiotherapy for shoulder pain. Methods 1030 patients aged ≥18 years referred to physiotherapy for the management of musculoskeletal shoulder pain were recruited and provided baseline data. 840 (82%) provided outcome data at 6 weeks and 811 (79%) at 6 months. 71 putative prognostic factors were collected at baseline. Outcomes were the Shoulder Pain and Disability Index (SPADI) and Quick Disability of the Arm, Shoulder and Hand Questionnaire. Multivariable linear regression was used to analyse prognostic factors associated with outcome. Results Parameter estimates (β) are presented for the untransformed SPADI at 6 months, a negative value indicating less pain and disability. 4 factors were associated with better outcomes for both measures and time points: lower baseline disability (β=−0.32, 95% CI −0.23 to −0.40), patient expectation of ‘complete recovery’ compared to ‘slight improvement’ as ‘a result of physiotherapy’ (β=−12.43, 95% CI −8.20 to −16.67), higher pain self-efficacy (β=−0.36, 95% CI −0.50 to −0.22) and lower pain severity at rest (β=−1.89, 95% CI −1.26 to −2.51). Conclusions Psychological factors were consistently associated with patient-rated outcome, whereas clinical examination findings associated with a specific structural diagnosis were not. When assessing people with musculoskeletal shoulder pain and considering referral to physiotherapy services, psychosocial and medical information should be considered.en
dc.language.isoeng
dc.relation.ispartofBritish Journal of Sports Medicine
dc.rights/dk/atira/pure/core/openaccesspermission/open
dc.titlePsychological factors are associated with the outcome of physiotherapy for people with shoulder pain: a multicentre longitudinal cohort studyen
dc.contributor.institutionDepartment of Allied Health Professions and Midwifery
dc.contributor.institutionPhysiotherapy
dc.contributor.institutionSchool of Health and Social Work
dc.description.statusPeer reviewed
dc.relation.schoolSchool of Health and Social Work
dc.description.versiontypeFinal Published version
dcterms.dateAccepted2016-06-21
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1136/bjsports-2016-096084
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.rights.accesstypeopenAccess


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