Treatment of hemiplegic shoulder pain in the Netherlands: results of a national survey
Objective: To describe the methods of treatment applied by physiotherapists, occupational therapists, rehabilitation physicians, nursing-home physicians and neurologists for hemiplegic shoulder pain, and to investigate their beliefs about the effectiveness of triamcinolone acetonide injections for t...
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| Veröffentlicht in: | Clinical rehabilitation 2000-02, Vol.14 (1), p.20-27 |
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| creator | Snels, Ingrid AK Beckerman, Heleen Lankhorst, Gustaaf J Bouter, Lex M |
| description | Objective: To describe the methods of treatment applied by physiotherapists, occupational therapists, rehabilitation physicians, nursing-home physicians and neurologists for hemiplegic shoulder pain, and to investigate their beliefs about the effectiveness of triamcinolone acetonide injections for this diagnosis.
Design: Postal questionnaire with structured and open-ended questions. If necessary, a written reminder was sent after 2–3 weeks.
Subjects: One hundred physiotherapists, 100 occupational therapists, 100 rehabilitation physicians, 100 nursing-home physicians and 100 neurologists in the Netherlands. These healthcare workers were all active in the rehabilitation of stroke patients.
Results: The response was 351 (70.2%), ranging from 58% (neurologists) to 83% (physiotherapists). Fifty-four different (combinations of) treatments were mentioned and were classified into eight treatment groups. The frequency of the first choice of treatment was: physiotherapy (32%), prevention/ instruction/education (22%), oral medication (8%), local injection (7%), sling (4%), referral (3%), other therapies (4%), and different combinations (20%).
In total, 86 respondents had applied local injections: 70 rehabilitation physicians, 10 nursing-home physicians and 6 neurologists. The injections used were: corticosteroids alone (51.2%), in combination with a local anaesthetic (37.2%) or a local anaesthetic only (9.3%). Belief in the effectiveness of triamcinolone injections, measured on a 0–100 point scale, was: physiotherapists median 62.5 (IQR 29.75–71.75), occupational therapists median 50.0 (IQR 43.0–63.0), rehabilitation physicians median 70.0 (IQR 56.5–80.0), nursing-home physicians median 35.0 (IQR 21.0–64.5), neurologists median 47.0 (IQR 20.0–63.0).
Conclusions: As preventive measures and physiotherapy, or a combination of both, were found to be the favourite methods of treatment for hemiplegic shoulder pain in this survey, it seems that most physicians and therapists rely on a mechanical approach to hemiplegic shoulder pain. Rehabilitation physicians used additional local (anti-inflammatory) injections. |
| doi_str_mv | 10.1191/026921500668239146 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_200699444</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1191_026921500668239146</sage_id><sourcerecordid>797129671</sourcerecordid><originalsourceid>FETCH-LOGICAL-c408t-b1d70678d9f023dc52189da566093d40fb0510b5fa0dced90dd1470faf9aebfa3</originalsourceid><addsrcrecordid>eNp9kE9Lw0AQxRdRtFa_gAdZxGvs7GaT7HqT4j8oeqlewyS726akSd1NhH57t6RQQRCGmcvvzbx5hFwxuGNMsQnwVHGWAKSp5LFiIj0iIyayLAKZxcdktAOiQCRn5Nz7FQBILtgpOWOQShkLNiKfc2ewW5umo62lS7OuNrVZVCX1y7avtXF0g1VDQ3VLQ99M6K7GRvt76ozv687vdEgb7Kq2wZr63n2b7QU5sVh7c7mfY_Lx9DifvkSz9-fX6cMsKgXILiqYziDNpFYWeKzLhDOpNCZpCirWAmwBCYMisQi6NFqB1uE_sGgVmsJiPCY3w96Na79647t81fYu-PA5D7koJYQIEB-g0rXeO2PzjavW6LY5g3yXZP43ySC63m_ui7XRvyRDdAG43QPoS6ytw6as_IHjQiYxD9hkwDwuzMHdP5d_AH1liF0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>200699444</pqid></control><display><type>article</type><title>Treatment of hemiplegic shoulder pain in the Netherlands: results of a national survey</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>SAGE Complete A-Z List</source><source>MEDLINE</source><creator>Snels, Ingrid AK ; Beckerman, Heleen ; Lankhorst, Gustaaf J ; Bouter, Lex M</creator><creatorcontrib>Snels, Ingrid AK ; Beckerman, Heleen ; Lankhorst, Gustaaf J ; Bouter, Lex M</creatorcontrib><description>Objective: To describe the methods of treatment applied by physiotherapists, occupational therapists, rehabilitation physicians, nursing-home physicians and neurologists for hemiplegic shoulder pain, and to investigate their beliefs about the effectiveness of triamcinolone acetonide injections for this diagnosis.
Design: Postal questionnaire with structured and open-ended questions. If necessary, a written reminder was sent after 2–3 weeks.
Subjects: One hundred physiotherapists, 100 occupational therapists, 100 rehabilitation physicians, 100 nursing-home physicians and 100 neurologists in the Netherlands. These healthcare workers were all active in the rehabilitation of stroke patients.
Results: The response was 351 (70.2%), ranging from 58% (neurologists) to 83% (physiotherapists). Fifty-four different (combinations of) treatments were mentioned and were classified into eight treatment groups. The frequency of the first choice of treatment was: physiotherapy (32%), prevention/ instruction/education (22%), oral medication (8%), local injection (7%), sling (4%), referral (3%), other therapies (4%), and different combinations (20%).
In total, 86 respondents had applied local injections: 70 rehabilitation physicians, 10 nursing-home physicians and 6 neurologists. The injections used were: corticosteroids alone (51.2%), in combination with a local anaesthetic (37.2%) or a local anaesthetic only (9.3%). Belief in the effectiveness of triamcinolone injections, measured on a 0–100 point scale, was: physiotherapists median 62.5 (IQR 29.75–71.75), occupational therapists median 50.0 (IQR 43.0–63.0), rehabilitation physicians median 70.0 (IQR 56.5–80.0), nursing-home physicians median 35.0 (IQR 21.0–64.5), neurologists median 47.0 (IQR 20.0–63.0).
Conclusions: As preventive measures and physiotherapy, or a combination of both, were found to be the favourite methods of treatment for hemiplegic shoulder pain in this survey, it seems that most physicians and therapists rely on a mechanical approach to hemiplegic shoulder pain. Rehabilitation physicians used additional local (anti-inflammatory) injections.</description><identifier>ISSN: 0269-2155</identifier><identifier>EISSN: 1477-0873</identifier><identifier>DOI: 10.1191/026921500668239146</identifier><identifier>PMID: 10688341</identifier><language>eng</language><publisher>Thousand Oaks, CA: SAGE Publications</publisher><subject>Adult ; Biological and medical sciences ; Data Collection ; Diseases of striated muscles. Neuromuscular diseases ; Diseases of the osteoarticular system. Orthopedic treatment ; Female ; Glucocorticoids - administration & dosage ; Health Personnel ; Hemiplegia - complications ; Humans ; Injections, Intra-Articular ; Male ; Medical sciences ; Middle Aged ; Netherlands ; Neurology ; Physical Therapy Modalities ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Shoulder Pain - etiology ; Shoulder Pain - therapy ; Triamcinolone Acetonide - administration & dosage</subject><ispartof>Clinical rehabilitation, 2000-02, Vol.14 (1), p.20-27</ispartof><rights>2000 INIST-CNRS</rights><rights>Arnold 2000</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c408t-b1d70678d9f023dc52189da566093d40fb0510b5fa0dced90dd1470faf9aebfa3</citedby><cites>FETCH-LOGICAL-c408t-b1d70678d9f023dc52189da566093d40fb0510b5fa0dced90dd1470faf9aebfa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1191/026921500668239146$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1191/026921500668239146$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,12826,21799,27903,27904,30978,43600,43601</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1248532$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10688341$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Snels, Ingrid AK</creatorcontrib><creatorcontrib>Beckerman, Heleen</creatorcontrib><creatorcontrib>Lankhorst, Gustaaf J</creatorcontrib><creatorcontrib>Bouter, Lex M</creatorcontrib><title>Treatment of hemiplegic shoulder pain in the Netherlands: results of a national survey</title><title>Clinical rehabilitation</title><addtitle>Clin Rehabil</addtitle><description>Objective: To describe the methods of treatment applied by physiotherapists, occupational therapists, rehabilitation physicians, nursing-home physicians and neurologists for hemiplegic shoulder pain, and to investigate their beliefs about the effectiveness of triamcinolone acetonide injections for this diagnosis.
Design: Postal questionnaire with structured and open-ended questions. If necessary, a written reminder was sent after 2–3 weeks.
Subjects: One hundred physiotherapists, 100 occupational therapists, 100 rehabilitation physicians, 100 nursing-home physicians and 100 neurologists in the Netherlands. These healthcare workers were all active in the rehabilitation of stroke patients.
Results: The response was 351 (70.2%), ranging from 58% (neurologists) to 83% (physiotherapists). Fifty-four different (combinations of) treatments were mentioned and were classified into eight treatment groups. The frequency of the first choice of treatment was: physiotherapy (32%), prevention/ instruction/education (22%), oral medication (8%), local injection (7%), sling (4%), referral (3%), other therapies (4%), and different combinations (20%).
In total, 86 respondents had applied local injections: 70 rehabilitation physicians, 10 nursing-home physicians and 6 neurologists. The injections used were: corticosteroids alone (51.2%), in combination with a local anaesthetic (37.2%) or a local anaesthetic only (9.3%). Belief in the effectiveness of triamcinolone injections, measured on a 0–100 point scale, was: physiotherapists median 62.5 (IQR 29.75–71.75), occupational therapists median 50.0 (IQR 43.0–63.0), rehabilitation physicians median 70.0 (IQR 56.5–80.0), nursing-home physicians median 35.0 (IQR 21.0–64.5), neurologists median 47.0 (IQR 20.0–63.0).
Conclusions: As preventive measures and physiotherapy, or a combination of both, were found to be the favourite methods of treatment for hemiplegic shoulder pain in this survey, it seems that most physicians and therapists rely on a mechanical approach to hemiplegic shoulder pain. Rehabilitation physicians used additional local (anti-inflammatory) injections.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Data Collection</subject><subject>Diseases of striated muscles. Neuromuscular diseases</subject><subject>Diseases of the osteoarticular system. Orthopedic treatment</subject><subject>Female</subject><subject>Glucocorticoids - administration & dosage</subject><subject>Health Personnel</subject><subject>Hemiplegia - complications</subject><subject>Humans</subject><subject>Injections, Intra-Articular</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Netherlands</subject><subject>Neurology</subject><subject>Physical Therapy Modalities</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Shoulder Pain - etiology</subject><subject>Shoulder Pain - therapy</subject><subject>Triamcinolone Acetonide - administration & dosage</subject><issn>0269-2155</issn><issn>1477-0873</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kE9Lw0AQxRdRtFa_gAdZxGvs7GaT7HqT4j8oeqlewyS726akSd1NhH57t6RQQRCGmcvvzbx5hFwxuGNMsQnwVHGWAKSp5LFiIj0iIyayLAKZxcdktAOiQCRn5Nz7FQBILtgpOWOQShkLNiKfc2ewW5umo62lS7OuNrVZVCX1y7avtXF0g1VDQ3VLQ99M6K7GRvt76ozv687vdEgb7Kq2wZr63n2b7QU5sVh7c7mfY_Lx9DifvkSz9-fX6cMsKgXILiqYziDNpFYWeKzLhDOpNCZpCirWAmwBCYMisQi6NFqB1uE_sGgVmsJiPCY3w96Na79647t81fYu-PA5D7koJYQIEB-g0rXeO2PzjavW6LY5g3yXZP43ySC63m_ui7XRvyRDdAG43QPoS6ytw6as_IHjQiYxD9hkwDwuzMHdP5d_AH1liF0</recordid><startdate>20000201</startdate><enddate>20000201</enddate><creator>Snels, Ingrid AK</creator><creator>Beckerman, Heleen</creator><creator>Lankhorst, Gustaaf J</creator><creator>Bouter, Lex M</creator><general>SAGE Publications</general><general>Turpin</general><general>Arnold</general><general>Sage Publications Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>20000201</creationdate><title>Treatment of hemiplegic shoulder pain in the Netherlands: results of a national survey</title><author>Snels, Ingrid AK ; Beckerman, Heleen ; Lankhorst, Gustaaf J ; Bouter, Lex M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c408t-b1d70678d9f023dc52189da566093d40fb0510b5fa0dced90dd1470faf9aebfa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Data Collection</topic><topic>Diseases of striated muscles. Neuromuscular diseases</topic><topic>Diseases of the osteoarticular system. Orthopedic treatment</topic><topic>Female</topic><topic>Glucocorticoids - administration & dosage</topic><topic>Health Personnel</topic><topic>Hemiplegia - complications</topic><topic>Humans</topic><topic>Injections, Intra-Articular</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Netherlands</topic><topic>Neurology</topic><topic>Physical Therapy Modalities</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Shoulder Pain - etiology</topic><topic>Shoulder Pain - therapy</topic><topic>Triamcinolone Acetonide - administration & dosage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Snels, Ingrid AK</creatorcontrib><creatorcontrib>Beckerman, Heleen</creatorcontrib><creatorcontrib>Lankhorst, Gustaaf J</creatorcontrib><creatorcontrib>Bouter, Lex M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>Clinical rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Snels, Ingrid AK</au><au>Beckerman, Heleen</au><au>Lankhorst, Gustaaf J</au><au>Bouter, Lex M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of hemiplegic shoulder pain in the Netherlands: results of a national survey</atitle><jtitle>Clinical rehabilitation</jtitle><addtitle>Clin Rehabil</addtitle><date>2000-02-01</date><risdate>2000</risdate><volume>14</volume><issue>1</issue><spage>20</spage><epage>27</epage><pages>20-27</pages><issn>0269-2155</issn><eissn>1477-0873</eissn><abstract>Objective: To describe the methods of treatment applied by physiotherapists, occupational therapists, rehabilitation physicians, nursing-home physicians and neurologists for hemiplegic shoulder pain, and to investigate their beliefs about the effectiveness of triamcinolone acetonide injections for this diagnosis.
Design: Postal questionnaire with structured and open-ended questions. If necessary, a written reminder was sent after 2–3 weeks.
Subjects: One hundred physiotherapists, 100 occupational therapists, 100 rehabilitation physicians, 100 nursing-home physicians and 100 neurologists in the Netherlands. These healthcare workers were all active in the rehabilitation of stroke patients.
Results: The response was 351 (70.2%), ranging from 58% (neurologists) to 83% (physiotherapists). Fifty-four different (combinations of) treatments were mentioned and were classified into eight treatment groups. The frequency of the first choice of treatment was: physiotherapy (32%), prevention/ instruction/education (22%), oral medication (8%), local injection (7%), sling (4%), referral (3%), other therapies (4%), and different combinations (20%).
In total, 86 respondents had applied local injections: 70 rehabilitation physicians, 10 nursing-home physicians and 6 neurologists. The injections used were: corticosteroids alone (51.2%), in combination with a local anaesthetic (37.2%) or a local anaesthetic only (9.3%). Belief in the effectiveness of triamcinolone injections, measured on a 0–100 point scale, was: physiotherapists median 62.5 (IQR 29.75–71.75), occupational therapists median 50.0 (IQR 43.0–63.0), rehabilitation physicians median 70.0 (IQR 56.5–80.0), nursing-home physicians median 35.0 (IQR 21.0–64.5), neurologists median 47.0 (IQR 20.0–63.0).
Conclusions: As preventive measures and physiotherapy, or a combination of both, were found to be the favourite methods of treatment for hemiplegic shoulder pain in this survey, it seems that most physicians and therapists rely on a mechanical approach to hemiplegic shoulder pain. Rehabilitation physicians used additional local (anti-inflammatory) injections.</abstract><cop>Thousand Oaks, CA</cop><pub>SAGE Publications</pub><pmid>10688341</pmid><doi>10.1191/026921500668239146</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Clinical rehabilitation, 2000-02, Vol.14 (1), p.20-27 |
| issn | 0269-2155 1477-0873 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); SAGE Complete A-Z List; MEDLINE |
| subjects | Adult Biological and medical sciences Data Collection Diseases of striated muscles. Neuromuscular diseases Diseases of the osteoarticular system. Orthopedic treatment Female Glucocorticoids - administration & dosage Health Personnel Hemiplegia - complications Humans Injections, Intra-Articular Male Medical sciences Middle Aged Netherlands Neurology Physical Therapy Modalities Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Shoulder Pain - etiology Shoulder Pain - therapy Triamcinolone Acetonide - administration & dosage |
| title | Treatment of hemiplegic shoulder pain in the Netherlands: results of a national survey |
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