A protocol for a new methodological model for work-related shoulder complex injuries: From diagnosis to rehabilitation

BMC Musculoskeletal Disorders

Study Protocol

Igor Setuain¹  Mikel Izquierdo¹  Ainara Paularena²  Jose Luis Luque²  Miriam Gonzalez-Izal²  Lars L. Andersen³ 

[1] Department of Health Sciences, Public University of Navarra, Pamplona, Navarra, Spain;Mutua Navarra, Medical Assistance Inssurance Society, Pamplona, Navarra, Spain;National Research Centre for the Working Environment, Copenhagen, Denmark;Department of Health Science and Technology, Physical Activity and Human Performance group, SMI, Aalborg University, Aalborg, Denmark;

关键词: Shoulder;    Work environment;    Injury;    Management;   

DOI  :  10.1186/s12891-017-1435-2

 received in 2016-12-06, accepted in 2017-01-26,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundWork-related injuries of the shoulder complex represent a challenge for clinicians because of the large variety of clinical entities involved and the broad anatomic structures that can be affected. Furthermore, commonly performed orthopedic tests have demonstrated limited accuracy for diagnosing the injury despite considerable research efforts. The aim of this study protocol is therefore to describe a comprehensive approach integrating both a clinical- and functional status-based pathology and an adapted rehabilitation prescription.Methods/DesignA longitudinal cohort study will be performed at the Department of Rehabilitation and Medical Assistance of a mutual insurance society for work-related injury management in Spain (Mutua Navarra, Pamplona, Navarra Spain). Patients will be attended by an occupational physician who specializes in work-related injuries and is part of the project team that will systematically visit all the participants. After the medical diagnosis and any requested supplementary evaluations (i.e., radiological examinations), the patients will be referred to the rehabilitation service. Before the physiotherapeutic rehabilitation program is initiated, the patients will undergo a comprehensive functional screening at the biomechanics laboratory. Using a decision-making scheme, the identified functional deficits will be used to customize the individual rehabilitation plan.DiscussionThe proposed objective criteria-based shoulder diagnosis and rehabilitation model could be a new effective strategy for minimizing the time required to regain functional capacity and recover from symptoms among patients with work-related shoulder injuries.Trial registrationThe study protocol has been registered on Clinical Trials.gov as NCT02732002 (April 10th 2016).

【 授权许可】

CC BY   
© The Author(s). 2017