Article

Rotator cuff-related disorders represent the largest subgroup of
shoulder complaints. Despite the availability of various conservative and
surgical treatment options, the precise indications for these options remain unclear. PURPOSE: The purpose of this systematic review was to synthesize the
available research on prognostic models for predicting outcomes in adults
undergoing physical therapy for painful rotator cuff disorders. DATA SOURCES: The
MEDLINE, EMBASE, CINAHL, Cochrane CENTRAL, and PEDro databases and the World
Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP)
up to October 2015 were searched. STUDY SELECTION: The review included primary
studies exploring prognostic models in adults undergoing physical therapy, with
or without other conservative measures, for painful rotator cuff disorders.
Primary outcomes were pain, disability, and adverse events. Inclusion was limited
to prospective investigations of prognostic factors elicited at the baseline
assessment. Study selection was independently performed by 2 reviewers. DATA
EXTRACTION: A pilot-tested form was used to extract data on key aspects of study
design, characteristics, analyses, and results. Risk of bias and applicability
were independently assessed by 2 reviewers using the Prediction Study Risk of
Bias Assessment tool (PROBAST). DATA SYNTHESIS: Five studies were included in the
review. These studies were extremely heterogeneous in many aspects of design,
conduct, and analysis. The findings were analyzed narratively. LIMITATIONS: All
included studies were rated as at high risk of bias, and none of the resulting
prognostic models was found to be usable in clinical practice. CONCLUSIONS: There
are no prognostic models ready to inform clinical practice in the context of the
review question, highlighting the need for further research on prognostic models
for predicting outcomes in adults who undergo physical therapy for painful
rotator cuff disorders. The design and conduct of future studies should be
receptive to developing methods.
CI - (c) 2016 American Physical Therapy Association.

Langue : ANGLAIS