Diagnosing, managing, and supporting return to work of adults with rotator cuff disorders: A clinical practice guideline

Auteurs

Simon Lafrance, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada, Maisonneuve-Rosemont Hospital Research Center, Université de Montréal Affiliated Research Center, Montreal, QC, Canada
Maxime Charron, Maisonneuve-Rosemont Hospital Research Center, Université de Montréal Affiliated Research Center, Montreal, QC, Canada
Jean-Sébastien Roy, Department of Rehabilitation, Faculty of Medicine, Université Laval, Quebec City, QC, Canada, Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, QC, Canada
Joseph-Omer Dyer, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada, Groupe Interdisciplinaire de Recherche sur la Cognition et le Raisonnement Professionnel, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada
Pierre Frémont, Department of Rehabilitation, Faculty of Medicine, Université Laval, Quebec City, QC, Canada
Clermont E. Dionne, Department of Social and Preventive Medicine, Faculty of Medicine, Université Laval, Quebec City, QC, Canada, Centre de Recherche du CHU, Québec-Université Laval, Quebec City, QC, Canada
Joy C. MacDermid, School of Physical Therapy, Western University, London, ON, Canada
Michel Tousignant, School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada, Research Centre on Aging, CIUSSS de l'Estrie, CHUS, Sherbrooke, QC, Canada
Annie Rochette, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada, Center for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada
Patrick Doiron-Cadri, Maisonneuve-Rosemont Hospital Research Center, Université de Montréal Affiliated Research Center, Montreal, QC, Canada
Véronique Lowry, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada, Maisonneuve-Rosemont Hospital Research Center, Université de Montréal Affiliated Research Center, Montreal, QC, Canada
Nathalie Bureau, Department of Radiology, Radio-oncology and Nuclear Medicine, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada, Research Center, Centre Hospitalier, Université de Montréal, Montreal, QC, Canada
Martin Lamontagne, Research Center, Centre Hospitalier, Université de Montréal, Montreal, QC, Canada, Department of Medicine, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada
Emilie Sandman, Department of Surgery, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada, Hôpital du Sacré-Coeur de Montréal Research Center, Université de Montréal Affiliated Research Center, Montreal, QC, Canada
Marie-France Coutu, School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada, Centre for Work Disability Prevention and Rehabilitation, Charles-Le Moyne Hospital Research Centre, Longueuil, QC, Canada
Patrick Lavigne, Maisonneuve-Rosemont Hospital Research Center, Université de Montréal Affiliated Research Center, Montreal, QC, Canada, Department of Surgery, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada
François Desmeules, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada, Maisonneuve-Rosemont Hospital Research Center, Université de Montréal Affiliated Research Center, Montreal, QC, Canada

Type de document

Études primaires

Année de publication

2022

Langue

Anglais

Titre de la revue

Journal of Orthopaedic and Sports Physical Therapy

Première page

647

Dernière page

664

Résumé

OBJECTIVE: To develop a clinical practice guideline covering the assessment, management, and return to work of adults with rotator cuff disorders.

DESIGN: Clinical practice guideline.

METHODS: Using systematic reviews, appraisal of the literature, and an iterative approach to obtain consensus from key stakeholders, clinical recommendations and algorithms were developed in the context of the health care system and work environment of the province of Quebec (Canada).

RESULTS: Recommendations (n = 73) and clinical decision algorithms (n = 3) were developed to match the objectives. The initial assessment should include the patient's history, a subjective assessment, and a physical examination. Diagnostic imaging is only necessary in select circumstances. Acetaminophen, nonsteroidal anti-inflammatory drugs, and injection therapies may be useful to reduce pain in the short term. Clinicians should prescribe an active and task-oriented rehabilitation program (exercises and education) to reduce pain and disability in adults with rotator cuff disorders. Subacromial decompression is not recommended to treat rotator cuff tendinopathy. Surgery is appropriate for selected patients with a full-thickness rotator cuff tear. A return-to-work plan should be developed early, in collaboration with the worker and other stakeholders, and must combine multiple strategies to promote return to work.

CONCLUSION: This clinical practice guideline was developed to assist the multidisciplinary team of clinicians who provide health care for adults with a rotator cuff disorder. The CPG guides clinical decisionmaking for diagnosis and treatment, and planning for successful return to work. Copyright ©2022 JOSPT^®, Inc.

Mots-clés

Maintien en emploi, Job maintenance, Épaule, Shoulder, Réadaptation physique, Physical rehabilitation, Centre de réadaptation physique, Physical rehabilitation centre, Ténopathie, Tendon disease

Numéro de projet IRSST

2016-0029

Citation recommandée

Lafrance, S., Charron, M., Roy, J.-S., Dyer, J.-O., Frémont, P., Dionne, C. E., . . . Desmeules, F. (2022). Diagnosing, managing, and supporting return to work of adults with rotator cuff disorders: A clinical practice guideline. Journal of Orthopaedic & Sports Physical Therapy, 52(10), 647-664. https://doi.org/10.2519/jospt.2022.11306