Shoulder rotator cuff disorders: A systematic review of clinical practice guidelines and semantic analyses of recommendations

Auteurs

Patrick Doiron-Cadrin, Maisonneuve-Rosemont Hospital Research Center, University of Montréal Affiliated Research Center, Montréal, Québec, Canada
Simon Lafrance, Maisonneuve-Rosemont Hospital Research Center, University of Montréal Affiliated Research Center, Montréal, Québec, Canada
Marie Saulnier, Maisonneuve-Rosemont Hospital Research Center, University of Montréal Affiliated Research Center, Montréal, Québec, Canada
Émie Cournoyer, Maisonneuve-Rosemont Hospital Research Center, University of Montréal Affiliated Research Center, Montréal, Québec, Canada
Jean-Sébastien Roy, Department of Rehabilitation, Faculty of Medicine, Laval University, Québec City, Québec, Canada, Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Québec City, Québec, Canada
Joseph-Omer Dyer, School of Rehabilitation, Faculty of Medicine, University of Montréal, Montréal, Québec, Canada
Pierre Frémont, Department of Rehabilitation, Faculty of Medicine, Laval University, Québec City, Québec, Canada
Clermont Dionne, Department of Rehabilitation, Faculty of Medicine, Laval University, Québec City, Québec, Canada, Laval University Hospital Center of Research, Québec City, Québec, Canada
Joy C. MacDermid, School of Physical Therapy, Western University, London, ON, Canada
Michel Tousignant, School of Rehabilitation, Faculty of Medicine and Health Sciences, Sherbrooke University, Sherbrooke, Québec, Canada
Annie Rochette, School of Rehabilitation, Faculty of Medicine, University of Montréal, Montréal, Québec, Canada, Center for Interdisciplinary Research in Rehabilitation of Greater Montréal, Montréal, Québec, Canada
Véronique Lowry, Maisonneuve-Rosemont Hospital Research Center, University of Montréal Affiliated Research Center, Montréal, Québec, Canada
Nathalie J. Bureau, Department of Radiology, Oncology and Nuclear Medicine, Faculty of Medicine, University of Montréal, Montréal, Québec, Canada, University of Montréal Hospital Research Center (CHUM), Montréal, Québec, Canada
Martin Lamontagne, Department of Medicine, Faculty of Medicine, University of Montréal, Montréal, Québec, Canada
Marie-France Coutu, Centre for Work Disability Prevention and Rehabilitation, Charles Le Moyne Hospital Research Centre affiliated with Sherbrooke University, Longueuil, Canada
Patrick Lavigne, Maisonneuve-Rosemont Hospital Research Center, University of Montréal Affiliated Research Center, Montréal, Québec, Canada, Department of Surgery, Faculty of Medicine, University of Montréal, Montréal, Québec, Canada
François Desmeules, Maisonneuve-Rosemont Hospital Research Center, University of Montréal Affiliated Research Center, Montréal, Québec, Canada, School of Rehabilitation, Faculty of Medicine, University of Montréal, Montréal, Québec, Canada

Type de document

Revues de littérature, synthèses de connaissances

Année de publication

2020

Langue

Anglais

Titre de la revue

Archives of Physical Medicine and Rehabilitation

Première page

1233

Dernière page

1242

Résumé

Objectives: To perform a systematic review of clinical practice guidelines (CPGs) and semantic analysis of specific clinical recommendations for the management of rotator cuff disorders in adults.

Data source: A systematic bibliographic search was conducted up until May 2018 in Medline, Embase, and Physiotherapy Evidence Database, or PEDro, databases, in addition to 12 clinical guidelines search engines listed on the Appraisal of Guidelines for Research and Evaluation (AGREE) website.

Study selection: Nine CPGs on the management of rotator cuff disorders in adults or workers, available in English or French, and published from January 2008 onward, were included and screened by 2 independent reviewers.

Data extraction: CPG methodology was assessed with the AGREE II checklist. A semantic analysis was performed to compare the strength of similar recommendations based on their formulation. The recommendations were categorized in a standardized manner considering the following 4 levels: “essential,” “recommended,” “may be recommended,” and “not recommended.”

Data synthesis: Methodological quality was considered high for 3 CPGs and low for 6. All CPGs recommended active treatment modalities, such as an exercise program in the management of rotator cuff disorders. Acetaminophen or nonsteroidal anti-inflammatory drug prescriptions and corticosteroid injections were presented as modalities that may be recommended to decrease pain. Recommendations related to medical imagery and surgical opinion varied among the guidelines. The most commonly recommended return-to-work strategies included intervening early, use of a multidisciplinary approach, and adaptation of work organization.

Conclusions:Only 3 CPGs were of high quality. The development of more rigorous CPGs is warranted. © 2020 American Congress of Rehabilitation Medicine

Mots-clés

Épaule, Shoulder, Ténopathie, Tendon disease, Réadaptation physique, Physical rehabilitation, Centre de réadaptation physique, Physical rehabilitation centre

Numéro de projet IRSST

2016-0029

Citation recommandée

Doiron-Cadrin, P., Lafrance, S., Saulnier, M., Cournoyer, É., Roy, J.-S., Dyer, J.-O., . . . Desmeules, F. (2020). Shoulder rotator cuff disorders: A systematic review of clinical practice guidelines and semantic analyses of recommendations. Archives of Physical Medicine and Rehabilitation, 101(7), 1233-1242. https://doi.org/10.1016/j.apmr.2019.12.017