Shoulder pain phenotyping: A guide for clinicians to determine predominant nociceptive, neuropathic, or nociplastic shoulder pain.

Background: Persistent shoulder pain is common, and it is associated with substantial morbidity and healthcare costs. Approximately 21 to 50 % of people with shoulder pain treated in primary healthcare recover within six months. It is not known why at least half do not recover.

What's in a Name? The Case for Using "Rotator Cuff-Related Shoulder Pain" in Clinical Practice.

In the absence of diagnostic accuracy (clinical and imaging), specific shoulder structures cannot be implicated as the definitive source of shoulder symptoms. Patients report that the (1) worst pain is unexplained pain, and (2) to engage in a treatment, the treatment must make sense. The diagnostic label, does not tick either box: is confusing, and as nondescript as .

Extended reality in the management of upper limb musculoskeletal conditions: A scoping review.

Background: Extended reality (XR) is increasingly used in the management of upper limb musculoskeletal conditions.

Purpose: To systematically map reported interventions using XR, explore their effects, and identify gaps in knowledge.

Study Design: Scoping review.

Co-design of a Treatment Algorithm for People With Large to Massive Rotator Cuff Tendon Tears: The Pathway.

Using an experience-based co-design (EBCD) approach, to co-design a treatment algorithm to support and enhance assessment, diagnosis, and treatment of people presenting with large to massive rotator cuff tendon tears (for ease of reading, we will use the term "rotator cuff tears") in primary health care settings. Mixed-methods study underpinned by EBCD with involvement of clinicians and people with rotator cuff tears. Using an EBCD process, people with rotator cuff tears and clinicians participated in 3 workshops.

The Worst Pain Is an Unexplained Pain.

Musculoskeletal (MSK) pain, especially when the reason for the pain is unexplained, is often associated with distress, fear, reduced self-efficacy, and cycles of medicalization. Pathoanatomical diagnoses, based on clinical tests and imaging, have a weak correlation between structural findings and pain, and fail to explain why something hurts. This Viewpoint advocates for nonpathoanatomical functional diagnoses or classifications and practical, relatable explanations for patients with pain without a definitive pathoanatomical cause-what some might call a person-centered model of care.

Corticosteroid Injections for Frozen Shoulder: A Global Online Survey of Health Professionals' Current Practice and Opinion.

Introduction: Frozen shoulder is a disabling condition characterised by severe pain and loss of shoulder movement. Corticosteroid injections are targeted at reducing pain in the earlier painful phase. There are multiple studies on the effectiveness of injections for frozen shoulder, but none were identified to assess if this guidance has been translated into clinical practice.

An international consensus on the etiology, risk factors, diagnosis and Management for individuals with Frozen Shoulder: a Delphi study.

Introduction: There has been an emergence of evidence in the area of frozen shoulder (FS) within the past decade related to risk factors, etiology, diagnosis, and management. It has become increasingly challenging for clinicians and researchers to stay up to date in these areas, particularly with the clinical practice guidelines that are available being few and outdated. To this end, the aim of this study was to produce an international consensus on the risk factors, etiology, diagnosis and management for individuals with FS.

Risk Factors Associated with New Onset of Shoulder Pain and Injury Among the Athletic Population: A Systematic Review of the Literature.

Introduction: There is a high incidence of shoulder injuries among overhead athletes. Identifying and understanding risk factors for these injuries, particularly those that can be modified, is a necessary step towards being able to effectively develop and implement shoulder specific injury prevention programs. Therefore, the purpose of this systematic review was to identify risk factors associated with a new onset of shoulder pain and injury among the athletic population.

Effect of concentric exercise-induced fatigue on proprioception, motor control and performance of the upper limb in handball players.

Background: The last phases of a competitive game are when shoulder injuries most commonly happen, and fatigue is thought to be a major contributing factor, perhaps because of reduced proprioception and motor control. The purpose of this study was to investigate the effect of concentric fatigue on proprioception, motor control, and performance of the upper limb in handball players.

Methods: Forty-six right-handed handball players (all males, age 26.

Musculoskeletal shoulder pain: Home exercise frequency and adherence to appointments are not mediators of outcome.

Objective: To investigate whether appointment adherence and frequency of home exercises mediates the association of baseline i) pain self-efficacy (PSE) or ii) patient expectation of recovery, with outcome at 6 months.

Design: Multicentre longitudinal cohort study.

Methods: Six-month outcome data (SPADI, QuickDASH) were provided by 810 of 1030 recruited participants.

Quality of clinical practice guidelines for frozen shoulder: a systematic review.

Objective: Perform a systematic critical appraisal of current clinical practice guidelines (CPGs) for frozen shoulder.

Literature Survey: Systematic review of CPGs (PROSPERO number CRD42022368775). Inclusion criteria- CPGs written in English providing guidance on the evaluation and or treatment for frozen shoulder, traumatic injury and neurologic CPGs were excluded.

Altered Sensory Processing in People Attending Specialist Orthopaedic Consultation for Management of Persistent Shoulder Pain: An Observational Cross-Sectional Study.

The primary objective was to compare sensory processing measures in people attending specialist orthopaedic consultation for management of persistent shoulder pain with control participants. The secondary objective was to compare the groups' sociodemographic, clinical, general health and lifestyle, and psychological characteristics. Observational cross-sectional.

Evaluating the importance of a core competency and capability framework for advanced practice physiotherapy: A cross-sectional survey.

Introduction: The need for a global core competency and capability framework for advanced practice physiotherapy is important due to the rapidly changing nature of health care delivery internationally and the need to standardize advanced practice physiotherapy.

Objective: To determine the importance of a proposed international core competency and capability framework for advanced practice physiotherapy.

Methods: We conducted a cross-sectional online survey of advanced practice physiotherapists across seven countries.

Will my shoulder pain get better? - secondary analysis of data from a multi-arm randomised controlled trial.

Objective: To determine whether higher level or improvements over time in pain self-efficacy (PSE) and expectations of intervention effectiveness lead to better outcomes and whether the intervention used to manage rotator cuff related shoulder pain (RCRSP) impacts PSE and expectations over time.

Design: Secondary analysis of data from a randomised controlled trial.

Participants: 123 individuals (48 [15] years old; 51% female) with RCRSP.

Vulnerable road user injury trends following the COVID-19 pandemic in Toronto, Canada: An interrupted time series analysis.

Background: The COVID-19 pandemic altered traffic patterns worldwide, potentially impacting pedestrian and bicyclists safety in urban areas. In Toronto, Canada, work from home policies, bicycle network expansion, and quiet streets were implemented to support walking and cycling. We examined pedestrian and bicyclist injury trends from 2012 to 2022, utilizing police-reported killed or severely injured (KSI), emergency department (ED) visits and hospitalization data.

Do therapeutic exercises impact supraspinatus tendon thickness? Secondary analyses of the combined dataset from two randomized controlled trials in patients with rotator cuff-related shoulder pain.

Background: The mechanistic response of rotator cuff tendons to exercises within the context of rotator cuff-related shoulder pain (RCRSP) remains a significant gap in current research. A greater understanding of this response can shed light on why individuals exhibit varying responses to exercise interventions. It can also provide information on the influence of certain types of exercise on tendons.

Audiometric outcomes following surgery for spontaneous temporal bone cerebrospinal fluid leaks - A single institution study.

Purpose: To assess the audiometric outcomes following surgical repair of spontaneous temporal bone cerebrospinal fluid otorrhea and compare different surgical approaches.

Materials And Methods: Retrospective review of adults (≥18 years old) who underwent repair of spontaneous CSF leak between 2011 and 2022. Audiometric outcomes were compared across the three surgical groups: transmastoid, middle cranial fossa and combined.

Can resistance training improve throwing performance in handball players? A Systematic review and meta-analysis.

Background: Throwing is one of the most important movement in handball. Throwing performance is crucial for success in handball.

Objective: Τo investigate the level of evidence for the effect of resistance training (RT) on throwing performance in handball players.

Is exercise therapy the right treatment for rotator cuff-related shoulder pain? Uncertainties, theory, and practice.

Background: Exercise therapy is a popular non-surgical treatment to help manage individuals with rotator cuff-related shoulder pain (RCRSP) and is recommended in all clinical practice guidelines. Due to modest effect sizes, low quality evidence, uncertainty relating to efficacy, and mechanism(s) of benefit, exercise as a therapeutic intervention has been the subject of increasing scrutiny.

Aims: The aim of this critical review is to lay out where the purported uncertainties of exercise for RCRSP exist by exploring the relevant quantitative and qualitative literature.

Human red blood cell acetylcholinesterase activity: a revisit after fifteen years.

Human red blood cell acetylcholinesterase (RBC-AChE) activity is valuable for detecting potential exposure to cholinesterase inhibiting substances (CIS). A reliable population-based RBC-AChE activity reference range is critical for early and massive clinical and occupational toxicology screening. Previous published studies were often limited to small numbers of subjects, various testing methods, and crude statistical data analyses.