Individuals with chronic pain often experience significant functional impairment
as well as difficulty in occupational/ social roles. The CPGQ may not provide a comprehensive assessment of how ongoing pain affects the functions and participation in life roles; however it can be utilised as a preliminary assessment tool to ascertain the extent of disablement resulting from chronic pain. Further research is required to determine if the 5 categories of CPGQ allow thorough and consistent selleck compound discrimination of pain severity and disability among individuals with varying degree of pain/ disablement. Hence, CPGQ with further validation can facilitate individualised management tailored according to the clinical subgroup of the patient (high pain versus high disability). Lastly, responsiveness and MCID of the subscales of the CPGQ need to be established in prospective longitudinal studies. “
“Latest update: 2011. Next update: 2015. Patient group: People aged 18 year or older with contracted (frozen) shoulder. Intended audience: Professionals involved in caring for people with contracted (frozen) shoulder – buy Ku-0059436 physiotherapy teachers and practitioners foremost, but also commissioners/providers of healthcare, GPs, orthopaedic surgeons, radiologists and rheumatologists. The guideline has been written in plain English to be accessible to patients
and their representative organisations. Additional versions: Nil. Expert working group: A 10-member
group of physiotherapists from the United Kingdom (UK) with expertise in the shoulder comprised the expert working group. Funded by: This guideline development received no funding support. Consultation with: The expert working group consulted with a 14 member multidisciplinary Delphi panel including medical specialists and patient representatives from the UK. The before guidelines were reviewed by the Good Practice Panel of the Chartered Society of Physiotherapy and five independent expert reviewers. Approved by: The Chartered Society of Physiotherapy, UK. Location: Hanchard N, et al (2011) Evidence-based clinical guidelines for the diagnosis, assessment and physiotherapy management of contracted (frozen) shoulder v.1.6, ‘standard’ physiotherapy. www.csp.org.uk/skipp Description: This guideline is a 170-page document that aims to identify and critically appraise the best available evidence relating to the diagnosis, assessment, and physiotherapy management of contracted (frozen) shoulder. It begins with a description of key concepts and methods in a manner that a clinician with only limited grounding in research should be able to understand. Information on the anatomy, pathology, and terminology linked to frozen shoulder is presented. Factors to consider and evidence underpinning the diagnosis and usual presentation of this pathology are outlined.