Classification of shoulder complaints in general practice by means of cluster analysis

Archives of Physical Medicine and Rehabilitation
J C WintersB Meyboom-de Jongh

Abstract

To determine if a classification of shoulder complaints in general practice can be made with a cluster analysis of variables of medical history and physical examination. One hundred one patients with shoulder complaints were examined upon inclusion (week 0) and after 2 weeks. Eleven variables of the medical histories and 19 variables of the physical examinations were used for the analysis. The analyses of week 0 and week 2 reveal three stable clusters: one cluster with almost half of the patients who hardly had limitations in the range of scapulohumeral mobility (ROM), one cluster with a small number of patients with a short history of complaints and a limitation of scapulohumeral mobility in all directions (7 and 6, respectively), and a third cluster containing the rest of the patients, with 30% to 50% limitation in ROM. The degree of limitation in ROM decreased after 2 weeks. Comparison of the patients in the clusters of week 0 and week 2 revealed a shift of patients within the clusters, although the number of patients in the clusters remained almost constant. Only three stable clusters could be identified, which questions the suitability of more detailed classifications, such as described by Cyriax or the Dutch Guidelines fo...Continue Reading

References

Jun 19, 1976·Lancet·S Roy, R Oldham

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Citations

Sep 11, 2004·Journal of Clinical Epidemiology·Klaas H GroenierBetty Meyboom-de Jong
Oct 22, 2003·Journal of Clinical Epidemiology·Nortin M Hadler
Aug 9, 2011·Sports Medicine and Arthroscopy Review·Umile Giuseppe LongoVincenzo Denaro
May 4, 1999·Annals of the Rheumatic Diseases·A F de WinterL M Bouter
Apr 21, 2005·The Journal of Orthopaedic and Sports Physical Therapy·Nigel C A HanchardMeg M Gilbert
May 12, 2000·Archives of Physical Medicine and Rehabilitation·E WatelainJ C Angué
Feb 7, 2016·Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine·Scott A BurnsPaul E Mintken
May 1, 2010·Journal of Clinical Epidemiology·Ellen KeijsersSita M A Bierma-Zeinstra
May 26, 2009·Gait & Posture·Katarzyna KaczmarczykJacek Zaborski
Mar 7, 2014·Journal of Evaluation in Clinical Practice·Ramon P G OttenheijmJochen W L Cals
Jun 17, 2003·Archives of Physical Medicine and Rehabilitation·Klaas H GroenierBetty Meyboom de Jong
May 23, 2006·Journal of Clinical Epidemiology·Klaas H GroenierBetty Meyboom-De Jong
Aug 31, 2004·Arthritis and Rheumatism·Karen Walker-BoneCyrus Cooper
Jul 13, 2007·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Kenneth KirbyChad Cook
Jun 10, 2000·Journal of Digital Imaging·S MackD H Grönemeyer

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