METHODOLOGY OF THE EXAMINATION OF THE SHOULDER WITH A MODERN APPROACH IN PHYSIOTHERAPY

Abstract

Summary: The authors draw attention to the fact that although pain in the shoulder region ranks third among locomotor complaints, and its clinical diagnosis often encounters difficulties in identifying the exact causal background, since it is often not possible to clearly support the exact background factors of shoulder pain even with imaging procedures. For this reason, among other things, the medical history and physical examination are of particular importance to the physiotherapist, with the help of which he establishes a correct tissue and functional diagnosis, based on which he determines the treatment goals and the methods necessary to achieve them. Professional guidelines that provide advice on the course of the examination, the functional deficits established by the physiotherapist, and contain evidence-based recommendations regarding treatment options can help in this. The professional protocols compiled by the College of Health Care Professionals were reviewed in the research. The authors came to the opinion that it would be timely to review and update the guidelines in this area. As a result of the literature research, based on international trends, the risk factors, pathological factors, red flags, examination methods and treatment recommendations related to shoulder pain were revealed and reviewed. "Good practice" can be the use of clinical practice guidelines, patient examination methods, examination routes, and algorithms found in international literature for the work of a physiotherapist, as well as for updating domestic professional materials.