According to clinical practice guidelines, which condition is associated with shoulder pain management?

According to clinical practice guidelines, which condition is associated with shoulder pain management?

• A. Pain-free flexion less than 127 degrees
• B. External rotation greater than 53 degrees
• C. Neer test is negative
• D. Symptom duration longer than 90 days

Answer: (A)

Shoulder pain management is often guided by clinical practice guidelines that consider specific clinical features to determine treatment approaches effectively. Pain-free flexion less than 127 degrees is an important indicator because it reflects a restriction in shoulder mobility. This limitation can suggest a significant underlying pathology, such as adhesive capsulitis, rotator cuff pathology, or other forms of shoulder dysfunction, which often respond to targeted non-operative management strategies. Shoulders with such limitations in range of motion may also be more prone to further injury or chronic pain if not addressed appropriately. Therefore, recognizing this particular range of motion threshold assists clinicians in estimating the severity of the condition and determining the best course of rehabilitation or intervention. In contrast, the other options pertain to different aspects of shoulder evaluation. External rotation greater than 53 degrees might indicate a relatively preserved range of motion and potentially less severe impairment. A negative Neer test typically suggests that there's no subacromial impingement but doesn't address overall shoulder function or pain management rigorously. Symptom duration longer than 90 days may signal chronicity but does not directly correlate with specific management strategies in the same way reduction in active flexion does. Thus, establishing pain-free flexion as less than 127 degrees has significant implications for

Shoulder pain management is often guided by clinical practice guidelines that consider specific clinical features to determine treatment approaches effectively. Pain-free flexion less than 127 degrees is an important indicator because it reflects a restriction in shoulder mobility. This limitation can suggest a significant underlying pathology, such as adhesive capsulitis, rotator cuff pathology, or other forms of shoulder dysfunction, which often respond to targeted non-operative management strategies.

Shoulders with such limitations in range of motion may also be more prone to further injury or chronic pain if not addressed appropriately. Therefore, recognizing this particular range of motion threshold assists clinicians in estimating the severity of the condition and determining the best course of rehabilitation or intervention.

In contrast, the other options pertain to different aspects of shoulder evaluation. External rotation greater than 53 degrees might indicate a relatively preserved range of motion and potentially less severe impairment. A negative Neer test typically suggests that there's no subacromial impingement but doesn't address overall shoulder function or pain management rigorously. Symptom duration longer than 90 days may signal chronicity but does not directly correlate with specific management strategies in the same way reduction in active flexion does. Thus, establishing pain-free flexion as less than 127 degrees has significant implications for