Table 2 Analytic Responses

1- In the patient suffering from painful shoulder:

0.2 to 0.6

1.6 to 4.8

The combination of multiple tests has been shown to provide better accuracy

470 (92.0%)

103 (80.5%)

The use of single and pathology-specific tests is recommended

24 (4.7%)

17 (13.3%)

Tests have been shown to detect the structure that generates the symptoms

10 (2.0%)

5 (3.9%)

The tests have all been shown to have high specificity

7 (1.4%)

3 (2.3%)

2- Among the diagnostic tests which would appear to have a higher diagnostic utility, in particular to confirm the pathology if the test is positive:

0.1 to 0.4

2.3 to 12.4

Hawkins-Kennedy test (90 ° flexion of the arm with internal rotation)

144 (28.2%)

77 (60.2%)

Empty can (abduction on the scapular plane at 90 ° in internal rotation)

159 (31.1%)

12 (9.4%)

Neer sign (complete flexion of the arm in internal rotation)

102 (20.0%)

33 (25.8%)

Lift-off (arm in back position with back of the hand on the lumbar spine and active intra-rotation)

106 (20.7%)

6 (4.7%)

3- Using diagnostic tests for patients with painful shoulder, clinical applicability is obstaculated by:

0.9 to 2.2

0.5 to 1.1

A disagreement on the interpretation of the results

336 (65.8%)

60 (46.9%)

An extreme diversity in execution

116 (22.7%)

37 (28.9%)

A great variability in the nomenclature

34 (6.7%)

15 (11.7%)

A great variability of the professional figures who administered them

25 (4.9%)

16 (12.5%)

4- The diagnosis of the rotator cuff pathology should be based on:

0.1 to 0.1

6.9 to 16.6

History of the patient and physical examination

424 (83.0%)

40 (31.3%)

Physical examination and bioimaging (Rx, Magnetic Resonance, Ultrasound)

70 (13.7%)

75 (58.6%)

Biomaging (Rx, Magnetic Resonance, Ultrasound)

8 (1.6%)

12 (9.4%)

History of the patient

9 (1.8%)

1 (0.8%)

5- Orthopaedic tests used to diagnostic the SIS:

0.3 to 0.7

1.3 to 3.5

They identify as healthy those who do not really present the disease

171 (33.5%)

24 (18.8%)

They identify the patients who actually present the disease as sick

82 (16.0%)

32 (25.0%)

They identify people who are really sick as sick and at the same time identify people who do not really present the disease as healthy

103 (20.2%)

62 (48.4%)

They do not identify patients who actually present the disease as sick

155 (30.3%)

10 (7.8%)

6- In the detection of total or partial injuries to the rotator cuff:

0.2 to 0.4

2.3 to 5.3

US was the most suitable method in terms of cost / effectiveness ratio

318 (62.2%)

41 (32%)

Magnetic resonance imaging (MRI) is the most suitable method in terms of cost / effectiveness ratio

158 (30.9%

82 (64.1%)

It is better not to use the ultrasound (US)

15 (2.9%)

5 (3.9%)

MRI is lower in terms of specificity

20 (3.9%)

0 (0.0%)

7- In the detection of full thickness rotator cuff tear, how have the following methods revealed their ability to frame the patients as healthy (not really having the pathology):

0.8 to 1.8

0.5 to 1.2

MRA better than MRI and US

240 (47.0%)

89 (69.5%)

US, MRI and Magnetic Resonance Arthrography (MRA) with equal efficacy

167 (32.7%)

26 (20.3%)

US better than MRI, better than MRA

60 (11.7%)

10 (7.8%)

US better than MRA, better than MRI

44 (8.6%)

3 (2.3%)

8- In the detection of partial thickness rotator cuff tears:

1.1 to 2.3

0.4 to 0.9

US and MRI have revealed high ability to frame those who actually presented with pathology as sick

187 (36.6%)

61 (47.7%)

MRI and MRA have the same ability to frame those who do not really have the disease as healthy subjects

140 (27.4%)

31 (24.2%)

MRA and US have revealed low ability to frame those subjects who really had the condition, such as sick people

123 (24.1%)

13 (10.2%)

MRI has detected ability to frame subjects who did not actually present pathology as healthy subjects in 100% of cases

61 (11.9%)

23 (18.0%)

9- For the detection of Supraspinatus tendon partial tears:

0.8 to 1.9

0.0 to 0.1

MRA is better than MRI in framing patients who actually present the disease as sick

198 (38.7%)

72 (56.3%)

MRA is better than MRI in framing patients who do not really present the disease as healthy

125 (24.5%)

36 (28.1%)

MRI appears to have poor ability to frame those who really do not have the disease as sick

103 (20.2%)

8 (6.3%)

MRA has shown poor diagnostic accuracy

85 (16.6%)

12 (9.4%)

10- What is the best treatment choice for the management of patients with SIS?

0.0 to 0.1

9.2 to 65.7

Physiotherapic treatment

506 (99.0%)

103 (80.5%)

Surgical treatment

1 (0.2%)

12 (9.4%)

Drugs

3 (0.6%)

7 (5.5%)

Physical therapy (diathermy, laser ...)

1 (0.2%)

6 (4.7%)

11- What is the main goal of the therapeutic exercise with this type of patient?

1.9 to 4.3

0.2 to 0.5

Educate and reassure the patient

285 (55.8%)

9 (7.0%)

Pain reduction

144 (28.2%)

68 (53.1%)

Recovery of functional limitation

62 (12.1%)

29 (22.7%)

Solving the mechanical problem

20 (3.9%)

22 (17.2%)

12- Which treatment do you believe should be used first with this type of patient?

0.0 to 0.1

8.0 to 33.6

Physiotherapy conservative treatment

500 (97.8%)

94 (73.4%)

Pharmacological treatment

10 (2.0%)

30 (23.4%)

Absolute rest

1 (0.2%)

2 (1.6%)

Surgical treatment

0 (0.0%)

2 (1.6%)

13- According to the current literature, with what type of treatment do patients with SIS really obtain better results in the short period?

0.3 to 0.6

1.7 to 3.8

Conservative treatment

405 (79.3%)

77 (60.2%)

Pharmacological treatment

82 (16.0%)

43 (33.6%)

Surgical treatment

18 (3.5%)

6 (4.7%)

Absolute rest

6 (1.2%)

2 (1.6%)

14- Regarding conservative treatment, which mode do you consider preferable to obtain a better functionality?

0.3 to 0.7

1.5 to 3.8

Therapeutic exercise

439 (85.9%)

92 (71.9%)

Manual therapy

69 (13.5%)

15 (11.7%)

Physical therapies

1 (0.2%)

14 (10.9%)

Stretching

2 (0.4%)

7 (5.5%)

15- The focus of the exercise therapy, should be:

2.0 to 4.9

0.2 to 0.5

No one in particular

296 (57.9%)

12 (9.4%)

Scapulo-thoracic dyskinesia

122 (23.9%)

55 (43.0%)

Rotator cuff

70 (13.7%)

42 (32.8%)

Capsular stretching

23 (4.5%)

19 (14.8%)

16- The exercise should be administered:

0.1 to 0.4

2.6 to 6.4

In a few different ways (few exercises)

279 (54.6%)

29 (22.7%)

In the absence of pain

123 (24.1%)

85 (66.4%)

With pain

67 (13.1%)

2 (1.6%)

With high repetitions

42 (8.2%)

12 (9.4%)

17- Which manual therapy strategies, among the following, do you consider preferable to obtain a better functionality in patients with SIS?

0.3 to 0.6

1.6 to 3.7

Soft tissue techniques (trigger point, muscle energy etc.)

265 (51.5%)

39 (30.5%)

Mobilization

228 (44.6%)

56 (43.8%)

Neurodynamic techniques

5 (1.0%)

22 (17.2%)

Manipulations

15 (2.9%)

11 (8.6%)

18- Which pharmacological strategies, among the following, do you consider preferable to obtain a better functionality in patients with SIS?

0.2 to 0.9

1.2 to 4.9

Nonsteroidal anti-inflammatory drugs

260 (50.9%)

41 (32.0%)

Corticosteroid injection

125 (24.5%)

77 (60.2%)

Anesthetics – Painkillers

78 (15.3%)

9 (7.0%)

Placebo (e.g., inert pill)

48 (9.4%)

1 (0.8%)

19- Which surgical procedure, among the following, do you consider preferable to obtain a better functionality in patients with SIS?

4.0 to 9.1

0.1 to 0.2

Arthroscopic subacromial decompression

321 (62.8%)

39 (30.5%)

Arthroscopic acromioplastic and bursectomy

114 (22.3%)

81 (63.3%)

Radiofrequency therapy or injections of platelet gel and leukocytes

59 (11.5%)

6 (4.7%)

Open subacromial decompression

17 (3.3%)

2 (1.6%)

20- How can you best measure the effectiveness of a treatment in a patient with SIS?

0.4 to 0.8

1.2 to 2.8

With validated multidimensional scales

379 (74.2%)

78 (60.9%)

With scales on functionality

95 (18.6%)

26 (20.3%)

With an interview

25 (4.9%)

10 (7.8%)

With scales for pain

12 (2.3%)

14 (10.9%)