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Staged Approach for Rehabilitation Classification: Shoulder Disorders (STAR–Shoulder)

Philip W. McClure, Lori A. Michener
DOI: 10.2522/ptj.20140156 Published 1 May 2015
Philip W. McClure
P.W. McClure, PT, PhD, FAPTA, Department of Physical Therapy, Arcadia University, 450 S Easton Rd, Glenside, PA 19038 (USA).
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Lori A. Michener
L.A. Michener, PT, PhD, ATC, SCS, Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, California.
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Figure.

Overall system for classification incorporating screening, pathoanatomic diagnosis, and rehabilitation classification. The specific pathoanatomic diagnoses shown at level 2 are only given as common examples; these are not meant to represent a complete list. For clarity, pathoanatomic diagnosis and rehabilitation classification are listed sequentially. However, they both are derived primarily from the history and physical examination and, in practice, likely occur in parallel rather than sequentially.

Tables

Table 1.
Table 1.

Potential Red Flag Conditions for the Shoulder (Modified From Mitchell et al25)

Table 2.
Table 2.

Examples of Common Pathoanatomic Diagnoses Based on History and Physical Examination Findings

Table 3.
Table 3.

Operational Definitions for 3 Stages of Tissue Irritability Derived by Consensusa

  • ↵a ROM=range of motion, AROM=active range of motion, PROM=passive range of motion.

Table 4.
Table 4.

Common Shoulder Impairments Associated With Progressively Intensive Intervention Tactics Across a Spectrum of Tissue Irritabilitya

  • ↵a ROM=range of motion, AROM=active range of motion.

Table 5.
Table 5.

Comparison of Features Between Pathoanatomic Diagnosis and Rehabilitation Classification

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Vol 95 Issue 5 Table of Contents
Physical Therapy: 95 (5)

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Staged Approach for Rehabilitation Classification: Shoulder Disorders (STAR–Shoulder)
Philip W. McClure, Lori A. Michener
Physical Therapy May 2015, 95 (5) 791-800; DOI: 10.2522/ptj.20140156

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Staged Approach for Rehabilitation Classification: Shoulder Disorders (STAR–Shoulder)
Philip W. McClure, Lori A. Michener
Physical Therapy May 2015, 95 (5) 791-800; DOI: 10.2522/ptj.20140156
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