Acta Scientific Orthopaedics (ISSN: 2581-8635)

Review Article Volume 5 Issue 8

Guideline ‘Nonspecific Complaints of Arm, Neck and/or Shoulder (CANS)

Harald S Miedema 1,2* and Anita Feleus1

1Research Center Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, the Netherlands
2Department of General Practice, Erasmus University Medical Center, Rotterdam, the Netherlands

*Corresponding Author: Harald S Miedema, Research Center Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, the Netherlands.

Received: June 27, 2022; Published: July 15, 2022

  1. Complaints of the arm, neck and/or shoulder (CANS) are an important health problem. In the Netherlands, in any previous year about 33% of all adults reported to have CANS and more than 25% had CANS at the moment of inquiry. In addition, more than 10% of days lost to sickness absence is attributed to CANS.
  2. End 2012, a multidisciplinary guideline was published with recommendations for the diagnosis, treatment, care, and (work) participation of patients with nonspecific CANS. The purpose of this guideline is to improve the process of care and the multidisciplinary cooperation required, as well as to improve the communication with patients.
  3. The project started with a revision of the existing CANS model (dating from 2004). During this update, the list of disorders was extended to cover 36 specific diagnostic categories. In addition, a clinical pathway was developed that focuses on optimal timing of diagnostics and treatment, and on the multidisciplinary cooperation.
  4. The improved diagnostic process means that patients with specific CANS receive faster and better targeted treatment. Also, better understanding of treatment results leads to the choice of more effective treatments for patients with nonspecific CANS, so that more patients receive the most beneficial form of treatment.

Keywords:Guideline; Neck complaints; Shoulder complaints; Upper extremity complaints; Complaints of arm, neck and shoulder (CANS); Non-specific; Diagnosis and treatment

References

  1. Klein Hesselink J., et al. “Ziekteverzuim in Nederland 2009”. Hoofddorp: TNO (2011).
  2. Feleus A., et al. “Incidence of non-traumatic complaints of arm, neck and shoulder in general practice”. Manual Therapy 13 (2008): 426-433.
  3. The Hague: Gezondheidsraad (2000).
  4. Multidisciplinaire richtlijn ‘Aspecifieke klachten arm, nek en/of schouders’. Amersfoort: KNGF (2012).
  5.  

Citation

Citation: Harald S Miedema and Anita Feleus. “Guideline ‘Nonspecific Complaints of Arm, Neck and/or Shoulder (CANS)". Acta Scientific Orthopaedics 5.8 (2022): 56-64.

Copyright

Copyright: © 2022 Harald S Miedema and Anita Feleus. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days

Indexed In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 20, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US