Clinical and MRI findings after high dosage medical exercise therapy in patients with long lasting subacromial pain syndrome: A case series on six patients

Østerås, Håvard; Myhr, Gunnar; Haugerud, Lasse; Torstensen, Tom Arild

doi:10.1016/j.jbmt.2009.06.004

Cited by 8 publications

(8 citation statements)

References 25 publications

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“…The mean age of the participants was 44.2 years, ranging from 32.432 to and 73 years 42. The mean duration of symptoms was 21.9 months, although one study40 had a comparatively longer mean duration of symptoms of 57.6 months for their cohort of six participants.…”

Section: Resultsmentioning

confidence: 99%

“…The other designs used were controlled trial (n=2),23 41 case series (n=1)40 and case study (n=1) 42…”

Section: Resultsmentioning

confidence: 99%

“…The conclusions drawn from the current review are based on predominantly Achilles tendinopathy with the other studies examining the knee,32 37 elbow,23 ankle38 and shoulder 40 42. The efficacy of tendinopathy treatment will most likely be dependent on the specific tendon's anatomical and biomechanical characteristics 48.…”

Section: Discussionmentioning

confidence: 96%

“…There is conflicting evidence from two low-quality studies with a high risk of bias40 42 relating to the association between a reduction in pain and reduction in tendon diameter.…”

Section: Clinical Findingsmentioning

confidence: 99%

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Do structural changes (eg, collagen/matrix) explain the response to therapeutic exercises in tendinopathy: a systematic review

et al. 2012

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Section: Resultsmentioning

confidence: 99%

“…The other designs used were controlled trial (n=2),23 41 case series (n=1)40 and case study (n=1) 42…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 96%

“…There is conflicting evidence from two low-quality studies with a high risk of bias40 42 relating to the association between a reduction in pain and reduction in tendon diameter.…”

Section: Clinical Findingsmentioning

confidence: 99%

See 2 more Smart Citations

Do structural changes (eg, collagen/matrix) explain the response to therapeutic exercises in tendinopathy: a systematic review

et al. 2012

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“…The full text articles of the remaining 116 studies were examined for eligibility and 97 studies were identified for inclusion in the review. 7,13,17…”

Section: Resultsmentioning

confidence: 99%

Shoulder impingement syndrome: a systematic review of clinical trial participant selection criteria

et al. 2016

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Background: Shoulder impingement syndrome (SIS) is a common diagnosis for patients with pain and dysfunction of the shoulder. Variations in the signs and symptoms might lead to uncertainty regarding the definition of SIS. The aim of this review is to explore the participant selection criteria used in the literature when investigating SIS and to assess differences in criteria among treating professions. Methods: This is a PRISMA systematic review of publications from 2009 to 2014 from MEDLINE, PubMed, The Cochrane Library, Embase, Scopus and CINAHL. Results: Ninety-seven articles met inclusion criteria for this review. Twenty-five different surgical and nonsurgical treatments were investigated. Impingement-specific index tests were used in all studies. Exclusion index tests were used in 62% of studies. Twenty index tests were identified. Radiological investigations were reported in 53% of all studies, of which a further 53% reported using two or more radiological investigations. Conclusions: This systematic review has illustrated that studies investigating SIS test for various signs and symptoms, which is in keeping with describing the condition as a 'syndrome'. However, there are inconsistencies in participant selection criteria between health disciplines, highlighting a need for harmonization of the selection criteria in the form of an international editorial consensus.

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Effects of Home Exercises on Shoulder Pain and Pathology in Chronic Spinal Cord Injury

Cardenas

Felix

Cowan

et al. 2019

Am J Phys Med Rehabil

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Objective The aims of this study were to replicate findings that a home exercise program intervention improved shoulder pain and function and to assess changes in supraspinatus tendon pathology associated with the home exercise program in persons with chronic spinal cord injury. Design The study is a single-blind randomized controlled trial. Individuals with spinal cord injury of at least 1 yr and chronic shoulder pain of moderate or greater average intensity were enrolled. Participants were randomized to a 12-wk home exercise program consisting of strengthening and stretching exercises or to an education-only control group, with immediate postintervention and 4-wk postintervention (16 wks) follow-ups. The main outcome measures were self-report measures of shoulder pain and impairment, the Physical Examination of the Shoulder Scale, quantitative ultrasound metrics of the supraspinatus tendon, and the Ultrasound Shoulder Pathology Rating Scale. Results Thirty-two participants were randomized to home exercise program or education-only control condition. The mean ± SD age was 44.8 ± 12.5; 81.3% were male; 65.6% had motor complete paraplegia. Using a per-protocol, within-group analysis method, significant differences were observed between baseline and postintervention for the home exercise program group for the least pain intensity (P = 0.02), number of days with shoulder pain (P = 0.042), Physical Examination of the Shoulder Scale scores (dominant side, P = 0.036; nondominant side, P = 0.008), the Disabilities of the Arm, Shoulder, and Hand (P = 0.028), and the Patient Global Impression of Change (P = 0.015). The education-only control condition group demonstrated significant changes in average unpleasantness of shoulder pain after the intervention period (P = 0.049). Comparisons in changes from baseline between groups showed that the home exercise program group had greater improvements in nondominant-side Physical Examination of the Shoulder Scale scores and global impression of change, whereas the education-only control condition group had greater improvements in depressive symptoms. For quantitative ultrasound measures, no significant changes were found with within-group analyses for the home exercise program group, although the education-only control condition group demonstrated a decrease in tendon width in the nondominant-side supraspinatus tendon (P = 0.036). Comparison of changes between groups suggests that the education-only control condition group had a greater increase in dominant shoulder supraspinatus tendon ultrasound contrast at the end of the study. Conclusions Changes in several measures of shoulder pain and function occurred after the home exercise program intervention, although the magnitude of changes was only significantly greater than those of the education-only control condition group for two measures. Significant changes in supraspinatus pathology were not detected with quantitative ultrasound metrics.

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Clinical and MRI findings after high dosage medical exercise therapy in patients with long lasting subacromial pain syndrome: A case series on six patients

Cited by 8 publications

References 25 publications

Do structural changes (eg, collagen/matrix) explain the response to therapeutic exercises in tendinopathy: a systematic review

Do structural changes (eg, collagen/matrix) explain the response to therapeutic exercises in tendinopathy: a systematic review

Shoulder impingement syndrome: a systematic review of clinical trial participant selection criteria

Effects of Home Exercises on Shoulder Pain and Pathology in Chronic Spinal Cord Injury

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