Comparing exercises with and without electromyographic biofeedback in subacromial pain syndrome: A randomized controlled trial

Oliveira, Araken Kleber Azevedo de; Costa, Karinna Sonálya Aires da; Lucena, Gildásio Lucas de; Sousa, Catarina de Oliveira; Filho, João Felipe Medeiros; Brasileiro, Jamilson Simões

doi:10.1016/j.clinbiomech.2022.105596

Cited by 4 publications

(4 citation statements)

References 41 publications

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“…A total of 20 articles were reviewed with the number of patients in each study, varying from 24 [ 37 ] to 708 [ 32 ], which added up to a total of 2385 patients. All of the patients who were suffering from shoulder pain had different diagnostic labels.…”

Section: Resultsmentioning

confidence: 99%

“…Most studies referred to the shoulder pain as “subacromial impingement syndrome” (SIS) [ 28 , 39 , 40 , 41 , 42 , 44 , 47 ], “subacromial shoulder impingement” (SSI) [ 29 ], or “subacromial pain syndrome” (SAPS) [ 30 , 45 , 48 ]. Some studies used generic labels such as “shoulder pain syndrome” (SPS) [ 33 , 35 , 37 ], “shoulder pain”, [ 38 ] or “no specific shoulder pain” [ 46 ]. Three studies referred to diagnostic labels that recently appeared, namely “rotator cuff disorder/syndrome” [ 32 , 34 ] and, more frequently, “rotator cuff-related shoulder pain” [ 34 ].…”

Section: Resultsmentioning

confidence: 99%

“…The article by De Oliveira A et al, 2022 [ 37 ] sought to verify whether the UT, MT, LT, and SA muscles benefited from the inclusion of EMG-biofeedback to exercise performed with adapted loads for 8 weeks, in patients with subacromial pain syndrome. The study concluded that both groups improved without significant differences, but at the Week 8 measurement, the group that had EMG-biofeedback obtained a significant improvement in the NPRS variable compared to the other group ( p = 0.01).…”

Section: Resultsmentioning

confidence: 99%

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Which Multimodal Physiotherapy Treatment Is the Most Effective in People with Shoulder Pain? A Systematic Review and Meta-Analyses

Aguilar García,

González Muñoz,

Pérez Montilla

et al. 2024

Healthcare

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The study aimed to determine if combined physiotherapy treatments offer additional benefits over exercise-only programs for shoulder pain and to identify the most effective combined treatment. A systematic review, registered in PROSPERO (CRD42023417709), and meta-analyses were conducted. Quality analysis was performed using the PEDro scale on randomized clinical trials published from 2018 to 2023. Twenty articles met the inclusion criteria. The most commonly used combination was exercise plus manual therapy, without being statistically superior to exercise alone. The meta-analysis indicated that combining exercise with low-level laser therapy (mean difference of −1.06, 95% CI: −1.51 to −0.60) and high-intensity laser therapy (mean difference of −0.53, 95% CI: −1.12 to 0.06) resulted in the greatest reduction in SPADI scores. Adding manual therapy provided limited additional benefit (mean difference of −0.24, 95% CI: −0.74 to 0.27). Progressive exercise with advice or telerehabilitation yielded modest improvements. The multimodal meta-analysis for DASH scores showed significant improvement (mean difference of −1.06, 95% CI: −1.51 to −0.60). In conclusion, therapeutic exercise is the cornerstone of shoulder pain treatment, with the addition of laser therapy showing substantial benefits. Manual therapy and educational interventions offer some benefits but are not consistently superior. More rigorous studies are needed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Which Multimodal Physiotherapy Treatment Is the Most Effective in People with Shoulder Pain? A Systematic Review and Meta-Analyses

Aguilar García,

González Muñoz,

Pérez Montilla

et al. 2024

Healthcare

View full text Add to dashboard Cite

show abstract

“…Related studies found ( 90 ) that through the “stimulation-feedback” mode, EMGBF is capable of converting subtle EMG signals into visual stimuli, thereby motivating patients to engage in active exercises of the core muscles of the affected shoulder to stabilize the shoulder joint and alleviate pain. The problem is that when hemiplegic shoulder pain is caused by the interaction of multiple etiologies, a single therapy may not be able to achieve the desired level of pain relief ( 91 , 92 ). However, our study draws the opposite conclusion, which may be related to our combing EMG biofeedback with rehabilitation training and thus improved efficacy; or it may be associated with the lack of direct evidence between interventions.…”

Section: Discussionmentioning

confidence: 99%

EMG biofeedback combined with rehabilitation training may be the best physical therapy for improving upper limb motor function and relieving pain in patients with the post-stroke shoulder-hand syndrome: A Bayesian network meta-analysis

et al. 2023

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BackgroundPost-stroke shoulder-hand syndrome (SHS), although not a life-threatening condition, may be the most distressing and disabling problem for stroke survivors. Thus, it is essential to identify effective treatment strategies. Physical therapy is used as a first-line option for treating SHS; however, it is unclear which treatment option is preferred, which creates confusion in guiding clinical practice. Our study aims to guide clinical treatment by identifying the most effective physical therapy interventions for improving clinical symptoms in patients with post-stroke SHS using Bayesian network meta-analysis.MethodsWe conducted a systematic and comprehensive search of data from randomized controlled trials using physical therapy in patients with SHS from database inception to 1 July 2022. Fugl-Meyer Upper Extremity Motor Function Scale (FMA-UE) and pain visual analog score (VAS) were used as primary and secondary outcome indicators. R (version 4.1.3) and STATA (version 16.0) software were used to analyze the data.ResultsA total of 45 RCTs with 3,379 subjects were included, and the intervention efficacy of 7 physical factor therapies (PFT) combined with rehabilitation training (RT) was explored. Compared with the control group, all the PFT + RT included were of statistical benefit in improving limb motor function and pain relief. Also, our study indicated that EMG biofeedback combined with RT (BFT + RT) [the surface under the cumulative ranking curve (SUCRA) = 96.8%] might be the best choice for patients with post-stroke SHS.ConclusionEMG biofeedback combined with rehabilitation training may be the best physical therapy for improving upper limb motor function and relieving pain in patients with post-stroke SHS according to our Bayesian network meta-analysis results. However, the above conclusions need further analysis and validation by more high-quality RCTs.Systematic review registrationwww.crd.york.ac.uk/prospero/, identifier: CRD42022348743.

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Rotator cuff isometric exercises in combination with scapular muscle strengthening and stretching in individuals with rotator cuff tendinopathy: A multiple-subject case report

Augusto,

Scattone Silva,

Medeiros Filho

et al. 2024

Journal of Bodywork and Movement Therapies

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Comparing exercises with and without electromyographic biofeedback in subacromial pain syndrome: A randomized controlled trial

Cited by 4 publications

References 41 publications

Which Multimodal Physiotherapy Treatment Is the Most Effective in People with Shoulder Pain? A Systematic Review and Meta-Analyses

Which Multimodal Physiotherapy Treatment Is the Most Effective in People with Shoulder Pain? A Systematic Review and Meta-Analyses

EMG biofeedback combined with rehabilitation training may be the best physical therapy for improving upper limb motor function and relieving pain in patients with the post-stroke shoulder-hand syndrome: A Bayesian network meta-analysis

Rotator cuff isometric exercises in combination with scapular muscle strengthening and stretching in individuals with rotator cuff tendinopathy: A multiple-subject case report

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