Home exercises and supervised exercises are similarly effective for people with subacromial impingement: a randomised trial

Granviken, Fredrik; Vasseljen, Ottar

doi:10.1016/j.jphys.2015.05.014

Cited by 50 publications

(49 citation statements)

References 27 publications

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“…20 Granviken and Vasseljen demonstrated that both home exercises and supervised exercises are similarly effective for people with SIS. 21 Moezy et al. investigated the effect of a six-week supervised scapular stabilization exercise therapy on pain, scapular position, head and back posture and shoulder mobility in comparison to physical therapy in SIS patients 22 and achieved similar results to ours, indicating that exercise significantly decreased the pain and that no significant difference was found in the VAS score, thus the shoulder pain of the subjects.…”

Section: Discussionsupporting

confidence: 71%

Comparison of different electrotherapy methods and exercise therapy in shoulder impingement syndrome: A prospective randomized controlled trial

Uçurum¹,

Kaya²,

Kayali³

et al. 2018

Acta Orthopaedica et Traumatologica Turcica

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ObjectiveThe aim of this study was to assess and compare the effects of different electrotherapy methods and exercise therapy on pain, function and quality of life in shoulder impingement syndrome.MethodsEighty-three patients (66 females, 17 males; mean age: 48.2 ± 7.33 years) with shoulder impingement syndrome were selected and 79 of them were randomly allocated into four groups. Group 1 (n = 19, mean age: 47.89 ± 7.12 years) was given hot pack and exercises, Group 2 (n = 20, mean age: 47.70 ± 6.51 years) was given hot packs, exercises and interferential current, Group 3 (n = 20, mean age: 48.50 ± 8.34 years) was given hot packs, exercises and TENS and Group 4 (n = 20, mean age: 48.55 ± 7.89 years) was given hot packs, exercises and ultrasound three times a week for four weeks. Assessments were made before treatment, right after it and three months after that using the visual analog scale (VAS), Short Form-36 (SF-36) and the Disabilities of the Arm, Shoulder and Hand (DASH) outcome measures.ResultsAt the fourth week and third month assessments, all groups showed significant improvements in terms of pain, DASH and SF-36 physical component scores (p < 0.05). In intragroup comparisons, a significant difference between pre- and post-treatment results was found only in SF-36 mental component scores of Group 2. No significant difference was observed between the groups in any stage of the study period (p > 0.05).ConclusionApplication of ultrasound, interferential current and TENS in addition to exercise therapy in shoulder impingement syndrome treatment had similar improvements in terms of pain, function and physical component of quality of life. However, interferential current treatment showed significantly better outcomes for the mental component of quality of life.Level of evidenceLevel I, Therapeutic study.

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Section: Discussionsupporting

confidence: 71%

Comparison of different electrotherapy methods and exercise therapy in shoulder impingement syndrome: A prospective randomized controlled trial

Uçurum¹,

Kaya²,

Kayali³

et al. 2018

Acta Orthopaedica et Traumatologica Turcica

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“…57 Both groups exhibited a significant improvement in pain (VAS) and function (SPADI) at 6 and 26 weeks, but no significant between-group differences at either time point.…”

Section: Supervised Exercisementioning

confidence: 84%

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Hawk

Minkalis

Khorsan

et al. 2017

Journal of Manipulative and Physiological Therapeutics

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Objective: The purpose of this review was to evaluate the effectiveness of conservative nondrug, nonsurgical interventions, either alone or in combination, for conditions of the shoulder. Methods: The review was conducted from March 2016 to November 2016 in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), and was registered with PROSPERO. Eligibility criteria included randomized controlled trials (RCTs), systematic reviews, or meta-analyses studying adult patients with a shoulder diagnosis. Interventions qualified if they did not involve prescription medication or surgical procedures, although these could be used in the comparison group or groups. At least 2 independent reviewers assessed the quality of each study using the Scottish Intercollegiate Guidelines Network checklists. Shoulder conditions addressed were shoulder impingement syndrome (SIS), rotator cuff-associated disorders (RCs), adhesive capsulitis (AC), and nonspecific shoulder pain. Results: Twenty-five systematic reviews and 44 RCTs met inclusion criteria. Low-to moderate-quality evidence supported the use of manual therapies for all 4 shoulder conditions. Exercise, particularly combined with physical therapy protocols, was beneficial for SIS and AC. For SIS, moderate evidence supported several passive modalities. For RC, physical therapy protocols were found beneficial but not superior to surgery in the long term. Moderate evidence supported extracorporeal shockwave therapy for calcific tendinitis RC. Low-level laser was the only modality for which there was moderate evidence supporting its use for all 4 conditions. Conclusion: The findings of this literature review may help inform practitioners who use conservative methods (eg, doctors of chiropractic, physical therapists, and other manual therapists) regarding the levels of evidence for modalities used for common shoulder conditions. (J Manipulative Physiol Ther 2017;40:293-319)

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“…Thus, the practice of adequate physical exercise (over six months) produced an improvement in shoulder disability and health status. According to the study developed by Granviken et al [40], a prescription of therapeutic exercise at home in patients with subacromial syndrome was associated with an increase of 30-40% incorporation of these patients to their work activities. Moreover, Brox et al [41] justified these favorable results by basing them on a decrease of emotional distress and pain which are generated by the shoulder pathology suffered.…”

Section: Discussionmentioning

confidence: 99%

Effects of Postural Education and Physical Activity on UCLA Evaluation and Health Status in Adults from Chile: An Intervention Program

et al. 2018

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Shoulder pathologies among the adult population are increasing, causing a high concern in health-educational institutions. The aim of this research is to take a step further and to conduct a detailed study of the relationship between the application of Jackins technique and a postural education program for people affected by shoulder problems. This quasi-experimental study was carried out on 41 adults with shoulder pathologies, with an average age of 58.17±11.75. The main instruments used were the UCLA Test, Thermometer Euroqol of Health, and an ad-hoc questionnaire. In addition, SPSS 22.0 was used for statistical analysis. The results show that the Jackins shoulder rehabilitation program produces significant improvements in participants who it was applied to, causing a positive increase in shoulder evaluation and health status. Similarly, participants who were given a postural education treatment did not experience any modification in these variables. The Jackins program resulted in improvements in reference to shoulder evaluation. Thus, the course of the intervention program based on physical activity (six months) produces functional improvements in shoulder pathology through supervised therapeutic exercises and home intervention in patients with subacromial syndrome.

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Home exercises and supervised exercises are similarly effective for people with subacromial impingement: a randomised trial

Abstract: NCT01257113.

Cited by 50 publications

References 27 publications

Comparison of different electrotherapy methods and exercise therapy in shoulder impingement syndrome: A prospective randomized controlled trial

Comparison of different electrotherapy methods and exercise therapy in shoulder impingement syndrome: A prospective randomized controlled trial

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Effects of Postural Education and Physical Activity on UCLA Evaluation and Health Status in Adults from Chile: An Intervention Program

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