Occupational Therapy Interventions for Shoulder Conditions: A Systematic Review

Heyde, Rebecca L. von der

doi:10.5014/ajot.2011.09184

Cited by 12 publications

(6 citation statements)

References 27 publications

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“…The effect of exercise on the rehabilitation of SIS has been well studied, but the latest systematic reviews focusing on active exercise rehabilitation of SIS consistently report that most studies are of low to moderate quality [ 8 , 51 - 57 ]. This is primarily due to small sample sizes, inadequate blinding of patients and/or investigators and incomplete intervention descriptions, making it difficult to translate the results into clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Progressive high-load strength training compared with general low-load exercises in patients with rotator cuff tendinopathy: study protocol for a randomised controlled trial

Ingwersen

Christensen

Sørensen

et al. 2015

Trials

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BackgroundShoulder pain is the third most common musculoskeletal disorder, often affecting people’s daily living and work capacity. The most common shoulder disorder is the subacromial impingement syndrome (SIS) which, among other pathophysiological changes, is often characterised by rotator cuff tendinopathy. Exercise is often considered the primary treatment option for rotator cuff tendinopathy, but there is no consensus on which exercise strategy is the most effective. As eccentric and high-load strength training have been shown to have a positive effect on patella and Achilles tendinopathy, the aim of this trial is to compare the efficacy of progressive high-load exercises with traditional low-load exercises in patients with rotator cuff tendinopathy.Methods/DesignThe current study is a randomised, participant- and assessor-blinded, controlled multicentre trial. A total of 260 patients with rotator cuff tendinopathy will be recruited from three outpatient shoulder departments in Denmark, and randomised to either 12 weeks of progressive high-load strength training or to general low-load exercises. Patients will receive six individually guided exercise sessions with a physiotherapist and perform home-based exercises three times a week. The primary outcome measure will be change from baseline to 12 weeks in the patient-reported outcome Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire.DiscussionPrevious studies of exercise treatment for SIS have not differentiated between subgroups of SIS and have often had methodological flaws, making it difficult to specifically design target treatment for patients diagnosed with SIS. Therefore, it was considered important to focus on a subgroup such as tendinopathy, with a specific tailored intervention strategy based on evidence from other regions of the body, and to clearly describe the intervention in a methodologically strong study.Trial registrationThe trial was registered with Clinicaltrials.gov (NCT01984203) on 31 October 2013.

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Section: Discussionmentioning

confidence: 99%

Progressive high-load strength training compared with general low-load exercises in patients with rotator cuff tendinopathy: study protocol for a randomised controlled trial

Ingwersen

Christensen

Sørensen

et al. 2015

Trials

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“…In a 2009 systematic review, it was concluded that supervised workplace exercise, using heavy resistance, had positive effects in controlling neck pain, and to a lesser extent, back pain, but no effect in reducing specific shoulder pain. 13 This is in contrast to the findings in studies of rehabilitative exercise treatment in which three reviews 14–16 have reported at least limited evidence of exercise effectiveness in the treatment of subacromial impingement syndrome. Another recent review of workplace management of upper-limb MSDs 17 concluded that there is limited but high-quality evidence that multidisciplinary rehabilitation programs, including both physical (pain management, exercises, relaxation, ergonomic education) and psychosocial (cognitive behavioral, coping strategies, stress management) components, are beneficial workplace interventions for nonspecific arm pain.…”

Section: Introductionmentioning

confidence: 97%

Workplace Exercise for Control of Occupational Neck/Shoulder Disorders a Review of Prospective Studies

Lowe

Dick

2014

Environ�Health�Insights

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A review was conducted of prospective studies (1997–2014) examining the efficacy of exercise as a workplace intervention to control neck/shoulder pain, symptoms, and disability. The review identified 38 relevant studies – 20 were classified with positive effects, 13 with null effects, and 5 as inconclusive. Of the positive studies, 12 were consistent with Level I evidence, 3 with Level II evidence, and 5 with Level IV evidence. Specific resistance training (SRT) exercise appeared to be associated with more positive studies (eight Level I studies) than other exercise modalities such as general resistance training, general physical exercise, stretching, and movement awareness exercises. Studies of longer trial duration tended toward more null findings and lower program compliance. Evidence for a primary preventive effect of workplace exercise is minimal. The findings of this review suggest that workplace exercise can be effective as tertiary prevention and therapeutic relief of neck/shoulder symptoms, at least over the shorter term.

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“…Shoulder pain is one of the most common complaints of the musculoskeletal system, with a lifetime prevalence estimated between 7 and 10%, and is most frequently caused by impingement syndromes and rotator cuff tears [ 1 , 2 ]. Other causes for shoulder pain should also be considered in the differential diagnosis [ 3 ], such as osteoarthritis, nerve irritation [ 4 ], instability, Parsonage–Turner syndrome [ 5 , 6 ], tumors, and conditions of inner organs [ 7 , 8 , 9 , 10 ], rheumatic diseases [ 11 ], alterations of local blood vessels [ 12 ], trauma, and osteonecrosis [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of Different Isokinetic Movement Patterns on Shoulder Rehabilitation Outcome

Missmann

Gollner²,

Schroll

et al. 2022

IJERPH

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Shoulder pain is regularly associated with limited mobility and limitations in activities of daily living. In occupational therapy, various interventions, including active isokinetic training with a Baltimore Therapeutic Equipment (BTE) Work Simulator, help the patient improve shoulder mobility and alleviate pain. This randomized controlled cohort study aims to evaluate the impact of different isokinetic movement patterns on the DASH score, pain, and objective performance measures, such as range of motion (ROM) and hand grip strength. Patients that participated in a specific 3-week inpatient orthopedic rehabilitation were divided into two groups. The first group (UNI-group, n = 9) carried out uniplanar exercises for shoulder flexion, abduction, and external rotation. The patients in the second group (ADL-group, n = 10) imitated multiplanar everyday movements, such as climbing on a ladder, loading a shopping cart, and raising a glass to their mouth. Compared to the UNI-group, the ADL-group improved significantly in DASH scores (mean −10.92 ± 12.59 vs. −22.83 ± 11.31), pain (NPRS −1.11 ± 2.37 vs. 3.70 ± 2.00), and shoulder abduction (+2.77 ± 15.22 vs. +25.50 ± 21.66 degrees). In conclusion, the specific BTE exercise program with multiplanar movement patterns contributed considerably to the therapeutic improvement.

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Occupational Therapy Interventions for Shoulder Conditions: A Systematic Review

Cited by 12 publications

References 27 publications

Progressive high-load strength training compared with general low-load exercises in patients with rotator cuff tendinopathy: study protocol for a randomised controlled trial

Progressive high-load strength training compared with general low-load exercises in patients with rotator cuff tendinopathy: study protocol for a randomised controlled trial

Workplace Exercise for Control of Occupational Neck/Shoulder Disorders a Review of Prospective Studies

Impact of Different Isokinetic Movement Patterns on Shoulder Rehabilitation Outcome

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