Physiotherapy interventions for shoulder pain

S, Green; Buchbinder, Rachelle; Hetrick, Sarah

doi:10.1016/s0031-9406(05)60024-7

Cited by 85 publications

(117 citation statements)

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“…Our findings on the effectiveness of these treatments have similarities and distinctions from previously published systematic reviews. Comparison results include those from Green et al, 14 who concluded that exercise was beneficial for short-term recovery and long-term functional improvement for RC, as well as an additional benefit when adding mobilization to exercise. Their results regarding laser therapy also paralleled ours in that it was more effective than placebo for AC.…”

Section: Nonspecific Spmentioning

confidence: 99%

“…Our results contrasted with several reviews that reported that passive therapies such as LLLT and PEMF were not effective or that results were inconclusive for the treatment of RCs, AC, and SIS. 14,64,95,98 Additionally, 1 review determined that the evidence for MT was conflicting for the treatment of SIS and SP and that it was not more effective when compared with other interventions for AC. 97 Another review reported MT was inconclusive but favorable for RCs.…”

Section: Nonspecific Spmentioning

confidence: 99%

“…12 Reviews of MTs (eg, manipulation and mobilization) and multimodal treatments have found favorable effects supporting their use for the management of shoulder conditions. [13][14][15][16][17] However, clinical trials studying these treatments are inconsistently conducted, tend to have low to moderate levels of scientific rigor, and infrequently collect long-term outcomes. Therefore, evidence is still inconclusive regarding the appropriate use of many MTs for shoulder conditions.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, evidence is inconclusive regarding other nondrug, nonsurgical interventions that are commonly combined and employed in multimodal management in clinical practice. 13,14 The purpose of this review was to evaluate the evidence for conservative nondrug, nonsurgical interventions, either alone or in combination, for conditions of the shoulder.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Nonspecific Spmentioning

confidence: 99%

Section: Nonspecific Spmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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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“…In the current article, the authors referred to a Cochrane Review [4] in which they emphasized the wide variety in physiotherapy treatment modalities and also the lack of evidence for an effective treatment strategy. Based on our arguments as stated above, we think that the authors introduce an additional treatment modality without proper evidence.…”

mentioning

confidence: 99%

Letter to the Editor: Effectiveness of Sustained Stretching of the Inferior Capsule in the Management of a Frozen Shoulder

Kraal

Beimers

Bekerom

2014

Clin Orthop Relat Res

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Optimal case definitions of upper extremity disorder for use in the clinical treatment and referral of patients

Palmer¹,

Harris²,

Linaker³

et al. 2012

Arthritis Care & Research

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Objective. Experts disagree about the optimal classification of upper extremity disorders. To explore whether differential response to treatments offers a basis for choosing between case definitions, we analyzed previously published research. Methods. We screened 183 randomized controlled trials (RCTs) of treatments for upper extremity disorders identified from the bibliographies of 10 Cochrane reviews and 4 other systematic reviews, and a search in Medline, Embase, and Google Scholar to June 2010. From these, we selected RCTs that allowed estimates of benefit (expressed as relative risks Conclusion.Although the evidence base is limited, our findings suggest that for musculoskeletal disorders of the shoulder and elbow, clinicians in primary care will often do best to apply simpler and broader case definitions. Researchers should routinely publish secondary analyses for subgroups of patients by different diagnostic features at trial entry to expand the evidence base on optimal case definitions for patient management.

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Physiotherapy interventions for shoulder pain

Cited by 85 publications

References 0 publications

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Letter to the Editor: Effectiveness of Sustained Stretching of the Inferior Capsule in the Management of a Frozen Shoulder

Optimal case definitions of upper extremity disorder for use in the clinical treatment and referral of patients

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