Shoulder conditions and health related quality of life and utility: a current concepts review

Shigley, Christian; Green, Andrew

doi:10.1016/j.jseint.2021.10.006

Cited by 10 publications

(3 citation statements)

References 73 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Chronic shoulder pain is highly prevalent, with incidence rates ranging from 7.7 to 62 per 1000 persons per year and community prevalence ranging from 0.67 to 55.2% worldwide [ 1 ]. It significantly impacts patients’ quality of life including health-related quality of life (HRQL) and health care utilization [ 2 ]. In Canada, for example, treating chronic shoulder pain due to rotator cuff tears has an estimated cost between Can$43million and Can$101 million annually [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Shoulder specific exercise therapy is effective in reducing chronic shoulder pain: A network meta-analysis

Silveira,

Lima,

Beaupre

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

Background Exercise therapy (ET) is frequently an early treatment of choice when managing shoulder pain, yet evidence on its efficacy to expedite recovery is inconsistent. Moreover, the value of adding adjunct therapies (i.e. injections, manual therapy, electrotherapy) to ET is currently unclear. This study combined both direct and indirect evidence across studies on the effectiveness of ET with/without adjunct therapies compared to usual medical care for adults with chronic shoulder pain. Methods and findings Using a network meta-analysis, randomized control trials comparing ET along with adjunct therapies were identified in MEDLINE, Embase, CINAHL, Sportdiscus, CENTRAL, Conference Proceedings Citation Index-Science, clinicaltrials.gov, and association websites. Outcomes included pain, range of motion (ROM), and health-related quality of life (HRQL) measures in adult patients with chronic shoulder pain. Data analysis used a Frequentist hierarchical model. CINeMA tool assessed the confidence in the results and Cochrane Risk of Bias tool assessed quality of studies. 54 studies primarily from Europe (40.38%) included 3,893 participants who were followed up to 52 weeks. Shoulder-specific ET (Mean difference (MD) = -2.1; 95% confidence interval (CI) = -3.5 to -0.7) or in combination with electro-physical agents (MD = -2.5; 95% CI = -4.2 to -0.7), injections (MD = -2.4; 95% CI = -3.9 to—1.04) or manual therapy (MD = -2.3; 95% CI = -3.7 to -0.8) decreased pain compared to usual medical care. Trends with ROM and HRQL scores were seen; however, only Manual Therapy (MD = -12.7 and 95% CI = -24.4 to -1.0) achieved meaningfully important changes. Sensitivity analysis excluding studies with high risk of bias showed similar results, with exception of injections that did not reach significance (MD = -1.3; 95% CI = -4.3 to 1.7). Conclusion(s) Shoulder-specific ET provided pain relief up to 52 weeks. Adjunct therapies to shoulder-specific ET added little value in reducing pain. The quality of evidence varied between moderate and very low.

show abstract

Section: Introductionmentioning

confidence: 99%

Shoulder specific exercise therapy is effective in reducing chronic shoulder pain: A network meta-analysis

Silveira,

Lima,

Beaupre

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…Rotator cuff tears are the most common cause of shoulder disability, with studies reporting a prevalence between 5 and 30% of the adult population [21]. Arthroscopic rotator cuff repair is a widely performed procedure that restores function and reduces pain when non‐operative management has failed.…”

Section: Introductionmentioning

confidence: 99%

Knotted and knotless double row transosseous equivalent repair techniques for arthroscopic rotator cuff repair demonstrate comparable post-operative outcomes

Fox

Hughes²,

Drain³

et al. 2022

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

PurposeTo compare failure rates and outcomes after transosseous equivalent (TOE) double row (DR) knotted suture bridge versus knotless suture tape bridge repair techniques for rotator cuff tears. MethodsA consecutive series of 272 shoulders in 256 patients who underwent arthroscopic, double row, TOE repair for full‐thickness tears of the supraspinatus tendon were reviewed. Eighty‐four shoulders were repaired using knotted suture bridge (KSB) technique, and 188 shoulders were repaired using all knotless suture tape bridge (KTB) technique. Revision procedures and concomitant subscapularis tendon repairs were excluded from analysis. The minimum follow‐up was 12 months. Primary outcome was failure of surgical repair, defined as either confirmed retear on MRI and/or need for revision surgery. Secondary clinical outcome measures were assessed including range of motion, strength, visual analog scale (VAS), operative time, subjective shoulder value (SSV), Patient‐Reported Outcomes Measurement Information System (PROMIS) mental and physical health, American Shoulder and Elbow Surgeons Shoulder Score (ASES), Brophy shoulder activity scores, and need for manipulation under anesthesia (MUA). ResultsA total of 127 shoulders (38 KSB and 89 KTB) met inclusion criteria for the study. No significant difference in demographic variables were present between the groups at baseline. Supraspinatus tear size and average follow‐up time did not differ significantly between groups. Failure rates were similar between the KSB and KTB repairs (13.1 vs 7.9%, n.s.). There was no significant difference in functional outcomes including strength, range of motion in forward flexion and external rotation, as well as patient reported outcomes including VAS, SSV, PROMIS, ASES, and Brophy scores between the groups. There was also no difference in post‐operative stiffness requiring MUA. ConclusionBoth KSB and KTB repair techniques demonstrate low retear rates with excellent functional outcomes when compared to pre‐operative examination. Both KSB and KTB techniques are viable options for achieving a successful rotator cuff repair. Level of evidenceLevel III

show abstract

“…Rotator cuff disorders are among the most common causes of shoulder pain and dysfunction with a negative impact on quality of life. 1 , 2 Performing rotator cuff repair to address tears that fail to improve with conservative treatment has become an increasingly common treatment for rotator cuff pathology. 3 , 4 Despite the increasing incidence of repairs, failure due to retear continues to present a significant challenge, with reported rates ranging from 11% to 94%.…”

mentioning

confidence: 99%

Compressed Biceps Autograft Augmentation of Arthroscopic Rotator Cuff Repair

Tokish

Shaha

Denard

et al. 2022

Arthroscopy Techniques

View full text Add to dashboard Cite

Shoulder conditions and health related quality of life and utility: a current concepts review

Cited by 10 publications

References 73 publications

Shoulder specific exercise therapy is effective in reducing chronic shoulder pain: A network meta-analysis

Shoulder specific exercise therapy is effective in reducing chronic shoulder pain: A network meta-analysis

Knotted and knotless double row transosseous equivalent repair techniques for arthroscopic rotator cuff repair demonstrate comparable post-operative outcomes

Compressed Biceps Autograft Augmentation of Arthroscopic Rotator Cuff Repair

Contact Info

Product

Resources

About