Shoulder External Rotator Eccentric Training Versus General Shoulder Exercise for Subacromial Pain Syndrome: A Randomized Controlled Trial

Chaconas, Eric J.; Kolber, Morey J.; Hanney, William J.; Daugherty, Matthew L; Wilson, Stanley; Sheets, Charles

doi:10.26603/ijspt20171121

Cited by 40 publications

(66 citation statements)

References 52 publications

(60 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Scrutiny of reference lists identified one potentially relevant study, but on closer inspection it did not fulfil the inclusion criteria. In total, we included seven studies reported in eight articles [25, 26, 32, 37–41]. The search process and results are illustrated in Fig.…”

Section: Resultsmentioning

confidence: 99%

“…Two were conducted in the United States and five in Europe. Of the seven studies, six [25, 26, 37–40] compared eccentric exercise with other exercise. One [32] compared painful eccentric exercise (above the pain threshold: VAS < 40–50 mm) with pain-free eccentric exercise (VAS = 0 mm).…”

Section: Resultsmentioning

confidence: 99%

“…None of the studies had been able to blind patients nor therapists, but two studies [26, 38] had blinded the assessors. Three studies [26, 37, 40] did not use intention-to-treat analysis. In one study [25] groups differed at baseline and one study [40] did not publish measures of variability.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Effects of eccentric exercise in patients with subacromial impingement syndrome: a systematic review and meta-analysis

Larsson

Bernhardsson

Nordeman

2019

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Subacromial impingement syndrome is a common problem in primary healthcare. It often include tendinopathy. While exercise therapy is effective for this condition, it is not clear which type of exercise is the most effective. Eccentric exercises has proven effective for treating similar tendinopathies in the lower extremities. The aim of this systematic review was therefore to investigate the effects of eccentric exercise on pain and function in patients with subacromial impingement syndrome compared with other exercise regimens or interventions. A secondary aim was to describe the included components of the various eccentric exercise regimens that have been studied. Methods Systematic searches of PubMed, Cochrane Library and PEDro by two independent authors. Included studies were assessed using the PEDro scale for quality and the Cochrane scale for clinical relevance by two independent authors. Data were combined in meta-analyses. GRADE was applied to assess the certainty of evidence. Results Sixty-eight records were identified. Seven studies (eight articles) were included, six were meta-analysed (n = 281). Included studies were of moderate quality (median PEDro score 7, range 5–8). Post-treatment pain was significantly lower after eccentric exercise compared with other exercise: MD -12.3 (95% CI − 17.8 to − 6.8, I2 = 7%, p < 0.001), but this difference was not clinically important. Eccentric exercise provided no significant post-treatment improvement in function compared with other exercise: SMD -0.10 (95% CI − 0.79 to 0.58, I2 = 85%, p = 0.76). Painful eccentric exercise showed no significant difference compared to pain-free eccentric exercise. Eccentric training regimes showed both similarities and diversity. Intervention duration of 6–8 weeks was almost as effective as 12 weeks. Conclusions Evidence of low certainty suggests that eccentric exercise may provide a small but likely not clinically important reduction in pain compared with other types of exercise in patients with subacromial impingement syndrome. It is uncertain whether eccentric exercise improves function more than other types of exercise (very low certainty of evidence). Methodological limitations of existing studies make these findings susceptible to change in the future. Trial registration PROSPERO CRD42019126917, date of registration: 29-03-2019.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Effects of eccentric exercise in patients with subacromial impingement syndrome: a systematic review and meta-analysis

Larsson

Bernhardsson

Nordeman

2019

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…In a study on individuals with subacromial pain syndrome, 6-week general exercises were compared to eccentric exercises on the external rotators of the shoulder, and both treatments had a similar effect on UQYBT responses. [ 21 ] However, it was reported that the low number of subjects in the study might be a factor in the UQYBT results. Wilk et al reported that T10 exercises improved neuromuscular control and contributed to dynamic stabilization by activating the rotator cuff muscles.…”

Section: Discussionmentioning

confidence: 99%

Effects of Thrower's Ten exercises on upper extremity performance

Gokalp

Kırmızıgil²

2020

Medicine

View full text Add to dashboard Cite

Objectives: The Thrower's Ten Exercise program is an exercise program especially designed to improve the strength, power and endurance of the shoulder complex. The aim of this study was to investigate the effects of the Thrower's Ten exercises on the upper extremity performance in healthy sedentary individuals. Methods: 36 healthy sedentary individuals completed this study conducted with a randomized controlled design. The subjects were divided into 2 groups: exercise and control. The exercise group received a training of the Thrower's Ten exercises of 50-minute sessions 3 times a week for a duration of 8 weeks. Before and after the study, the subjects were tested for dynamic balance on the upper extremity with the Upper Limp Y balance test and for explosive power with the medicine ball throw test. Moreover, the strength of the shoulder internal and external rotator muscles was measured with an isokinetic dynamometer at a speed of 60°/second. The study was registered on the Clinical Trials website by the number NCT04162886. Results: A comparison between the groups showed significant differences in terms of dynamic balance and explosive power ( P < .05), but not in terms of isokinetic muscle strength and body composition ( P > .05). On the other hand, comparisons of the dynamic equilibrium, explosive power and isokinetic muscle strength parameters within the exercise group returned statistically different results ( P < .05). Conclusions: The Thrower's Ten exercises represent an effective method to improve the balance on the upper extremity, explosive power and isokinetic strength in healthy sedentary individuals.

show abstract

“…Різноманітні варіації вправ для таких хворих продемонстрували високу ефективність. Достатньо високі результати були отримані при виконанні вправ як під наглядом спеціаліста, так і вправ за домашньою програмою без постійного нагляду [15,16].…”

Section: вступunclassified

Efficacy of the Rehabilitation Plan Based on the Theory of Muscular Spirals in Patients With Scapulohumeral Pain Syndrome According to Shear Wave Elastography Data

Страшко

Іваницький

Іваницька

et al. 2019

Act. Probl. of the Modern Med.

View full text Add to dashboard Cite

The scapulohumeral pain syndrome (frozen shoulder) is an umbrella term for various pathological conditions characterized by pain and limited range of motion in the shoulder joint that considerably reduces a person’s ability to work and impairs the quality of life. The most common etiological factors are: load on the muscles of the shoulder girdle, traumatic injuries of the shoulder joint in patient’s history and overstretching and partial tearing of the ligaments of the shoulder joint, vertebral radiculopathy with the development of reflex and dystrophic disorders in the corresponding muscles, ligaments and joint capsule. The goal of our work was to compare the efficacy of the rehabilitation plans based on standard approaches and rehabilitation plans based on the theory of muscle spirals in patients with the severe pain syndrome and scapulohumeral periarthritis. Materials and methods. We studied 98 patients with scapulohumeral periarthritis. At the first stage of the treatment, all patients received a medical blockade in sites of marked inflammation of para-articular structures. Then, the patients were divided into 2 groups: the patients of group I received a standard rehabilitation in accordance with the recommended regimens using physiotherapy and exercise therapy. The patients of group II took the patient-centred rehabilitation course based on the theory of muscle spirals and the complex effect on spastic muscles. Pain intensity was assessed by visual analogue scale and DASH scale, muscle stiffness was evaluated by compression and shear wave elastography. Results and conclusions. The dynamic changes of pain reduction in patients of group II demonstrated the significant intensity of pain, and a rapid restoration of joint function. The findings of shear wave elastometry showed no difference between the stiffness of the shoulder muscles in the group II after the course of rehabilitation and healthy muscles. Thus, the use of patient-centred rehabilitation plans based on the theory of muscle spirals and a complex effect on spastic muscles enables to achieve a more pronounced effect compared to the standard rehabilitation approaches.

show abstract

Shoulder External Rotator Eccentric Training Versus General Shoulder Exercise for Subacromial Pain Syndrome: A Randomized Controlled Trial

Cited by 40 publications

References 52 publications

Effects of eccentric exercise in patients with subacromial impingement syndrome: a systematic review and meta-analysis

Effects of eccentric exercise in patients with subacromial impingement syndrome: a systematic review and meta-analysis

Effects of Thrower's Ten exercises on upper extremity performance

Efficacy of the Rehabilitation Plan Based on the Theory of Muscular Spirals in Patients With Scapulohumeral Pain Syndrome According to Shear Wave Elastography Data

Contact Info

Product

Resources

About