Shoulder Rotator Cuff Disorders: A Systematic Review of Clinical Practice Guidelines and Semantic Analyses of Recommendations

Doiron-Cadrin, Patrick; Lafrance, Simon; Saulnier, Marie; Cournoyer, Émie; Roy, Jean-Sébastien; Dyer, Joseph-Omer; Frémont, Pierre; Dionne, Clermont E.; MacDermid, Joy C.; Tousignant, Michel; Rochette, Annie; Lowry, Véronique; Bureau, Nathalie J.; Lamontagne, Martin; Coutu, Marie‐France; Lavigne, Patrick; Desmeules, François

doi:10.1016/j.apmr.2019.12.017

Cited by 90 publications

(89 citation statements)

References 39 publications

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“…2020; 10(2):e103624. cal use and good safety profile (11)(12)(13). Physiotherapy seems somewhat interesting, as much as educational programs are presented, especially for working adults (14,15).…”

Section: Discussionmentioning

confidence: 99%

“…Its long-term efficacy is still not clear and in any case, it does not last longer than 12 - 18 months ( 5 , 7 ). Pharmacological treatment is not always efficacious and may have side effects, especially in long-term treatment, even in the case of prescribing NSAIDs with long-lasting clinical use and good safety profile ( 11 - 13 ). Physiotherapy seems somewhat interesting, as much as educational programs are presented, especially for working adults ( 14 , 15 ).…”

Section: Discussionmentioning

confidence: 99%

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Endoscopic Neuromodulation of Suprascapular Nerve in Chronic Shoulder Pain: A Case Report

et al. 2020

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Shoulder pain is very frequent, especially in middle-aged male adults. Its treatment may be very problematic, mainly in patients who cannot rest and stop their work. At present, it is treated with analgesics, physiotherapy, infiltration of corticosteroids, and/or radiofrequency neuromodulation of the suprascapular nerve. This may be effective but not easy to do. Its efficacy is limited in time, especially because the approach to the nerve trunk may be problematic for its anatomical nature. Ultrasonography has helped, but it is not always completely helpful, due to the small dimension and the complexity of the anatomical structure. In this case report, we describe a more helpful approach to the nerve trunk using an endoscopic technique. The results are very promising. However, larger studies would be necessary to make clear its usefulness.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Endoscopic Neuromodulation of Suprascapular Nerve in Chronic Shoulder Pain: A Case Report

et al. 2020

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“…An active treatment policy has been reported to reduce the risk of developing longstanding pain 146 . Surgery may be considered for patients who do not respond to non-surgical treatment, with standard arthroscopic subacromial decompression/acromioplasty as the most favoured option 35,36 .…”

Section: Evidence Based Treatment For Patients With Subacromial Painmentioning

confidence: 99%

“…Most studies support exercise as first-line treatment to improve shoulder function and decrease pain 35,36,49,54,85,116,142 , while some suggest that exercise is more effective when combined with other therapies such as kinesiotaping 36,142 , acupuncture 36 , extracorporeal shockwave therapy 142 , laser therapy 116,142 , manual therapy 54,85,116,142 , and corticoid injection 36 .…”

Section: Non-surgical Treatment For Subacromial Painmentioning

confidence: 99%

Patients with subacromial pain in primary care : Assessment and efficacy of physiotherapy-guided exercise treatment

Nordqvist

2021

Linköping University Medical Dissertations

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“…A recent systematic review of CPGs for rotator cuff disorders found variation in indications for imaging, surgical opinion and medications for full-thickness rotator cuff tears. 17 This review, however, did not include CPGs relating to shoulder conditions other than rotator cuff disorders, did not use a validated search filter to identify CPGs and did not investigate reasons for the observed inconsistencies in recommendations. 17 Therefore, the aim of this systematic review is to identify, critically appraise, and compare the content and quality of CPGs relating to the diagnosis and management of people with atraumatic shoulder conditions.…”

Section: Introductionmentioning

confidence: 99%

Clinical practice guidelines for the management of atraumatic shoulder conditions: protocol for a systematic review

et al. 2021

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IntroductionShoulder conditions are a major cause of morbidity in the general population. Many clinical practice guidelines (CPGs) for shoulder conditions have been developed. Their purpose is to provide evidence-based recommendations to assist clinicians in providing optimal care to maximise patient outcomes. The aim of this systematic review is to identify, appraise, and compare the content and quality of CPGs for atraumatic shoulder conditions.Methods and analysisCPGs for atraumatic shoulder conditions will be included provided they make recommendations about diagnosis and/or management, are identified by their authors as a guideline and are consistent with the Appraisal of Guidelines for Research and Evaluation (AGREE) II definition of a guideline. A systematic search of electronic databases, online guideline repositories and the websites of relevant professional societies will be conducted to identify eligible CPGs. Search terms relating to shoulder conditions (eg, ‘adhesive capsulitis’, ‘rotator cuff’ and ‘bursitis’) will be combined with a validated search filter for CPGs. Pairs of independent reviewers will determine eligibility of CPGs identified by the search. Quality appraisal of included CPGs will be performed using the AGREE II instrument. Recommendations from each CPG and how they were determined will be extracted and compared across similar CPGs. Results from this systematic review will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement.Ethics and disseminationEthical approval is not required for this systematic review. The results from this study will be published in a peer-reviewed journal and disseminated to professional societies that publish shoulder CPGs, clinical policy groups, clinicians, researchers and consumers.PROSPERO registration numberCRD42020182723.

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Shoulder Rotator Cuff Disorders: A Systematic Review of Clinical Practice Guidelines and Semantic Analyses of Recommendations

Cited by 90 publications

References 39 publications

Endoscopic Neuromodulation of Suprascapular Nerve in Chronic Shoulder Pain: A Case Report

Endoscopic Neuromodulation of Suprascapular Nerve in Chronic Shoulder Pain: A Case Report

Patients with subacromial pain in primary care : Assessment and efficacy of physiotherapy-guided exercise treatment

Clinical practice guidelines for the management of atraumatic shoulder conditions: protocol for a systematic review

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