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AuthorPieters, Louise
AuthorLewis, Jeremy
AuthorKuppens, Kevin
AuthorJochems, Jill
AuthorBruijstens, Twan
AuthorJoossens, Laurence
AuthorStruyf, Filip
Available date2022-08-30T05:38:46Z
Publication Date2020
Identifierhttp://dx.doi.org/10.2519/jospt.2020.8498
ISSN0190-6011
URIhttp://hdl.handle.net/10576/33515
AbstractOBJECTIVE: To update a systematic review published in 2013 that focused on evaluating the effectiveness of interventions within the scope of physical therapy, including exercise, manual therapy, electrotherapy, and combined or multimodal approaches to managing shoulder pain. U DESIGN: Umbrella review. U LITERATURE SEARCH: An electronic search of PubMed, Web of Science, and CINAHL was undertaken. Methodological quality was assessed using the AMSTAR (A MeaSurement Tool to Assess systematic Reviews) checklist for systematic reviews. • STUDY SELECTION CRITERIA: Nonsurgical treatments for subacromial shoulder pain. • DATA SYNTHESIS: Sixteen systematic reviews were retrieved. Results were summarized qualitatively. • RESULTS: A strong recommendation can be made for exercise therapy as the first-line treatment to improve pain, mobility, and function in patients with subacromial shoulder pain. Manual therapy may be integrated, with a strong recommendation, as additional therapy. There was moderate evidence of no effect for other commonly prescribed interventions, such as laser therapy, extracorporeal shockwave therapy, pulsed electromagnetic energy, and ultrasound. • CONCLUSION: There is a growing body of evidence to support exercise therapy as an intervention for subacromial shoulder pain. Ongoing research is required to provide guidance on exercise type, dose, duration, and expected outcomes. A strong recommendation may be made regarding the inclusion of manual therapy in the initial treatment phase.
Languageen
PublisherMovement Science Media
SubjectConservative treatment
Exercise
Rotator cuff
Shoulder pain
Systematic review
Tendinopathy
TitleAn update of systematic reviews examining the effectiveness of conservative physical therapy interventions for subacromial shoulder pain
TypeArticle Review
Pagination131-141
Issue Number3
Volume Number50
dc.accessType Open Access


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