An Update of Systematic Reviews Examining the Effectiveness of Conservative Physical Therapy Interventions for Subacromial Shoulder Pain. (February 2020, JOSPT)
https://www.jospt.org/doi/full/10.2519/jospt.2020.8498
Summary
This systematic review examined the effectiveness of various conservative physical therapy interventions for subacromial shoulder pain. The researchers analyzed 16 systematic reviews to evaluate the evidence supporting different treatment approaches.
The results consistently demonstrated the efficacy of exercise therapy in improving pain, mobility, and function in patients with subacromial shoulder pain. Additionally, manual therapy was found to be a valuable adjunct to exercise therapy. However, there was limited evidence to support the use of other interventions such as laser therapy, extracorporeal shockwave therapy, and ultrasound.
Based on the findings, the authors strongly recommend exercise therapy as the first-line treatment for subacromial shoulder pain. Manual therapy can be integrated as additional therapy, but its effectiveness may vary depending on the individual patient and the specific techniques used.
Overall, this review provides strong evidence supporting the role of exercise therapy and manual therapy in the management of subacromial shoulder pain.
Exercise therapy is highly recommended: Exercise therapy is the most effective treatment for subacromial shoulder pain, improving pain, mobility, and function.
Manual therapy is beneficial: Manual therapy can be integrated with exercise therapy to enhance outcomes.
Limited evidence for other interventions: There is moderate evidence that other commonly used interventions, such as laser therapy, extracorporeal shockwave therapy, pulsed electromagnetic energy, and ultrasound, are not effective.
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