Rotator cuff disorders: a survey of current UK physiotherapy practice
TL;DR: Current physiotherapy practice in relation to rotator cuff disorders is variable, which might reflect the lack of high-quality evidence available and there is a clear need to determine the range of current practice as a basis upon which to inform future research.
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Abstract: BackgroundShoulder pain is a common musculoskeletal presentation, with disorders of the rotator cuff (RC) regarded as the most frequent cause. Conservative treatment is often the initial management...
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Citations
An Update of Systematic Reviews Examining the Effectiveness of Conservative Physical Therapy Interventions for Subacromial Shoulder Pain
Louise Pieters,Jeremy Lewis,Kevin Kuppens,Jill Jochems,Twan Bruijstens,Laurence Joossens,Filip Struyf +6 more
TL;DR: Evidence for the use of exercise therapy as an intervention for SSP is increasing and strengthening and Ongoing research is required to provide guidance on exercise type, dose, duration and expected outcomes.
183
Should exercises be painful in the management of chronic musculoskeletal pain? A systematic review and meta-analysis
Benjamin E. Smith,Paul Hendrick,Toby O. Smith,Marcus Bateman,Fiona Moffatt,Michael Skovdal Rathleff,James Selfe,Pip Logan +7 more
TL;DR: Protocols using painful exercises offer a small but significant benefit over pain-free exercises in the short term, with moderate quality of evidence, and in the medium and long term there is no clear superiority of one treatment over another.
127
Epidemiology of rotator cuff tendinopathy: a systematic review
TL;DR: Rotator cuff tendinopathy is a common problem but uncertainty remains regarding the true extent and risk factors associated with onset, and high baseline pain and disability and previous episodes are associated with an unfavourable outcome but biomedical diagnosis is not associated with outcome.
100
Therapeutic exercise for rotator cuff tendinopathy: a systematic review of contextual factors and prescription parameters.
TL;DR: A systematic review of published exercise programmes for rotator cuff tendinopathy suggested that exercise programmes are widely applicable and can be successfully designed by physiotherapists with varying experience and should demonstrate clinically significant outcomes by 12 weeks.
97
A self-managed single exercise programme versus usual physiotherapy treatment for rotator cuff tendinopathy: A randomised controlled trial (the SELF study)
Chris Littlewood,Marcus Bateman,Kim Brown,Julie Bury,Sue Mawson,Stephen May,Stephen J Walters +6 more
TL;DR: This study does not provide sufficient evidence of superiority of one intervention over the other in the short-, mid- or long-term and hence a self-management programme based around a single exercise appears comparable to usual physiotherapy treatment.
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