ChiroACCESS Clinical Review



Shoulder Impingement Syndrome: Therapy

This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.

Lead Author(s): 

Dwain M. Daniel, D.C.

  

How this evidence was rated:

Strength of Recommendation Taxonomy (SORT)



Published on

January 7, 2008

Text Size:     
Effectively treating shoulder pain is a challenge for every clinician. Only limited evidence exists in determining effectiveness for most interventions. A significant problem encountered is the wide varieties of pathologies that may cause shoulder pain and the lack of consistent diagnostic criteria for these different pathologies (1). For the purpose of this monograph only studies relating to shoulder impingement syndrome will be discussed.

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References

1. 

Green S, Buchbinder R, Hetrick S. Physiotherapy interventions for shoulder pain. Cochrane Database Syst Rev 2003;(2):CD004258.



2. 

Michener LA, Walsworth MK, Burnet EN. Effectiveness of rehabilitation for patients with subacromial impingement syndrome: a systematic review. J Hand Ther 2004; 17(2):152-164.



3. 

Ludewig PM, Borstad JD. Effects of a home exercise programme on shoulder pain and functional status in construction workers. Occup Environ Med 2003; 60(11):841-849.



4. 

Haahr JP, Ostergaard S, Dalsgaard J, Norup K, Frost P, Lausen S et al. Exercises versus arthroscopic decompression in patients with subacromial impingement: a randomised, controlled study in 90 cases with a one year follow up. Ann Rheum Dis 2005; 64(5):760-764.

 [ Full-Text Link ]

5. 

Haahr JP, Andersen JH. Exercises may be as efficient as subacromial decompression in patients with subacromial stage II impingement: 4-8-years' follow-up in a prospective, randomized study. Scand J Rheumatol 2006; 35(3):224-228.



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Green S, Buchbinder R, Hetrick S. Acupuncture for shoulder pain. Cochrane Database Syst Rev 2005;(2):CD005319.



7. 

Johansson KM, Adolfsson LE, Foldevi MO. Effects of acupuncture versus ultrasound in patients with impingement syndrome: randomized clinical trial. Phys Ther 2005; 85(6):490-501.



8. 

Guerra de Hoyos JA, Andres Martin MC, Baena dL, Vigara LM, Molina LT, Verdugo Morilla FA et al. Randomised trial of long term effect of acupuncture for shoulder pain. Pain 2004; 112(3):289-298.



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11. 

Bergman GJ, Winters JC, Groenier KH, Pool JJ, Meyboom-de Jong B, Postema K et al. Manipulative therapy in addition to usual medical care for patients with shoulder dysfunction and pain: a randomized, controlled trial. Ann Intern Med 2004; 141(6):432-439.



12. 

Bang MD, Deyle GD. Comparison of supervised exercise with and without manual physical therapy for patients with shoulder impingement syndrome. J Orthop Sports Phys Ther 2000; 30(3):126-137.



13. 

Conroy DE, Hayes KW. The effect of joint mobilization as a component of comprehensive treatment for primary shoulder impingement syndrome. J Orthop Sports Phys Ther 1998; 28(1):3-14.



14. 

Senbursa G, Baltaci G, Atay A. Comparison of conservative treatment with and without manual physical therapy for patients with shoulder impingement syndrome: a prospective, randomized clinical trial. Knee Surg Sports Traumatol Arthrosc 2007; 15(7):915-921.



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16. 

Vecchio P CMKVAASMHBL. A double-blind study of the effectiveness of low level laser treatment of rotator cuff tendinitis. Br J Rheumatol 32, 740-742. 1993. Ref Type: Journal (Full)



17. 

England S, Farrell AJ, Coppock JS, Struthers G, Bacon PA. Low power laser therapy of shoulder tendonitis. Scand J Rheumatol 1989; 18(6):427-431.



18. 

Bingol U, Altan L, Yurtkuran M. Low-power laser treatment for shoulder pain. Photomed Laser Surg 2005; 23(5):459-464.



19. 

Baring T, Emery R, Reilly P. Management of rotator cuff disease: specific treatment for specific disorders. Best Pract Res Clin Rheumatol 2007; 21(2):279-294.



20. 

van der Heijden GJ, Leffers P, Wolters PJ, Verheijden JJ, van Mameren H, Houben JP et al. No effect of bipolar interferential electrotherapy and pulsed ultrasound for soft tissue shoulder disorders: a randomised controlled trial. Ann Rheum Dis 1999; 58(9):530-540.



21. 

Kurtais GY, Ulus Y, Bilgic A, Dincer G, van der Heijden GJ. Adding ultrasound in the management of soft tissue disorders of the shoulder: a randomized placebo-controlled trial. Phys Ther 2004; 84(4):336-343.



22. 

Johansson K, Oberg B, Adolfsson L, Foldevi M. A combination of systematic review and clinicians' beliefs in interventions for subacromial pain. Br J Gen Pract 2002; 52(475):145-152.



23. 

Van Der Windt DA, van der Heijden GJ, Scholten RJ, Koes BW, Bouter LM. The efficacy of non-steroidal anti-inflammatory drugs (NSAIDS) for shoulder complaints. A systematic review. J Clin Epidemiol 1995; 48(5):691-704.



24. 

Andrews JR. Diagnosis and treatment of chronic painful shoulder: review of nonsurgical interventions. Arthroscopy 2005; 21(3):333-347.



25. 

Arroll B, Goodyear-Smith F. Corticosteroid injections for painful shoulder: a meta-analysis. Br J Gen Pract 2005; 55(512):224-228.



26. 

Buchbinder R, Green S, Youd JM. Corticosteroid injections for shoulder pain. Cochrane Database Syst Rev 2003;(1):CD004016.



27. 

Van Der Windt DA, Bouter LM. Physiotherapy or corticosteroid injection for shoulder pain? Ann Rheum Dis 2003; 62(5):385-387.



28. 

Coghlan J, Buchbinder R, Green S, Johnston R, Bell S. Surgery for rotator cuff disease. Cochrane Database Syst Rev 2008;(1):CD005619.