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What is the evidence for exercise therapy in the treatment of shoulder pain?

Summary

Patient Population:

No information on patient population was provided.

Intervention:

The exercise programs implemented varied from study to study.

Comparison:

9 previous systematic reviews were identified for inclusion in the present review paper (6 Cochrane and 3 non-Cochrane reviews).  While 2 focused on the treatment of OA – the reviews pertained to OA of the knee and of the hip.  A single review was included examining the use of exercise-based therapy in the treatment of shoulder pain.

Outcome:

  1. Pain: exercise therapy vs. ‘various other treatments’ (3 studies) – significant difference in favour of exercise therapy (SMD = -0.30; 95% CI -0.48 to  -0.1).
  2. Function: exercise therapy vs. ‘no/other interventions’ (4 studies) – significant difference in favour of exercise therapy (SMD=0.15; 95% CI 0.01 to 0.29).

Guideline Recommendations

Source Recommendation
ACOEM 2011 Level C
APTA 2013 Level B
CSP 2011 Probably Use

Outcomes Assessed

  • Benefit
  • Harm
  • Inconclusive

Exercise Therapy vs. "Other Therapy"

Pain

Function

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