scholarly journals Manual Therapy Combined with Therapeutic Exercise Vs Therapeutic Exercise Alone for Shoulder Impingement Syndrome: A Systematic Review and Meta-Analysis

2021 ◽  
Author(s):  
Saurabh Sharma ◽  
Mohammed Ejaz Hussain ◽  
Shalini Sharma
Keyword(s):  
Shoulder Pain ◽  
Manual Therapy ◽  
Meta Analysis ◽  
Experimental Studies ◽  
Impingement Syndrome ◽  
Shoulder Impingement Syndrome ◽  
Therapeutic Exercise ◽  
Shoulder Impingement ◽  
Standard Mean Difference ◽  
Quasi Experimental

Introduction: Shoulder complaints are the third most common musculoskeletal presentation, after back and neck disorders, in primary care. Among people with shoulder pain, Shoulder Impingement Syndrome (SIS) has the highest prevalence and accounts for 27% of shoulder disorders. Various treatment options are available for SIS. However, literature suggests the need of a review regarding the addition of Manual Therapy (MT) to the Therapeutic Exercise (TE) program. Aim: To investigate the effectiveness of MT combined with TEs versus TEs alone for the management of SIS. Materials and Methods: The study examined published randomised controlled trials and quasi-experimental studies. A comprehensive search of two electronic databases (PubMed and PEDro) was performed from inception till the last week of August, 2020. The selected studies were assessed on methodological quality rating using the PEDro scale and the modified downs and black scale for experimental and quasi-experimental studies, respectively. The extracted outcomes were pain levels, strength, Range of Motion (ROM) and Shoulder Pain and Disability Index (SPADI) scale score. The meta-analysis was done on continuous data and the data were summarised qualitatively and quantitatively. Results: Seven trials were included (n=437) after evaluation. Standard Mean Difference (SMD) with 95% CI was used to denote summary effects of the outcome measures. Pain {SMD: -1.07; 95%CI: -1.85, -0.28; p<0.01} showed positive effect when managed with MT combined with TE while external rotation strength {SMD: 0.55; 95%CI 0.27, 0.84; p<0.01} improved with TE alone. The majority of the studies (six out of seven) had low risk of bias. Conclusion: The results indicate that evidence exists for improvement in pain level and muscle strength with MT combined with TE and TE alone respectively. The qualitative evidence suggests that glenohumeral mobilisation and exercises are associated with best outcomes for SIS management.

Comparing the effects of no intervention with therapeutic exercise, and exercise with additional Kinesio tape in patients with shoulder impingement syndrome. A three-arm randomized controlled trial

2020 ◽  
pp. 026921552097176
Author(s):  
Amir Letafatkar ◽  
Pouya Rabiei ◽  
Sarvenaz Kazempour ◽  
Samaneh Alaei-Parapari
Keyword(s):  
Clinical Outcomes ◽  
Sagittal Plane ◽  
Controlled Trial ◽  
Impingement Syndrome ◽  
Control Group ◽  
Shoulder Impingement Syndrome ◽  
Therapeutic Exercise ◽  
Kinesio Tape ◽  
Shoulder Impingement ◽  
Therapeutic Exercises

Objective: To investigate if adding Kinesio tape to therapeutic exercise is an effective treatment to improve clinical outcomes compared to therapeutic exercise alone and no intervention, in patients with shoulder impingement syndrome. Design: Three-arm randomized controlled trial Setting: Outpatient setting Subjects: One hundred and twenty patients (mean (SD): age 37.8 (5.4)) with shoulder impingement syndrome. Intervention: Patients were randomly assigned to eight-weeks therapeutic exercise alone, therapeutic exercise with Kinesio tape, and control group. Main measures: Pain was measured with a numerical rating scale and disability and scapular kinematics were measured with a relative questionnaire and motion analysis software respectively, at baseline and after eight-weeks intervention. Results: There was significant differences in therapeutic exercise with Kinesio tape group vs. therapeutic exercise alone and control group respectively for pain ( d = –0.34, P = 0.042; and d = –1.53, P = 0.001), disability ( d = –0.46, P = 0.024; and d = –2.18, P = 0.001), scapular upward rotation at sagittal plane ( d = 0.33, P = 0.033; and d = 0.68, P = 0.001), scapular plane ( d = 0.18, P = 0.045; and d = 0.43, P = 0.001), scapular tilt at sagittal plane ( d = 0.55, P = 0.043; and d = 1.39, P = 0.001), and scapular plane ( d = 0.29, P = 0.034; and d = 0.58, P = 0.001). Therapeutic exercise alone was superior over control group in all significant outcomes ( P < 0.05). Conclusion: Although therapeutic exercises alone showed positive effect on clinical outcomes, adding Kinesio tape to therapeutic exercises had more significant effects with larger effect sizes. Adding Kinesio tape to therapeutic exercise may be of some assistance to clinicians in improving clinical outcomes in patients with shoulder impingement syndrome.

scholarly journals Comparison of exercise therapy and ultrasonic therapy in the treatment of shoulder impingement syndrome

2021 ◽  
Vol 9 (3) ◽  
pp. 3825-3833
Author(s):  
Bhargava Shanker ◽  
◽  
D. Rajesh Reddy ◽  
N.S.S.N. Balaji ◽  
◽  
...  
Keyword(s):  
Shoulder Pain ◽  
Exercise Therapy ◽  
Simple Random Sampling ◽  
Impingement Syndrome ◽  
Shoulder Impingement Syndrome ◽  
Ultrasonic Therapy ◽  
Shoulder Impingement ◽  
Persistent Symptoms ◽  
Group I ◽  
Group 2

Background: The shoulder is one of the most frequent sites of musculoskeletal pain, incidence of shoulder pain in primary care patients is estimated to be 11.2 per 1000 per year. a considerable number of people with shoulder pain (41%) show persistent symptoms after 1 year. Comparing the exercise therapy and ultrasound therapy (UST) for impingement syndrome. Methodology: The study was conducted at OPD of MNR Hospital in Sangareddy. The study was conducted for a period of 3 weeks. A total number of 30 subjects were selected by simple random sampling after explained to all the participants and an informed consent was taken from each subject. 30 subjects were randomly divided into 2 Groups. Exercise therapy was given to Group 1 and UST was given to Group 2. Both the Groups received exercise therapy and ultrasonic therapy in shoulder impingement syndrome. Subjects were evaluated pre and post treatment for VAS (Visual Analogue Scale) score, SPADI SCORE (Shoulder Pain and disability index) shoulder ROM. Outcome measures: VAS scale, SPADI score. Results and Discussion: To test the significance of the mean difference of two groups, unpaired t test was done. It is statistically shown that there is some significant impact in the parameters VAS, SPADI and shoulder ROM. The results showed that, group-I had more significant improvement in all parameters than group –II. Conclusion: It is concluded that exercise therapy is better than ultrasonic therapy for subjects with shoulder impingement syndrome. KEY WORDS: Exercise Therapy, Ultrasonic Therapy, Shoulder Pain and disability index, Range of Motion.

scholarly journals Effect of Balance Taping Using Kinesiology Tape and Cross Taping on Shoulder Impingement Syndrome: A Case Report

Medicina ◽  
2019 ◽  
Vol 55 (10) ◽  
pp. 648
Author(s):  
Lee ◽  
Choi
Keyword(s):  
Case Report ◽  
Shoulder Pain ◽  
Impingement Syndrome ◽  
Shoulder Impingement Syndrome ◽  
Shoulder Impingement ◽  
Combined Application ◽  
Pain Scores ◽  
Shoulder Flexion ◽  
Part Time ◽  
Kinesiology Tape

Background and objectives: Shoulder impingement syndrome (SIS) is the most common disorder among people with shoulder pain. The purpose of this case report was to investigate the effect of the combined application of balance taping using kinesiology tape and cross taping on a part-time worker with SIS. Case Report: Combined balance taping and cross taping was applied for 3 weeks (average, 16 hours per day) on a part-time worker with severe pain and a limited range of motion (ROM) in the shoulder who had visual analogue scale (VAS) pain scores of 7 and 8 out of 10 for shoulder flexion and abduction, respectively, and pain and disability scores of the Shoulder Pain Disability Index (SPADI) of 37 out of 50 and 29 out of 80, respectively. After the combined application of balance taping and cross taping, the VAS pain scores for shoulder flexion and abduction decreased from 7 to 0 and from 8 to 0, respectively, and the ROM increased to a normal range. The SPADI pain score decreased from 37 to 2, and the disability score decreased from 29 to 1. Shoulder activity level also increased, and the patient was able to return to his part-time job. Conclusions: We suggest combined application of balance taping and cross taping as an effective treatment for part-time workers with SIS.

Shoulder functionality after manual therapy in subjects with shoulder impingement syndrome: A case series

2013 ◽  
Vol 17 (2) ◽  
pp. 212-218 ◽  
Author(s):  
Alberto Marcos Heredia-Rizo ◽  
Antonia López-Hervás ◽  
Patricia Herrera-Monge ◽  
Ana Gutiérrez-Leonard ◽  
Fernando Piña-Pozo
Keyword(s):  
Manual Therapy ◽  
Case Series ◽  
Impingement Syndrome ◽  
Shoulder Impingement Syndrome ◽  
Shoulder Impingement

scholarly journals Progressive Resistance Exercises plus Manual Therapy Is Effective in Improving Isometric Strength in Overhead Athletes with Shoulder Impingement Syndrome: A Randomized Controlled Trial

2021 ◽  
Vol 2021 ◽  
pp. 1-13
Author(s):  
Saurabh Sharma ◽  
Amer K. Ghrouz ◽  
M. Ejaz Hussain ◽  
Shalini Sharma ◽  
Mosab Aldabbas ◽  
...  
Keyword(s):  
Motor Control ◽  
Manual Therapy ◽  
Impingement Syndrome ◽  
Isometric Strength ◽  
Shoulder Impingement Syndrome ◽  
Pronounced Increase ◽  
Shoulder Impingement ◽  
Overhead Athletes ◽  
Resistance Exercises ◽  
Progressive Resistance

Reduction in isometric strength of the scapulohumeral muscles is a commonly seen impairment in overhead athletes afflicted with shoulder impingement syndrome (SIS). The purpose of this study was to compare the effects of two different treatment programs: progressive resistance exercises plus manual therapy (PRE plus MT) and motor control exercises (MCE), on isometric strength of upper trapezius (UT), middle trapezius (MTr), lower trapezius (LT), serratus anterior (SA), supraspinatus (Supr.), anterior deltoid (A.D), and latissimus dorsi (LD). 80 male university-level overhead athletes clinically diagnosed with SIS were randomly allocated into either of the two groups: PRE plus MT and MCE group. Athletes in the PRE plus MT group underwent graduated exercises with resistance elastic band, stretching exercises, and mobilization of the thoracic and shoulder joints. MCE group was submitted to motor control exercises in varied planar positions. Athletes in both groups underwent management 3 times a week for 8 weeks. Isometric strength of UT, MTr, LT, Supr, A.D, SA, and LD was measured at three-time points: baseline, 4th week, and 8th week. Relative to baseline, both interventions were found to be effective in increasing and optimizing the isometric strength of muscles ( p < 0.05 ) except for supraspinatus in the MCE group ( p > 0.05 ). However, athletes in PRE plus MT group presented a more pronounced increase in isometric strength than those in the MCE group. Between groups analysis found the largest isometric strength improvement in PRE plus MT group for A.D, followed by Supr. and UT muscles ( p < 0.05 ; effect size: 0.39 to 0.40). The study concluded that compared to MCE, PRE plus MT provides greater improvement in the isometric strength of scapulohumeral muscles.

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