SynthesisThe British journal of general practice : the journal of the Royal College of General Practitioners2002
A combination of systematic review and clinicians' beliefs in interventions for subacromial pain.
Synthesis in The British journal of general practice : the journal of the Royal College of General Practitioners, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 26 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Peripheral Nerve Stimulation(PNS) for Subacromial Impingement Syndrome(SIS)
Suprascapular Nerve Block Versus Intraarticular Steroid Injection in Hemiplegic Shoulder Pain: A Randomized Double Blinded Control Trial
Who cites it
26 citing papers in PubMed, 87 citations in OpenAlex.
- Resistance band training after triamcinolone acetonide injection for subacromial bursitis: A randomized clinical trial.Journal of rehabilitation medicine · 2021Trial
- A Randomized Trial Among Compression Plus Nonsteroidal Antiinflammatory Drugs, Aspiration, and Aspiration With Steroid Injection for Nonseptic Olecranon Bursitis.Clinical orthopaedics and related research · 2016Trial
- Effect of specific exercise strategy on need for surgery in patients with subacromial impingement syndrome: randomised controlled study.BMJ (Clinical research ed.) · 2012Trial
- Therapeutic effect of pulsed electromagnetic field in conservative treatment of subacromial impingement syndrome.Clinical rheumatology · 2007Trial
- Is local subacromial corticosteroid injection beneficial in subacromial impingement syndrome?Clinical rheumatology · 2004Trial
- Knowledge and appropriateness of care of family physicians and physiotherapists in the management of shoulder pain: a survey study in the province of Quebec, Canada.BMC primary care · 2023Article
- Review
- Does TENS Reduce the Intensity of Acute and Chronic Pain? A Comprehensive Appraisal of the Characteristics and Outcomes of 169 Reviews and 49 Meta-Analyses.Medicina (Kaunas, Lithuania) · 2021Review
- Exercise-Based Muscle Development Programmes and Their Effectiveness in the Functional Recovery of Rotator Cuff Tendinopathy: A Systematic Review.Diagnostics (Basel, Switzerland) · 2021Review
- Development and validation of a shoulder-specific body-perception questionnaire in people with persistent shoulder pain.BMC musculoskeletal disorders · 2021Article
- The Efficacy of Injections for Partial Rotator Cuff Tears: A Systematic Review.Journal of clinical medicine · 2020Review
- Patients who are candidates for subacromial decompression have more pronounced range of motion deficits, but do not differ in self-reported shoulder function, strength or pain compared to non-candidates.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- Ultrasound guided versus landmark guided corticosteroid injection in patients with rotator cuff syndrome: Randomised controlled trial.Journal of clinical orthopaedics and trauma · 2018Article
- Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence.PloS one · 2017Review
- US-guided percutaneous treatment and physical therapy in rotator cuff calcific tendinopathy of the shoulder: outcome at 3 and 12 months.European radiology · 2016Article
- Current UK practices in the management of subacromial impingement.Shoulder & elbow · 2015Article
- Steroid injection for shoulder pain causes prolonged increased glucose level in type 1 diabetics.BMJ case reports · 2014Article
- Communication breakdown: clinicians disagree on subacromial impingement.Medical & biological engineering & computing · 2014Article
- The effects of scapular stabilization based exercise therapy on pain, posture, flexibility and shoulder mobility in patients with shoulder impingement syndrome: a controlled randomized clinical trial.Medical journal of the Islamic Republic of Iran · 2014Article
- Diclofenac and triamcinolone acetonide impair tenocytic differentiation and promote adipocytic differentiation of mesenchymal stem cells.Journal of orthopaedic surgery and research · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of the study is to determine which treatments for patients with subacromial pain are trusted by general practitioners (GPs) and physiotherapists, and to compare trusted treatments with evidence from a systematic critical review of the scientific literature. A two-step process was used: a questionnaire (written case simulation) and a systematic critical review. The questionnaire was mailed to 188 GPs and 71 physiotherapists in Sweden. The total response rate was 72% (186/259). The following treatments were trusted, ergonomics/adjustments at work, corticosteroids, non-steroidal anti-inflammatory drugs, movement exercises, acupuncture, ultrasound therapy, strengthening exercises, stretching, transcutaneous electric nerve stimulation, and superficial heat or ice therapy. The review, including efficacy studies for the treatments found to be trusted, was conducted using the CINAHL, EMBASE and MEDLINE databases. Evidence for efficacy was recorded in relation to methodological quality and to diagnostic criteria that labelled participants as having subacromial pain or a non-specific shoulder disorder. Forty studies were included. The methodological quality varied and only one treatment had definitive evidence for efficacy for non-specific patients, namely injection of corticosteroids. The trust in corticosteroids, injected in the subacromial bursa, was supported by definitive evidence for short-term efficacy. Acupuncture had tentative evidence for short-term efficacy in patients with subacromial pain. Ultrasound therapy was ineffective for subacromial pain. This is supported by tentative evidence and, together with earlier reviews, this questions both the trust in the treatment and its use. The clinicians' trust in treatments had a weak association with available scientific evidence.
Indexed as
Identifiers
11885825PMC1314222W2112360751What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.