Evidence map›Paper›PMID 28630217›Full record

SynthesisBritish journal of sports medicine2017

Effectiveness of conservative interventions including exercise, manual therapy and medical management in adults with shoulder impingement: a systematic review and meta-analysis of RCTs.

Ruedi Steuri, Martin Sattelmayer, Simone Elsig, Chloé Kolly, Amir Tal, Jan Taeymans, Roger Hilfiker

5 registry-linked trialsOpen access · hybridAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in British journal of sports medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 122 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
122citing papers in PubMed, 15 pooled it
20.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

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.

2 · The registry

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.

NCT04169880 nacompletednot on this map

Effects of High Intensity Laser Therapy (HILT) in Patients With Subacromial Impingement Syndrome

TypeinterventionalSponsorDokuz Eylul UniversityRan2014 to 2016Enrolled30ConditionsSubacromial Impingement SyndromeArmsHILT, HILT & EXERCISE
NCT04175184 nacompletednot on this mapstarted 2020, after this paper: background citation

The Effects of the Inclusion of Mobilisation With Movement to an Exercise Programme in Patients With Rotator Cuff Related Pain.

TypeinterventionalSponsorFederal University of Health Science of Porto AlegreRan2020 to 2023Enrolled70ConditionsRotator Cuff Injuries, Shoulder PainArmsMobilisation with Movement, Sham Mobilisation with Movement
NCT04186624 nacompletednot on this mapstarted 2019, after this paper: background citation

Effectiveness of Supervised Exercise Program After Subacromial- Subdeltoid Bursitis Injection in Subacromial Impingement Syndrome

TypeinterventionalSponsorMarmara UniversityRan2019 to 2020Enrolled44ConditionsSubacromial Impingement SyndromeArmsSubacromial-subdeltoid bursa corticosteroid injection
NCT06006351 nacompletednot on this mapstarted 2023, after this paper: background citation

Comparison of the Effects of Exercise and Hypervolt Device Application on Pain, Muscle Strength and Normal Joint Movement in the Treatment of Shoulder Impingement Syndrome

TypeinterventionalSponsorUskudar UniversityRan2023 to 2023Enrolled30ConditionsShoulder ImpingementArmsPhysiotherapy, Hypervolt Device
NCT07784543 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Effects of Aerobic Exercise on Shoulder Pain, Disability, and Ultrasonographic Outcomes in Patients With Type 2 Diabetes Mellitus With Supraspinatus Tendinopathy :A Randomized Controlled Trial

TypeinterventionalSponsorPamukkale UniversityRan2026 to 2027Enrolled24ConditionsSupraspinatus Tendinopathy, Type 2 Diabetes Mellitus (T2DM)ArmsConventional Shoulder Rehabilitation, Aerobic Exercise
3 · Its place in the literature

Who cites it

122 citing papers in PubMed, 15 syntheses or guidelines pooled it, 297 citations in OpenAlex.

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  11. Kinesio taping for rotator cuff disease.The Cochrane database of systematic reviews · 2021
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62 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Ruedi SteuriDepartment of Health, Bern University of Applied Sciences, Berne, Switzerland.
Martin SattelmayerDepartment of Physiotherapy, University of Applied Sciences Western Switzerland, Leukerbad, Switzerland.
Simone ElsigDepartment of Physiotherapy, University of Applied Sciences Western Switzerland, Leukerbad, Switzerland.
Chloé KollyDepartment of Physiotherapy, University of Applied Sciences Western Switzerland, Leukerbad, Switzerland.
Amir TalDepartment of Health, Bern University of Applied Sciences, Berne, Switzerland.
Jan TaeymansDepartment of Health, Bern University of Applied Sciences, Berne, Switzerland.
Roger HilfikerDepartment of Physiotherapy, University of Applied Sciences Western Switzerland, Leukerbad, Switzerland.ORCID http://orcid.org/0000-0001-8662-6116
HES-SO University of Applied Sciences and Arts Western Switzerland · CHBern University of Applied Sciences · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the effectiveness of conservative interventions for pain, function and range of motion in adults with shoulder impingement.

designSystematic review and meta-analysis of randomised trials. DATA SOURCES: Medline, CENTRAL, CINAHL, Embase and PEDro were searched from inception to January 2017. STUDY SELECTION CRITERIA: Randomised controlled trials including participants with shoulder impingement and evaluating at least one conservative intervention against sham or other treatments.

resultsFor pain, exercise was superior to non-exercise control interventions (standardised mean difference (SMD) -0.94, 95% CI -1.69 to -0.19). Specific exercises were superior to generic exercises (SMD -0.65, 95% CI -0.99 to -0.32). Corticosteroid injections were superior to no treatment (SMD -0.65, 95% CI -1.04 to -0.26), and ultrasound guided injections were superior to non-guided injections (SMD -0.51, 95% CI -0.89 to -0.13). Nonsteroidal anti-inflammatory drugs (NSAIDS) had a small to moderate SMD of -0.29 (95% CI -0.53 to -0.05) compared with placebo. Manual therapy was superior to placebo (SMD -0.35, 95% CI -0.69 to -0.01). When combined with exercise, manual therapy was superior to exercise alone, but only at the shortest follow-up (SMD -0.32, 95% CI -0.62 to -0.01). Laser was superior to sham laser (SMD -0.88, 95% CI -1.48 to -0.27). Extracorporeal shockwave therapy (ECSWT) was superior to sham (-0.39, 95% CI -0.78 to -0.01) and tape was superior to sham (-0.64, 95% CI -1.16 to -0.12), with small to moderate SMDs.

conclusionAlthough there was only very low quality evidence, exercise should be considered for patients with shoulder impingement symptoms and tape, ECSWT, laser or manual therapy might be added. NSAIDS and corticosteroids are superior to placebo, but it is unclear how these treatments compare to exercise.

Indexed as

Exercise TherapyMusculoskeletal ManipulationsComparative Effectiveness ResearchHumansLaser TherapyRandomized Controlled Trials as TopicRange of Motion, ArticularShoulder Impingement SyndromeShoulder PainConservativeMeta-AnalysisPainShoulder ImpingementSystematic Review

Identifiers

PMID28630217
PMCPMC5574390
OpenAlexW2665092959

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.