SynthesisPloS one2019
The effectiveness of surgical vs conservative interventions on pain and function in patients with shoulder impingement syndrome. A systematic review and meta-analysis.
Synthesis in PloS one, 2019. 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 16 papers, 2 of them syntheses that pooled 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.
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.
Efficacy of adding trunk integrated kinetic chain exercises to conventional exercise therapy program in subacromial impingement syndrome
Effectiveness of Pilates Exercise in Patients With Subacromial Impingement Syndrome
Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Conservative versus accelerated rehabilitation after rotator cuff repair: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2021Pooled it
- Effects of arthroscopic vs. mini-open rotator cuff repair on function, pain & range of motion. A systematic review and meta-analysis.PloS one · 2019Pooled it
- Progressive Resistance Exercises plus Manual Therapy Is Effective in Improving Isometric Strength in Overhead Athletes with Shoulder Impingement Syndrome: A Randomized Controlled Trial.BioMed research international · 2021Trial
- Investigation of the interaction between shoulder and cervical vertebral pathologies in isolated shoulder pain: clinical and morphological aspects.Journal of orthopaedic surgery and research · 2026Article
- Effectiveness of Proprioceptive Neuromuscular Facilitation Compared with Standardized Exercise-Based Physiotherapy for Chronic Shoulder Pain Treated with Ultrasound-Guided Corticosteroid Injections: A Randomized Controlled Trial.Journal of functional morphology and kinesiology · 2026Article
- Digital Versus In-Person Physical Therapy in Adults With Musculoskeletal Conditions: Retrospective Matched-Cohort Analysis of Surgery and Low-Value Surgical Rates.Journal of medical Internet research · 2025Article
- Ultrasonographic Validity of Clinical Shoulder Impingement Signs in Patients Without Limitation of Motion.Archives of rehabilitation research and clinical translation · 2025Article
- Machine-learning models for shoulder rehabilitation exercises classification using a wearable system.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Exploration of causal relationship between shoulder impingement syndrome and rotator cuff injury: a bidirectional mendelian randomization.BMC musculoskeletal disorders · 2024Article
- Effects of Adding Four Sessions of Ultrasound-Guided Percutaneous Electrical Nerve Stimulation to an Exercise Program in Patients with Shoulder Pain: A Randomized Controlled Trial.Journal of clinical medicine · 2024Article
- Simulated subacromial injection instruction improves accuracy and skill level: a model for musculoskeletal procedural training.BMC medical education · 2024Article
- Arthroscopic subacromial decompression improved outcomes in situationally depressed patients compared to clinically depressed or nondepressed patients.JSES international · 2024Article
- Changes in pain and disability in patients with shoulder pain after three months of digitally delivered exercise and patient education.Journal of rehabilitation medicine · 2023Article
- Non-pharmaceutical therapy for post-stroke shoulder-hand syndrome: Protocol for a systematic and network meta-analysis.Medicine · 2020Article
- Reflections on Innovative Interventional Pain-Relieving Procedures: Lessons Learned from Previous Mistakes.Pain medicine (Malden, Mass.) · 2020Article
- Radiofrequency microtenotomy: a promising method for treatment of rotator cuff tendinopathy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
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.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the effectiveness of surgical vs conservative interventions on pain and function in patients with subacromial impingement syndrome.
designSystematic review and meta-analysis of randomized controlled trials.
settingClinical setting.
participantsPatients 18 years and older with subacromial impingement syndrome. INTERVENTION/COMPARISON: Surgical intervention plus postoperative physiotherapy / placebo surgery plus physiotherapy or physiotherapy only.
main outcome measuresPain and function.
results11 RCTs (n = 919) were included. The pooled results displayed no statistically or clinically different between surgery plus physiotherapy vs physiotherapy alone on pain levels at 3-, 6-months, 5- and 10 years follow up (moderate quality, 3 RCTs, 300 patients, WMD -0.39, 95% CI: -1.02 to 0.23, p = 0.22; moderate quality, 3 RCTs, 310 patients, WMD -0.36, 95% CI: -1.02 to 0.29, p = 0.27; low quality, 1 RCT, 109 patients, WMD -0.30, 95% CI: -1.54 to 0.94, p = 0.64; low quality, 1 RCT, 90 patients, WMD -1.00, 95% CI: -0.24 to 2.24, p = 0.11) respectively. Similarly, the pooled results were not statistically or clinically different between groups for function at 3-, 6-month and 1-year follow ups (very low quality, 2 RCTs, 184 patients, SMD 0.11, 95% CI: -0.57 to 0.79, p = 0.75; moderate quality, 3 RCTs, 310 patients, SMD 0.15, 95% CI: -0.14 to 0.43, p = 0.31; very low quality, 2 RCTs, 197 patients, SMD 0.11, 95% CI: -0.46 to 0.69, p = 0.70) respectively.
conclusionThe effects of surgery plus physiotherapy compared to physiotherapy alone on improving pain and function are too small to be clinically important at 3-, 6-months, 1-, 2-, 5- and ≥ 10-years follow up.
Indexed as
Identifiers
What 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.