Trial reportJournal of rehabilitation medicine2021
Guided exercises with or without joint mobilization or no treatment in patients with subacromial pain syndrome: A clinical trial.
Trial report in Journal of rehabilitation medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 5 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 5 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Efficacy of treatment for subacromial pain in older adults: a systematic review and meta-analysis with GRADE recommendations.European geriatric medicine · 2026Pooled it
- Exercise interventions for rotator cuff-related shoulder pain in middle-aged and older adults: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2026Pooled it
- Clinical efficacy of joint mobilization for shoulder impingement syndrome: a systematic review and meta-analysis.PloS one · 2026Pooled it
- Specific modes of exercise to improve rotator cuff-related shoulder pain: systematic review and meta-analysis.Frontiers in bioengineering and biotechnology · 2025Pooled it
- Is there 'trustworthy' evidence for using manual therapy to treat patients with shoulder dysfunction?: A systematic review.PloS one · 2024Pooled it
- Does adding cervical mobilization to shoulder mobilization improve pain, sensation, and function in subacromial impingement syndrome? A three-arm randomized controlled trial.BMC musculoskeletal disorders · 2026Trial
- A comparison of two mobilization approaches on the acromiohumeral distance in overhead athletes with primary subacromial impingement syndrome: a randomized clinical study.The Journal of manual & manipulative therapy · 2026Trial
- "Investigating the combined effects of scapular-focused training and Mulligan mobilization on shoulder impingement syndrome" a three-arm pilot randomized controlled trial.BMC musculoskeletal disorders · 2024Trial
- Effect of thoracic mobilization on acromio-humeral distance, thoracic kyphosis angle, pain and shoulder function in patients with subacromial impingement syndrome: A randomized controlled trial.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Evaluating Manual Therapy in Musculoskeletal Pain: Why Certain Trial Designs May Overestimate Effectiveness-A Scoping Review.European journal of pain (London, England) · 2025Article
- Thoracic Manual Therapy With or Without Exercise Improves Pain and Disability in Subacromial Pain Syndrome: A Systematic Review of Randomized Trials.Healthcare (Basel, Switzerland) · 2025Review
- Painful considerations in exercise-management for rotator cuff related shoulder pain: a scoping review on pain-related prescription parameters.BMC musculoskeletal disorders · 2025Article
- High-energy injuries, combined ligamentous injuries, and joint incongruity as predictors of postoperative shoulder dysfunction in AC joint dislocation surgery.The Journal of international medical research · 2024Article
- Clinical Effects of Additional Platelet-Rich Plasma Application to Exercise Therapy in Patients with Subacromial Impingement Syndrome: A Double-Blind Randomized Controlled Trial.Orthopaedic journal of sports medicine · 2024Article
- Which Multimodal Physiotherapy Treatment Is the Most Effective in People with Shoulder Pain? A Systematic Review and Meta-Analyses.Healthcare (Basel, Switzerland) · 2024Review
- Efficacy of manual therapy on shoulder pain and function in patients with rotator cuff injury: A systematic review and meta‑analysis.Biomedical reports · 2024Article
- New clinical decision tool to assist physical therapists with joint mobilization application to the pediatric population.The Journal of manual & manipulative therapy · 2024Review
- Biopsychosocial Approach in Identifying Risk Factors of Kinesiophobia in Persons with Subacromial Pain Syndrome and Developing a Clinical Prediction Tool.Indian journal of orthopaedics · 2023Article
- Dosage of joint mobilisation for the management of rotator cuff-related shoulder pain: protocol for a scoping review.BMJ open · 2022Article
- Home training with or without joint mobilization compared to no treatment: a randomized controlled trial.Journal of physical therapy science · 2022Article
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
backgroundGraded resistance training is the recommended treatment for patients with subacromial pain syndrome. It is debated whether adding joint mobilization will improve the outcome. The aim of this study was to evaluate the clinical outcome of guided exercises with or without joint mobilization, compared with controls who did not receive any treatment.
methodsA 3-armed controlled trial in a primary care setting. A total of 120 patients, with clinically diagnosed subacromial pain syndrome, were randomized into guided exercise groups with and without additional joint mobilization, and a control group that did not receive any treatment. Data were analysed at baseline, 6 weeks, 12 weeks and 6 months. Primary outcome was the Constant-Murley score, and secondary outcomes were pain and active range of motion.
resultsShoulder function improved in all groups, as measured with the Constant-Murley score. At 12 weeks and 6 months the exercise groups improved significantly compared with the control group (p ≤ 0.05). Add-on joint mobilization resulted in decreased pain in active range of motion at 6 and 12 weeks compared with guided exercise or no treatment (p ≤ 0.05). Range of motion increased over time in all 3 groups.
conclusionIn patients with subacromial pain syndrome guided exercises improved shoulder function compared with no treatment. Add-on joint mobilization decreased pain in the short-term compared with exercise alone or no treatment.
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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.