Evidence map›Paper›PMID 33860110›Full record

ArticleProgress in rehabilitation medicine2021

Generalizability of Eccentric Exercise for Patients with Subacromial Pain Syndrome to Real-world Clinical Practice: A Propensity Score-based Analysis.

Akihisa Watanabe, Qana Ono-Matsukubo, Tomohiko Nishigami, Toshiki Maitani, Akira Mibu, Takahiko Hirooka, Hirohisa Machida

Open access · diamondAbstract read
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Article in Progress in rehabilitation medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 49% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 citations in OpenAlex.

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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 4 institutions in 1 country.

Akihisa WatanabeDepartment of Rehabilitation, Machida Orthopedics, Kochi, Japan.
Qana Ono-MatsukuboDepartment of Rehabilitation, Machida Orthopedics, Kochi, Japan.
Tomohiko NishigamiDepartment of Physical Therapy, Faculty of Health and Welfare, Prefectural University of Hiroshima, Hiroshima, Japan.
Toshiki MaitaniDepartment of Rehabilitation, Utsumi Orthopedics Clinic, Kagawa, Japan.
Akira MibuDepartment of Physical Therapy, Konan Woman's University, Kobe, Hyogo, Japan.
Takahiko HirookaDepartment of Orthopaedic Surgery, Onomichi Municipal Hospital, Hiroshima, Japan.
Hirohisa MachidaDepartment of Rehabilitation, Machida Orthopedics, Kochi, Japan.
Oida Hospital · JPKonan Women's University · JPOnomichi General Hospital · JPPrefectural University of Hiroshima · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSubacromial pain syndrome is a common problem in primary care. Although several randomized controlled trials have shown that eccentric exercise is effective in patients with subacromial pain syndrome, its generalizability to real-world clinical practice is unknown. This study aimed to investigate, using propensity score analysis, the generalizability of eccentric exercise for patients with subacromial pain syndrome to real-world daily clinical practice.

methodsIn this study, 78 patients underwent eccentric exercise in addition to traditional exercise, and 77 patients underwent only traditional exercise for 4 weeks. Outcomes measured using a visual analog scale (VAS) and American Shoulder and Elbow Surgeons Society Standardized Shoulder Assessment Form (ASES) scores were assessed at baseline and at 4 weeks.

resultsIn the propensity score-matched analysis, 65 patients in each group were successfully matched (130 of 155 patients, 84% overall). After 4 weeks of exercise, pain intensity was lower in the eccentric exercise group than in the traditional exercise group (VAS -14.5, 95% CI -21.2 to -7.9, P<0.001). No significant difference in the improvement in function was found between the two groups (ASES 4.1, 95% CI -2.0 to 10.2, P=0.18).

conclusionsEccentric and traditional exercise in combination could reduce pain in patients with subacromial pain syndrome to a greater extent than traditional exercise alone. These findings have clinical relevance to primary care practitioners who provide conservative treatment for patients with subacromial pain syndrome.

Indexed as

daily clinical practiceeccentric exercisepain controlpropensity score analysissubacromial pain syndrome

Identifiers

PMID33860110
PMCPMC8041652
OpenAlexW3153323400

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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.