Evidence map›Paper›PMID 35922865›Full record

ArticlePilot and feasibility studies2022

Are progressive shoulder exercises feasible in patients with glenohumeral osteoarthritis or rotator cuff tear arthropathy?

Josefine Beck Larsen, Helle Kvistgaard Østergaard, Theis Muncholm Thillemann, Thomas Falstie-Jensen, Lisa Cecilie Urup Reimer, Sidsel Noe, Steen Lund Jensen, Inger Mechlenburg

Open access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2022. 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
1.1field-weighted citation impact, top 23% 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, 5 citations in OpenAlex.

  1. Review
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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

8 authors at 4 institutions in 1 country.

Josefine Beck LarsenDepartment of Orthopaedic Surgery, Aarhus University Hospital, Aarhus N, Denmark. josefinebl@clin.au.dk.ORCID http://orcid.org/0000-0001-8290-350X
Helle Kvistgaard ØstergaardDepartment of Clinical Medicine, Aarhus University, Aarhus N, Denmark.
Theis Muncholm ThillemannDepartment of Orthopaedic Surgery, Aarhus University Hospital, Aarhus N, Denmark.
Thomas Falstie-JensenDepartment of Orthopaedic Surgery, Aarhus University Hospital, Aarhus N, Denmark.
Lisa Cecilie Urup ReimerDepartment of Orthopaedic Surgery, Aarhus University Hospital, Aarhus N, Denmark.
Sidsel NoeDepartment of Orthopeadic Surgery, Viborg Regional Hospital, Viborg, Denmark.
Steen Lund JensenInterdisciplinary Orthopaedics, Aalborg University Hospital, Aalborg, Denmark.
Inger MechlenburgDepartment of Orthopaedic Surgery, Aarhus University Hospital, Aarhus N, Denmark.
Aarhus University · DKAalborg University Hospital · DKAarhus University Hospital · DKRegionshospitalet Viborg · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about the feasibility of progressive shoulder exercises (PSE) for patients with glenohumeral osteoarthritis (OA) or rotator cuff tear arthropathy (CTA). The aim of this study was to investigate whether 12 weeks of PSE is feasible in patients with glenohumeral OA or CTA eligible for shoulder arthroplasty. Moreover, to report changes in shoulder function and range of motion (ROM) following the exercise program.

methodsTwenty patients were included. Eighteen patients (11 women, 15 with OA), mean age 70 years (range 57-80), performed 12 weeks of PSE with one weekly physiotherapist-supervised and two weekly home-based sessions. Feasibility was measured by dropout rate, adverse events, pain, and adherence to PSE. At baseline and end of intervention, patients completed the Western Ontario Osteoarthritis of the Shoulder (WOOS) score and Disabilities of the Arm, Shoulder and Hand (DASH). Data to assess feasibility were analyzed using descriptive statistics.

resultsTwo patients dropped out and no adverse events were observed. Sixteen of the eighteen patients (89%) had a high adherence (≥ 70%) to the physiotherapist-supervised sessions. Acceptable pain levels were reported; in 76% of all exercise sessions with no numeric rating scale (NRS) score over five for any exercise. WOOS improved with a mean of 23 points (95% CI 13;33), and DASH improved with a mean of 13 points (95% CI 6;19).

conclusionAdherence to PSE was high and dropout rates were low. PSE is feasible, safe and may relieve shoulder pain, improve function and ROM in patients with glenohumeral OA or CTA. The patient-experienced gains after PSE seem clinically relevant and should be compared to arthroplasty surgery in a RCT setting.

trial registrationAccording to Danish law, this study did not need an approval by the Central Denmark Region Committee on Health Research Ethics. Approval from The Danish Data Protection Agency (journal number 1-16-02-15-20) was obtained.

Indexed as

ExerciseGlenohumeral osteoarthritisRotator cuff tear arthropathyShoulderTotal shoulder replacement

Identifiers

PMID35922865
PMCPMC9347133
OpenAlexW4289544425

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.