Assessment of proprioceptive exercises in the treatment of rotator cuff disorders in nursing professionals: a randomized controlled clinical trial

Martins, Lisandra Vanessa; Marziale, María Helena Palucci

doi:10.1590/s1413-35552012005000057

Cited by 20 publications

(59 citation statements)

References 44 publications

(63 reference statements)

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“…Home exercise programme with 1 or 2 sessions with a physiotherapist per week for the first month followed by additional treatment over the next 4 weeks to a maximum of 12 sessions Individualized exercise programme comprised of stretching and strengthening to regain normal dynamic stability studies (Walther et al, 2004;Giombini et al, 2006;Calis et al, 2011) reported the Constant score, two studies (Baskurt et al, 2011;Martins and Marziale, 2012) reported the Western Ontario Rotator Cuff index, two studies (Ludewig and Borstad, 2003;Østerås et al, 2009 reported the Shoulder Rating Questionnaire, and one study (Lombardi et al, 2008) reported the Disabilities of the Arm, Shoulder and Hand questionnaire (Table 4).…”

Section: Outcome Measures and Outcomesmentioning

confidence: 99%

“…Nine studies were conducted in Europe (Walther et al, 2004;Giombini et al, 2006;Engebretsen et al, 2009Engebretsen et al, , 2011Østerås et al, 2009Baskurt et al, 2011;Calis et al, 2011;Kromer et al, 2013;Littlewood et al, 2014a), two studies were conducted in North America (Ludewig and Borstad, 2003;Kachingwe et al, 2008), two in South America (Lombardi et al, 2008;Martins and Marziale, 2012), and one study was conducted in Australia (Yiasemides et al, 2011). An association between geographical location and clinical outcome is not clearly supported by this data.…”

Section: Contextual Factorsmentioning

confidence: 99%

“…All but one of the included studies (Martins and Marziale, 2012) described patient reported pain and disability at baseline. One study (Bal et al, 2009) reported a median value which hampers comparisons with other studies reporting mean values and was hence omitted from this aspect of the synthesis.…”

Section: Patient Factorsmentioning

confidence: 99%

“…The included studies evaluated exercise programmes that could be broadly categorized as home-based, that is, Engebretsen et al (2009Engebretsen et al ( , 2011 23.0 at 6/52 21.8 at 12/52 24.3 at 18/52 24.8 at 52/52 Kromer et al (2013) 14.4 at 5/52 21.5 at 12/52 Littlewood et al (2014a) 23.7 at 12/52 Yiasemides et al (2011) 16 at 4/52 29 at 12/52 36 at 24/52 Bal et al (2009) 49.5 at 12/52 (median) Kachingwe et al (2008) 29.6 at 6/52 Constant score Valid, reliable ( exercise undertaken away from clinic with minimal contact with therapist (Ludewig and Borstad, 2003;Walther et al, 2004;Giombini et al, 2006;Kachingwe et al, 2008;Bal et al, 2009;Yiasemides et al, 2011;Littlewood et al, 2014a); home-based with PT supervision and clinic attendance greater than 1/week (Engebretsen et al, 2009(Engebretsen et al, , 2011Kromer et al, 2013); and clinic-based with PT supervision (Lombardi et al, 2008;Østerås et al, 2009Baskurt et al, 2011;Calis et al, 2011;Martins and Marziale, 2012). An association between the location of the exercise programme, degree of supervision by the therapist and PROM was not clearly supported by this data.…”

Section: Type Of Exercise Home-based Versus Clinic-based Exercisementioning

confidence: 99%

“…Thirteen studies (Ludewig and Borstad, 2003;Walther et al, 2004;Giombini et al, 2006;Kachingwe et al, 2008;Lombardi et al, 2008;Engebretsen et al, 2009Engebretsen et al, , 2011Østerås et al, 2009Baskurt et al, 2011;Calis et al, 2011;Yiasemides et al, 2011;Martins and Marziale, 2012;Kromer et al, 2013;Littlewood et al, 2014a) adequately reported the frequency of undertaking the exercise. Of the eight studies that evaluated largely home-based exercise programmes (Ludewig and Borstad, 2003;Walther et al, 2004;Giombini et al, 2006;Kachingwe et al, 2008;Engebretsen et al, 2009Engebretsen et al, , 2011Yiasemides et al, 2011;Kromer et al, 2013;Littlewood et al, 2014a), three (Kachingwe et al, 2008;Engebretsen et al, 2009Engebretsen et al, , 2011Yiasemides et al, 2011) used daily exercise; two (Giombini et al, 2006;Littlewood et al, 2014a) used twice daily exercise; one (Kromer et al, 2013) commenced with twice daily exercise and gradually reduced frequency over time; one (Walther et al, 2004) used a minimum of five exercise sessions per week; one (Ludewig and Borstad, 2003) used three exercise sessions per week.…”

Section: Frequencymentioning

confidence: 99%

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Therapeutic exercise for rotator cuff tendinopathy

Littlewood

Malliaras

Chance-Larsen

2015

International Journal of Rehabilitation Research

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Exercise is widely regarded as an effective intervention for symptomatic rotator cuff tendinopathy but the prescription is diverse and the important components of such programmes are not well understood. The objective of this study was to systematically review the contextual factors and prescription parameters of published exercise programmes for rotator cuff tendinopathy, to generate recommendations based on current evidence. An electronic search of AMED, CiNAHL, CENTRAL, MEDLINE, PEDro and SPORTDiscus was undertaken from their inception to June 2014 and supplemented by hand searching. Eligible studies included randomized controlled trials evaluating the effectiveness of exercise in participants with rotator cuff tendinopathy. Included studies were appraised using the Cochrane risk of bias tool and synthesized narratively. Fourteen studies were included, and suggested that exercise programmes are widely applicable and can be successfully designed by physiotherapists with varying experience; whether the exercise is completed at home or within a clinic setting does not appear to matter and neither does pain production or pain avoidance during exercise; inclusion of some level of resistance does seem to matter although the optimal level is unclear, the optimal number of repetitions is also unclear but higher repetitions might confer superior outcomes; three sets of exercise are preferable to two or one set but the optimal frequency is unknown; most programmes should demonstrate clinically significant outcomes by 12 weeks. This systematic review has offered preliminary guidance in relation to contextual factors and prescription parameters to aid development and application of exercise programmes for rotator cuff tendinopathy.

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Section: Outcome Measures and Outcomesmentioning

confidence: 99%

Section: Contextual Factorsmentioning

confidence: 99%

Section: Patient Factorsmentioning

confidence: 99%

Section: Type Of Exercise Home-based Versus Clinic-based Exercisementioning

confidence: 99%

Section: Frequencymentioning

confidence: 99%

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Therapeutic exercise for rotator cuff tendinopathy

Littlewood

Malliaras

Chance-Larsen

2015

International Journal of Rehabilitation Research

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Manual therapy and exercise for rotator cuff disease

Page

Green

McBain³

et al. 2016

Cochrane Database of Systematic Reviews

136

149

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Despite identifying 60 eligible trials, only one trial compared a combination of manual therapy and exercise reflective of common current practice to placebo. We judged it to be of high quality and found no clinically important differences between groups in any outcome. Effects of manual therapy and exercise may be similar to those of glucocorticoid injection and arthroscopic subacromial decompression, but this is based on low quality evidence. Adverse events associated with manual therapy and exercise are relatively more frequent than placebo but mild in nature. Novel combinations of manual therapy and exercise should be compared with a realistic placebo in future trials. Further trials of manual therapy alone or exercise alone for rotator cuff disease should be based upon a strong rationale and consideration of whether or not they would alter the conclusions of this review.

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