Does acromioplasty result in favorable clinical and radiologic outcomes in the management of chronic subacromial pain syndrome? A double-blinded randomized clinical trial with 9 to 14 years' follow-up

Kolk, Annemarie M.; Thomassen, Bregje J.W.; Hund, Hajo; Witte, Pieter Bas de; Henkus, Hans-Erik; Wassenaar, Willem; Arkel, Ewoud R.A. van; Nelissen, Rob G H H

doi:10.1016/j.jse.2017.03.021

Cited by 43 publications

(14 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For the prevalent condition SAPS, physical treatment is the treatment of choice, with exercise therapy focussing on proprioception and stability being cornerstone [4,5,[7][8][9]. In this narrative review we found a striking lack of evidence on proprioception in patients with SAPS.…”

Section: Resultsmentioning

confidence: 93%

“…In patients with SAPS, it has been shown that surgical treatment provides no significant benefit over non-surgical intervention and physical therapy is preferable [7][8][9]. We believe that physical therapy programmes can be improved with targeted approaches [7].…”

Section: Effect Of Interventions Targeting Proprioceptionmentioning

confidence: 92%

“…This prevalent condition becomes chronic frequently and the associated pain, sleep disturbance and restrictions in activities of daily living have a substantial impact on an individual's quality of life [6]. Recent studies suggest that surgical treatment provides no significant benefit over non-surgical intervention and while conservative management is effective, more targeted approaches are warranted [4,5,[7][8][9].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The effect of conservative therapies on proprioception in subacromial pain syndrome: a narrative synthesis

Overbeek

Gacaferi

Schoones

et al. 2020

European Journal of Physiotherapy

View full text Add to dashboard Cite

Background: Physical exercises targeting proprioception are part of conservative therapy for Subacromial Pain Syndrome (SAPS). However, the effect of such exercises on proprioception itself has not been orderly established, hampering the advancement of treatment protocols and implementation. We summarised the evidence for a loss of proprioception in SAPS and defined the type of interventions that target and improve proprioception in SAPS. Methods: Two reviewers independently analysed 12/761 articles that evaluated joint position, kinaesthetic or force sense in patients with SAPS. Results: Patients with SAPS had reduced joint position sense during abduction. There was no evidence for a loss of kinaesthetic sense or force sense. Stretching, strengthening and stabilisation exercises improved joint position and kinaesthetic sense in SAPS. Microcurrent electrical stimulation and kinesiotaping did not improve proprioception in SAPS. Conclusions: The lack of evidence on proprioception in SAPS is striking. We found limited evidence for a loss of joint position sense in the higher ranges of abduction in SAPS. Active training programmes including strengthening and stabilisation exercises showed superiority in terms of enhancing proprioception relative to passive methods like kinesiotaping. The results of this narrative synthesis should be used as a base for providing value-based and data-driven treatment solutions to SAPS.

show abstract

Section: Resultsmentioning

confidence: 93%

Section: Effect Of Interventions Targeting Proprioceptionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The effect of conservative therapies on proprioception in subacromial pain syndrome: a narrative synthesis

Overbeek

Gacaferi

Schoones

et al. 2020

European Journal of Physiotherapy

View full text Add to dashboard Cite

show abstract

“…In this study, acromioplasty was performed generally for patients with stage 2 or more advanced impingement. However, In a study evaluating patients for whom arthroscopy was performed due to subacromial impingement, when patients for whom only bursectomy procedure was performed and patients for whom bursectomy and acromioplasty were performed together were compared, it was determined that there was no statistical significance between Constant scores and VAS scores (26). In another study, it was reported that successful outcomes were acquired by decompression of the coracoacromial arch that may cause impingement (27).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of short-term clinical outcomes of subacromial impingement patients with performed arthroscopic subacromial decompression

Sarıkaya¹

2017

J Turgut Ozal Med Cent

View full text Add to dashboard Cite

Aim: In this study, it was aimed to evaluate short-term clinical outcomes of arthroscopic subacromial decompression procedure which was performed on patients who had subacromial impingement syndrome and did not respond to conservative treatment. Material ans Methods: Patients who did not have any shoulder disorder including rotator cuff rupture or capsulolabral pathologies, but subacromial impingement syndrome were evaluated retrospectively. The patients were evaluated clinically according to the Constant-Murley scoring system and visual analog scale (VAS). Active and passive ranges of motion of the joint of the patients were evaluated both preoperatively and at the final follow-up. Results: A total of 64 patients were evaluated. Of the patients; 22 were male and 42 were female and 54 (29-77) was determined to be the mean age. Mean follow-up duration was 17.4 months (7-25 months). The preoperative mean Constant-Murley score was 52 (36-79), whereas it was determined to be a mean of 79 (48-98) at the final follow-up. VAS was determined to be 7.2 (5-9) preoperatively, whereas it was determined to be 2 (0-5) at the final follow-up. Statistically significant differences were determined for both scoring systems at the final follow-up compared with the preoperative period (p<0.001). Conclusion: Satisfactory short-term outcomes may be acquired after arthroscopic subacromial decompression procedure which is performed due to subacromial impingement syndrome for patients who do not respond to conservative treatment.

show abstract

“…Meanwhile, after excluding duplicate and obviously irrelevant reports, 20 articles were retained. By carefully reading the full text, it was found that: 3 articles 16-18 were just study protocol, 1 article 6 we couldn't extract the data we need, 2 article 19,20 were not randomized controlled trial, 3 articles [21][22][23] were based on the comparison of other surgical method and conservative management. 11 studies met our inclusion and exclusion criteria, and among these studies, 5 studies [24][25][26][27][28] published by Ketola et al described the same clinical study and the follow-up time of these studies all belonged to our long-term subgroup, so we only included as one.…”

Section: Literature Search and Study Characteristicsmentioning

confidence: 99%

Is arthroscopic decompression better than conservative management for shoulder impingement? A systematic review and meta-analysis

Liu

et al. 2019

Preprint

View full text Add to dashboard Cite

Background Arthroscopic decompression is commonly used to treat shoulder impingement, while the role of conservative treatment in these patients remains unclear. The objective of this paper is to synthesise available evidence regarding the effectiveness of subacromial decompression for shoulder impingement compared with conservative treatment to verify whether arthroscopic surgery is superior to conservative treatment. Methods We systematicly retrieved the Cochrane databases, Embase as well as Pubmed (from inception to July. 02, 2019) for randomized controlled trials. Cochrane risk-of-bias tool was used to assess all referred studies’ quality and we pooled outcomes with a random-effects model. We divided the outcomes into short-term subgroup(<2 years) and long-term subgroup (≥2 years). Results 7 randomised controlled trials (RCTs) were included, involving a total of 607 patients, 297 patients operated arthroscopic decompression, compared to 310 patients treated with conservative management. We found no significant differences either in shoulder pain scores or shoulder function scores between arthroscopic decompression and conservative management wether in long-term or short-term follow-up subgroups. Conclusion No significant difference was demonstrated on the treatment outcomes of shoulder impingement between arthroscopic decompression and conservative management in our meta-analysis. Thus, we suggested that conservative management should be chosen firstly for patients with shoulder impingement, when patients’ symptom cannot be relieved from the conservative treatment, arthroscopic decompression should be taken into consideration.Levels of Evidence Level-I study

show abstract

Does acromioplasty result in favorable clinical and radiologic outcomes in the management of chronic subacromial pain syndrome? A double-blinded randomized clinical trial with 9 to 14 years' follow-up

Cited by 43 publications

References 45 publications

The effect of conservative therapies on proprioception in subacromial pain syndrome: a narrative synthesis

The effect of conservative therapies on proprioception in subacromial pain syndrome: a narrative synthesis

Evaluation of short-term clinical outcomes of subacromial impingement patients with performed arthroscopic subacromial decompression

Is arthroscopic decompression better than conservative management for shoulder impingement? A systematic review and meta-analysis

Contact Info

Product

Resources

About