Physical Therapists' Perceptions and Use of Exercise in the Management of Subacromial Shoulder Impingement Syndrome: Focus Group Study

Hanratty, Catherine; Kerr, Daniel; Wilson, Iseult M.; McCracken, Martin; Sim, Julius; Basford, Jeffrey R.; McVeigh, JG

doi:10.2522/ptj.20150427

Cited by 22 publications

(39 citation statements)

References 37 publications

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“…23,33,34 Experienced therapists note that scapular exercise is a fundamental element in their treatment of patients with shoulder pain likely to have sub-acromial impingement. 35 Another factor that was a positive predictor of overall change in QuickDASH score in the current study was the total number of therapy visits. Though the aim of any treatment protocol is to achieve established goals in as timely a manner as possible, this information suggests there is important value in ultimate patient outcome by persisting with a treatment regimen, even if progress occurs at a slow pace.…”

Section: Comparison To Previous Studiesmentioning

confidence: 64%

“…Given this evidence, therapists should be encouraged to persist in pursuing treatment goals and continue to evaluate specific features of treatment interventions, especially working to see that patient's "buy in" to the value of disciplined compliance with the prescribed exercise regimen. 35 In making this recommendation, it is recognized that beyond some, as yet, unidentified upper threshold of visit number, the positive predictive characteristic indicated by our research probably fades in value. We did not seek to establish that upper limit of visits as that was not the focus of the current study.…”

Section: Comparison To Previous Studiesmentioning

confidence: 72%

See 1 more Smart Citation

Factors influencing final outcomes in patients with shoulder pain: A retrospective review

Uhl

Smith-Forbes

Nitz

2017

Journal of Hand Therapy

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Section: Comparison To Previous Studiesmentioning

confidence: 64%

Section: Comparison To Previous Studiesmentioning

confidence: 72%

Factors influencing final outcomes in patients with shoulder pain: A retrospective review

Uhl

Smith-Forbes

Nitz

2017

Journal of Hand Therapy

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“…Individuals with SB are at substantial risk of shoulder muscle weakness, which results in shoulder instability and then causes shoulder pain and dysfunction. Indeed, previous studies have shown that exercise can suppress inflammation (24,25) and improve shoulder function in terms of strength and pain in patients with rotator cuff tears or shoulder impingement (26)(27)(28). Thus, in addition to corticosteroid injection for pain relief, exercise is essential to strengthen the shoulder muscles, maintain the ROM and appropriately prevent the recurrence of SB after corticosteroid injection.…”

Section: Discussionmentioning

confidence: 99%

Resistance band training after triamcinolone acetonide injection for subacromial bursitis: A randomized clinical trial

Zhu¹,

Liao²,

Wang³

et al. 2021

J Rehabil Med

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Subacromial bursitis is characterized by pain and stiffness of the shoulders. Corticosteroid injection is widely used in treating subacromial bursitis; however, with differing views on its long-term effects in preventing shoulder symptoms. Resistance (elastic) band training is commonly used to promote muscle activation during shoulder rehabilitation. The aim of this study was to investigate the effect of progressive resistance training with elastic bands on subacromial bursitis following triamcinolone acetonide injection. Patients with subacromial bursitis were randomized to a triamcinolone acetonide group or a triamcinolone acetonide plus resistance band training group. The triamcinolone acetonide group received triamcinolone acetonide injection only. Meanwhile, the triamcinolone acetonide plus resistance band training group received triamcinolone acetonide injection and resistance band training. At 3 and 12 weeks, both the triamcinolone acetonide group and triamcinolone acetonide plus resistance band training group showed a significant improvement in pain relief, mobility, and muscle strength. A lower proportion of patients in the triamcinolone acetonide plus resistance band training group than in the triamcinolone acetonide group had received re-treatment at the oneyear follow-up (12.1% vs 82.9%). Thus, training with resistance (elastic) bands has the advantages of extending the ben efits of corticosteroid injection and maintaining longterm effects on shoulder function in subacromial bursitis. Objective: To investigate the effect of progressive resistance training using resistance (elastic) bands on subacromial bursitis following triamcinolone acetonide injection. Design: Randomized clinical trial. Patients: A total of 68 patients with subacromial bursitis were randomized to a triamcinolone acetonide group or a triamcinolone acetonide plus resistance band training group. Methods: Visual analogue scale, Constant scores, range of motion, proprioception, and muscle strength were evaluated at pretreatment and at 3, 12 and 24 weeks' follow-up. Re-treatment ratio was calculated at one-year follow-up. Results: At 3 and 12 weeks, both the triamcinolone acetonide group and triamcinolone acetonide plus resistance band training group showed a significant improvement in Visual analogue scale score, Constant score, range of motion, proprioception and muscle strength. Although the scores in the triamcinolone acetonide group had not increased at 24 weeks compared with baseline, the scores in the triamcinolone acetonide plus resistance band training group showed continued improvement at 24 weeks. A lower proportion of patients in the triamcinolone acetonide plus resistance band training bands group than in the triamcinolone acetonide group had received re-treatment at one-year follow-up (12.1% vs 82.9%). Conclusion: Progressive resistance training with resistance (elastic) bands has the advantages of extending the benefits of corticosteroid injection and maintaining long-term effects on shoulder function in patients with suba...

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“…In the present study, the postural education program was insufficient to achieve shoulder rehabilitation. This is due to the fact that these types of interventions are useful in the prevention of injuries but are ineffective for the recovery of pathologies that are already established [42,43]. Nevertheless, the rehabilitation program based on physical exercise was effective, as it produced adaptations in the soft tissues, which accelerated the recovery process and decreased the perception of pain.…”

Section: Discussionmentioning

confidence: 99%

Effects of Postural Education and Physical Activity on UCLA Evaluation and Health Status in Adults from Chile: An Intervention Program

et al. 2018

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Shoulder pathologies among the adult population are increasing, causing a high concern in health-educational institutions. The aim of this research is to take a step further and to conduct a detailed study of the relationship between the application of Jackins technique and a postural education program for people affected by shoulder problems. This quasi-experimental study was carried out on 41 adults with shoulder pathologies, with an average age of 58.17±11.75. The main instruments used were the UCLA Test, Thermometer Euroqol of Health, and an ad-hoc questionnaire. In addition, SPSS 22.0 was used for statistical analysis. The results show that the Jackins shoulder rehabilitation program produces significant improvements in participants who it was applied to, causing a positive increase in shoulder evaluation and health status. Similarly, participants who were given a postural education treatment did not experience any modification in these variables. The Jackins program resulted in improvements in reference to shoulder evaluation. Thus, the course of the intervention program based on physical activity (six months) produces functional improvements in shoulder pathology through supervised therapeutic exercises and home intervention in patients with subacromial syndrome.

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Physical Therapists' Perceptions and Use of Exercise in the Management of Subacromial Shoulder Impingement Syndrome: Focus Group Study

Abstract: Experienced musculoskeletal physical therapists believe that exercise is central in treating patients with SAIS and that gaining patient buy-in to its importance, patient education, promoting self-management, and postural advice are central to the successful treatment of people with SAIS.

Cited by 22 publications

References 37 publications

Factors influencing final outcomes in patients with shoulder pain: A retrospective review

Factors influencing final outcomes in patients with shoulder pain: A retrospective review

Resistance band training after triamcinolone acetonide injection for subacromial bursitis: A randomized clinical trial

Effects of Postural Education and Physical Activity on UCLA Evaluation and Health Status in Adults from Chile: An Intervention Program

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