The Addition of Glenohumeral Adductor Coactivation to a Rotator Cuff Exercise Program for Rotator Cuff Tendinopathy: A Single-Blind Randomized Controlled Trial

Boudreau, Nicolas; Gaudreault, Nathaly; Roy, Jean-Sébastien; Bédard, Sonia; Balg, Frédéric

doi:10.2519/jospt.2019.8240

Cited by 23 publications

(47 citation statements)

References 47 publications

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“…Another common reason for exclusion was that the participants were not diagnosed with SAPS. Fifteen studies met the inclusion criteria; nine of the 15 addressed the first aim 21,29,31,32,[52][53][54][55][56] , three addressed the second aim 54,57,58 and six addressed the final aim 29,32,[59][60][61][62] . Of the nine studies that addressed the first aim, one also addressed the second aim 54 and two addressed the third aim 29,32 .…”

Section: Resultsmentioning

confidence: 99%

“…One study included an athletic population from overhead sports 54 , and the remaining two studies were derived from the general population 57,58 . Two of three included studies measured AHD by US 54,58 while one study measured AHD through X-ray and MRI 61 .…”

Section: Study Characteristicsmentioning

confidence: 99%

“…In the six studies that addressed the third aim 29,32,[59][60][61][62] , 224 participants were included (mean age (SD) ranging from 39 (10) to 50 (11) years). All 224 participants reported changes in pain or disability along with measurements of subacromial space.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…In general, the quality of the studies ranged between moderate and high (Table 4). Twelve studies were of high quality 21,31,[53][54][55][56][57][58][59][60][61][62] and three studies were of moderate quality 29,32,52 . All studies, except for one 60 , scored poorly for external validity; items 11-13.…”

Section: Risk Of Biasmentioning

confidence: 99%

“…These studies did not report the proportion of the source population from which the patients were derived and proportion of the sample that was included. Six studies adjusted their analyses for confounding factors 21,[54][55][56]59,61 , and six studies performed a sample size calculation 21,53,56,[60][61][62] .…”

Section: Risk Of Biasmentioning

confidence: 99%

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No relationship between the acromiohumeral distance and pain in adults with subacromial pain syndrome: a systematic review and meta-analysis

Park

Chen

Thompson

et al. 2020

Sci Rep

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To determine whether subacromial space (i.e. acromiohumeral distance; AHD, and/or occupation ratio percentage) differs between people with subacromial pain syndrome (SAPS) and those without. To investigate whether there is a correlation between subacromial space and pain or disability in adults with SAPS and whether temporal changes in pain or disability are accompanied by changes in subacromial space. Systematic review and meta-analysis. Fifteen studies with a total of 775 participants were included. Twelve studies were of high quality and three studies were of moderate quality using the modified Black and Downs checklist. There was no between group difference in AHD in neutral shoulder position (mean difference [95% CI] 0.28 [−0.13 to 0.69] mm), shoulder abduction at 45° (−0.02 [−0.99 to 0.96] mm) or 60° (−0.20 [−0.61 to 0.20] mm). Compared to the control group, a greater occupation ratio in neutral shoulder position was demonstrated in participants with SAPS (5.14 [1.87 to 8.4] %). There was no consistent pattern regarding the correlation between AHD and pain or disability in participants with SAPS, and no consistent increase in subacromial space with improvement in pain or disability over time. The results suggest that surgical (e.g. sub-acromial decompression) and non-surgical (e.g. manual therapy, taping, stretching and strengthening) management of subacromial pain syndrome should not focus solely on addressing a potential decrease in subacromial space, but also on the importance of other biopsychosocial factors.

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Section: Resultsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Risk Of Biasmentioning

confidence: 99%

Section: Risk Of Biasmentioning

confidence: 99%

See 3 more Smart Citations

No relationship between the acromiohumeral distance and pain in adults with subacromial pain syndrome: a systematic review and meta-analysis

Park

Chen

Thompson

et al. 2020

Sci Rep

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Reproducibility of Exercise Interventions in Randomized Controlled Trials for the Treatment of Rotator Cuff-Related Shoulder Pain: A Systematic Review

Kucksdorf,

Bartley,

Rhon

et al. 2024

Archives of Physical Medicine and Rehabilitation

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Current concepts in the rehabilitation of rotator cuff related disorders

Boland

Smith

Bond

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Rotator cuff related disorders (RCRD) are common. Exercise-based rehabilitation can improve outcomes, yet uncertainty exists regarding the characteristics of these exercises. This scoping review paper summarises the key characteristics of the exercise-based rehabilitation of rotator cuff related disorders (RCRD). An iterative search process was used to capture the breadth of current evidence and a narrative summary of the data was produced. 57 papers were included. Disagreement around terminology, diagnostic standards, and outcome measures limits the comparison of the data. Rehabilitation should utilise a biopsychosocial approach, be person-centred and foster self-efficacy. Biomedically framed beliefs can create barriers to rehabilitation. Pain drivers in RCRSD are unclear, as is the influence of pain during exercise on outcomes. Expectations and preferences around pain levels should be discussed to allow the co-creation of a programme that is tolerated and therefore engaged with. The optimal parameters of exercise-based rehabilitation remain unclear; however, programmes should be individualised and progressive, with a minimum duration of 12 weeks. Supervised or home-based exercises are equally effective. Following rotator cuff repair, rehabilitation should be milestone-driven and individualised; communication across the MDT is essential. For individuals with massive rotator cuff tears, the anterior deltoid programme is a useful starting point and should be supplemented by functional rehabilitation, exercises to optimise any remaining cuff and the rest of the kinetic chain. In conclusion, exercise-based rehabilitation improves outcomes for individuals with a range of RCRD. The optimal parameters of these exercises remain unclear. Variation exists across current physiotherapy practice and post-operative rehabilitation protocols, reflecting the wide-ranging spectrum of individuals presenting with RCRD. Clinicians should use their communication and rehabilitation expertise to plan an exercisebased program in conjunction with the individual with RCRSD, which is regularly reviewed and adjusted.

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The Addition of Glenohumeral Adductor Coactivation to a Rotator Cuff Exercise Program for Rotator Cuff Tendinopathy: A Single-Blind Randomized Controlled Trial

Cited by 23 publications

References 47 publications

No relationship between the acromiohumeral distance and pain in adults with subacromial pain syndrome: a systematic review and meta-analysis

No relationship between the acromiohumeral distance and pain in adults with subacromial pain syndrome: a systematic review and meta-analysis

Reproducibility of Exercise Interventions in Randomized Controlled Trials for the Treatment of Rotator Cuff-Related Shoulder Pain: A Systematic Review

Current concepts in the rehabilitation of rotator cuff related disorders

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