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PEDro systematic review update: the effectiveness of physiotherapy exercises in subacromical impingement syndrome
  1. Zoe A Michaleff1,
  2. Steven J Kamper1,2
  1. 1Musculoskeletal Division, The George Institute for Global Health, The University of Sydney, Sydney, New South Wales, Australia
  2. 2EMGO+Institute, VU University Medical Centre, Amsterdam, The Netherlands
  1. Correspondence to Dr Zoe A Michaleff, Musculoskeletal Division, The George Institute for Global Health, The University of Sydney, PO Box M201 Missenden Rd, Sydney, NSW 2050, Australia; zmichaleff{at}georgeinstitute.org.au

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Background

Subacromial impingement syndrome (SAIS) is thought to be the final pathological pathway for numerous pathologies of the shoulder and is used to describe a broad spectrum of symptoms rather than a single diagnosis.1 ,2 Physiotherapy management of SAIS most commonly involves exercise (eg, strengthening, stretching and scapular stability exercises). The goal of a physiotherapy shoulder exercise programme is to relieve pain, restore range of motion, improve strength and muscle coordination. While the use of exercise in the management of SAIS is common and widespread, little high-quality evidence supports the administration of exercise alone.3–5 The current review aimed to provide up to date evidence relevant to this question while avoiding some of the methodological limitations apparent in previous reviews.

Aims

The authors synthesised the best available evidence to determine the effectiveness of exercise in management of SAIS. A secondary aim was to provide guidelines for therapists …

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