MiscellaneousThe Effectiveness of Physiotherapy Exercises in Subacromial Impingement Syndrome: A Systematic Review and Meta-Analysis
Section snippets
Materials and Methods
This study was conducted adhering to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines and the Cochrane Handbook for Systematic Reviews of Interventions (32, 33). The protocol for the review was registered with the Centre for Reviews and Dissemination (CRD32010000598).
Study Selection
Figure 2 displays the EMBASE database search strategy and Figure 3 outlines the results of the search strategy. The database and hand search yielded 2227 titles, which were reduced to 42 full-text articles that were screened for eligibility. After screening, 16 studies (1997-2010), involving 1162 participants, were eligible for qualitative appraisal. Two trials were analyzed together because they involved the same group of participants followed up at 2.5 years post intervention (40, 41).
Discussion
The aim of this review was to determine the overall effectiveness of exercise in the physiotherapy management of SAIS, and to guide clinicians regarding the most effective mode, frequency, duration, intensity, and progression of exercise interventions. We were able to come to a number of conclusions on the basis of the 16 studies we analyzed. All, however, are accompanied by caveats. First, the overall results of the qualitative synthesis suggest that exercise is effective at reducing pain and
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Catherine Hanratty is a PhD student funded by the Department for Employment and Learning. No external funding was used.