The Efficacy of Manual Therapy for Rotator Cuff Tendinopathy: A Systematic Review and Meta-Analysis (original) (raw)
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The Efficacy of Taping for Rotator Cuff Tendinopathy: A Systematic Review and Meta-Analysis
International journal of sports physical therapy, 2015
Rotator cuff (RC) tendinopathy is a highly prevalent musculoskeletal disorder. Non-elastic taping (NET) and kinesiology taping (KT) are common interventions used by physiotherapists. However, evidence regarding their efficacy is inconclusive. To examine the current evidence on the clinical efficacy of taping, either NET or KT, for the treatment of individuals with RC tendinopathy. Systematic review and meta-analysis. A literature search was conducted in four bibliographical databases to identify randomized controlled trials (RCT) that compared NET or KT to any other intervention or placebo for treatment of RC tendinopathy. Internal validity of RCTs was assessed with the Cochrane Risk of Bias tool. A qualitative or quantitative synthesis of evidence was performed. Ten trials were included in the present review on overall pain reduction or improvement in function. Most RCTs had a high risk of bias. There is inconclusive evidence for NET, either used alone or in conjunction with anothe...
Efficacy of surgery for rotator cuff tendinopathy: a systematic review
Clinical Rheumatology, 2014
The objective of this study is to review randomized controlled trials evaluating the efficacy of surgery for the treatment of rotator cuff (RC) tendinopathy. Studies up to August 2013 were located in the PubMed, Embase, CINAHL, and PEDro databases using relevant keywords. Studies were included if: (1) participants had rotator cuff tendinopathy, (2) the trials were conducted on an adult population (≥18 years old), (3) at least one of the interventions studied was a surgical procedure, (4) study design was a randomized controlled trial (RCT), and (5) the article was written in English or French. Characteristics of the included studies were extracted using a standardized form. Two independent raters reviewed the methodological quality of the studies using the Risk of Bias Assessment tool developed by the Cochrane Collaboration Group. Differences were resolved by consensus. Fifteen trials met our inclusion criteria. After consensus, the mean methodological quality for all studies was 58.9±10.8 %. In three out of four RCTs of moderate or low methodological quality, no significant More high-quality RCTs are required in order to provide comprehensive treatment guidelines to healthcare providers.
BMC Musculoskeletal Disorders, 2022
Background Kinesiotaping (KT) is widely used in several musculoskeletal disorders particularly in shoulder pain. However, literature shows controversial results regarding the effect of KT on shoulder pathology. The aim of this study was to assess the clinical effects of KT in the short term on rotator cuff tendinopathy (RCT). Methods A randomized controlled double-blind clinical trial was conducted. The sample consisted of 50 subjects (25 per group). Patients were randomly assigned to the KT group (to receive therapeutic KT application) or to the placebo group (to receive sham KT application). Taping was applied every 4 days, a total of three times during the study period. We assessed the patients at baseline, at the end of taping period (D12), and at one-month post-taping (D30). Primary outcome was assessed through the Arabic version of the Disabilities of the Arm, Shoulder and Hand questionnaire (DASH). Secondary outcomes were assessed through Visual Analogue Scale (VAS) for pain ...
Risk factors for rotator cuff tendinopathy: A systematic review and meta-analysis
Journal of Rehabilitation Medicine
Rotator cuff tendinopathy is one of the common causes of shoulder pain. Successful treatment of rotator cuff tendinopathy remains challenging; thus, it is essential to identify risk and associated factors of rotator cuff tendinopathy in order to develop prevention interventions. The current review included 16 studies, and overall 22 factors were identified. Pooled analyses showed age above 50 years, diabetes and performing overhead activities were associated with increased risk of rotator cuff tendinopathy. Objectives: To conduct a systematic review and meta-analysis to identify risk and associated factors for symptomatic rotator cuff tendinopathy. Data sources: PubMed, CINAHL and Scopus were searched from inception to June 2017. Study selection: Participants presented with signs and symptoms suggestive of rotator cuff tendinopathy/tendinosis/tendinitis, shoulder impingement syndrome, or subacromial bursitis diagnosed by clinical tests and/or conventional imaging. Data extraction: Screening, quality assessment and data extraction were carried out by 2 reviewers. Data synthesis: Sixteen studies were included in this review. Overall, 22 factors were identified and 5 factors were explored using meta-analysis. Pooled analyses provided strong evidence that age above 50 years (odds ratio (OR) = 3.31, 95% confidence interval (95% CI) = 2.30-4.76, I 2 = 0%, p < 0.001) and diabetes (OR = 2.24, 95% CI = 1.37-3.65, I 2 = 0%, p = 0.001) were associated with increased risk of rotator cuff tendinopathy. In addition, moderate evidence showed that work with the shoulder above 90° was associated with increased risk of rotator cuff tendinopathy (OR = 2.41, 95% CI = 1.31-4.45, I 2 = 83%, p = 0.005). Conclusion: Age above 50 years, diabetes and overhead activities were associated with increased risk of rotator cuff tendinopathy.
BMJ Open, 2017
Introduction: Rotator cuff tendinopathy (RCTe) is the most frequent cause of shoulder pain, resulting in considerable losses to society and public resources. Muscle imbalance and inadequate sensorimotor control are deficits often associated with RCTe. Kinesiotaping (KT) is widely used by clinicians for rehabilitation of RCTe. While previous studies have examined the immediate effects of KT on shoulder injuries or the effects of KT as an isolated method of treatment, no published study has addressed its mid- and long-term effects when combined to a rehabilitation program for patients with RCTe. The primary objective of this randomised controlled trial (RCT) will be to assess the efficacy of therapeutic KT, added to a rehabilitation program, in reducing pain and disabilities in individuals with RCTe. Secondary objectives will look at the effects of KT on the underlying factors involved in shoulder control, such as muscular activity, acromiohumeral distance (AHD), and range of motion (ROM). Methods and analysis: A single-blind RCT will be conducted. Fifty-two participants, randomly allocated to one of two groups (KT or no-KT), will take part in a 6-week rehabilitation program. The KT-group will receive KT added to the rehabilitation program, whereas the no-KT group will receive only the rehabilitation program. Measurements will be taken at baseline, week-3, week-6, week-12 and 6-months. Primary outcomes will be symptoms and functional limitations assessed by the DASH questionnaire. Secondary outcomes will include shoulder ROM, AHD at rest and at 60º of abduction, and muscle activation during arm elevation. The added effects of KT will be assessed through a 2-way ANOVA for repeated measures. Ethics and Dissemination: Ethics approval was obtained from the Ethics Committee of Quebec Rehabilitation Institute (IRDPQ) of the Center Integrated University Health and Social Services (CIUSSS-CN). Results will be disseminated through international publications in peer-reviewed journals, in addition to international conference presentations. Trial registration number: Protocol registered at ClinicalTrials.gov (NCT02881021) on August 25, 2016. The World Health Organization Trial Registration Data Set can also be found as a supplementary file. Keywords: elastic tape, kinesiology taping, physiotherapy, rotator cuff, shoulder pain, tendon injuries.
journal biology of exercise, 2014
the aim of this pilot trial was to study the effectiveness of an exercise programme in the treatment of chronic rotator cuff tendinopathy. patients were allocated to two groups by sequential allocation. the patients in group a (n=10) received an exercise programme consisted of slow progressive isotonic, including eccentric, strengthening exercises and static stretching exercises. the exercise programme was given daily (apart from weekends) for 4 weeks. the patients in the group B (placebo group, n=10) received placebo tablets (unmarked vitamin C) twice daily for four weeks. patients' pain was evaluated using a visual analogue scale (VaS) at the end of the four-week course of treatment (week 4) and three months after the end of treatment (week 16). Differences between groups were determined using the independent t test. the difference within groups between baseline and end of treatment was analysed with a paired t test. at the end of treatment there was a decline in visual analogue scale of about 7 units in the exercise programme group compared with baseline (p<0.0005,paired t test). there were significant differences in the magnitude of reduction between the groups at the end of treatment and at the three month follow up (p >0.0005, independent t test) in favour of the exercise programme group. although the pain reduced in patients with shoulder tendinopathy at the end of the treatment using an exercise programme, future controlled studies are needed to establish the effectiveness of an exercise programme in the treatment of rotator cuff tendinopthy.
Evaluation of interventions for rotator cuff pathology: a systematic review
Journal of Hand Therapy, 2004
This review assessed the effectiveness of surgical and conservative management for rotator cuff pathologies. The authors concluded that there was insufficient evidence to draw definitive conclusions and that further research is required. The review excluded individual RCTs included in relevant Cochrane reviews. Much of the available evidence was of a poor quality and the authors' conclusions are appropriately cautious. Authors' objectives To assess the effectiveness of surgical and conservative management for rotator cuff (RC) pathologies. Searching MEDLINE, CINAHL, the Cochrane Library and PEDro were searched for studies published in English from 1966 to May 2003; the search terms were listed. The reference lists in retrieved reports were checked. Study selection Study designs of evaluations included in the review Meta-analyses, systematic reviews, randomised controlled trials (RCTs), cohort studies and case series were eligible for inclusion. The review excluded individual RCTs that had already been included in three Cochrane systematic reviews. Specific interventions included in the review Studies of surgical or nonsurgical treatment were eligible for inclusion. The included studies used electrotherapy, physiotherapy, acupuncture, shockwave therapy, laser therapy, needle aspiration, and surgical interventions such as open, miniopen and arthroscopic surgical repair. Participants included in the review Studies of adult patients with RC pathology were eligible for inclusion. Eligible pathologies included full and partialthickness tears of the RC, lesions, tendonitis and tendinopathy of supraspinatus, infraspinatus and subscapularis tendons, impingement syndrome, calcific tendonitis and bursitis. Studies of patients with RC pathology due to rheumatic disorders were excluded. Outcomes assessed in the review Studies that assessed pain, function, disability, strength, patient satisfaction and time to return to work were included. How were decisions on the relevance of primary studies made? Two reviewers independently selected studies for inclusion. Assessment of study quality The authors did not state that they assessed validity. They did, however, grade studies using a hierarchy of study design: level 1 studies were RCTs; level 2 studies were lower quality RCTs; and level 4 studies were case series. The authors did not state how this grading was peformed. Data extraction The authors did not state how the data were extracted for the review, or how many reviewers performed the data extraction.