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Effect of supervised physiotherapy versus home exercise program in patients with subacromial impingement syndrome: A systematic review and meta-analysis

dc.contributor.authorGutiérrez-Espinoza H.
dc.contributor.authorAraya-Quintanilla F.
dc.contributor.authorCereceda-Muriel C.
dc.contributor.authorÁlvarez-Bueno C.
dc.contributor.authorMartínez-Vizcaíno V.
dc.contributor.authorCavero-Redondo I.
dc.date.accessioned2020-09-02T22:19:57Z
dc.date.available2020-09-02T22:19:57Z
dc.date.issued2020
dc.identifier10.1016/j.ptsp.2019.11.003
dc.identifier.citation41, , 34-42
dc.identifier.issn1466853X
dc.identifier.urihttps://hdl.handle.net/20.500.12728/4826
dc.descriptionObjective: To determine whether supervised physiotherapy is more effective for functional improvement and pain relief than a home exercise program in subjects with subacromial impingement syndrome. Design: Systematic review and meta-analysis of randomized clinical trials. Methods: An electronic search was performed in Medline, Central, Embase, PEDro, Lilacs, Cinahl, SPORTDiscus, and Web of Science databases. The eligibility criteria for selecting studies included randomized clinical trials that compared supervised physiotherapy versus home exercise program, in the shoulder function, pain, and range of motion in subjects older than 18 years of age with a medical diagnosis of subacromial impingement syndrome treated conservatively. Results: Seven clinical trials met the eligibility criteria, and for the quantitative synthesis, four studies were included. The standardized mean difference for shoulder function was −0.14 points (95% CI: −1.04 to 0.76; p = 0.760), mean difference 0.21 cm (95% CI: −1.36 to 1.78; p = 0.790) for pain, and mean difference 0.62° (95% CI: −7.15 to 8.38; p = 0.880) for range of motion of flexion. Conclusion: Supervised physical therapy and home-based progressive shoulder strengthening and stretching exercises for the rotator cuff and scapular muscles are equally effective in patients with subacromial impingement syndrome treated conservatively. Trial registration number: CRD42018086348. © 2019
dc.language.isoen
dc.publisherChurchill Livingstone
dc.subjectExercise therapy
dc.subjectHome exercise program
dc.subjectMeta-analysis
dc.subjectRandomized clinical trials
dc.subjectSubacromial impingement syndrome
dc.subjectSupervised physiotherapy
dc.subjectanalgesia
dc.subjectclinical effectiveness
dc.subjecthealth program
dc.subjecthome care
dc.subjecthuman
dc.subjectjoint function
dc.subjectkinesiotherapy
dc.subjectmeta analysis
dc.subjectphysiotherapy
dc.subjectpriority journal
dc.subjectquantitative analysis
dc.subjectrange of motion
dc.subjectReview
dc.subjectshoulder
dc.subjectshoulder impingement syndrome
dc.subjectsystematic review
dc.subjectadolescent
dc.subjectambulatory care
dc.subjectcomparative study
dc.subjectfemale
dc.subjectmiddle aged
dc.subjectpathophysiology
dc.subjectrandomized controlled trial (topic)
dc.subjectshoulder impingement syndrome
dc.subjectshoulder pain
dc.subjectsport injury
dc.subjectAdolescent
dc.subjectAmbulatory Care
dc.subjectAthletic Injuries
dc.subjectExercise Therapy
dc.subjectFemale
dc.subjectHome Care Services
dc.subjectHumans
dc.subjectMiddle Aged
dc.subjectRandomized Controlled Trials as Topic
dc.subjectShoulder Impingement Syndrome
dc.subjectShoulder Pain
dc.titleEffect of supervised physiotherapy versus home exercise program in patients with subacromial impingement syndrome: A systematic review and meta-analysis
dc.typeReview


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