Article

OBJECTIVE: To assess the clinical outcomes of types of exercise in the management
of subacromial impingement syndrome. DESIGN: Systematic review of randomized
controlled trials. METHODS: Studies were identified from databases searched to
May 2009: MEDLINE, EMBASE, CINAHL, Sports Discus, PEDro, AMED, Cochrane Library,
National Research Register, Index Chiropractic Literature. Two reviewers selected
studies meeting inclusion criteria. The methodological quality of the included
studies was independently assessed by two reviewers using the PEDro quality
assessment tool. RESULTS: Eight studies with sample sizes ranging from 14 to 125
were included in the systematic review and appraised for content. Four papers
achieved a score of 6 or above indicating good quality, with the remaining four
achieving 4 or lower, indicating poor quality. Synthesis showed only limited
evidence to support the use of exercise in the treatment of subacromial
impingement syndrome. CONCLUSION: There is a need for further well-defined
clinical trials on specific exercise interventions for the treatment of shoulder dysfunction including subacromial impingement syndrome.

Langue : ANGLAIS