Article

Shoulder pain is a common musculoskeletal condition in the general
population. Passive physical modalities are commonly used to treat shoulder pain.
However, previous systematic reviews reported conflicting results. The aim of this study was to evaluate the effectiveness of passive physical
modalities for the management of soft tissue injuries of the shoulder. DATA SOURCES: MEDLINE, EMBASE, CINAHL, PsycINFO, and the Cochrane Central Register of
Controlled Trials were searched from January 1, 1990, to April 18, 2013. STUDY SELECTION: Randomized controlled trials (RCTs) and cohort and case-control
studies were eligible. Random pairs of independent reviewers screened 1,470 of
1,760 retrieved articles after removing 290 duplicates. Twenty-two articles were
eligible for critical appraisal. Eligible studies were critically appraised using
the Scottish Intercollegiate Guidelines Network criteria. Of those, 11 studies
had a low risk of bias. DATA EXTRACTION: The lead author extracted data from low
risk of bias studies and built evidence tables. A second reviewer independently
checked the extracted data.
DATA SYNTHESIS: The findings of studies with a low
risk of bias were synthesized according to principles of best evidence synthesis.
Pretensioned tape, ultrasound, and interferential current were found to be
noneffective for managing shoulder pain. However, diathermy and corticosteroid
injections led to similar outcomes. Low-level laser therapy provided short-term
pain reduction for subacromial impingement syndrome. Extracorporeal shock-wave
therapy was not effective for subacromial impingement syndrome but provided
benefits for persistent shoulder calcific tendinitis.
LIMITATIONS: Non-English
studies were excluded. CONCLUSIONS: Most passive physical modalities do not
benefit patients with subacromial impingement syndrome. However, low-level laser
therapy is more effective than placebo or ultrasound for subacromial impingement
syndrome. Similarly, shock-wave therapy is more effective than sham therapy for
persistent shoulder calcific tendinitis.
CI - (c) 2015 American Physical Therapy Association.

Langue : ANGLAIS