Article

Exercise is widely regarded as an effective intervention for symptomatic rotator
cuff tendinopathy but the prescription is diverse and the important components of
such programmes are not well understood.
The objective of this study was to
systematically review the contextual factors and prescription parameters of
published exercise programmes for rotator cuff tendinopathy, to generate
recommendations based on current evidence. An electronic search of AMED, CiNAHL, CENTRAL, MEDLINE, PEDro and SPORTDiscus was undertaken from their inception to
June 2014 and supplemented by hand searching. Eligible studies included
randomized controlled trials evaluating the effectiveness of exercise in
participants with rotator cuff tendinopathy. Included studies were appraised
using the Cochrane risk of bias tool and synthesized narratively. Fourteen
studies were included, and suggested that exercise programmes are widely
applicable and can be successfully designed by physiotherapists with varying
experience; whether the exercise is completed at home or within a clinic setting
does not appear to matter and neither does pain production or pain avoidance
during exercise; inclusion of some level of resistance does seem to matter
although the optimal level is unclear, the optimal number of repetitions is also
unclear but higher repetitions might confer superior outcomes; three sets of
exercise are preferable to two or one set but the optimal frequency is unknown;
most programmes should demonstrate clinically significant outcomes by 12 weeks.
This systematic review has offered preliminary guidance in relation to contextual
factors and prescription parameters to aid development and application of exercise programmes for rotator cuff tendinopathy.

Langue : ANGLAIS