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dc.contributor.authorWest, Morgan
dc.date.accessioned2018-03-06T16:01:38Z
dc.date.available2018-03-06T16:01:38Z
dc.date.issued2016-09
dc.identifier.citationBury, J, West, M, Chamorro-Moriana, G, & Littlewood, C 2016, 'Effectiveness of scapula-focused approaches in patients with rotator cuff related shoulder pain: A systematic review and meta-analysis', Manual Therapy, 25, pp. 35-42.en
dc.identifier.urihttp://hdl.handle.net/20.500.12904/1585
dc.description.abstractBackground: Rotator cuff related shoulder pain (RCSP) is common with a range of conservative treatments currently offered. Evidence supporting superiority of one approach over another is lacking. Scapula focused approaches (SFA) are frequently prescribed and warrant investigation. Objective: To evaluate the effectiveness of SFA in RCSP. Design: Systematic review of randomised controlled trials. Methods: An electronic search including MEDLINE, PEDro, ENFISPO to January 2016 was supplemented by hand searching. Randomised controlled trials were included; appraised using the PEDro scale and synthesised via meta-analysis or narratively, where appropriate. Results: Four studies (n = 190) reported on pain and three studies (n = 122) reported on disability. Regarding pain, there was statistical but not clinically significant benefit of SFA versus generalised approaches (mean difference (VAS) 0.714; 95% CI 0.402-1.026) in the short term (< 6 weeks); regarding disability, there was significant benefit of SFA versus generalised approaches (mean difference 14.0; 95% CI 11.2-16.8) in the short term (< 6 weeks). One study (n = 22) reported disability at 3 months, which was not statistically significant. Evidence is conflicting from four studies relating to the effect of SFA on scapula position/movement. Conclusion: SFA for RCSP confers benefit over generalised approaches up to six weeks but this benefit is not apparent by 3 months. Early changes in pain are not clinically significant. With regards to scapula position/movement, the evidence is conflicting. These preliminary conclusions should be treated with significant caution due to limitations of the evidence base. (C) 2016 Elsevier Ltd. All rights reserved.en
dc.language.isoenen
dc.subjectRotator cuff; Scapulaen
dc.subjectRehabilitationen
dc.subjectShoulder Painen
dc.subjectPhysiotherapyen
dc.subjectExercise Therapyen
dc.titleEffectiveness of scapula-focused approaches in patients with rotator cuff related shoulder pain: A systematic review and meta-analysisen
dc.typeArticleen


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