Guided exercises with or without joint mobilization or no treatment in patients with subacromial pain syndrome: A clinical trial

Background: Graded resistance training is the recommended treatment for patients with subacromial pain syndrome. It is debated whether adding joint mobilization will improve the outcome. The aim of this study was to evaluate the clinical outcome of guided exercises with or without joint mobilization...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Anna Eliason [verfasserIn] Marita Harringe [verfasserIn] Björn Engström [verfasserIn] Suzanne Werner [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2021

Schlagwörter:	constant-murley score manual therapy resistance training shoulder pain

Übergeordnetes Werk:	In: Journal of Rehabilitation Medicine - Medical Journals Sweden, 2017, 53(2021), 5, p jrm00190
Übergeordnetes Werk:	volume:53 ; year:2021 ; number:5, p jrm00190

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.2340/16501977-2806

Katalog-ID:	DOAJ086086596

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520			\|a Background: Graded resistance training is the recommended treatment for patients with subacromial pain syndrome. It is debated whether adding joint mobilization will improve the outcome. The aim of this study was to evaluate the clinical outcome of guided exercises with or without joint mobilization, compared with controls who did not receive any treatment. Methods: A 3-armed controlled trial in a primary care setting. A total of 120 patients, with clinically diagnosed subacromial pain syndrome, were randomized into guided exercise groups with and without additional joint mobilization, and a control group that did not receive any treatment. Data were analysed at baseline, 6 weeks, 12 weeks and 6 months. Primary outcome was the Constant-Murley score, and secondary outcomes were pain and active range of motion. Results: Shoulder function improved in all groups, as measured with the Constant-Murley score. At 12 weeks and 6 months the exercise groups improved significantly compared with the control group (p ≤ 0.05). Add-on joint mobilization resulted in decreased pain in active range of motion at 6 and 12 weeks compared with guided exercise or no treatment (p ≤ 0.05). Range of motion increased over time in all 3 groups. Conclusion: In patients with subacromial pain syndrome guided exercises improved shoulder function compared with no treatment. Add-on joint mobilization decreased pain in the short-term compared with exercise alone or no treatment.
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allfields	10.2340/16501977-2806 doi (DE-627)DOAJ086086596 (DE-599)DOAJca8d40fd35444d2fb9f9cb266e2c7cb1 DE-627 ger DE-627 rakwb eng RM1-950 Anna Eliason verfasserin aut Guided exercises with or without joint mobilization or no treatment in patients with subacromial pain syndrome: A clinical trial 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Graded resistance training is the recommended treatment for patients with subacromial pain syndrome. It is debated whether adding joint mobilization will improve the outcome. The aim of this study was to evaluate the clinical outcome of guided exercises with or without joint mobilization, compared with controls who did not receive any treatment. Methods: A 3-armed controlled trial in a primary care setting. A total of 120 patients, with clinically diagnosed subacromial pain syndrome, were randomized into guided exercise groups with and without additional joint mobilization, and a control group that did not receive any treatment. Data were analysed at baseline, 6 weeks, 12 weeks and 6 months. Primary outcome was the Constant-Murley score, and secondary outcomes were pain and active range of motion. Results: Shoulder function improved in all groups, as measured with the Constant-Murley score. At 12 weeks and 6 months the exercise groups improved significantly compared with the control group (p ≤ 0.05). Add-on joint mobilization resulted in decreased pain in active range of motion at 6 and 12 weeks compared with guided exercise or no treatment (p ≤ 0.05). Range of motion increased over time in all 3 groups. Conclusion: In patients with subacromial pain syndrome guided exercises improved shoulder function compared with no treatment. Add-on joint mobilization decreased pain in the short-term compared with exercise alone or no treatment. constant-murley score manual therapy resistance training shoulder pain Therapeutics. Pharmacology Marita Harringe verfasserin aut Björn Engström verfasserin aut Suzanne Werner verfasserin aut In Journal of Rehabilitation Medicine Medical Journals Sweden, 2017 53(2021), 5, p jrm00190 (DE-627)333032365 (DE-600)2054931-3 16512081 nnns volume:53 year:2021 number:5, p jrm00190 https://doi.org/10.2340/16501977-2806 kostenfrei https://doaj.org/article/ca8d40fd35444d2fb9f9cb266e2c7cb1 kostenfrei https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2806 kostenfrei https://doaj.org/toc/1650-1977 Journal toc kostenfrei https://doaj.org/toc/1651-2081 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 53 2021 5, p jrm00190
spelling	10.2340/16501977-2806 doi (DE-627)DOAJ086086596 (DE-599)DOAJca8d40fd35444d2fb9f9cb266e2c7cb1 DE-627 ger DE-627 rakwb eng RM1-950 Anna Eliason verfasserin aut Guided exercises with or without joint mobilization or no treatment in patients with subacromial pain syndrome: A clinical trial 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Graded resistance training is the recommended treatment for patients with subacromial pain syndrome. It is debated whether adding joint mobilization will improve the outcome. The aim of this study was to evaluate the clinical outcome of guided exercises with or without joint mobilization, compared with controls who did not receive any treatment. Methods: A 3-armed controlled trial in a primary care setting. A total of 120 patients, with clinically diagnosed subacromial pain syndrome, were randomized into guided exercise groups with and without additional joint mobilization, and a control group that did not receive any treatment. Data were analysed at baseline, 6 weeks, 12 weeks and 6 months. Primary outcome was the Constant-Murley score, and secondary outcomes were pain and active range of motion. Results: Shoulder function improved in all groups, as measured with the Constant-Murley score. At 12 weeks and 6 months the exercise groups improved significantly compared with the control group (p ≤ 0.05). Add-on joint mobilization resulted in decreased pain in active range of motion at 6 and 12 weeks compared with guided exercise or no treatment (p ≤ 0.05). Range of motion increased over time in all 3 groups. Conclusion: In patients with subacromial pain syndrome guided exercises improved shoulder function compared with no treatment. Add-on joint mobilization decreased pain in the short-term compared with exercise alone or no treatment. constant-murley score manual therapy resistance training shoulder pain Therapeutics. Pharmacology Marita Harringe verfasserin aut Björn Engström verfasserin aut Suzanne Werner verfasserin aut In Journal of Rehabilitation Medicine Medical Journals Sweden, 2017 53(2021), 5, p jrm00190 (DE-627)333032365 (DE-600)2054931-3 16512081 nnns volume:53 year:2021 number:5, p jrm00190 https://doi.org/10.2340/16501977-2806 kostenfrei https://doaj.org/article/ca8d40fd35444d2fb9f9cb266e2c7cb1 kostenfrei https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2806 kostenfrei https://doaj.org/toc/1650-1977 Journal toc kostenfrei https://doaj.org/toc/1651-2081 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 53 2021 5, p jrm00190
allfields_unstemmed	10.2340/16501977-2806 doi (DE-627)DOAJ086086596 (DE-599)DOAJca8d40fd35444d2fb9f9cb266e2c7cb1 DE-627 ger DE-627 rakwb eng RM1-950 Anna Eliason verfasserin aut Guided exercises with or without joint mobilization or no treatment in patients with subacromial pain syndrome: A clinical trial 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Graded resistance training is the recommended treatment for patients with subacromial pain syndrome. It is debated whether adding joint mobilization will improve the outcome. The aim of this study was to evaluate the clinical outcome of guided exercises with or without joint mobilization, compared with controls who did not receive any treatment. Methods: A 3-armed controlled trial in a primary care setting. A total of 120 patients, with clinically diagnosed subacromial pain syndrome, were randomized into guided exercise groups with and without additional joint mobilization, and a control group that did not receive any treatment. Data were analysed at baseline, 6 weeks, 12 weeks and 6 months. Primary outcome was the Constant-Murley score, and secondary outcomes were pain and active range of motion. Results: Shoulder function improved in all groups, as measured with the Constant-Murley score. At 12 weeks and 6 months the exercise groups improved significantly compared with the control group (p ≤ 0.05). Add-on joint mobilization resulted in decreased pain in active range of motion at 6 and 12 weeks compared with guided exercise or no treatment (p ≤ 0.05). Range of motion increased over time in all 3 groups. Conclusion: In patients with subacromial pain syndrome guided exercises improved shoulder function compared with no treatment. Add-on joint mobilization decreased pain in the short-term compared with exercise alone or no treatment. constant-murley score manual therapy resistance training shoulder pain Therapeutics. Pharmacology Marita Harringe verfasserin aut Björn Engström verfasserin aut Suzanne Werner verfasserin aut In Journal of Rehabilitation Medicine Medical Journals Sweden, 2017 53(2021), 5, p jrm00190 (DE-627)333032365 (DE-600)2054931-3 16512081 nnns volume:53 year:2021 number:5, p jrm00190 https://doi.org/10.2340/16501977-2806 kostenfrei https://doaj.org/article/ca8d40fd35444d2fb9f9cb266e2c7cb1 kostenfrei https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2806 kostenfrei https://doaj.org/toc/1650-1977 Journal toc kostenfrei https://doaj.org/toc/1651-2081 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 53 2021 5, p jrm00190
allfieldsGer	10.2340/16501977-2806 doi (DE-627)DOAJ086086596 (DE-599)DOAJca8d40fd35444d2fb9f9cb266e2c7cb1 DE-627 ger DE-627 rakwb eng RM1-950 Anna Eliason verfasserin aut Guided exercises with or without joint mobilization or no treatment in patients with subacromial pain syndrome: A clinical trial 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Graded resistance training is the recommended treatment for patients with subacromial pain syndrome. It is debated whether adding joint mobilization will improve the outcome. The aim of this study was to evaluate the clinical outcome of guided exercises with or without joint mobilization, compared with controls who did not receive any treatment. Methods: A 3-armed controlled trial in a primary care setting. A total of 120 patients, with clinically diagnosed subacromial pain syndrome, were randomized into guided exercise groups with and without additional joint mobilization, and a control group that did not receive any treatment. Data were analysed at baseline, 6 weeks, 12 weeks and 6 months. Primary outcome was the Constant-Murley score, and secondary outcomes were pain and active range of motion. Results: Shoulder function improved in all groups, as measured with the Constant-Murley score. At 12 weeks and 6 months the exercise groups improved significantly compared with the control group (p ≤ 0.05). Add-on joint mobilization resulted in decreased pain in active range of motion at 6 and 12 weeks compared with guided exercise or no treatment (p ≤ 0.05). Range of motion increased over time in all 3 groups. Conclusion: In patients with subacromial pain syndrome guided exercises improved shoulder function compared with no treatment. Add-on joint mobilization decreased pain in the short-term compared with exercise alone or no treatment. constant-murley score manual therapy resistance training shoulder pain Therapeutics. Pharmacology Marita Harringe verfasserin aut Björn Engström verfasserin aut Suzanne Werner verfasserin aut In Journal of Rehabilitation Medicine Medical Journals Sweden, 2017 53(2021), 5, p jrm00190 (DE-627)333032365 (DE-600)2054931-3 16512081 nnns volume:53 year:2021 number:5, p jrm00190 https://doi.org/10.2340/16501977-2806 kostenfrei https://doaj.org/article/ca8d40fd35444d2fb9f9cb266e2c7cb1 kostenfrei https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2806 kostenfrei https://doaj.org/toc/1650-1977 Journal toc kostenfrei https://doaj.org/toc/1651-2081 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 53 2021 5, p jrm00190
allfieldsSound	10.2340/16501977-2806 doi (DE-627)DOAJ086086596 (DE-599)DOAJca8d40fd35444d2fb9f9cb266e2c7cb1 DE-627 ger DE-627 rakwb eng RM1-950 Anna Eliason verfasserin aut Guided exercises with or without joint mobilization or no treatment in patients with subacromial pain syndrome: A clinical trial 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Graded resistance training is the recommended treatment for patients with subacromial pain syndrome. It is debated whether adding joint mobilization will improve the outcome. The aim of this study was to evaluate the clinical outcome of guided exercises with or without joint mobilization, compared with controls who did not receive any treatment. Methods: A 3-armed controlled trial in a primary care setting. A total of 120 patients, with clinically diagnosed subacromial pain syndrome, were randomized into guided exercise groups with and without additional joint mobilization, and a control group that did not receive any treatment. Data were analysed at baseline, 6 weeks, 12 weeks and 6 months. Primary outcome was the Constant-Murley score, and secondary outcomes were pain and active range of motion. Results: Shoulder function improved in all groups, as measured with the Constant-Murley score. At 12 weeks and 6 months the exercise groups improved significantly compared with the control group (p ≤ 0.05). Add-on joint mobilization resulted in decreased pain in active range of motion at 6 and 12 weeks compared with guided exercise or no treatment (p ≤ 0.05). Range of motion increased over time in all 3 groups. Conclusion: In patients with subacromial pain syndrome guided exercises improved shoulder function compared with no treatment. Add-on joint mobilization decreased pain in the short-term compared with exercise alone or no treatment. constant-murley score manual therapy resistance training shoulder pain Therapeutics. Pharmacology Marita Harringe verfasserin aut Björn Engström verfasserin aut Suzanne Werner verfasserin aut In Journal of Rehabilitation Medicine Medical Journals Sweden, 2017 53(2021), 5, p jrm00190 (DE-627)333032365 (DE-600)2054931-3 16512081 nnns volume:53 year:2021 number:5, p jrm00190 https://doi.org/10.2340/16501977-2806 kostenfrei https://doaj.org/article/ca8d40fd35444d2fb9f9cb266e2c7cb1 kostenfrei https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2806 kostenfrei https://doaj.org/toc/1650-1977 Journal toc kostenfrei https://doaj.org/toc/1651-2081 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 53 2021 5, p jrm00190
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callnumber-first	R - Medicine
author	Anna Eliason
spellingShingle	Anna Eliason misc RM1-950 misc constant-murley score misc manual therapy misc resistance training misc shoulder pain misc Therapeutics. Pharmacology Guided exercises with or without joint mobilization or no treatment in patients with subacromial pain syndrome: A clinical trial
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topic_title	RM1-950 Guided exercises with or without joint mobilization or no treatment in patients with subacromial pain syndrome: A clinical trial constant-murley score manual therapy resistance training shoulder pain
topic	misc RM1-950 misc constant-murley score misc manual therapy misc resistance training misc shoulder pain misc Therapeutics. Pharmacology
topic_unstemmed	misc RM1-950 misc constant-murley score misc manual therapy misc resistance training misc shoulder pain misc Therapeutics. Pharmacology
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title	Guided exercises with or without joint mobilization or no treatment in patients with subacromial pain syndrome: A clinical trial
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title_sort	guided exercises with or without joint mobilization or no treatment in patients with subacromial pain syndrome: a clinical trial
callnumber	RM1-950
title_auth	Guided exercises with or without joint mobilization or no treatment in patients with subacromial pain syndrome: A clinical trial
abstract	Background: Graded resistance training is the recommended treatment for patients with subacromial pain syndrome. It is debated whether adding joint mobilization will improve the outcome. The aim of this study was to evaluate the clinical outcome of guided exercises with or without joint mobilization, compared with controls who did not receive any treatment. Methods: A 3-armed controlled trial in a primary care setting. A total of 120 patients, with clinically diagnosed subacromial pain syndrome, were randomized into guided exercise groups with and without additional joint mobilization, and a control group that did not receive any treatment. Data were analysed at baseline, 6 weeks, 12 weeks and 6 months. Primary outcome was the Constant-Murley score, and secondary outcomes were pain and active range of motion. Results: Shoulder function improved in all groups, as measured with the Constant-Murley score. At 12 weeks and 6 months the exercise groups improved significantly compared with the control group (p ≤ 0.05). Add-on joint mobilization resulted in decreased pain in active range of motion at 6 and 12 weeks compared with guided exercise or no treatment (p ≤ 0.05). Range of motion increased over time in all 3 groups. Conclusion: In patients with subacromial pain syndrome guided exercises improved shoulder function compared with no treatment. Add-on joint mobilization decreased pain in the short-term compared with exercise alone or no treatment.
abstractGer	Background: Graded resistance training is the recommended treatment for patients with subacromial pain syndrome. It is debated whether adding joint mobilization will improve the outcome. The aim of this study was to evaluate the clinical outcome of guided exercises with or without joint mobilization, compared with controls who did not receive any treatment. Methods: A 3-armed controlled trial in a primary care setting. A total of 120 patients, with clinically diagnosed subacromial pain syndrome, were randomized into guided exercise groups with and without additional joint mobilization, and a control group that did not receive any treatment. Data were analysed at baseline, 6 weeks, 12 weeks and 6 months. Primary outcome was the Constant-Murley score, and secondary outcomes were pain and active range of motion. Results: Shoulder function improved in all groups, as measured with the Constant-Murley score. At 12 weeks and 6 months the exercise groups improved significantly compared with the control group (p ≤ 0.05). Add-on joint mobilization resulted in decreased pain in active range of motion at 6 and 12 weeks compared with guided exercise or no treatment (p ≤ 0.05). Range of motion increased over time in all 3 groups. Conclusion: In patients with subacromial pain syndrome guided exercises improved shoulder function compared with no treatment. Add-on joint mobilization decreased pain in the short-term compared with exercise alone or no treatment.
abstract_unstemmed	Background: Graded resistance training is the recommended treatment for patients with subacromial pain syndrome. It is debated whether adding joint mobilization will improve the outcome. The aim of this study was to evaluate the clinical outcome of guided exercises with or without joint mobilization, compared with controls who did not receive any treatment. Methods: A 3-armed controlled trial in a primary care setting. A total of 120 patients, with clinically diagnosed subacromial pain syndrome, were randomized into guided exercise groups with and without additional joint mobilization, and a control group that did not receive any treatment. Data were analysed at baseline, 6 weeks, 12 weeks and 6 months. Primary outcome was the Constant-Murley score, and secondary outcomes were pain and active range of motion. Results: Shoulder function improved in all groups, as measured with the Constant-Murley score. At 12 weeks and 6 months the exercise groups improved significantly compared with the control group (p ≤ 0.05). Add-on joint mobilization resulted in decreased pain in active range of motion at 6 and 12 weeks compared with guided exercise or no treatment (p ≤ 0.05). Range of motion increased over time in all 3 groups. Conclusion: In patients with subacromial pain syndrome guided exercises improved shoulder function compared with no treatment. Add-on joint mobilization decreased pain in the short-term compared with exercise alone or no treatment.
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title_short	Guided exercises with or without joint mobilization or no treatment in patients with subacromial pain syndrome: A clinical trial
url	https://doi.org/10.2340/16501977-2806 https://doaj.org/article/ca8d40fd35444d2fb9f9cb266e2c7cb1 https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2806 https://doaj.org/toc/1650-1977 https://doaj.org/toc/1651-2081
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up_date	2024-07-03T18:37:10.333Z
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Add-on joint mobilization resulted in decreased pain in active range of motion at 6 and 12 weeks compared with guided exercise or no treatment (p ≤ 0.05). Range of motion increased over time in all 3 groups. Conclusion: In patients with subacromial pain syndrome guided exercises improved shoulder function compared with no treatment. Add-on joint mobilization decreased pain in the short-term compared with exercise alone or no treatment.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">constant-murley score</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">manual therapy</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">resistance training</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">shoulder pain</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Therapeutics. 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Guided exercises with or without joint mobilization or no treatment in patients with subacromial pain syndrome: A clinical trial

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