Tools
Tools
Griffin, Jake, Jaggi, Anju, Daniel, Helena and Chester, Rachel 
ORCID: https://orcid.org/0000-0003-1979-0682
(2023)
A systematic review to compare physiotherapy treatment programmes for atraumatic shoulder instability.
Shoulder & Elbow, 15 (4).
pp. 448-460.
ISSN 1758-5732
Preview |
PDF (Griffin 2022)
- Accepted Version
Available under License Creative Commons Attribution. Download (299kB) | Preview |
Abstract
Background: Optimal physiotherapy treatment is uncertain for atraumatic shoulder instability (ASI), the primary aim of this systematic scoping review was to compare physiotherapy treatment programmes for people with ASI. The secondary aims were to evaluate outcome measures used and to compare the effectiveness of these programmes. Methods: CINAHL, EMBASE and Medline databases were searched for studies, except single case studies, published between 1950 and July 2021. 12 critical appraisal items covered three domains; internal validity, transferability to wider population and reporting. Results: Ten studies were included; one randomised controlled trial, 6 cohort studies and 3 case series. There were 491 participants. Treatment programmes included education, movement re-education, static posture correction, shoulder muscle strengthening, functional training, and adjuncts. All studies used patient reported outcome measures (PROMs), 7 of which reported a statistically significant improvement (p < 0.05) post-treatment. There was no clear relationship between programmes and outcomes. PROMs specific to shoulder instability were all found to detect statistically significant differences post-treatment. Discussion: There does not appear to be one optimal physiotherapy treatment programme for ASI. Future studies should use PROMs that are valid in the shoulder instability population and use more outcome measures that are specific to impairments being targeted.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | atraumatic,outcome measures,physiotherapy,review,shoulder,shoulder instability,surgery,orthopedics and sports medicine,physical therapy, sports therapy and rehabilitation,rehabilitation ,/dk/atira/pure/subjectarea/asjc/2700/2746 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > School of Health Sciences |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Rehabilitation Faculty of Medicine and Health Sciences > Research Centres > Population Health |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 15 Mar 2022 14:30 |
| Last Modified: | 19 Oct 2023 03:17 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/84041 |
| DOI: | 10.1177/17585732221080730 |
Downloads
Downloads per month over past year
Actions (login required)
 |
View Item |