A specific exercise strategy reduced the need for surgery in subacromial pain patients
2014 (English)In: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 48, no 19, 1431-1436 p.Article in journal (Refereed) Published
Background and purpose A programme based on eccentric exercises for treating subacromial pain was in a previous study found effective at 3-month follow-up. The purposes of the present study were to investigate whether the results were maintained after 1 year and whether the baseline Constant-Murley score, rotator cuff status and radiological findings influenced the outcome. Patients and methods 97 patients on the waiting list for arthroscopic subacromial decompression had been randomised to a specific exercise programme or unspecific exercises (controls). After 3 months of exercises, the patients were asked whether they still wanted surgery and this option was available until a 1-year follow-up. 1 year after inclusion or 1 year after surgery, the number of patients who decided to have surgery in each group was compared. The choice of surgery was related to the baseline Constant-Murley score, ultrasound and radiographs taken at inclusion. Results All patients had improved significantly (pless than0.0001) in the Constant-Murley score at the 1-year follow-up. Significantly more patients in the control group decided to have surgery (63%) than those in the specific exercise group (24%; pless than0.0001). Patients who decided to have surgery had a significantly lower baseline Constant-Murley score and more often a full-thickness tear. Patients with partial tears did not differ from those with intact tendons. Interpretation The positive short-term results of specific exercises were maintained after 1 year, and this exercise strategy reduces the need for surgery. Full-thickness tear and a low baseline Constant-Murley score appear to be a predictive marker for a less good outcome.
Place, publisher, year, edition, pages
BMJ Publishing Group , 2014. Vol. 48, no 19, 1431-1436 p.
Shoulder injuries, Physiotherapy, Eccentric exercise, Tendon, Ultrasounds
IdentifiersURN: urn:nbn:se:liu:diva-111441DOI: 10.1136/bjsports-2013-093233ISI: 000341947200009PubMedID: 24970843OAI: oai:DiVA.org:liu-111441DiVA: diva2:757315
Funding Agencies|Linkoping University Hospital2014-10-212014-10-172015-04-22