Supervised Training Compared With No Training or Self-training in Patients With Subacromial Pain Syndrome: A Systematic Review and Meta-analysis
Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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Supervised Training Compared With No Training or Self-training in Patients With Subacromial Pain Syndrome : A Systematic Review and Meta-analysis. / Liaghat, Behnam; Ussing, Anja; Petersen, Birgitte Holm; Andersen, Henning Keinke; Barfod, Kristoffer Weisskirchner; Jensen, Martin Bach; Hoegh, Morten; Tarp, Simon; Juul-Kristensen, Birgit; Brorson, Stig.
I: Archives of Physical Medicine and Rehabilitation, Bind 102, Nr. 12, 2021, s. 2428-2441.e10.Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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TY - JOUR
T1 - Supervised Training Compared With No Training or Self-training in Patients With Subacromial Pain Syndrome
T2 - A Systematic Review and Meta-analysis
AU - Liaghat, Behnam
AU - Ussing, Anja
AU - Petersen, Birgitte Holm
AU - Andersen, Henning Keinke
AU - Barfod, Kristoffer Weisskirchner
AU - Jensen, Martin Bach
AU - Hoegh, Morten
AU - Tarp, Simon
AU - Juul-Kristensen, Birgit
AU - Brorson, Stig
N1 - Publisher Copyright: © 2021 The Authors
PY - 2021
Y1 - 2021
N2 - Objective: To study the effects of supervised training in adults with subacromial pain syndrome. Data Sources: Embase, MEDLINE, Cochrane Library, Cumulative Index to Nursing and Allied Health, and Physiotherapy Evidence Database were searched from inception to March 2020. Study Selection: Independent reviewers selected randomized controlled trials comparing supervised training with (1) no training or (2) self-training in adults with subacromial pain syndrome lasting for at least 1 month. Critical outcomes were shoulder pain, function, and patient-perceived effect. Important outcomes included other potential benefits and adverse events at 3-month follow-up. Data Extraction: Two independent reviewers extracted data for the meta-analysis. Risk of bias was assessed using the Cochrane Risk of Bias tool 1, and certainty of evidence was evaluated using the Grades of Recommendation Assessment, Development, and Evaluation (GRADE). Data Synthesis: Ten studies (n=597, 43% female) were included. Supervised training resulted in larger improvements than no training on pain (at rest: n=286; mean difference [MD], 1.68; 95% confidence interval [CI], 0.31-3.06 on 0-10 scale; during movement: n=353; MD, 1.84; 95% CI,0.91-2.76), function (n=396; standardized MD, 0.30; 95% CI, 0.07-0.52), and patient-perceived effect (n=118; risk ratio, 1.43; 95% CI, 0.87-2.34). Supervised training had potential benefits regarding quality of life, return to work, dropout, and training adherence, albeit more patients reported mild, transient pain after training. Supervised training and self-training showed equal improvements on pain (n=44) and function (n=76), with no data describing patient-perceived effect. Certainty of evidence was low for critical outcomes and low-moderate for other outcomes. Conclusions: Supervised training might be superior to no training and equally effective as self-training on critical and important outcomes. Based on low-moderate certainty of evidence, these findings support a weak recommendation for supervised training in adults with subacromial pain syndrome.
AB - Objective: To study the effects of supervised training in adults with subacromial pain syndrome. Data Sources: Embase, MEDLINE, Cochrane Library, Cumulative Index to Nursing and Allied Health, and Physiotherapy Evidence Database were searched from inception to March 2020. Study Selection: Independent reviewers selected randomized controlled trials comparing supervised training with (1) no training or (2) self-training in adults with subacromial pain syndrome lasting for at least 1 month. Critical outcomes were shoulder pain, function, and patient-perceived effect. Important outcomes included other potential benefits and adverse events at 3-month follow-up. Data Extraction: Two independent reviewers extracted data for the meta-analysis. Risk of bias was assessed using the Cochrane Risk of Bias tool 1, and certainty of evidence was evaluated using the Grades of Recommendation Assessment, Development, and Evaluation (GRADE). Data Synthesis: Ten studies (n=597, 43% female) were included. Supervised training resulted in larger improvements than no training on pain (at rest: n=286; mean difference [MD], 1.68; 95% confidence interval [CI], 0.31-3.06 on 0-10 scale; during movement: n=353; MD, 1.84; 95% CI,0.91-2.76), function (n=396; standardized MD, 0.30; 95% CI, 0.07-0.52), and patient-perceived effect (n=118; risk ratio, 1.43; 95% CI, 0.87-2.34). Supervised training had potential benefits regarding quality of life, return to work, dropout, and training adherence, albeit more patients reported mild, transient pain after training. Supervised training and self-training showed equal improvements on pain (n=44) and function (n=76), with no data describing patient-perceived effect. Certainty of evidence was low for critical outcomes and low-moderate for other outcomes. Conclusions: Supervised training might be superior to no training and equally effective as self-training on critical and important outcomes. Based on low-moderate certainty of evidence, these findings support a weak recommendation for supervised training in adults with subacromial pain syndrome.
KW - Exercise therapy
KW - Meta-analysis
KW - Rehabilitation
KW - Shoulder impingement syndrome
KW - Shoulder joint
KW - Shoulder pain
U2 - 10.1016/j.apmr.2021.03.027
DO - 10.1016/j.apmr.2021.03.027
M3 - Review
C2 - 33930326
AN - SCOPUS:85108560647
VL - 102
SP - 2428-2441.e10
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
SN - 0003-9993
IS - 12
ER -
ID: 273648759