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Interventions for shoulder pain.

S Green1, R Buchbinder, R Glazier

  • 1Institute of Public Health and Health Services Research, Monash University, Australasian Cochrane Center, Melbourne, Australia, 3181. sally.green@med.monash.edu.au

The Cochrane Database of Systematic Reviews
|May 5, 2000
PubMed
Summary
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Evidence supporting common shoulder pain treatments is limited. Further well-designed trials are needed to establish uniform diagnostic methods and outcome measures for shoulder disorders.

Area of Science:

  • Orthopedics
  • Rheumatology
  • Evidence-Based Medicine

Background:

  • Shoulder pain is a common condition with various potential interventions.
  • The efficacy of these interventions requires rigorous scientific evaluation.

Purpose of the Study:

  • To systematically review the evidence for common shoulder pain interventions.
  • To assess the quality of existing research and identify gaps in knowledge.

Main Methods:

  • A comprehensive literature search was conducted across multiple databases up to May 1998.
  • Inclusion criteria focused on randomized controlled trials with blinded outcome assessments.
  • Methodological quality was assessed, and data were extracted for pooled analysis where possible.

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Main Results:

  • Thirty-one trials met the inclusion criteria, but methodological quality was generally low.
  • Significant heterogeneity was observed in selection criteria and outcome measures.
  • Subacromial steroid injection showed a modest benefit for improving abduction range in rotator cuff tendonitis.

Conclusions:

  • There is currently limited evidence to support or refute the efficacy of most common shoulder pain interventions.
  • Further high-quality clinical trials are necessary.
  • Standardized methods for defining shoulder disorders and validated outcome measures are needed.