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WITHDRAWN: Interventions for shoulder pain.

S Green1, R Buchbinder, R Glazier

  • 1Monash University, Australasian Cochrane Centre, Monash Medical Centre, Locked Bag 29, Clayton, Victoria, Australia, 3168. sally.green@med.monash.edu.au

The Cochrane Database of Systematic Reviews
|July 20, 2007
PubMed
Summary
This summary is machine-generated.

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Evidence for common shoulder pain treatments is limited. Subacromial steroid injections showed a small benefit for rotator cuff tendonitis, but more research is needed for definitive conclusions on shoulder pain interventions.

Area of Science:

  • Orthopedics
  • Rheumatology
  • Evidence-Based Medicine

Background:

  • Shoulder pain is a prevalent condition with numerous conservative therapies.
  • Established treatments include NSAIDs, corticosteroid injections, oral steroids, manipulation, physical therapy, hydrodilatation, and surgery.
  • However, robust evidence supporting the efficacy of these interventions is often lacking.

Purpose of the Study:

  • To systematically review the existing evidence on the efficacy of common interventions for shoulder pain.
  • To identify the most effective conservative treatments for various shoulder disorders.

Main Methods:

  • A comprehensive literature search was conducted across multiple databases (Cochrane, MEDLINE, EMBASE, etc.) up to May 1998.
  • Studies were included if they involved common shoulder pain interventions, used randomized treatment allocation, and blinded outcome assessment.

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  • Methodological quality was assessed, and data on outcomes were extracted and analyzed, with effect sizes calculated and pooled where appropriate.

    • Main Results:

    • Thirty-one trials met the inclusion criteria, but the overall methodological quality was moderate.
    • Significant heterogeneity was observed in selection criteria and outcome measures across studies.
    • The only statistically significant positive finding was the benefit of subacromial steroid injection over placebo for improving abduction in rotator cuff tendonitis.

    Conclusions:

    • There is insufficient evidence to conclusively support or refute the efficacy of most common shoulder pain interventions.
    • Further high-quality, well-designed clinical trials are essential.
    • Standardized methods for defining shoulder disorders and validated outcome measures are needed to advance research in this field.