Occupational therapy interventions for shoulder conditions: a systematic review

Area of Science:

• Occupational therapy
• Evidence-based practice
• Musculoskeletal rehabilitation

Background:

• Work-related shoulder conditions are prevalent and impact function.
• Occupational therapy plays a crucial role in managing these conditions.
• Synthesizing current research is vital for evidence-based interventions.

Purpose of the Study:

• To systematically review and synthesize occupational therapy literature on interventions for work-related shoulder conditions.
• To evaluate the quality of evidence for various treatment approaches.
• To guide the application of research findings in clinical practice.

Main Methods:

• Systematic review of 22 studies.
• Inclusion of studies with Level I, II, and III evidence.
• Synthesis of research findings relevant to occupational therapy.

Main Results:

• Limited Level I evidence supports exercise for shoulder pain.
• Evidence supports manual therapy and laser for adhesive capsulitis.
• Conservative management is supported for shoulder instability.
• Early intervention without immobilization is beneficial for specific fractures.
• Exercise, joint mobilizations, and laser show promise for shoulder impingement.

Conclusions:

• Current evidence for occupational therapy interventions for work-related shoulder conditions is limited but growing.
• Specific interventions show promise, but further high-quality research is required.
• Prospective studies are needed to identify optimal surgical and therapeutic variables for positive outcomes.