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FITT Odyssey: A Scoping Review of Exercise Programs for Managing Rotator Cuff-Related Shoulder Pain
Summary
This review found significant variability in exercise program parameters for rotator cuff-related shoulder pain (RCRSP). Clinicians should use caution when applying FITT principles from trials due to the lack of a standardized approach.
Area of Science:
- Orthopedics
- Sports Medicine
- Physical Therapy
Background:
- Rotator cuff-related shoulder pain (RCRSP) management often involves diverse exercise programs.
- Standardized reporting of exercise components is crucial for clinical application and research synthesis.
Purpose of the Study:
- To summarize the FITT (frequency, intensity, time, type) components of exercise programs used in randomized controlled trials (RCTs) comparing interventions for RCRSP.
Main Methods:
- A scoping review of RCTs comparing two or more exercise programs for RCRSP was conducted.
- Data on FITT principles and other Consensus on Exercise Reporting Template (CERT) characteristics were extracted and descriptively analyzed.
Main Results:
- FITT characteristics from 46 exercise programs across 22 trials were analyzed, categorized into motor control, scapula-focused, eccentric, and nonspecific types.
- Exercise parameters showed considerable variability in frequency (2-7 times/week), sets (1-3), repetitions (4-30), and duration (4-16 weeks).
Conclusions:
- Significant heterogeneity exists in exercise prescription parameters for RCRSP across published RCTs.
- Clinicians should exercise caution when seeking direct guidance from trial FITT parameters, as no single approach fits all patients.
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