meta_analysis
2017
High Quality
Effectiveness of conservative interventions including exercise, manual therapy and medical management in adults with shoulder impingement: a systematic review and meta-analysis
Steuri R, Sattelmayer M, Elsig S
Published in British Journal of Sports Medicine
Methodology
Systematic review and meta-analysis of 200 RCTs of conservative treatment for shoulder impingement and subacromial pain.
Key Findings
Exercise reduced pain and improved function versus no treatment; adding manual therapy gave a small extra benefit, and NSAIDs and corticosteroid injection helped short-term pain.
Conclusions
Progressive exercise is the core treatment for subacromial bursitis and impingement.
Limitations
Diagnostic labels overlap; blinding not feasible for exercise.
Outcomes Measured
Exercise reduced shoulder pain and improved function versus no treatment.
Related Health Concerns
Study Details
Year:2017
Sample Size:6,000
Quality Score:8/10
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