Discussion: Shoulder Impingement
Over the coming months Arena based business Summit Physio will be going over a number of common injuries and how to avoid them. This month they highlight shoulder impingement’s…
A recent study investigated whether a specific exercise strategy improved levels of shoulder function and experienced pain more than unspecific exercises in a population of patients derived from the waiting list for surgery that had been presenting subacromial impingement syndrome (SIS) for six months or more. Moreover, it was investigated if this specific exercise strategy was subsequently able to reduce the need for arthroscopic subacromial decompression.
The specific exercise group was treated according to a protocol based on recent literature, consisting of eccentric rotator cuff training and training of the scapula stabilizing muscles. The control group received unspecific exercises that had only a very limited effect.
The specific exercise group improved significantly more than the control group. A significantly lower proportion of patients receiving specific exercises (20%, vs. 63% receiving unspecific exercises) still chose surgery after completing the rehabilitation protocol.
Information from: Holmgren et al., British Medical Journal 344 (2012)
Article by: Summit Physio