%0 Journal Article
%T Effectiveness of passive physical modalities for shoulder pain: a systematic review by the Ontario Protocol for Traffic Injury Management Collaboration
%J Physical therapy
%D 2014
%A Yu, Hainan
%A Côté, Pierre
%A Shearer, Heather M.
%A Wong, Jessica J.
%A Sutton, Deborah A.
%A Randhawa, Kristi A.
%A Varatharajan, Sharanya
%A Southerst, Danielle
%A Mior, Silvano A.
%A Ameis, Arthur
%A Stupar, Maja
%A Nordin, Margareta
%A van der Velde, Gabreille M.
%A Carroll, Linda
%A Jacobs, Craig L.
%A Taylor-Vaisey, Anne L.
%A Abdulla, Sean Y.
%A Shergill, Yaadwinder
%V 95
%N 3
%P 306-318
%X BACKGROUND: Shoulder pain is a common musculoskeletal condition in the general population. Passive physical modalities are commonly used to treat shoulder pain. However, previous systematic reviews report conflicting results. <br><br>PURPOSE: To evaluate the effectiveness of passive physical modalities for the management of soft tissue injuries of the shoulder. DATA SOURCES: MEDLINE, EMBASE, CINAHL, PsycINFO, and the Cochrane Central Register of Controlled Trials from January 1(st), 1990 to April 18(th), 2013. STUDY SELECTION: Randomized controlled trials (RCTs), cohort and case-control studies were eligible. Random pairs of independent reviewers screened 1470 of 1760 retrieved articles after removing 290 duplicates. Twenty-two articles were eligible for critical appraisal. We critically appraised the eligible studies using the Scottish Intercollegiate Guidelines Network criteria. Of those, 11 studies had a low risk of bias. DATA EXTRACTION: The lead author extracted data from low risk of bias studies and built evidence tables. A second reviewer independently checked the extracted data. DATA SYNTHESIS: We synthesized the findings of low risk of bias studies according to principles of best evidence synthesis. We found that pre-tensioned tape, ultrasound and interferential current are not effective to manage shoulder pain. However, diathermy and corticosteroid injections lead to similar outcomes. Low-level laser therapy provides short-term pain reduction for subacromial impingement syndrome. Extracorporeal shock-wave therapy is not effective for subacromial impingement syndrome but it provides benefits for persistent shoulder calcific tendonitis. LIMITATIONS: Non-English studies excluded. <br><br>CONCLUSIONS: Most passive physical modalities do not benefit patients with subacromial impingement syndrome. However, low-level laser therapy is more effective than placebo or ultrasound for subacromial impingement syndrome. Similarly, shock-wave therapy is more effective than sham for persistent shoulder calcific tendinitis.<p /> <p>Language: en</p>
%G en
%I American Physical Therapy Association
%@ 0031-9023
%U http://dx.doi.org/10.2522/ptj.20140361