Scapular stabilization approaches have been a mainstay of therapeutic training programs in the recent past for patients with subacromial impingement syndrome, whereas its contributions solely in the clinical outcome of reducing shoulder pain and disability are largely unclear. This systematic review aims to evaluate and summarize the best evidence regarding the role of scapular stabilization interventions in alleviating shoulder dysfunction among subjects with subacromial impingement syndrome. Six reviewers involved in this systematic review. Literature was retrieved systematically through searching 5 electronic databases (PubMed, MEDLINE, CINAHL, Cochrane, and Google Scholar). Articles published from the year 2010 up to and including 2019 were included. The literature search included clinical trials those intervened subjects with scapular exercises or scapular stabilization exercises or scapular rehabilitation, as an intervention for subacromial impingement syndrome. Seven studies, totaling 228 participants were included in this systematic review. Articles included in this review were graded according to Lloyd-Smith hierarchy of evidence scale and critically appraised with a tool developed by National, Heart, Lung and Blood Institute (United States), named as quality assessment of controlled intervention studies tool. There was a significant effect on the scapular stabilization exercise program on improving pain and disability among subjects with subacromial impingement syndrome. This systematic review provides sufficient evidence to suggest that scapular stabilization exercises offers effectiveness in reducing pain and disability among subjects with subacromial impingement syndrome. However, more trials with larger sample are needed to provide a more definitive evidence on the clinical outcomes of scapular stabilization exercises among patients with impingement.
목차
Abstract INTRODUCTION MATERIALS AND METHODS Data sources Study selection Criteria for inclusion Hierarchy of evidence Data extraction Quality appraisal Risk of bias in the included studies RESULTS Study search Study characteristics Risk of bias in included studies Result of individual studies Synthesis of results DISCUSSION Disability Pain Strength and limitations CONCLUSIONS CONFLICT OF INTEREST ACKNOWLEDGMENTS REFERENCES
Hariharasudhan Ravichandran [ Department of Physiotherapy, School of Medicine, College of Health Sciences, Ayder Comprehensive Specialized Hospital, Mekelle University, Mekelle, Ethiopia ]
Corresponding Author
Balamurugan Janakiraman [ Department of Physiotherapy, School of Medicine, College of Medicine and Health Sciences, University of Gondar Comprehensive Specialized Hospital, University of Gondar, Gondar, Ethiopia ]
Asmare Yitayeh Gelaw [ Department of Physiotherapy, School of Medicine, College of Medicine and Health Sciences, University of Gondar Comprehensive Specialized Hospital, University of Gondar, Gondar, Ethiopia ]
Berihu Fisseha [ Department of Physiotherapy, School of Medicine, College of Health Sciences, Ayder Comprehensive Specialized Hospital, Mekelle University, Mekelle, Ethiopia ]
Subramanian Sundaram [ Department of Physiotherapy, Sree Balaji College of Physiotherapy, Chennai, India ]
Hidangmayum Richa Sharma [ Department of Physiotherapy, Sakra Institute of Rehabilitation Sciences, Sakra World Hospital, Bangalore, India ]