Literary Comparison of Patient Reported Outcomes in Patients with Shoulder Impingement
Loading...
Presenter(s)
Elizabeth Schauer, Danielle Jaworksi, Dexter Hein-Harrison
Abstract
Multiple treatment options exist for patients with shoulder impingement pathology, however there is a lack of consensus regarding the best method of treatment. The purpose of the appraisal was to determine whether surgical or conservative treatment was more effective in improving patient reported outcomes. Our focus was to explore the effect of surgery versus conservative treatment on creating pain free movement using patient reported outcomes in patients with shoulder impingement pathology. All studies included patients above the age of fifteen who had subacromial shoulder impingement. Exclusion criteria were patients who had shoulder surgery or had previously completed shoulder impingement rehabilitation. PubMed was used to find research studies. Search terms included subacromial, shoulder, impingement, pathology, surgical, non-surgical, conservative, treatment, pain free movement, and patient reported outcomes (PRO). PEDro scores of the six studies ranged from 5/10 to 8/10, with most studies lacking blinding of the subjects, assessors, and/or therapists due to inclusion of the surgical intervention. Three of the studies were rated an Oxford Level 2 and the other three studies were a Level 3. The studies given a score of Level 3 was due to the studies being lower quality. The major key finding was that in 5 of the 6 studies, neither surgical intervention nor conservative treatment with rehabilitation showed to be more beneficial than the other. Follow-ups for participants and the number of participants within the studies were found to be a strength of the evidence. Weaknesses of the studies included differences in surgical techniques for shoulder impingement decompression and high participant dropout rates. Both surgical and conservative measures can be helpful treatments for shoulder impingement by acknowledging that neither was more beneficial than the other. The strength of recommendation (SORT score) is A. The findings within these articles can impact clinical practice by giving the patient options on how they want to go about treating their specific case of shoulder impingement. The impact of this result should inspire feature research into the outcomes within specific populations, such as throwing athletes, different age groups, and genders. This may result in more concrete evidence per patient population rather than the generalized information provided already.
College
College of Nursing & Health Sciences
Department
Health, Exercise & Rehabilitative Sciences
Campus
Winona
First Advisor/Mentor
Nora Kraemer, PhD, LAT, ATC, CSCS
Start Date
4-24-2025 12:00 AM
End Date
4-24-2025 12:00 AM
Presentation Type
Oral Presentation
Format of Presentation or Performance
Pre-Recorded Video
Metadata Creation Responsibility
Elizabeth Schauer
Closed Captions - RCADAY-2025-Literary Comparison-Schauer
Literary Comparison of Patient Reported Outcomes in Patients with Shoulder Impingement
Multiple treatment options exist for patients with shoulder impingement pathology, however there is a lack of consensus regarding the best method of treatment. The purpose of the appraisal was to determine whether surgical or conservative treatment was more effective in improving patient reported outcomes. Our focus was to explore the effect of surgery versus conservative treatment on creating pain free movement using patient reported outcomes in patients with shoulder impingement pathology. All studies included patients above the age of fifteen who had subacromial shoulder impingement. Exclusion criteria were patients who had shoulder surgery or had previously completed shoulder impingement rehabilitation. PubMed was used to find research studies. Search terms included subacromial, shoulder, impingement, pathology, surgical, non-surgical, conservative, treatment, pain free movement, and patient reported outcomes (PRO). PEDro scores of the six studies ranged from 5/10 to 8/10, with most studies lacking blinding of the subjects, assessors, and/or therapists due to inclusion of the surgical intervention. Three of the studies were rated an Oxford Level 2 and the other three studies were a Level 3. The studies given a score of Level 3 was due to the studies being lower quality. The major key finding was that in 5 of the 6 studies, neither surgical intervention nor conservative treatment with rehabilitation showed to be more beneficial than the other. Follow-ups for participants and the number of participants within the studies were found to be a strength of the evidence. Weaknesses of the studies included differences in surgical techniques for shoulder impingement decompression and high participant dropout rates. Both surgical and conservative measures can be helpful treatments for shoulder impingement by acknowledging that neither was more beneficial than the other. The strength of recommendation (SORT score) is A. The findings within these articles can impact clinical practice by giving the patient options on how they want to go about treating their specific case of shoulder impingement. The impact of this result should inspire feature research into the outcomes within specific populations, such as throwing athletes, different age groups, and genders. This may result in more concrete evidence per patient population rather than the generalized information provided already.
