Analysis of descriptions of therapeutic exercise procedures in the rehabilitation of patients with subacromial impingement syndrome: assessment using the Consensus on Exercise Reporting Template (CERT checklist)

Abstract

BACKGROUND: Therapeutic exercises are the method of choice for conservative treatment of subacromial impingement syndrome. However, due to poor content reporting of exercise in clinical trials there are limitations in interpretation and replication of these trials’ methods and results. In 2016 the CERT (Consensus on Exercise Reporting Template) was developed to address this problem.

AIM: To evaluate the completeness of content reporting of exercise interventions in clinical trials for patients with subacromial impingement syndrome using CERT and implement the principles of CERT into our own practice by describing an original therapeutic exercise protocol.

MATERIALS AND METHODS: A search was conducted for scientific articles published from October 2016, that mentioned therapeutic exercises as a treatment method for subacromial impingement syndrome. Then, the CERT was applied to 34 selected publications, the data was analyzed and compared with similar studies. A description of an original therapeutic exercise protocol was conducted in accordance with the principles of CERT.

RESULTS: The mean CERT score was 9,9 (52,17%); median 10; range 4–18; 19 (55,88%) trials had a CERT score of ≥10, while the remaining 15 (44,12%) scored <10. The most poorly reported items were description of instructor qualifications (2), individual or group (3), motivation strategies (6), progression rule (7a), adverse events (11), tailored (how) (14b), starting level rule (15), adherence (planned and actual) (16a, 16b). Only 50% of studies included data on adherence report (5).

CONCLUSION: The description of therapeutic exercises for patients with subacromial impingement syndrome in published trials remains poorly reported. Proper critical analysis of studies using CERT should be taken into account when assessing the effectiveness of ongoing research investigating therapeutic gymnastics.

Keywords

therapeutic gymnastics / CERT / rehabilitation / shoulder joint / subacromial impingement syndrome / rotator cuff

References

[1] Urwin M, Symmons D, Allison T, et al. Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Ann Rheum Dis. 1998;57(11):649–655. doi: 10.1136/ard.57.11.649

[2] Urwin M., Symmons D., Allison T., et al. Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation // Ann Rheum Dis. 1998. Vol. 57, N 11. P. 649–655. doi: 10.1136/ard.57.11.649

[3] Longo UG, Berton A, Papapietro N, et al. Epidemiology, genetics and biological factors of rotator cuff tears. Med Sport Sci. 2012;57:1–9. doi: 10.1159/000328868

[4] Longo U.G., Berton A., Papapietro N., et al. Epidemiology, genetics and biological factors of rotator cuff tears // Med Sport Sci. 2012. Vol. 57. P. 1–9. doi: 10.1159/000328868

[5] Ferlito R, Testa G, McCracken K, et al. Effectiveness of therapeutical interventions on the scapulothoracic complex in the management of patients with subacromial impingement and frozen shoulder: A systematic review. J Functional Morphology Kinesiology. 2023;8:38. doi: 10.3390/jfmk8020038

[6] Ferlito R., Testa G., McCracken K., et al. Effectiveness of therapeutical interventions on the scapulothoracic complex in the management of patients with subacromial impingement and frozen shoulder: A systematic review // J Functional Morphology Kinesiology. 2023. Vol. 8. P. 38. doi: 10.3390/jfmk8020038

[7] Luime JJ, Koes BW, Hendriksen IJ, et al. Prevalence and incidence of shoulder pain in the general population: A systematic review. Scand J Rheumatol. 2004;33(2):73–81. doi: 10.1080/03009740310004667

[8] Luime J.J., Koes B.W., Hendriksen I.J., et al. Prevalence and incidence of shoulder pain in the general population: A systematic review // Scand J Rheumatol. 2004. Vol. 33, N 2. P. 73–81. doi: 10.1080/03009740310004667

[9] Page MJ, Green S, McBain B, et al. Manual therapy and exercise for rotator cuff disease. Cochrane Database Syst Rev. 2016;2016(6):CD012224. doi: 10.1002/14651858.CD012224

[10] Page M.J., Green S., McBain B., et al. Manual therapy and exercise for rotator cuff disease // Cochrane Database Syst Rev. 2016. Vol. 2016, N 6. P. CD012224. doi: 10.1002/14651858.CD012224

[11] Lafrance S, Charron M, Roy JS, et al. Diagnosing, managing, and supporting return to work of adults with rotator cuff disorders: A clinical practice guideline. J Orthop Sports Phys Ther. 2022;52(10):647–664. doi: 10.2519/jospt.2022.11306

[12] Lafrance S., Charron M., Roy J.S., et al. Diagnosing, managing, and supporting return to work of adults with rotator cuff disorders: A clinical practice guideline // J Orthop Sports Phys Ther. 2022. Vol. 52, N 10. P. 647–664. doi: 10.2519/jospt.2022.11306

[13] Diercks R, Bron C, Dorrestijn O, et al.; Dutch Orthopaedic Association. Guideline for diagnosis and treatment of subacromial pain syndrome: A multidisciplinary review by the Dutch Orthopaedic Association. Acta Orthop. 2014;85(3):314–322. doi: 10.3109/17453674.2014.920991

[14] Diercks R., Bron C., Dorrestijn O., et al.; Dutch Orthopaedic Association. Guideline for diagnosis and treatment of subacromial pain syndrome: A multidisciplinary review by the Dutch Orthopaedic Association // Acta Orthop. 2014. Vol. 85, N 3. P. 314–322. doi: 10.3109/17453674.2014.920991

[15] Amosova NA, Arutyunov GP, Aukhadeev EI, et al. Therapeutic physical culture in the system of medical rehabilitation: A national guide. Moscow: GEOTAR-Media; 2022. 896 р. (In Russ).

[16] Амосова Н.А., Арутюнов Г.П., Аухадеев Э.И., и др. Лечебная физическая культура в системе медицинской реабилитации: национальное руководство. Москва: ГЭОТАР-Медиа, 2022. 896 с.

[17] Pieters L, Lewis J, Kuppens K, et al. An update of systematic reviews examining the effectiveness of conservative physical therapy interventions for subacromial shoulder pain. J Orthop Sports Phys Ther. 2020;50(3):131–141. doi: 10.2519/jospt.2020.8498

[18] Pieters L., Lewis J., Kuppens K., et al. An update of systematic reviews examining the effectiveness of conservative physical therapy interventions for subacromial shoulder pain // J Orthop Sports Phys Ther. 2020. Vol. 50, N 3. P. 131–141.doi: 10.2519/jospt.2020.8498

[19] Signorino JA, Thompson AG, Hando BR, Young JL. Identifying conservative interventions for individuals with subacromial pain syndrome prior to undergoing a subacromial decompression: A scoping review. Int J Sports Phys Ther. 2023;18(2):293–308. doi: 10.26603/001c.73312

[20] Signorino J.A., Thompson A.G., Hando B.R., Young J.L. Identifying conservative interventions for individuals with subacromial pain syndrome prior to undergoing a subacromial decompression: A scoping review // Int J Sports Phys Ther. 2023. Vol. 18, N 2. P. 293–308. doi: 10.26603/001c.73312

[21] Hoffmann TC, Glasziou PP, Boutron I, et al. Better reporting of interventions: Template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014;348:g1687. doi: 10.1136/bmj.g1687

[22] Hoffmann T.C., Glasziou P.P., Boutron I., et al. Better reporting of interventions: Template for intervention description and replication (TIDieR) checklist and guide // BMJ. 2014. Vol. 348. P. g1687. doi: 10.1136/bmj.g1687

[23] Ribeiro DC, Spiers K, Thomas L, et al. Monitoring, implementation and reporting of interventions in a selection of trials assessing exercise therapy for the management of shoulder subacromial pain: A cross-sectional investigation. BMJ Open. 2021;11(2):e044462. doi: 10.1136/bmjopen-2020-044462

[24] Ribeiro D.C., Spiers K., Thomas L., et al. Monitoring, implementation and reporting of interventions in a selection of trials assessing exercise therapy for the management of shoulder subacromial pain: A cross-sectional investigation // BMJ Open. 2021. Vol. 11, N 2. P. e044462. doi: 10.1136/bmjopen-2020-044462

[25] Slade SC, Dionne CE, Underwood M, et al. Consensus on Exercise Reporting Template (CERT): Modified delphi study. Phys Ther. 2016;96(10):1514–1524. doi: 10.2522/ptj.20150668

[26] Slade S.C., Dionne C.E., Underwood M., et al. Consensus on Exercise Reporting Template (CERT): Modified delphi study // Phys Ther. 2016. Vol. 96, N 10. P. 1514–1524. doi: 10.2522/ptj.20150668

[27] Slade SC, Finnegan S, Dionne CE, et al. The Consensus on Exercise Reporting Template (CERT) applied to exercise interventions in musculoskeletal trials demonstrated good rater agreement and incomplete reporting. J Clin Epidemiol. 2018;103:120–130. doi: 10.1016/j.jclinepi.2018.07.009

[28] Slade S.C., Finnegan S., Dionne C.E., et al. The Consensus on Exercise Reporting Template (CERT) applied to exercise interventions in musculoskeletal trials demonstrated good rater agreement and incomplete reporting // J Clin Epidemiol. 2018. Vol. 103. P. 120–130. doi: 10.1016/j.jclinepi.2018.07.009

[29] Kent P, O'Sullivan PB, Keating J, Slade SC. Evidence-based exercise prescription is facilitated by the Consensus on Exercise Reporting Template (CERT). Br J Sports Med. 2018;52(3):147–148. doi: 10.1136/bjsports-2016-097405

[30] Kent P., O'Sullivan P.B., Keating J., Slade S.C. Evidence-based exercise prescription is facilitated by the Consensus on Exercise Reporting Template (CERT) // Br J Sports Med. 2018. Vol. 52, N 3. P. 147–148. doi: 10.1136/bjsports-2016-097405

[31] Major DH, Røe Y, Grotle M, et al. Content reporting of exercise interventions in rotator cuff disease trials: Results from application of the Consensus on Exercise Reporting Template (CERT). BMJ Open Sport Exerc Med. 2019;5(1):e000656. doi: 10.1136/bmjsem-2019-000656

[32] Major D.H., Røe Y., Grotle M., et al. Content reporting of exercise interventions in rotator cuff disease trials: Results from application of the Consensus on Exercise Reporting Template (CERT) // BMJ Open Sport Exerc Med. 2019. Vol. 5, N 1. P. e000656. doi: 10.1136/bmjsem-2019-000656

[33] Slade SC, Dionne CE, Underwood M, Buchbinder R. Consensus on Exercise Reporting Template (CERT): Explanation and elaboration statement. Br J Sports Med. 2016;50(23):1428–1437. doi: 10.1136/bjsports-2016-096651

[34] Slade S.C., Dionne C.E., Underwood M., Buchbinder R. Consensus on Exercise Reporting Template (CERT): Explanation and elaboration statement // Br J Sports Med. 2016. Vol. 50, N 23. P. 1428–1437. doi: 10.1136/bjsports-2016-096651

[35] Alfredo PP, Bjordal JM, Junior WS, et al. Efficacy of low-level laser therapy combined with exercise for subacromial impingement syndrome: A randomised controlled trial. Clin Rehabil. 2021;35(6):851–860. doi: 10.1177/0269215520980984

[36] Alfredo P.P., Bjordal J.M., Junior W.S., et al. Efficacy of low-level laser therapy combined with exercise for subacromial impingement syndrome: A randomised controlled trial // Clin Rehabil. 2021. Vol. 35, N 6. P. 851–860. doi: 10.1177/0269215520980984

[37] Aslanov N, Ersin A. Comparison of the effects of manual therapy and scapular stabilization exercises on pain, functional status, and quality of life in subacromial impingement syndrome. J Health Sci Med. 2023;6(6):1373–1379. doi: 10.32322/jhsm.1361109

[38] Aslanov N., Ersin A. Comparison of the effects of manual therapy and scapular stabilization exercises on pain, functional status, and quality of life in subacromial impingement syndrome // J Health Sci Med. 2023. Vol. 6, N 6. P. 1373–1379. doi: 10.32322/jhsm.1361109

[39] Azin Z, Kamali F, Salehi Dehno N, Abolahrari-Shirazi S. Comparison of manual therapy technique to therapeutic exercise in the treatment of patients with subacromial impingement syndrome: A randomized clinical trial. J Manipulative Physiol Ther. 2023;46(2):98–108. doi: 10.1016/j.jmpt.2023.06.002

[40] Azin Z., Kamali F., Salehi Dehno N., Abolahrari-Shirazi S. Comparison of manual therapy technique to therapeutic exercise in the treatment of patients with subacromial impingement syndrome: A randomized clinical trial // J Manipulative Physiol Ther. 2023. Vol. 46, N 2. P. 98–108. doi: 10.1016/j.jmpt.2023.06.002

[41] Berg OK, Paulsberg F, Brabant C, et al. High-intensity shoulder abduction exercise in subacromial pain syndrome. Med Sci Sports Exerc. 2021;53(1):1–9. doi: 10.1249/MSS.0000000000002436

[42] Berg O.K., Paulsberg F., Brabant C., et al. High-intensity shoulder abduction exercise in subacromial pain syndrome // Med Sci Sports Exerc. 2021. Vol. 53, N 1. P. 1–9. doi: 10.1249/MSS.0000000000002436

[43] Björnsson Hallgren HC, Adolfsson LE, Johansson K, et al. Specific exercises for subacromial pain. Acta Orthop. 2017;88(6):600–605. doi: 10.1080/17453674.2017.1364069

[44] Björnsson Hallgren H.C., Adolfsson L.E., Johansson K., et al. Specific exercises for subacromial pain // Acta Orthop. 2017. Vol. 88, N 6. P. 600–605. doi: 10.1080/17453674.2017.1364069

[45] Christiansen DH, Hjort J. Group-based exercise, individually supervised exercise and home-based exercise have similar clinical effects and cost-effectiveness in people with subacromial pain: A randomised trial. J Physiother. 2021;67(2):124–131. doi: 10.1016/j.jphys.2021.02.015

[46] Christiansen D.H., Hjort J. Group-based exercise, individually supervised exercise and home-based exercise have similar clinical effects and cost-effectiveness in people with subacromial pain: A randomised trial // J Physiother. 2021. Vol. 67, N 2. P. 124–131. doi: 10.1016/j.jphys.2021.02.015

[47] Clausen MB, Rathleff MS, Graven-Nielsen T, et al. Level of pain catastrophising determines if patients with long-standing subacromial impingement benefit from more resistance exercise: Predefined secondary analyses from a pragmatic randomised controlled trial (the SExSI Trial). Br J Sports Med. 2023;57(13):842–848. doi: 10.1136/bjsports-2022-106383

[48] Clausen M.B., Rathleff M.S., Graven-Nielsen T., et al. Level of pain catastrophising determines if patients with long-standing subacromial impingement benefit from more resistance exercise: Predefined secondary analyses from a pragmatic randomised controlled trial (the SExSI Trial) // Br J Sports Med. 2023. Vol. 57, N 13. P. 842–848. doi: 10.1136/bjsports-2022-106383

[49] De Miguel Valtierra L, Salom Moreno J, Fernández-de-Las-Peñas C, et al. Ultrasound-guided application of percutaneous electrolysis as an adjunct to exercise and manual therapy for subacromial pain syndrome: A randomized clinical trial. J Pain. 2018;19(10):1201–1210. doi: 10.1016/j.jpain.2018.04.017

[50] De Miguel Valtierra L., Salom Moreno J., Fernández-de-Las-Peñas C., et al. Ultrasound-guided application of percutaneous electrolysis as an adjunct to exercise and manual therapy for subacromial pain syndrome: A randomized clinical trial // J Pain. 2018. Vol. 19, N 10. P. 1201–1210. doi: 10.1016/j.jpain.2018.04.017

[51] De Oliveira AK, da Costa KS, de Lucena GL, et al. Comparing exercises with and without electromyographic biofeedback in subacromial pain syndrome: A randomized controlled trial. Clin Biomech (Bristol, Avon). 2022;93:105596. doi: 10.1016/j.clinbiomech.2022.105596

[52] De Oliveira A.K., da Costa K.S., de Lucena G.L., et al. Comparing exercises with and without electromyographic biofeedback in subacromial pain syndrome: A randomized controlled trial // Clin Biomech (Bristol, Avon). 2022. Vol. 93. P. 105596. doi: 10.1016/j.clinbiomech.2022.105596

[53] Dunning J, Butts R, Fernández-de-Las-Peñas C, et al. Spinal manipulation and electrical dry needling in patients with subacromial pain syndrome: A multicenter randomized clinical trial. J Orthop Sports Phys Ther. 2021;51(2):72–81.

[54] Dunning J., Butts R., Fernández-de-Las-Peñas C., et al. Spinal manipulation and electrical dry needling in patients with subacromial pain syndrome: A multicenter randomized clinical trial // J Orthop Sports Phys Ther. 2021. Vol. 51, N 2. P. 72–81. doi: 10.2519/jospt.2021.9785

[55] doi: 10.2519/jospt.2021.9785

[56] Eliason A., Harringe M., Engström B., Werner S. Guided exercises with or without joint mobilization or no treatment in patients with subacromial pain syndrome: A clinical trial // J Rehabil Med. 2021. Vol. 53, N 5. P. jrm00190. doi: 10.2340/16501977-2806

[57] Eliason A, Harringe M, Engström B, Werner S. Guided exercises with or without joint mobilization or no treatment in patients with subacromial pain syndrome: A clinical trial. J Rehabil Med. 2021;53(5):jrm00190. doi: 10.2340/16501977-2806

[58] Eraslan L., Yar O., Ergen F.B., et al. Utilizing scapula retraction exercises with or without glenohumeral rotational exercises with a gradual progression for subacromial pain syndrome // Sports Health. 2024. Vol. 16, N 1. P. 97–108. doi: 10.1177/19417381231155190

[59] Eraslan L, Yar O, Ergen FB, et al. Utilizing scapula retraction exercises with or without glenohumeral rotational exercises with a gradual progression for subacromial pain syndrome. Sports Health. 2024;16(1):97–108. doi: 10.1177/19417381231155190

[60] Gutiérrez-Espinoza H., Araya-Quintanilla F., Pinto-Concha S., et al. Specific versus general exercise programme in adults with subacromial impingement syndrome: A randomised controlled trial // BMJ Open Sport Exerc Med. 2023. Vol. 9, N 3. P. e001646. doi: 10.1136/bmjsem-2023-001646

[61] Gutiérrez Espinoza H, Araya-Quintanilla F, Pinto-Concha S, et al. Specific versus general exercise programme in adults with subacromial impingement syndrome: A randomised controlled trial. BMJ Open Sport Exerc Med. 2023;9(3):e001646. doi: 10.1136/bmjsem-2023-001646

[62] Gutiérrez-Espinoza H., Pinto-Concha S., Sepúlveda-Osses O., Araya-Quintanilla F. Effectiveness of scapular mobilization in people with subacromial impingement syndrome: A randomized controlled trial // Ann Phys Rehabil Med. 2023. Vol. 66, N 5. P. 101744. doi: 10.1016/j.rehab.2023.101744

[63] Gutiérrez-Espinoza H, Pinto-Concha S, Sepúlveda-Osses O, Araya-Quintanilla F. Effectiveness of scapular mobilization in people with subacromial impingement syndrome: A randomized controlled trial. Ann Phys Rehabil Med. 2023;66(5):101744. doi: 10.1016/j.rehab.2023.101744

[64] Gutiérrez-Espinoza H., Araya-Quintanilla F., Gutiérrez-Monclus R., et al. Does pectoralis minor stretching provide additional benefit over an exercise program in participants with subacromial pain syndrome? A randomized controlled trial // Musculoskelet Sci Pract. 2019. Vol. 44. P. 102052. doi: 10.1016/j.msksp.2019.102052

[65] Gutiérrez-Espinoza H, Araya-Quintanilla F, Gutiérrez-Monclus R, et al. Does pectoralis minor stretching provide additional benefit over an exercise program in participants with subacromial pain syndrome? A randomized controlled trial. Musculoskelet Sci Pract. 2019;44:102052. doi: 10.1016/j.msksp.2019.102052

[66] Haider R., Bashir M.S., Adeel M., et al. Comparison of conservative exercise therapy with and without Maitland Thoracic Manipulative therapy in patients with subacromial pain: Clinical trial // J Pak Med Assoc. 2018. Vol. 68, N 3. P. 381–387.

[67] Haider R, Bashir MS, Adeel M, et al. Comparison of conservative exercise therapy with and without Maitland Thoracic Manipulative therapy in patients with subacromial pain: Clinical trial. J Pak Med Assoc. 2018;68(3):381–387.

[68] Heron S.R., Woby S.R., Thompson D.P. Comparison of three types of exercise in the treatment of rotator cuff tendinopathy/shoulder impingement syndrome: A randomized controlled trial // Physiotherapy. 2017. Vol. 103, N 2. P. 167–173. doi: 10.1016/j.physio.2016.09.001

[69] Heron SR, Woby SR, Thompson DP. Comparison of three types of exercise in the treatment of rotator cuff tendinopathy/shoulder impingement syndrome: A randomized controlled trial. Physiotherapy. 2017;103(2):167–173. doi: 10.1016/j.physio.2016.09.001

[70] Hotta G.H., Gomes de Assis Couto A., Cools A.M., et al. Effects of adding scapular stabilization exercises to a periscapular strengthening exercise program in patients with subacromial pain syndrome: A randomized controlled trial // Musculoskelet Sci Pract. 2020. Vol. 49. P. 102171. doi: 10.1016/j.msksp.2020.102171

[71] Hotta GH, Gomes de Assis Couto A, Cools AM, et al. Effects of adding scapular stabilization exercises to a periscapular strengthening exercise program in patients with subacromial pain syndrome: A randomized controlled trial. Musculoskelet Sci Pract. 2020;49:102171. doi: 10.1016/j.msksp.2020.102171

[72] İğrek S., Çolak T.K. Comparison of the effectiveness of proprioceptive neuromuscular facilitation exercises and shoulder mobilization patients with subacromial impingement syndrome: A randomized clinical trial // J Bodyw Mov Ther. 2022. Vol. 30. P. 42–52. doi: 10.1016/j.jbmt.2021.10.015

[73] İğrek S, Çolak TK. Comparison of the effectiveness of proprioceptive neuromuscular facilitation exercises and shoulder mobilization patients with subacromial impingement syndrome: A randomized clinical trial. J Bodyw Mov Ther. 2022;30:42–52. doi: 10.1016/j.jbmt.2021.10.015

[74] Juul-Kristensen B., Larsen C.M., Eshoj H., et al. Positive effects of neuromuscular shoulder exercises with or without EMG-biofeedback, on pain and function in participants with subacromial pain syndrome: A randomised controlled trial // J Electromyogr Kinesiol. 2019. Vol. 48. P. 161–168. doi: 10.1016/j.jelekin.2019.07.009

[75] Juul-Kristensen B, Larsen CM, Eshoj H, et al. Positive effects of neuromuscular shoulder exercises with or without EMG-biofeedback, on pain and function in participants with subacromial pain syndrome: A randomised controlled trial. J Electromyogr Kinesiol. 2019;48:161–168. doi: 10.1016/j.jelekin.2019.07.009

[76] Kvalvaag E., Roe C., Engebretsen K.B., et al. One year results of a randomized controlled trial on radial extracorporeal shock wave treatment, with predictors of pain, disability and return to work in patients with subacromial pain syndrome // Eur J Phys Rehabil Med. 2018. Vol. 54, N 3. P. 341–350. doi: 10.23736/S1973-9087.17.04748-7

[77] Kvalvaag E, Roe C, Engebretsen KB, et al. One year results of a randomized controlled trial on radial Extracorporeal Shock Wave Treatment, with predictors of pain, disability and return to work in patients with subacromial pain syndrome. Eur J Phys Rehabil Med. 2018;54(3):341–350. doi: 10.23736/S1973-9087.17.04748-7

[78] Moslehi M., Letafatkar A., Miri H. Feedback improves the scapular-focused treatment effects in patients with shoulder impingement syndrome // Knee Surg Sports Traumatol Arthrosc. 2021. Vol. 29, N 7. P. 2281–2288. doi: 10.1007/s00167-020-06178-z

[79] Moslehi M, Letafatkar A, Miri H. Feedback improves the scapular-focused treatment effects in patients with shoulder impingement syndrome. Knee Surg Sports Traumatol Arthrosc. 2021;29(7):2281–2288. doi: 10.1007/s00167-020-06178-z

[80] Nejati P., Ghahremaninia A., Naderi F., et al. Treatment of subacromial impingement syndrome: Platelet-rich plasma or exercise therapy? A randomized controlled trial // Orthop J Sports Med. 2017. Vol. 5, N 5. P. 2325967117702366. doi: 10.1177/2325967117702366

[81] Nejati P, Ghahremaninia A, Naderi F, et al. Treatment of subacromial impingement syndrome: Platelet-rich plasma or exercise therapy? A randomized controlled trial. Orthop J Sports Med. 2017;5(5):2325967117702366. doi: 10.1177/2325967117702366

[82] Paavola M., Kanto K., Ranstam J., et al.; Finnish Shoulder Impingement Arthroscopy Controlled Trial (FIMPACT) Investigators. Subacromial decompression versus diagnostic arthroscopy for shoulder impingement: A 5-year follow-up of a randomised, placebo surgery controlled clinical trial // Br J Sports Med. 2021. Vol. 55, N 2. P. 99–107. doi: 10.1136/bjsports-2020-102216

[83] Paavola M, Kanto K, Ranstam J, et al.; Finnish Shoulder Impingement Arthroscopy Controlled Trial (FIMPACT) Investigators. Subacromial decompression versus diagnostic arthroscopy for shoulder impingement: A 5-year follow-up of a randomised, placebo surgery controlled clinical trial. Br J Sports Med. 2021;55(2):99–107. doi: 10.1136/bjsports-2020-102216

[84] Pekgöz F., Taşkıran H., Kaya Mutlu E., et al. Comparison of mobilization with supervised exercise for patients with subacromial impingement syndrome // Turk J Phys Med Rehabil. 2020. Vol. 66, N 2. P. 184–192. doi: 10.5606/tftrd.2020.3649

[85] Pekgöz F, Taşkıran H, Kaya Mutlu E, et al. Comparison of mobilization with supervised exercise for patients with subacromial impingement syndrome. Turk J Phys Med Rehabil. 2020;66(2):184–192. doi: 10.5606/tftrd.2020.3649

[86] Pekyavas N.O., Ergun N. Comparison of virtual reality exergaming and home exercise programs in patients with subacromial impingement syndrome and scapular dyskinesis: Short term effect // Acta Orthop Traumatol Turc. 2017. Vol. 51, N 3. P. 238–242. doi: 10.1016/j.aott.2017.03.008

[87] Pekyavas NO, Ergun N. Comparison of virtual reality exergaming and home exercise programs in patients with subacromial impingement syndrome and scapular dyskinesis: Short term effect. Acta Orthop Traumatol Turc. 2017;51(3):238–242.doi: 10.1016/j.aott.2017.03.008

[88] Schydlowsky P., Szkudlarek M., Madsen O.R. Comprehensive supervised heavy training program versus home training regimen in patients with subacromial impingement syndrome: A randomized trial // BMC Musculoskelet Disord. 2022. Vol. 23, N 1. P. 52. doi: 10.1186/s12891-021-04969-0

[89] Schydlowsky P, Szkudlarek M, Madsen OR. Comprehensive supervised heavy training program versus home training regimen in patients with subacromial impingement syndrome: A randomized trial. BMC Musculoskelet Disord. 2022;23(1):52.doi: 10.1186/s12891-021-04969-0

[90] Semjonova G., Vetra J., Cauce V., et al. Improving the recovery of patients with subacromial pain syndrome with the daid smart textile shirt // Sensors (Basel). 2020. Vol. 20, N 18. P. 5277. doi: 10.3390/s20185277

[91] Semjonova G, Vetra J, Cauce V, et al. Improving the recovery of patients with subacromial pain syndrome with the daid smart textile shirt. Sensors (Basel). 2020;20(18):5277. doi: 10.3390/s20185277

[92] Sharma S., Ghrouz A.K., Hussain M.E., et al. Progressive resistance exercises plus manual therapy is effective in improving isometric strength in overhead athletes with shoulder impingement syndrome: A randomized controlled trial // Biomed Res Int. 2021. Vol. 2021. P. 9945775. doi: 10.1155/2021/9945775

[93] Sharma S, Ghrouz AK, Hussain ME, et al. Progressive resistance exercises plus manual therapy is effective in improving isometric strength in overhead athletes with shoulder impingement syndrome: A randomized controlled trial. Biomed Res Int. 2021;2021:9945775. doi: 10.1155/2021/9945775

[94] Tahran Ö., Yeşilyaprak S.S. Effects of modified posterior shoulder stretching exercises on shoulder mobility, pain, and dysfunction in patients with subacromial impingement syndrome // Sports Health. 2020. Vol. 12, N 2. P. 139–148. doi: 10.1177/1941738119900532

[95] Tahran Ö, Yeşilyaprak SS. Effects of modified posterior shoulder stretching exercises on shoulder mobility, pain, and dysfunction in patients with subacromial impingement syndrome. Sports Health. 2020;12(2):139–148. doi: 10.1177/1941738119900532

[96] Turgut E., Duzgun I., Baltaci G. Effects of scapular stabilization exercise training on scapular kinematics, disability, and pain in subacromial impingement: A randomized controlled trial // Arch Phys Med Rehabil. 2017. Vol. 98, N 10. P. 1915–1923.e3. doi: 10.1016/j.apmr.2017.05.023

[97] Turgut E, Duzgun I, Baltaci G. Effects of scapular stabilization exercise training on scapular kinematics, disability, and pain in subacromial impingement: A randomized controlled trial. Arch Phys Med Rehabil. 2017;98(10):1915–1923.e3. doi: 10.1016/j.apmr.2017.05.023

[98] Vallés-Carrascosa E., Gallego-Izquierdo T., Jiménez-Rejano J.J., et al. Pain, motion and function comparison of two exercise protocols for the rotator cuff and scapular stabilizers in patients with subacromial syndrome // J Hand Ther. 2018. Vol. 31, N 2. P. 227–237. doi: 10.1016/j.jht.2017.11.041

[99] Vallés-Carrascosa E, Gallego-Izquierdo T, Jiménez-Rejano JJ, et al. Pain, motion and function comparison of two exercise protocols for the rotator cuff and scapular stabilizers in patients with subacromial syndrome. J Hand Ther. 2018;31(2):227–237. doi: 10.1016/j.jht.2017.11.041

[100] Vergili O., Oktas B., Canbeyli I.D. Comparison of kinesiotaping, exercise and subacromial injection treatments on functionality and life quality in shoulder impingement syndrome: A randomized controlled study // Indian J Orthop. 2020. Vol. 55, N 1. P. 195–202. doi: 10.1007/s43465-020-00167-7

[101] Vergili O, Oktas B, Canbeyli ID. Comparison of kinesiotaping, exercise and subacromial injection treatments on functionality and life quality in shoulder impingement syndrome: A randomized controlled study. Indian J Orthop. 2020;55(1):195–202. doi: 10.1007/s43465-020-00167-7

[102] Yılmaz M., Eroglu S., Dundar U., Toktas H. The effectiveness of high-intensity laser therapy on pain, range of motion, functional capacity, quality of life, and muscle strength in subacromial impingement syndrome: A 3-month follow-up, double-blinded, randomized, placebo-controlled trial // Lasers Med Sci. 2022. Vol. 37, N 1. P. 241–250. doi: 10.1007/s10103-020-03224-7

[103] Yılmaz M, Eroglu S, Dundar U, Toktas H. The effectiveness of high-intensity laser therapy on pain, range of motion, functional capacity, quality of life, and muscle strength in subacromial impingement syndrome: A 3-month follow-up, double-blinded, randomized, placebo-controlled trial. Lasers Med Sci. 2022;37(1):241–250. doi: 10.1007/s10103-020-03224-7

[104] Fahy K., Galvin R., Lewis J., Mc Creesh K. Exercise as effective as surgery in improving quality of life, disability, and pain for large to massive rotator cuff tears: A systematic review & meta-analysis // Musculoskelet Sci Pract. 2022. Vol. 61. P. 102597. doi: 10.1016/j.msksp.2022.102597

[105] Fahy K, Galvin R, Lewis J, Mc Creesh K. Exercise as effective as surgery in improving quality of life, disability, and pain for large to massive rotator cuff tears: A systematic review & meta-analysis. Musculoskelet Sci Pract. 2022;61:102597. doi: 10.1016/j.msksp.2022.102597

[106] Kucksdorf J.J., Bartley J., Rhon D.I., Young J.L. Reproducibility of exercise interventions in randomized controlled trials for the treatment of rotator cuff-related shoulder pain: A systematic review // Arch Phys Med Rehabil. 2023. P. S0003-9993(23)00531-2. doi: 10.1016/j.apmr.2023.09.007

[107] Kucksdorf JJ, Bartley J, Rhon DI, Young JL. Reproducibility of exercise interventions in randomized controlled trials for the treatment of rotator cuff-related shoulder pain: A systematic review. Arch Phys Med Rehabil. 2023:S0003-9993(23)00531-2. doi: 10.1016/j.apmr.2023.09.007

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