Journal article
The effect of conservative therapies on proprioception in subacromial pain syndrome: a narrative synthesis
- Abstract:
- Background: Physical exercises targeting proprioception are part of conservative therapy for Subacromial Pain Syndrome (SAPS). However, the effect of such exercises on proprioception itself has not been orderly established, hampering the advancement of treatment protocols and implementation. We summarised the evidence for a loss of proprioception in SAPS and defined the type of interventions that target and improve proprioception in SAPS. Methods: Two reviewers independently analysed 12/761 articles that evaluated joint position, kinaesthetic or force sense in patients with SAPS. Results: Patients with SAPS had reduced joint position sense during abduction. There was no evidence for a loss of kinaesthetic sense or force sense. Stretching, strengthening and stabilisation exercises improved joint position and kinaesthetic sense in SAPS. Microcurrent electrical stimulation and kinesiotaping did not improve proprioception in SAPS. Conclusions: The lack of evidence on proprioception in SAPS is striking. We found limited evidence for a loss of joint position sense in the higher ranges of abduction in SAPS. Active training programmes including strengthening and stabilisation exercises showed superiority in terms of enhancing proprioception relative to passive methods like kinesiotaping. The results of this narrative synthesis should be used as a base for providing value-based and data-driven treatment solutions to SAPS.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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(Preview, Version of record, 1.4MB, Terms of use)
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- Publisher copy:
- 10.1080/21679169.2020.1787511
Authors
- Publisher:
- Taylor & Francis
- Journal:
- European Journal of Physiotherapy More from this journal
- Pages:
- 1-10
- Publication date:
- 2020-07-02
- Acceptance date:
- 2020-06-20
- DOI:
- EISSN:
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2167-9177
- ISSN:
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2167-9169
- Language:
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English
- Keywords:
- Pubs id:
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1116331
- Local pid:
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pubs:1116331
- Deposit date:
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2020-07-04
Terms of use
- Copyright holder:
- Celeste L. Overbeek et al.
- Copyright date:
- 2020
- Rights statement:
- 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
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