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December/January 2009/2010 (vol. 06/4)
Shouldering the burden
Shoulder impingement syndrome is a painful condition that limits function, particularly in overhead activities. This systematic review of 18 papers (including one workplace study) found moderate evidence that physiotherapist-led exercises and surgery are equally effective, especially in the longer-term and moderate evidence to support the use of manual therapy combined with physiotherapist-led exercises. Home-based exercises, including isometric strengthening, are as effective as mixed physiotherapy. Ultrasound is not effective.
Journal of Rehabilitation Medicine 2009; 41: 870–880. http://medicaljournals.se/jrm/content/?doi=10.2340/16501977-0453
Occupational Health at Work December/January 2009/2010 (vol. 06/4) pp41