The efficacy of higher versus lower dose exercise in rotator cuff tendinopathy: A systematic review of randomised controlled trials

Archives of Physical Medicine and Rehabilitation
Peter MalliarasRachelle Buchbinder

Abstract

to compare the effectiveness and harms of higher exercise dose, including higher exercise load and/or higher volume, with lower exercise dose (lower load and/or lower volume) in people with rotator cuff tendinopathy DESIGN: Systematic review (PROSPERO: CRD42017077478) DATA SOURCES: CENTRAL, MEDLINE, EMBASE, CINAHL from inception to March 2019. Randomised controlled trials comparing higher versus lower dose exercise. Two authors independently determined eligibility, extracted data and assessed risk of bias using the Cochrane tool. Outcomes were function and pain (overall, activity, night), and proportion of participants with adverse events. The primary endpoint was >six weeks to three months (other endpoints included up to six weeks & beyond three months) and GRADE was used to assess evidence certainty. Three trials (N=283), none at low risk of bias for all domains, were included. Low certainty evidence (1 trial, N=102) indicated improved function (20 points [95% CI 12 to 28 points] on 0-100 point scale) with higher load and volume exercise at three months, but little or no clinically important between-group difference in activity or night pain (overall pain not reported). Very low certainty evidence (1 trial, N=120) indicated h...Continue Reading

Citations

Nov 30, 2020·Musculoskeletal Science & Practice·A SmytheP Malliaras
Apr 2, 2021·The Journal of Orthopaedic and Sports Physical Therapy·Jared K Powell, Jeremy S Lewis
May 15, 2021·Journal of Clinical Orthopaedics and Trauma·Katy BolandJulia Walton

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