Conservative treatment of shoulder instability – quality of research and treatment effectiveness.
Item
- Title
- Conservative treatment of shoulder instability – quality of research and treatment effectiveness.
- Author(s)
- Meier, K
- Abstract
- Introduction: A commonly used treatment for shoulder instability is management based on exercise. However the use of surgery is also a very common choice of treatment especially for recurrent instability (traumatic or atraumatic). The primary aim of this study is to investigate the progression of quality of studies on conservative treatment of shoulder instability since the last systematic review done by Gibson, K , et al. (2004), which showed that study quality was very poor. An improvement in quality is warranted. The secondary aim is to investigate the effectiveness of conservative treatment of shoulder instability. Methods: This is a structured literature review. The databases used for the literature search were Google Scholar, ScienceDirect (use of related articles tool), Cochrane Library, Swetswise, Greenwich library (accessed via ESO library). Keywords used were: shoulder AND instability, shoulder AND non-operative treatment, athlete AND shoulder AND instability, traumatic shoulder instability, Physiotherapy AND shoulder AND instability, physiotherapy AND shoulder, physiotherapy AND athlete. Studies were assessed in quality using Strength of Recommendation Taxonomy (SORT) as well as key recommendations set by Gibson, K., et al. (2004) which include immobilization, vigorous strengthening, comparison of two different protocols, standardized outcome measures, and the use of shoulder orthoses. JADAD and PEDro scores were also used. /nc/usion criteria.' 0512003-2014, primary studies evaluating outcomes of conservative treatment on shoulder instability, English-only; instability types; first time treatment. Exclusion Criteria.- case-studies, literature reviews, non-English, posterior dislocation only, previous shoulder surgeries or treatment on symptomatic shoulder, articles that are not accessible via Greenwich OpenAthens (Abstract only). Results: The search brought up 384 primary studies on shoulder instability. After applying inclusion and exclusion criteria, 7 studies were left for assessment. Conclusion: The quality of studies had not changed since 2004, only the recommendation to use intensive strengthening had been followed. The effect of conservative treatment varies but is less advantageous to the patient than shoulder surgery and generally does not last when exercise is discontinued.
- presented at
- European School of Osteopathy
- Date Accepted
- 2015
- Date Submitted
- 2.12.2016 16:55:00
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 15906
- Inst-Identifier
- 1229
- Keywords
- shoulder, rehabilitation, surgery
- Recommended
- 0
- Item sets
- Thesis
Meier, K, “Conservative treatment of shoulder instability – quality of research and treatment effectiveness.”, Osteopathic Research Web, accessed May 2, 2025, https://www.osteopathic-research.org/s/orw/item/575