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. 2018 Jun;13(3):335–378.
First Author (Year) Follow-up Period Pain Treatment groups (n = ) Intragroup difference Statistically significant
(*clinical significance)
Between group difference Statistically significant
(*clinical significance)
Itoi (1992)109 3.4 yr (1 – 9 yr) Wolfgang criteria pain (0-4) G0: All patients (62)
G1: Satisfied (15)
G2: Unsatisfied (8)
(Pre→post)
Motion pain (percent cohort):
G0: 82%→45%
Night pain (percent cohort):
G0: NP: 55%→23%
Wolfgang pain (points): **
G0: 2.0→ 3.0
G1: 2.2→3.3
G2: 2.4→2.1
(Post)
Wolfgang pain:
G0: P < 0.001*
G1: P < 0.01*
G2: P > 0.5
NR NA
Bokor (1993)105 7.6 yr
(3.7 – 12 yr)
-ASES pain scale G1: Non-surgical (53) (Pre→post)
ASES (n = )
None: 0→22
Slight: 2→17
Mild: 7→8
Moderate: 20→4
Severe: 24→2
NR NA NA
Hawkins (1995)108 3.8 yr -Constant-murley pain score
-‘Sleep loss due to NP’
G1: Non-surgical (19)
G2: Not satisfied w/ non-surgical
(14)
(Pre→post)
Constant-murley (score):
G1: 9.3→10.9
G2: 7.3→10.3
Sleep loss (percent cohort):
G1: 42%
G2: 79%
NR (Post)
Sleep loss (percent cohort):
G1: 42%
G2: 79%
(Post)
p = 0.01128*
Wirth (1997)114 >/= 2 yr ASES pain scale G1: Exercise therapy (60) NR NR NA NA
Palmer (1998)101 2 yr NR Aquatic Therapy (1) NR NR NR NR
Yamada (2000)115 4 yr (12 mo – 19 yr) -JOA pain score G1: Non-surgical
(14) G2: Surgery (26)
(Post)
(Percent improvement);
G1: 57.7%
G2: 70.9%
(Post)
G1: p=0.0012*
G2: p<0.001*
NR NR
Goldberg (2001)107 6 mo Intervals 2.5 yr NR G1: Non-surgical (46) NR NR NR NR
Shibata (2001)126 24 wk UCLA pain G1: 25 mg sodium Hyaluronate
& 3 mL 1% lidocaine (38)
G2: 2mg Dexamethasone & 3
mL 1% lidocaine (40)
(Pre→post)
Pain score:
G1: 2.37→ 5.31
G2: 2.5→5.14
NR NR NR
Vad (2002)120 3.1 yr
(Range: 2-7 yr)
-Shoulder Rating Questionnaire G1a: PT + meds (28)
G1b: PT + meds + CS (12)
G2: Failed G1a/b arthroscopy (32)
G3: Primary surgery RCT repair (36)
(Pre→post)
G1:20.8→30.7
G2: 20.7→39.5
G3: 16.3→40.5
(Post)
G1: Pp<0.05*
G2: p < 0.05*
G3: p < 0.05*
(Post)
G1b greater ↓pain vs G1a
(values NR)
(Post)
G1a vs G1b (p < 0.05)
Piccoli (2004)102 7 wk -Pain VAS Single case (Pre→7 wk)
10/10 → 3/10
NA NA NA
Ainsworth (2006)104 Avg: 10.8 mo (Range: 2-36 mo) -SF36 pain score G1: Non-surgical (10)
(Torbay rehab program)
(Post)
(improvement)
G1: 22 points
NR NR NR
Levy (2007)116 9 mo -Constant-murley pain score G1: Non-surgical (17) (Pre→≥9 mo)
Constant-murley (score
(range)):
G1: 6 (0-9) → 12 (7-15)
NR NR NR
Lunn (2007)119 50 mo -Constant-murley pain score G1: Nonoperative (14)
G2: Open repair (5)
(Pre→post)
Constant-murley (score):
G1: 4.9→9.5
G2: 5.1→9.3
NR NR NR
Ainsworth (2009)127 12 mo SF-36 pain G1: PT + Exercise (30)
G2: Control (Placebo) (no exercise) (30)
(3 mo→6 mo→12 mo)
SF-36 pain (score change from baseline)
G1: + 4.26→+3.65→+1.56
G2: (-)3.5→+4.58→+4.42
NR (3 mo→6 mo→12 mo)
SF-36 pain (score change from baseline)
G1: + 4.26→+3.65→+1.56
G2: (-)3.5→+4.58→+4.42
(3 mo, 6 mo, 12 mo)
SF-36 pain (score change from baseline)
G1 vs G2: P > 0.05 (NS)
-All time points
Baydar (2008)118 6 mo, 1 yr, 3 yr (Pt. report) -ASES pain
-SF-36 bodily pain
G1: Non-surgical (20) (Pre→ 6 mo)
ASES pain (score):
G1: 20.15→ 40.0
SF-36 bodily pain (score)
G1: 36.1 → 73.6
(6 mo)
ASES: P < 0.01*
SF-36: P < 0.001*
NA NA
Moosmayer (2010/2014)47,48
6 mo, 1 yr,
2 yr, 5 yr
-ASES pain scale G1: Surgical (52)
G2: PT (51)
†G3: G2→G1 (9; 18%)
†G4: PT only (39)
(Pre→6 mo→12 mo→5 yr)
ASES (cm):
G1: 5.6→1.1→0.5→0.6
G2: 5.3→2.6→2.1 →1.6
G3: 6.3
G4: 5.0
NR (Pre)
G3: 6.3
G4: 5.0
(1 yr)
G1: 0.5 cm
G2: 2.1 cm
(5 yr)
G1: 1.6 cm
G2: 0.6 cm
(Pre)
G3 vs G4: p<0.05
(1 yr)
G1 vs G2: p < 0.0005
(5 yr)
G1 vs G2: p < 0.05
Tanaka (2010)113 G1: 2.4 yr G2: 2.2 yr -Time 0: Night pain G1: Non-surgical
(subjects: 62; shoulders: 65)
G2 Failed G1→surgery
(subjects: 56; shoulders: 58)
(Post)
(Percent of cohort):
G1: 67.6%
G2: 70.6%
NR (Post)
(Percent of cohort):
G1: 67.6%
G2: 70.6%
(Post)
P = 0.719 (NS)
Gialanella (2011)128 6 mo -Pain VAS G1: PT & CS (x1) (20)
G2: PT & CS (x2) (20)
G3: PT (control) (20)
(Pre→1 mo→3 mo→ 6 mo)
Rest pain (cm):
G1: 1.8→0.5→0.6→0.8
G2: 1.9→1.0→1.1→1.5
G3: 0.6→0.9→0.6→0.7
Activity pain (cm):
G1: 7.1→3.8→3.7→5.4
G2: 7.3→3.9→4.0→5.4
G3: 6.9→6.7→6.5→6.8
Night pain (cm):
G1: 5.8→2.1→2.7→3.5
G2: 5.5→1.8→1.9→2.9
G3: 4.6→ 4.5→4.6→4.6
(1 & 3 mo)
Rest pain (cm):
G1: P < 0.05*
Activity pain (cm):
G1 & G2: p < 0.001*
Night pain (cm):
G1 & G2: p < 0.001*
(6 mo)
Activity pain (cm):
G1: p < 0.01*
G2: Pp<0.001*
Night pain (cm):
G1 & G2: P < 0.001*
(1 & 3 mo)
Activity pain (cm):
G1 & G2 lower than G3
Night pain (cm):
G1 & G2 lower than G3
(1 & 3 mo)
Activity pain (cm):
G1 & G2 vs G3: p < 0.001*
G1 vs G2 : NS
Night pain (cm):
G1 & G2 vs G3: p < 0.001*
G1 vs G2 : NS
Merolla (2011)1 12 mo. Pain VAS G0: Conservative therapy (60)
G1: ‘Successful’ (33)
G2: G0→ surgery (27)
(Pre→3 mo→6 mo→12 mo)
Pain (mm):
G1: 8.5→3.3→4.1→4.8
G2: 8.5→6.9→7.8→7.9
NR (Pre→3 mo→6 mo→12mo)
Pain (mm):
G1: 8.5→3.3→4.1→4.8
G2: 8.5→6.9→7.8→7.9
NA
Kijma (2012)110 12.9 yr -JOAS pain scale G1: Nonsurgical (43) (Post)
JOAS (points): 25.4
No pain (n=): 24 (56%)
Needed meds (n=): 5 (12%)
NR NR NR
Krischak (2013)124 2 mo Pain VAS G1: Standard OT (22)
G2: Home exercises (16)
(Pre→2 mo)
VAS (points):
G1: 5.2→3.5
G2: 5.0→3.8
NR (2 mo)
G1: 3.5
G2: 3.8
(2 mo)
G1 vs G2: P = 0.678 (NS)
Kuhn (2013)40 1 yr NR G0: PT program (422, 100%)
G1: Cured (237, 62.2%)
(no formal
f/u scheduled)
G2: Improved (continue PT)
G3: No better (82, 29%)
(offered surgery)
NR NA NR NA
Benazzo (2014)99 29 mo NR Non-surgical: (1) NR NA NA NA
Boorman (2014)123 29 mo NR G0: 3 mo .supervised,
non-operative§
G1: “Successful”(no
surgery indicated) (70;
75%)
G2: “failed” (underwent
surgery) (23; 25%)
NR NA NA NA
Güzelant (2014)117 66 mo (mean) -Pain VAS G1: “Conservative
therapy” (33)
(Pre→post)
Pain VAS (cm): 8.5→3.5
(Post)
Pain VAS: P<0.05*
P = 0.0378
NA NA
Kukkonen (2014/2015)52,125 24 mo -Constant-murley pain scale
-Pain VAS
G1: PT (55)
G2: Acromioplasty & PT (58)
G3: RC repair, acromioplasty & PT (54)
(Pre→6 mo→12 mo→24 mo)
Constant-Murley (score):**
G1: 10.3→12.1→12.1
G2: 10.8→13.4→13.6
G3: 10.2→13.4→13.8
Pain VAS (cm):
G1: 2.7→1.6→1.5→1.5
G2: 2.5→0.6→1.1 →1.0
G3: 2.6→0.9→1.0→0.6
NR (12 mo; 24 mo)
Constant-Murley (score):**
G1: 12.1; 12.1
G2: 13.4; 13.6
G3: 13.4; 13.8
(Pre→24 mo)
Pain VAS change (cm):
G1: -1.3
G2: -1.8
G3: -2.0
(12 mo)
Constant-Murley:
G1 vs G2/G3: P<0.05
(p = 0.0321)
(24 mo)
Constant-murley:
G1 vs G2/G3: P<0.05
(P = 0.01)
(Pre→24 mo)
Pain VAS change:
G1 vs G2 vs G3: P = 0.45 (NS)
Collin (2015)106 24 mo NR G1: “Rehab program” (45)
(nonoperative)
NR NA NA NA
Lambers Heerspink (2015)49 12 mo Pain VAS G1: “Conservative
Management” (31)
G2: RC repair (25)
(Pre→12 mo)
VAS (cm):
G1: 6.3→3.2
G2: 6.2→2.2
NA (12 mo)
Change VAS (cm):
G1: 2.9
G2: 4.0
(12 mo)
VAS: G1 vs G2: P = 0.04
Baumer (2016)121 ≥9 wk -Pain VAS G1: PT (25)
G2: Healthy controls (25)
(Pre→≥9 wk)
VAS (cm):
G1: 3.8→1.7
G2: 6.2→NR
(≥9 mo)
G1: P < 0.01*
(≥9 wk)
VAS (cm): G1: 1.7; G2: 6.2
(>9 wk)
VAS: G1 vs G2: P < 0.01*
Christensen (2016)122 ≥5 mo -Pain VAS
-EQ-5D
G1: Non-operative(30)
G2: Control (30)††
(Pre→≥5 mo)
VAS w/ Flx movement (cm):
G1: 5.0→1.0
VAS w/ Abd movement (cm):
G1: 5.0→2.0
VAS w/ ER movement (cm):
G1: 4.0→0.5
EQ-5D (median score):
G1: 60.0→80.0
(≥5 mo)
VAS Flx: P = 0.001*
VAS Abd: P < 0.001*
VAS ER: P = 0.015*
EQ-5D: P < 0.001*
NR NA
Miller (2016)111 12 wk NR G1: Exercise therapy NR NA NR NA
Mischke (2016)100 13 visits (time NR) NPRS Conservative therapy (1) (Pre→visit 7→ visit 13)
NPRS (0-10): 7→4→1
-Improved by MCID NA NA
Upadhyaya (2016)103 10 yr -“Hawkin's test”
-“Neer's test”
Non-operative treatment (1) (Pre → 10 yr)
Hawkin's test (pain):
(+) Pain → (+) Pain
Neer's test (pain):
(+) Pain → (+) Pain
NR NA NA
Moosmayer (2017)112 8.8 yr -Pain VAS G1: Non-operative (49)
G1a: Tear size < 9.9 mm (33)
G1b: Tear size 10-19.9 mm (8)
G1c: Tear Size ≥ 20 mm (8)
(≥ 8.8 yr)
VAS (score):
G1a: 1.0
G1b: 2.0
G1c: 5.5
NR (≥ 8.8 yr)
VAS (score):
G1a & G1b: 1.0
G1c: 5.5
(≥ 8.8 yr)
VAS (score):
G1a & G1b vs G1c:
P < 0.004*

AP, activity pain; ASES, American shoulder and elbow surgeon's evaluation form; Avg, average; Constant-murley, constant murley shoulder outcome score; CS, corticoid steroid; F/U, follow up; G, group; HEP, home exercise program; JOAS, Japanese orthopedic Association score; Mo, month; NA, not applicable; NP, night pain; NPRS, numerical pain rating scale; NR, not reported; NS, not statistically significant;; PROM, passive range of motion; PT, physical therapy; RP, resting pain; SPADI, shoulder pain and disability index; VAS, visual analog scale; Wk, week; Yr, year; *, clinical significance, indicates a statistical significant difference and a ≥20% difference; †, G3 and G4 are a subset of G2; ‡, all subjects began a physical therapy program and were reevaluated at 6 and 12 weeks, at those times patient were assigned to G1, G2, or G3 based on findings; §, all subjects underwent a 3 mo supervised program of nonoperative treatment & with an evaluated by orthopedic surgeon and assigned to G1 or G2; **, values estimated to nearest tenth based off graphical representation, as no specific numerical values reported with-in study; ††, subjects in G1 served as their own controls which composed G2.