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. 2021 Feb 16;11(2):e044462. doi: 10.1136/bmjopen-2020-044462

Table 1.

Characteristics of included studies

Article Study design Population Intervention
Bennell et al35 Parallel group RCT 120 patients with RC disease 10 weeks
G1: Soft tissue massage, glenohumeral joint mobilisation, thoracic mobilisation, cervical mobilisation, scapular retraining, postural taping and supervised exercises
G2: Placebo
Cloke et al36 Parallel group RCT 112 patients with painful arc/subacromial impingement of less than 6 month’s duration 18 weeks
G1: Subacromial corticosteroid injections
G2: Specific exercise and manual therapy package
G3: Subacromial corticosteroid injections and specific exercise and manual therapy package
G4: Non-steroidal anti-inflammatory drugs or simple analgesia
Dickens et al37 Parallel group RCT 73 patients listed for surgery for subacromial impingement syndrome 6 months
G1: Mobilisation of the glenohumeral joint, acromioclavicular joint, thoracic mobilisation, cervical mobilisation and exercise therapy (including attention to muscle imbalance, postural advice, strapping and electrotherapy
G2: No active intervention
Ginn and Cohen38 Parallel group RCT 138 patients with unilateral mechanical shoulder pain over 1 month’s duration 5 weeks
G1: Exercise programme including shoulder muscle stretching, strengthening and motor retraining
G2: Corticosteroid injection
G3: Multiple physical modalities
Haahr et al39 Parallel group RCT 84 patients with shoulder pain, pain on abduction of the shoulder with a painful arch, a positive Hawkins sign and a positive impingement test 12 weeks
G1: Physiotherapy (heat/cold packs, soft tissue treatments, active training of periscapular muscles and strengthening of stabilising muscles of the shoulder joint)
G2: Arthroscopic subacromial decompression
Hay et al40 Parallel group RCT 207 patients who presented with a new episode of unilateral shoulder pain between June 1998 and March 2000 6 weeks
G1: Subacromial corticosteroid injection
G2: Physiotherapy package (advice and instruction on pain relief, active shoulder exercises reinforced by a home programme, ultrasound and/or manual therapy as indicated)
Kachingwe et al41 Parallel group RCT 33 patients with primary shoulder impingement 6 weeks
G1: Supervised exercise only
G2: Supervised exercise with glenohumeral mobilisations
G3: Supervised exercise with a mobilisation-with-movement technique
G4: Control group (physician advice only)
Rhon et al42 Parallel group RCT 104 patients aged 18–65 years with unilateral shoulder impingement syndrome 3 weeks
G1: Manual physical therapy; joint and soft-tissue mobilisations, manual stretches, contract-relax techniques, and reinforcing exercises directed to the shoulder girdle or thoracic/cervical spine
G2: Subacromial corticosteroid injection
Szczurko et al43 Parallel group RCT 85 Canadian postal workers with RC tendinitis 12 weeks
G1: Naturopathic care (dietary advice, acupuncture, phlogenzym supplement)
G2: Physical exercise (passive, active-assisted and active range of motion muscle strengthening)
G3: Placebo
Winters et al44 Parallel group RCT 198 patients with shoulder complaints 11 weeks
G1: Corticosteroid injection (glenohumeral joint capsule, subacromial space or acromioclavicular joint)
G2: ‘Classic’ physiotherapy (such as exercise therapy, massage and physical applications)
G3: Mobilisation and manipulation of the cervical spine, upper thoracic spine, upper ribs (on the segmental level), acromioclavicular joint and glenohumeral joint

RC, rotator cuff; RCT, randomised controlled trial.