Analysis of descriptions of therapeutic exercise procedures in the rehabilitation of patients with subacromial impingement syndrome: assessment using the Consensus on Exercise Reporting Template (CERT checklist)

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Abstract

BACKGROUND: Therapeutic exercises are the method of choice for conservative treatment of subacromial impingement syndrome. However, due to poor content reporting of exercise in clinical trials there are limitations in interpretation and replication of these trials’ methods and results. In 2016 the CERT (Consensus on Exercise Reporting Template) was developed to address this problem.

AIM: To evaluate the completeness of content reporting of exercise interventions in clinical trials for patients with subacromial impingement syndrome using CERT and implement the principles of CERT into our own practice by describing an original therapeutic exercise protocol.

MATERIALS AND METHODS: A search was conducted for scientific articles published from October 2016, that mentioned therapeutic exercises as a treatment method for subacromial impingement syndrome. Then, the CERT was applied to 34 selected publications, the data was analyzed and compared with similar studies. A description of an original therapeutic exercise protocol was conducted in accordance with the principles of CERT.

RESULTS: The mean CERT score was 9,9 (52,17%); median 10; range 4–18; 19 (55,88%) trials had a CERT score of ≥10, while the remaining 15 (44,12%) scored <10. The most poorly reported items were description of instructor qualifications (2), individual or group (3), motivation strategies (6), progression rule (7a), adverse events (11), tailored (how) (14b), starting level rule (15), adherence (planned and actual) (16a, 16b). Only 50% of studies included data on adherence report (5).

CONCLUSION: The description of therapeutic exercises for patients with subacromial impingement syndrome in published trials remains poorly reported. Proper critical analysis of studies using CERT should be taken into account when assessing the effectiveness of ongoing research investigating therapeutic gymnastics.

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About the authors

Arthur M. Gazimiev

The First Sechenov Moscow State Medical University (Sechenov University)

Author for correspondence.
Email: a.gazimiev@yandex.ru
ORCID iD: 0009-0005-7342-7974
SPIN-code: 7851-6300

MD

Russian Federation, 8-2 Trubetskaya street, 119991 Moscow

Zhanna Yu. Pilipson

European Clinic of Sports Traumatology and Orthopaedics (ECSTO)

Email: zhpilipson@emcmos.ru
ORCID iD: 0000-0002-1412-9986

MD

Russian Federation, Moscow

Elizaveta S. Koneva

The First Sechenov Moscow State Medical University (Sechenov University); MEDSI Group of Companies

Email: elizaveta.coneva@yandex.ru
ORCID iD: 0000-0002-9859-194X
SPIN-code: 8200-2155

MD, Dr. Sci. (Med.); Associate Professor

Russian Federation, 8-2 Trubetskaya street, 119991 Moscow; Otradnoye, Moscow Region

Dmitriy O. Ilyin

European Clinic of Sports Traumatology and Orthopaedics (ECSTO); Peoples' Friendship University of Russia

Email: dilyin@emcmos.ru
ORCID iD: 0000-0003-2493-4601
SPIN-code: 7947-5121

MD, Dr. Sci. (Med.)

Russian Federation, Moscow; Moscow

Vladislav A. Polonskii

The First Sechenov Moscow State Medical University (Sechenov University)

Email: vpol.med@yandex.ru
ORCID iD: 0009-0007-7191-0078
SPIN-code: 1338-7775

MD

Russian Federation, 8-2 Trubetskaya street, 119991 Moscow

Evgeniy E. Achkasov

The First Sechenov Moscow State Medical University (Sechenov University)

Email: achkasov_e_e@staff.sechenov.ru
ORCID iD: 0000-0001-9964-5199
SPIN-code: 5291-0906

MD, Dr. Sci. (Med.), Professor

Russian Federation, 8-2 Trubetskaya street, 119991 Moscow

Andrey V. Korolev

European Clinic of Sports Traumatology and Orthopaedics (ECSTO); Peoples' Friendship University of Russia

Email: akorolev@emcmos.ru
ORCID iD: 0000-0002-8769-9963
SPIN-code: 6980-6109

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow; Moscow

References

  1. Urwin M, Symmons D, Allison T, et al. Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Ann Rheum Dis. 1998;57(11):649–655. doi: 10.1136/ard.57.11.649
  2. Longo UG, Berton A, Papapietro N, et al. Epidemiology, genetics and biological factors of rotator cuff tears. Med Sport Sci. 2012;57:1–9. doi: 10.1159/000328868
  3. Ferlito R, Testa G, McCracken K, et al. Effectiveness of therapeutical interventions on the scapulothoracic complex in the management of patients with subacromial impingement and frozen shoulder: A systematic review. J Functional Morphology Kinesiology. 2023;8:38. doi: 10.3390/jfmk8020038
  4. Luime JJ, Koes BW, Hendriksen IJ, et al. Prevalence and incidence of shoulder pain in the general population: A systematic review. Scand J Rheumatol. 2004;33(2):73–81. doi: 10.1080/03009740310004667
  5. Page MJ, Green S, McBain B, et al. Manual therapy and exercise for rotator cuff disease. Cochrane Database Syst Rev. 2016;2016(6):CD012224. doi: 10.1002/14651858.CD012224
  6. Lafrance S, Charron M, Roy JS, et al. Diagnosing, managing, and supporting return to work of adults with rotator cuff disorders: A clinical practice guideline. J Orthop Sports Phys Ther. 2022;52(10):647–664. doi: 10.2519/jospt.2022.11306
  7. Diercks R, Bron C, Dorrestijn O, et al.; Dutch Orthopaedic Association. Guideline for diagnosis and treatment of subacromial pain syndrome: A multidisciplinary review by the Dutch Orthopaedic Association. Acta Orthop. 2014;85(3):314–322. doi: 10.3109/17453674.2014.920991
  8. Amosova NA, Arutyunov GP, Aukhadeev EI, et al. Therapeutic physical culture in the system of medical rehabilitation: A national guide. Moscow: GEOTAR-Media; 2022. 896 р. (In Russ).
  9. Pieters L, Lewis J, Kuppens K, et al. An update of systematic reviews examining the effectiveness of conservative physical therapy interventions for subacromial shoulder pain. J Orthop Sports Phys Ther. 2020;50(3):131–141. doi: 10.2519/jospt.2020.8498
  10. Signorino JA, Thompson AG, Hando BR, Young JL. Identifying conservative interventions for individuals with subacromial pain syndrome prior to undergoing a subacromial decompression: A scoping review. Int J Sports Phys Ther. 2023;18(2):293–308. doi: 10.26603/001c.73312
  11. Hoffmann TC, Glasziou PP, Boutron I, et al. Better reporting of interventions: Template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014;348:g1687. doi: 10.1136/bmj.g1687
  12. Ribeiro DC, Spiers K, Thomas L, et al. Monitoring, implementation and reporting of interventions in a selection of trials assessing exercise therapy for the management of shoulder subacromial pain: A cross-sectional investigation. BMJ Open. 2021;11(2):e044462. doi: 10.1136/bmjopen-2020-044462
  13. Slade SC, Dionne CE, Underwood M, et al. Consensus on Exercise Reporting Template (CERT): Modified delphi study. Phys Ther. 2016;96(10):1514–1524. doi: 10.2522/ptj.20150668
  14. Slade SC, Finnegan S, Dionne CE, et al. The Consensus on Exercise Reporting Template (CERT) applied to exercise interventions in musculoskeletal trials demonstrated good rater agreement and incomplete reporting. J Clin Epidemiol. 2018;103:120–130. doi: 10.1016/j.jclinepi.2018.07.009
  15. Kent P, O'Sullivan PB, Keating J, Slade SC. Evidence-based exercise prescription is facilitated by the Consensus on Exercise Reporting Template (CERT). Br J Sports Med. 2018;52(3):147–148. doi: 10.1136/bjsports-2016-097405
  16. Major DH, Røe Y, Grotle M, et al. Content reporting of exercise interventions in rotator cuff disease trials: Results from application of the Consensus on Exercise Reporting Template (CERT). BMJ Open Sport Exerc Med. 2019;5(1):e000656. doi: 10.1136/bmjsem-2019-000656
  17. Slade SC, Dionne CE, Underwood M, Buchbinder R. Consensus on Exercise Reporting Template (CERT): Explanation and elaboration statement. Br J Sports Med. 2016;50(23):1428–1437. doi: 10.1136/bjsports-2016-096651
  18. Alfredo PP, Bjordal JM, Junior WS, et al. Efficacy of low-level laser therapy combined with exercise for subacromial impingement syndrome: A randomised controlled trial. Clin Rehabil. 2021;35(6):851–860. doi: 10.1177/0269215520980984
  19. Aslanov N, Ersin A. Comparison of the effects of manual therapy and scapular stabilization exercises on pain, functional status, and quality of life in subacromial impingement syndrome. J Health Sci Med. 2023;6(6):1373–1379. doi: 10.32322/jhsm.1361109
  20. Azin Z, Kamali F, Salehi Dehno N, Abolahrari-Shirazi S. Comparison of manual therapy technique to therapeutic exercise in the treatment of patients with subacromial impingement syndrome: A randomized clinical trial. J Manipulative Physiol Ther. 2023;46(2):98–108. doi: 10.1016/j.jmpt.2023.06.002
  21. Berg OK, Paulsberg F, Brabant C, et al. High-intensity shoulder abduction exercise in subacromial pain syndrome. Med Sci Sports Exerc. 2021;53(1):1–9. doi: 10.1249/MSS.0000000000002436
  22. Björnsson Hallgren HC, Adolfsson LE, Johansson K, et al. Specific exercises for subacromial pain. Acta Orthop. 2017;88(6):600–605. doi: 10.1080/17453674.2017.1364069
  23. Christiansen DH, Hjort J. Group-based exercise, individually supervised exercise and home-based exercise have similar clinical effects and cost-effectiveness in people with subacromial pain: A randomised trial. J Physiother. 2021;67(2):124–131. doi: 10.1016/j.jphys.2021.02.015
  24. Clausen MB, Rathleff MS, Graven-Nielsen T, et al. Level of pain catastrophising determines if patients with long-standing subacromial impingement benefit from more resistance exercise: Predefined secondary analyses from a pragmatic randomised controlled trial (the SExSI Trial). Br J Sports Med. 2023;57(13):842–848. doi: 10.1136/bjsports-2022-106383
  25. De Miguel Valtierra L, Salom Moreno J, Fernández-de-Las-Peñas C, et al. Ultrasound-guided application of percutaneous electrolysis as an adjunct to exercise and manual therapy for subacromial pain syndrome: A randomized clinical trial. J Pain. 2018;19(10):1201–1210. doi: 10.1016/j.jpain.2018.04.017
  26. De Oliveira AK, da Costa KS, de Lucena GL, et al. Comparing exercises with and without electromyographic biofeedback in subacromial pain syndrome: A randomized controlled trial. Clin Biomech (Bristol, Avon). 2022;93:105596. doi: 10.1016/j.clinbiomech.2022.105596
  27. Dunning J, Butts R, Fernández-de-Las-Peñas C, et al. Spinal manipulation and electrical dry needling in patients with subacromial pain syndrome: A multicenter randomized clinical trial. J Orthop Sports Phys Ther. 2021;51(2):72–81.
  28. doi: 10.2519/jospt.2021.9785
  29. Eliason A, Harringe M, Engström B, Werner S. Guided exercises with or without joint mobilization or no treatment in patients with subacromial pain syndrome: A clinical trial. J Rehabil Med. 2021;53(5):jrm00190. doi: 10.2340/16501977-2806
  30. Eraslan L, Yar O, Ergen FB, et al. Utilizing scapula retraction exercises with or without glenohumeral rotational exercises with a gradual progression for subacromial pain syndrome. Sports Health. 2024;16(1):97–108. doi: 10.1177/19417381231155190
  31. Gutiérrez Espinoza H, Araya-Quintanilla F, Pinto-Concha S, et al. Specific versus general exercise programme in adults with subacromial impingement syndrome: A randomised controlled trial. BMJ Open Sport Exerc Med. 2023;9(3):e001646. doi: 10.1136/bmjsem-2023-001646
  32. Gutiérrez-Espinoza H, Pinto-Concha S, Sepúlveda-Osses O, Araya-Quintanilla F. Effectiveness of scapular mobilization in people with subacromial impingement syndrome: A randomized controlled trial. Ann Phys Rehabil Med. 2023;66(5):101744. doi: 10.1016/j.rehab.2023.101744
  33. Gutiérrez-Espinoza H, Araya-Quintanilla F, Gutiérrez-Monclus R, et al. Does pectoralis minor stretching provide additional benefit over an exercise program in participants with subacromial pain syndrome? A randomized controlled trial. Musculoskelet Sci Pract. 2019;44:102052. doi: 10.1016/j.msksp.2019.102052
  34. Haider R, Bashir MS, Adeel M, et al. Comparison of conservative exercise therapy with and without Maitland Thoracic Manipulative therapy in patients with subacromial pain: Clinical trial. J Pak Med Assoc. 2018;68(3):381–387.
  35. Heron SR, Woby SR, Thompson DP. Comparison of three types of exercise in the treatment of rotator cuff tendinopathy/shoulder impingement syndrome: A randomized controlled trial. Physiotherapy. 2017;103(2):167–173. doi: 10.1016/j.physio.2016.09.001
  36. Hotta GH, Gomes de Assis Couto A, Cools AM, et al. Effects of adding scapular stabilization exercises to a periscapular strengthening exercise program in patients with subacromial pain syndrome: A randomized controlled trial. Musculoskelet Sci Pract. 2020;49:102171. doi: 10.1016/j.msksp.2020.102171
  37. İğrek S, Çolak TK. Comparison of the effectiveness of proprioceptive neuromuscular facilitation exercises and shoulder mobilization patients with subacromial impingement syndrome: A randomized clinical trial. J Bodyw Mov Ther. 2022;30:42–52. doi: 10.1016/j.jbmt.2021.10.015
  38. Juul-Kristensen B, Larsen CM, Eshoj H, et al. Positive effects of neuromuscular shoulder exercises with or without EMG-biofeedback, on pain and function in participants with subacromial pain syndrome: A randomised controlled trial. J Electromyogr Kinesiol. 2019;48:161–168. doi: 10.1016/j.jelekin.2019.07.009
  39. Kvalvaag E, Roe C, Engebretsen KB, et al. One year results of a randomized controlled trial on radial Extracorporeal Shock Wave Treatment, with predictors of pain, disability and return to work in patients with subacromial pain syndrome. Eur J Phys Rehabil Med. 2018;54(3):341–350. doi: 10.23736/S1973-9087.17.04748-7
  40. Moslehi M, Letafatkar A, Miri H. Feedback improves the scapular-focused treatment effects in patients with shoulder impingement syndrome. Knee Surg Sports Traumatol Arthrosc. 2021;29(7):2281–2288. doi: 10.1007/s00167-020-06178-z
  41. Nejati P, Ghahremaninia A, Naderi F, et al. Treatment of subacromial impingement syndrome: Platelet-rich plasma or exercise therapy? A randomized controlled trial. Orthop J Sports Med. 2017;5(5):2325967117702366. doi: 10.1177/2325967117702366
  42. Paavola M, Kanto K, Ranstam J, et al.; Finnish Shoulder Impingement Arthroscopy Controlled Trial (FIMPACT) Investigators. Subacromial decompression versus diagnostic arthroscopy for shoulder impingement: A 5-year follow-up of a randomised, placebo surgery controlled clinical trial. Br J Sports Med. 2021;55(2):99–107. doi: 10.1136/bjsports-2020-102216
  43. Pekgöz F, Taşkıran H, Kaya Mutlu E, et al. Comparison of mobilization with supervised exercise for patients with subacromial impingement syndrome. Turk J Phys Med Rehabil. 2020;66(2):184–192. doi: 10.5606/tftrd.2020.3649
  44. Pekyavas NO, Ergun N. Comparison of virtual reality exergaming and home exercise programs in patients with subacromial impingement syndrome and scapular dyskinesis: Short term effect. Acta Orthop Traumatol Turc. 2017;51(3):238–242.doi: 10.1016/j.aott.2017.03.008
  45. Schydlowsky P, Szkudlarek M, Madsen OR. Comprehensive supervised heavy training program versus home training regimen in patients with subacromial impingement syndrome: A randomized trial. BMC Musculoskelet Disord. 2022;23(1):52.doi: 10.1186/s12891-021-04969-0
  46. Semjonova G, Vetra J, Cauce V, et al. Improving the recovery of patients with subacromial pain syndrome with the daid smart textile shirt. Sensors (Basel). 2020;20(18):5277. doi: 10.3390/s20185277
  47. Sharma S, Ghrouz AK, Hussain ME, et al. Progressive resistance exercises plus manual therapy is effective in improving isometric strength in overhead athletes with shoulder impingement syndrome: A randomized controlled trial. Biomed Res Int. 2021;2021:9945775. doi: 10.1155/2021/9945775
  48. Tahran Ö, Yeşilyaprak SS. Effects of modified posterior shoulder stretching exercises on shoulder mobility, pain, and dysfunction in patients with subacromial impingement syndrome. Sports Health. 2020;12(2):139–148. doi: 10.1177/1941738119900532
  49. Turgut E, Duzgun I, Baltaci G. Effects of scapular stabilization exercise training on scapular kinematics, disability, and pain in subacromial impingement: A randomized controlled trial. Arch Phys Med Rehabil. 2017;98(10):1915–1923.e3. doi: 10.1016/j.apmr.2017.05.023
  50. Vallés-Carrascosa E, Gallego-Izquierdo T, Jiménez-Rejano JJ, et al. Pain, motion and function comparison of two exercise protocols for the rotator cuff and scapular stabilizers in patients with subacromial syndrome. J Hand Ther. 2018;31(2):227–237. doi: 10.1016/j.jht.2017.11.041
  51. Vergili O, Oktas B, Canbeyli ID. Comparison of kinesiotaping, exercise and subacromial injection treatments on functionality and life quality in shoulder impingement syndrome: A randomized controlled study. Indian J Orthop. 2020;55(1):195–202. doi: 10.1007/s43465-020-00167-7
  52. Yılmaz M, Eroglu S, Dundar U, Toktas H. The effectiveness of high-intensity laser therapy on pain, range of motion, functional capacity, quality of life, and muscle strength in subacromial impingement syndrome: A 3-month follow-up, double-blinded, randomized, placebo-controlled trial. Lasers Med Sci. 2022;37(1):241–250. doi: 10.1007/s10103-020-03224-7
  53. Fahy K, Galvin R, Lewis J, Mc Creesh K. Exercise as effective as surgery in improving quality of life, disability, and pain for large to massive rotator cuff tears: A systematic review & meta-analysis. Musculoskelet Sci Pract. 2022;61:102597. doi: 10.1016/j.msksp.2022.102597
  54. Kucksdorf JJ, Bartley J, Rhon DI, Young JL. Reproducibility of exercise interventions in randomized controlled trials for the treatment of rotator cuff-related shoulder pain: A systematic review. Arch Phys Med Rehabil. 2023:S0003-9993(23)00531-2. doi: 10.1016/j.apmr.2023.09.007

Supplementary files

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2. Fig. 1. Availability of open access publications.

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3. Fig. 2. Presence of images/videos in publications.

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4. Fig. 3. Distribution of publications by year of publication.

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5. Fig. 4. Distribution of scores on CERT questions.

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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