A Systematic Review Comparing the Effectiveness of Physiotherapy Modalities in the Treatment of Shoulder Impingement Syndrome: Manual Therapy, Therapeutic Exercise, and Ultrasound Therapy

Authors: Qamara S. Alsolmi, Norah Y. A. Alsulaiman, Mona R. Attamimi

DOI: https://doi.org/10.5281/zenodo.13736448

Short DOI: https://doi.org/gvh92d

Country: Saudi Arabia

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Abstract: Objective: This systematic review aimed to compare the effectiveness of manual therapy, therapeutic exercises, and ultrasound therapy in treating shoulder impingement syndrome (SIS).

Methods: A comprehensive literature search was conducted across databases, identifying 25 studies that met the inclusion criteria. Outcome measures included pain relief, functional improvement, range of motion (ROM), and patient satisfaction.

Results: Manual therapy combined with therapeutic exercises provided the greatest improvements in pain reduction (mean VAS reduction: 3.2 points), functional outcomes (mean DASH improvement: 22 points), and ROM (mean increase: 30 degrees in abduction). Therapeutic exercises alone also showed significant improvements, while ultrasound therapy offered modest short-term benefits. Patient satisfaction was highest in the manual therapy and exercise groups.

Conclusion: Manual therapy combined with therapeutic exercises is the most effective treatment for SIS, offering superior pain relief, functional improvement, and ROM gains compared to therapeutic exercises or ultrasound therapy alone.

Keywords: Shoulder impingement syndrome, manual therapy, therapeutic exercises, ultrasound therapy, pain relief, functional outcomes, physiotherapy.

Paper Id: 231152

Published On: 2023-04-05

Published In: Volume 11, Issue 2, March-April 2023

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