Effectiveness of Occupational Therapy Interventions for Musculoskeletal Shoulder Conditions: A Systematic Review

People with musculoskeletal disorders of the shoulder commonly experience pain, decreased strength, and restricted range of motion (ROM) that limit participation in meaningful occupational activities. The purpose of this systematic review was to evaluate the current evidence for interventions within...

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Bibliographic Details
Published in:The American journal of occupational therapy 2017-01, Vol.71 (1), p.7101180020p1-7101180020p11
Main Authors: Marik, Tambra L, Roll, Shawn C
Format: Article
Language:English
Subjects:
Aging (Individuals)
Bursitis - rehabilitation
Care and treatment
Doctoral Dissertations
Evidence Based Practice
Evidence-based medicine
Exercise Therapy
Health aspects
Humans
Humeral Fractures - rehabilitation
Information Seeking
Information Sources
Muscle Stretching Exercises
Musculoskeletal diseases
Musculoskeletal Diseases - rehabilitation
Neck Pain - rehabilitation
Occupational therapy
Occupational Therapy - methods
Outcome Measures
Pain
Quality Control
Randomized Controlled Trials
Range of Motion, Articular
Rotator Cuff Injuries - rehabilitation
Search Strategies
Shoulder Impingement Syndrome - rehabilitation
Shoulder Pain - rehabilitation
Special Issue: Evidence Review
Treatment Outcome
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Summary:People with musculoskeletal disorders of the shoulder commonly experience pain, decreased strength, and restricted range of motion (ROM) that limit participation in meaningful occupational activities. The purpose of this systematic review was to evaluate the current evidence for interventions within the occupational therapy scope of practice that address pain reduction and increase participation in functional activities. Seventy-six studies were reviewed for this study-67 of Level I evidence, 7 of Level II evidence, and 2 of Level III evidence. Strong evidence was found that ROM, strengthening exercises, and joint mobilizations can improve function and decrease pain. The evidence to support physical modalities is moderate to mixed, depending on the shoulder disorder. Occupational therapy practitioners can use this evidence to guide daily clinical decision making.
ISSN:0272-9490
1943-7676
DOI:10.5014/ajot.2017.023127