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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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Published in: | The American journal of occupational therapy 2017-01, Vol.71 (1), p.7101180020p1-7101180020p11 |
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description | 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. |
doi_str_mv | 10.5014/ajot.2017.023127 |
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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.</description><identifier>ISSN: 0272-9490</identifier><identifier>EISSN: 1943-7676</identifier><identifier>DOI: 10.5014/ajot.2017.023127</identifier><identifier>PMID: 28027039</identifier><language>eng</language><publisher>United States: American Occupational Therapy Association</publisher><subject>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</subject><ispartof>The American journal of occupational therapy, 2017-01, Vol.71 (1), p.7101180020p1-7101180020p11</ispartof><rights>Copyright © 2017 by the American Occupational Therapy Association, Inc.</rights><rights>COPYRIGHT 2017 American Occupational Therapy Association</rights><rights>Copyright American Occupational Therapy Association, Inc. 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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.</description><subject>Aging (Individuals)</subject><subject>Bursitis - rehabilitation</subject><subject>Care and treatment</subject><subject>Doctoral Dissertations</subject><subject>Evidence Based Practice</subject><subject>Evidence-based medicine</subject><subject>Exercise Therapy</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Humeral Fractures - rehabilitation</subject><subject>Information Seeking</subject><subject>Information Sources</subject><subject>Muscle Stretching Exercises</subject><subject>Musculoskeletal diseases</subject><subject>Musculoskeletal Diseases - rehabilitation</subject><subject>Neck Pain - rehabilitation</subject><subject>Occupational therapy</subject><subject>Occupational Therapy - methods</subject><subject>Outcome Measures</subject><subject>Pain</subject><subject>Quality Control</subject><subject>Randomized Controlled Trials</subject><subject>Range of Motion, Articular</subject><subject>Rotator Cuff Injuries - rehabilitation</subject><subject>Search Strategies</subject><subject>Shoulder Impingement Syndrome - rehabilitation</subject><subject>Shoulder Pain - rehabilitation</subject><subject>Special Issue: Evidence Review</subject><subject>Treatment Outcome</subject><issn>0272-9490</issn><issn>1943-7676</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>CJNVE</sourceid><sourceid>HEHIP</sourceid><sourceid>M0P</sourceid><sourceid>M2R</sourceid><sourceid>M2S</sourceid><recordid>eNptksFrFDEYxYModq3ePcmAIF5mTTKZScaDsCxVC5WCreeQyXzpZM1MtsnMyv73Zrq1dkVyCOT7vZfw8hB6TfCyxIR9UBs_LikmfIlpQSh_ghakZkXOK149RQtMOc1rVuMT9CLGDca0FgV9jk6oSCNc1Au0PTMG9Gh3MECMmTfZpdbTVo3WD8pl1x0Etd1n58MIITHzccyMD9m3KerJ-fgTHIyJvOr85FoI2doPrb3jPmar7GofR-iTnc6-w87Cr5fomVEuwqv7_RT9-Hx2vf6aX1x-OV-vLnJdCjHmplGNYAw3StV1y7FipMGGC9YwDqJkJdG4VgWAAdZyaEoMtGmoalpe0Uqr4hR9Ovhup6aHVqe3B-XkNthehb30ysrjyWA7eeN3siQiJVomg_f3BsHfThBH2duowTk1gJ-iJKIsOCNVKRL69h9046eQ8pspkXKuKk7_UjfKgbSD8elePZvKFeNVXeACz9TyP1RaLfRW-wGMTedHgnePBB0oN3bRu-nuC45BfAB18DEGMA9hECznOsm5TnKukzzUKUnePA7xQfCnP8VvHdjH0Q</recordid><startdate>20170101</startdate><enddate>20170101</enddate><creator>Marik, Tambra L</creator><creator>Roll, Shawn C</creator><general>American Occupational Therapy Association</general><general>American Occupational Therapy Association, Inc</general><general>The American Occupational Therapy Association, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>4T-</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88C</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0P</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170101</creationdate><title>Effectiveness of Occupational Therapy Interventions for Musculoskeletal Shoulder Conditions: A Systematic Review</title><author>Marik, Tambra L ; Roll, Shawn C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c588t-fbab8440baa99d70a41b0f784b47e85451c09a3eefe4d7eb50e2bb2abd7626ca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aging (Individuals)</topic><topic>Bursitis - 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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 |
title | Effectiveness of Occupational Therapy Interventions for Musculoskeletal Shoulder Conditions: A Systematic Review |
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