Cochrane · systematic review · CD012224
Manual therapy and exercise for rotator cuff disease
Page, MJ, Green, S, McBain, B, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library
MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
18
current version
GRADE rated
14
No studies
4
Included studies
NR
No studies 4 · 22.2%Ungraded 0 · 0%Very low 0 · 0%Low 8 · 44.4%Moderate 0 · 0%High 6 · 33.3%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Manual therapy and exercise compared to placebo for rotator cuff disease
Population: rotator cuff disease
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Overall pain Manual therapy and exercise vs placebo | no estimate extracted | 1 study · 120 participants | High |
Function Manual therapy and exercise vs placebo | no estimate extracted | 1 study · 120 participants | High |
Pain on motion Manual therapy and exercise vs placebo | no estimate extracted | 1 study · 120 participants | High |
Global assessment of treatment success Manual therapy and exercise vs placebo | RR 1.39 [0.94, 2.03] | 1 study · 112 participants | High |
Quality of life Manual therapy and exercise vs placebo | no estimate extracted | 1 study · 120 participants | High |
Adverse events Manual therapy and exercise vs placebo | RR 3.77 [1.49, 9.54] | 1 study · 116 participants | High |
Manual therapy and exercise compared to glucocorticoid injection for rotator cuff disease
Population: rotator cuff disease
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Overall pain Manual therapy and exercise vs glucocorticoid injection | no estimate extracted | 1 study · 88 participants | Low Downgraded: risk of bias, indirectness |
Function Manual therapy and exercise vs glucocorticoid injection | no estimate extracted | 1 study · 88 participants | Low Downgraded: risk of bias, indirectness |
Pain on motion Manual therapy and exercise vs glucocorticoid injection | no estimate extracted | NR | No studies |
Global assessment of treatment success Manual therapy and exercise vs glucocorticoid injection | RR 0.33 [0.14, 0.79] | 1 study · 198 participants | Low Downgraded: risk of bias, indirectness |
Quality of life Manual therapy and exercise vs glucocorticoid injection | no estimate extracted | 1 study · 88 participants | Low Downgraded: risk of bias, indirectness |
Adverse events Manual therapy and exercise vs glucocorticoid injection | no estimate extracted | 1 study · 94 participants | Low Downgraded: risk of bias, indirectness |
Manual therapy and exercise compared to arthroscopic subacromial decompression for rotator cuff disease
Population: rotator cuff disease
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Overall pain Manual therapy and exercise vs arthroscopic subacromial decompression | no estimate extracted | 1 study · 84 participants | Low Downgraded: risk of bias |
Function Manual therapy and exercise vs arthroscopic subacromial decompression | no estimate extracted | 1 study · 84 participants | Low Downgraded: risk of bias |
Pain on motion Manual therapy and exercise vs arthroscopic subacromial decompression | no estimate extracted | NR | No studies |
Global assessment of treatment success Manual therapy and exercise vs arthroscopic subacromial decompression | RR 1.14 [0.82, 1.61] | 1 study · 79 participants | Low Downgraded: risk of bias |
Quality of life Manual therapy and exercise vs arthroscopic subacromial decompression | no estimate extracted | NR | No studies |
Adverse events Manual therapy and exercise vs arthroscopic subacromial decompression | no estimate extracted | NR | No studies |