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- W2946965314 abstract "To assess the effectiveness of surgical vs conservative interventions on pain and function in patients with subacromial impingement syndrome.Systematic review and meta-analysis of randomized controlled trials.Clinical setting.Patients 18 years and older with subacromial impingement syndrome.Surgical intervention plus postoperative physiotherapy / placebo surgery plus physiotherapy or physiotherapy only.Pain and function.11 RCTs (n = 919) were included. The pooled results displayed no statistically or clinically different between surgery plus physiotherapy vs physiotherapy alone on pain levels at 3-, 6-months, 5- and 10 years follow up (moderate quality, 3 RCTs, 300 patients, WMD -0.39, 95% CI: -1.02 to 0.23, p = 0.22; moderate quality, 3 RCTs, 310 patients, WMD -0.36, 95% CI: -1.02 to 0.29, p = 0.27; low quality, 1 RCT, 109 patients, WMD -0.30, 95% CI: -1.54 to 0.94, p = 0.64; low quality, 1 RCT, 90 patients, WMD -1.00, 95% CI: -0.24 to 2.24, p = 0.11) respectively. Similarly, the pooled results were not statistically or clinically different between groups for function at 3-, 6-month and 1-year follow ups (very low quality, 2 RCTs, 184 patients, SMD 0.11, 95% CI: -0.57 to 0.79, p = 0.75; moderate quality, 3 RCTs, 310 patients, SMD 0.15, 95% CI: -0.14 to 0.43, p = 0.31; very low quality, 2 RCTs, 197 patients, SMD 0.11, 95% CI: -0.46 to 0.69, p = 0.70) respectively.The effects of surgery plus physiotherapy compared to physiotherapy alone on improving pain and function are too small to be clinically important at 3-, 6-months, 1-, 2-, 5- and ≥ 10-years follow up." @default.
- W2946965314 created "2019-06-07" @default.
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- W2946965314 date "2019-05-29" @default.
- W2946965314 modified "2023-10-02" @default.
- W2946965314 title "The effectiveness of surgical vs conservative interventions on pain and function in patients with shoulder impingement syndrome. A systematic review and meta-analysis" @default.
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- W2946965314 doi "https://doi.org/10.1371/journal.pone.0216961" @default.
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