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Published in: Journal of Occupational Rehabilitation 1/2006

01-03-2006

Treatment of Impingement Syndrome: A Systematic Review of the Effects on Functional Limitations and Return to Work

Authors: Elske Faber, Judith I. Kuiper, Alex Burdorf, Harald S. Miedema, Jan A. N. Verhaar

Published in: Journal of Occupational Rehabilitation | Issue 1/2006

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Abstract

The goal of this systematic review is to evaluate the effectiveness of different treatments for impingement syndrome and rotator cuff tear on the improvement in functional limitations and concomitant duration of sick leave. A systematic search for clinical trials or controlled studies was conducted with the following text words: should*, rotator cuff, impingement, work, sick leave, disabilit*, function*. Nineteen articles were included in this review. For functional limitations, there is strong evidence that extracorporeal shock-wave therapy is not effective, moderate evidence that exercise combined with manual therapy is more effective than exercise alone, that ultrasound is not effective, and that open and arthroscopic acromioplasty are equally effective on the long term. For all other interventions there is only limited evidence. We found many studies using range of motion and pain as outcome measures but functional limitations were less often used as an outcome measure in this type of research. Duration of sick leave was seldom included as an outcome measure.
Literature
1.
go back to reference van der Windt DA, Koes BW, de Jong BA, Bouter LM. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis 1995; 54(12): 959–964.PubMedCrossRef van der Windt DA, Koes BW, de Jong BA, Bouter LM. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis 1995; 54(12): 959–964.PubMedCrossRef
2.
go back to reference Goupille P, Sibilia J, Groupe Rhumatologique Francais de l'Epaule (G.R.E.P.). Local corticosteroid injections in the treatment of rotator cuff tendinitis (except for frozen shoulder and calcific tendinitis). Clin Exp Rheumatol 1996; 14(5): 561–566.PubMed Goupille P, Sibilia J, Groupe Rhumatologique Francais de l'Epaule (G.R.E.P.). Local corticosteroid injections in the treatment of rotator cuff tendinitis (except for frozen shoulder and calcific tendinitis). Clin Exp Rheumatol 1996; 14(5): 561–566.PubMed
3.
go back to reference Checroun AJ, Dennis MG, Zuckerman JD. Open versus arthroscopic decompression for subacromial impingement. A comprehensive review of the literature from the last 25 years. Bull Hosp Jt Dis 1998; 57(3): 145–151.PubMed Checroun AJ, Dennis MG, Zuckerman JD. Open versus arthroscopic decompression for subacromial impingement. A comprehensive review of the literature from the last 25 years. Bull Hosp Jt Dis 1998; 57(3): 145–151.PubMed
4.
go back to reference Buchbinder R, Green S, Youd JM. Corticosteroid injections for shoulder pain. Cochrane Database Syst Rev 2003; 1: CD004016.PubMed Buchbinder R, Green S, Youd JM. Corticosteroid injections for shoulder pain. Cochrane Database Syst Rev 2003; 1: CD004016.PubMed
5.
go back to reference Desmeules F, Cote CH, Fremont P. Therapeutic exercise and orthopedic manual therapy for impingement syndrome: A systematic review. Clin J Sport Med 2003; 13(3): 176–182.PubMedCrossRef Desmeules F, Cote CH, Fremont P. Therapeutic exercise and orthopedic manual therapy for impingement syndrome: A systematic review. Clin J Sport Med 2003; 13(3): 176–182.PubMedCrossRef
6.
go back to reference Green S, Buchbinder R, Glazier R, Forbes A. Interventions for shoulder pain. Cochrane Database Syst Rev 2000; 2: CD001156.PubMed Green S, Buchbinder R, Glazier R, Forbes A. Interventions for shoulder pain. Cochrane Database Syst Rev 2000; 2: CD001156.PubMed
7.
go back to reference Green S, Buchbinder R, Hetrick S. Physiotherapy interventions for shoulder pain. Cochrane Database Syst Rev 2003; 2: CD004258.PubMed Green S, Buchbinder R, Hetrick S. Physiotherapy interventions for shoulder pain. Cochrane Database Syst Rev 2003; 2: CD004258.PubMed
8.
go back to reference Ejnisman B, Andreoli CV, Soares BGO, Fallopa F, Peccin MS, Abdalla RJ, Cohen M. Interventions for tears of the rotator cuff in adults. Cochrane Database Syst Rev 2004; 1: CD002758.PubMed Ejnisman B, Andreoli CV, Soares BGO, Fallopa F, Peccin MS, Abdalla RJ, Cohen M. Interventions for tears of the rotator cuff in adults. Cochrane Database Syst Rev 2004; 1: CD002758.PubMed
9.
go back to reference World Health Organization. International Classification of Functioning, Disability and Health (ICF). Geneva: World Health Organization, 2001. World Health Organization. International Classification of Functioning, Disability and Health (ICF). Geneva: World Health Organization, 2001.
10.
go back to reference Waddell G, Aylward M, Sawney P. Back pain, incapacity for work and social security benefits: An international literature review and analysis. London: Royal Society of Medicine Press, 2002. Waddell G, Aylward M, Sawney P. Back pain, incapacity for work and social security benefits: An international literature review and analysis. London: Royal Society of Medicine Press, 2002.
11.
go back to reference Strand LI, Ljunggren AE, Haldorsen EM, Espehaug B. The impact of physical function and pain on work status at 1-year follow-up in patients with back pain. Spine 2001; 26(7): 800–808.PubMedCrossRef Strand LI, Ljunggren AE, Haldorsen EM, Espehaug B. The impact of physical function and pain on work status at 1-year follow-up in patients with back pain. Spine 2001; 26(7): 800–808.PubMedCrossRef
12.
go back to reference Evanoff B, Abedin S, Grayson D, Dale AM, Wolf L, Bohr P. Is disability underreported following work injury?. J Occup Rehabil 2002; 12(3): 139–150.PubMedCrossRef Evanoff B, Abedin S, Grayson D, Dale AM, Wolf L, Bohr P. Is disability underreported following work injury?. J Occup Rehabil 2002; 12(3): 139–150.PubMedCrossRef
13.
go back to reference Lotters F, Hogg-Johnson S, Burdorf A. Health status, its perceptions, and effect on return to work and recurrent sick leave. Spine 2005; 30(9): 1086–1092.PubMedCrossRef Lotters F, Hogg-Johnson S, Burdorf A. Health status, its perceptions, and effect on return to work and recurrent sick leave. Spine 2005; 30(9): 1086–1092.PubMedCrossRef
14.
go back to reference Ren XS, Selim AJ, Fincke G, Deyo RA, Linzer M, Lee A, Kazis L. Assessment of functional status, low back disability, and use of diagnostic imaging in patients with low back pain and radiating leg pain. J Clin Epidemiol 1999; 52(11): 1063–1071.PubMedCrossRef Ren XS, Selim AJ, Fincke G, Deyo RA, Linzer M, Lee A, Kazis L. Assessment of functional status, low back disability, and use of diagnostic imaging in patients with low back pain and radiating leg pain. J Clin Epidemiol 1999; 52(11): 1063–1071.PubMedCrossRef
15.
go back to reference Dionne CE, Von Korff M, Koepsell TD, Deyo RA, Barlow WE, Checkoway H. A comparison of pain, functional limitations, and work status indices as outcome measures in back pain research. Spine 1999; 24(22): 2339–2345.PubMedCrossRef Dionne CE, Von Korff M, Koepsell TD, Deyo RA, Barlow WE, Checkoway H. A comparison of pain, functional limitations, and work status indices as outcome measures in back pain research. Spine 1999; 24(22): 2339–2345.PubMedCrossRef
16.
go back to reference Chipchase LS, O’Connor DA, Costi JJ, Krishnan J. Shoulder impingement syndrome: Preoperative health status. J Shoulder Elbow Surg 2000; 9(1): 12–15.PubMedCrossRef Chipchase LS, O’Connor DA, Costi JJ, Krishnan J. Shoulder impingement syndrome: Preoperative health status. J Shoulder Elbow Surg 2000; 9(1): 12–15.PubMedCrossRef
17.
go back to reference Neer CS. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: A preliminary report. J Bone Joint Surg Am 1972; 54(24): 41–50.PubMed Neer CS. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: A preliminary report. J Bone Joint Surg Am 1972; 54(24): 41–50.PubMed
18.
go back to reference Van Tulder M, Furlan A, Bombardier C, Bouter L, The Editorial Board of the Cochrane Collaboration Back Review Group. Updated method guidelines for systematic reviews in the Cochrane Collaboration Back Review Group. Spine 2003; 28(24): 1290–1299.PubMedCrossRef Van Tulder M, Furlan A, Bombardier C, Bouter L, The Editorial Board of the Cochrane Collaboration Back Review Group. Updated method guidelines for systematic reviews in the Cochrane Collaboration Back Review Group. Spine 2003; 28(24): 1290–1299.PubMedCrossRef
19.
go back to reference Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJ, Gavaghan DJ, McQuay HJ. Assessing the quality of reports of randomized clinical trials: Is blinding necessary?. Control Clin Trials 1996; 17(1): 1–12.PubMedCrossRef Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJ, Gavaghan DJ, McQuay HJ. Assessing the quality of reports of randomized clinical trials: Is blinding necessary?. Control Clin Trials 1996; 17(1): 1–12.PubMedCrossRef
20.
go back to reference Verhagen AP, de Vet HC, de Bie RA, Kessels AG, Boers M, Bouter LM, Knipschild PG. The Delphi list: A criteria list for quality assessment of randomized clinical trials for conducting systematic reviews developed by Delphi consensus. J Clin Epidemiol 1998; 51(12): 1235–1241.PubMedCrossRef Verhagen AP, de Vet HC, de Bie RA, Kessels AG, Boers M, Bouter LM, Knipschild PG. The Delphi list: A criteria list for quality assessment of randomized clinical trials for conducting systematic reviews developed by Delphi consensus. J Clin Epidemiol 1998; 51(12): 1235–1241.PubMedCrossRef
21.
go back to reference Schmitt J, Haake M, Tosch A, Hildebrand R, Deike B, Griss P. Low-energy extracorporeal shock-wave treatment (ESWT) for tendinitis of the supraspinatus. A prospective, randomised study. J Bone Joint Surg Br 2001; 83(6): 873–876.PubMedCrossRef Schmitt J, Haake M, Tosch A, Hildebrand R, Deike B, Griss P. Low-energy extracorporeal shock-wave treatment (ESWT) for tendinitis of the supraspinatus. A prospective, randomised study. J Bone Joint Surg Br 2001; 83(6): 873–876.PubMedCrossRef
22.
go back to reference Schmitt J, Tosch A, Hunerkopf M, Haake M. Die extrakorporale Stowellentherapie (ESWT) als therapeutische Option beim Supraspinatussehnensyndrom? Ein-Jahres-Ergebnisse einer placebokotrollierten Studie. Orthopade 2002; 31(7): 652–657.PubMedCrossRef Schmitt J, Tosch A, Hunerkopf M, Haake M. Die extrakorporale Stowellentherapie (ESWT) als therapeutische Option beim Supraspinatussehnensyndrom? Ein-Jahres-Ergebnisse einer placebokotrollierten Studie. Orthopade 2002; 31(7): 652–657.PubMedCrossRef
23.
go back to reference Blair B, Rokito AS, Cuomo F, Jarolem K, Zuckerman JD. Efficacy of injections of corticosteroids for subacromial impingement syndrome. J Bone Joint Surg Am 1996; 78(11): 1685–1689.PubMed Blair B, Rokito AS, Cuomo F, Jarolem K, Zuckerman JD. Efficacy of injections of corticosteroids for subacromial impingement syndrome. J Bone Joint Surg Am 1996; 78(11): 1685–1689.PubMed
24.
go back to reference Adebajo AO, Nash P, Hazleman BL. A prospective double blind dummy placebo controlled study comparing triamcinolone hexacetonide injection with oral diclofenac 50 mg TDS in patients with rotator cuff tendinitis. J Rheumatol 1990; 17(9): 1207–1210.PubMed Adebajo AO, Nash P, Hazleman BL. A prospective double blind dummy placebo controlled study comparing triamcinolone hexacetonide injection with oral diclofenac 50 mg TDS in patients with rotator cuff tendinitis. J Rheumatol 1990; 17(9): 1207–1210.PubMed
25.
go back to reference Shibata Y, Midorikawa K, Emoto G, Naito M. Clinical evaluation of sodium hyaluronate for the treatment of patients with rotator cuff tear. J Shoulder Elbow Surg 2001; 10(3): 209–216.PubMedCrossRef Shibata Y, Midorikawa K, Emoto G, Naito M. Clinical evaluation of sodium hyaluronate for the treatment of patients with rotator cuff tear. J Shoulder Elbow Surg 2001; 10(3): 209–216.PubMedCrossRef
26.
go back to reference Strobel G. Long-term therapeutic effect of different intra-articular injection treatments of the painful shoulder—Effect on pain, mobility and work capacity. Rehabilitation (Stuttg) 1996; 35(3): 176–178. Strobel G. Long-term therapeutic effect of different intra-articular injection treatments of the painful shoulder—Effect on pain, mobility and work capacity. Rehabilitation (Stuttg) 1996; 35(3): 176–178.
27.
go back to reference Speed CA, Richards C, Nichols D, Burnet S, Wies JT, Humphreys H, Hazleman BL. Extracorporeal shock-wave therapy for tendonitis of the rotator cuff. A double-blind, randomised, controlled trial. J Bone Joint Surg Br 2002; 84(4): 509–512.PubMedCrossRef Speed CA, Richards C, Nichols D, Burnet S, Wies JT, Humphreys H, Hazleman BL. Extracorporeal shock-wave therapy for tendonitis of the rotator cuff. A double-blind, randomised, controlled trial. J Bone Joint Surg Br 2002; 84(4): 509–512.PubMedCrossRef
28.
go back to reference Downing DS, Weinstein A. Ultrasound therapy of subacromial bursitis. A double blind trial. Phys Ther 1986; 66(2): 194–199.PubMed Downing DS, Weinstein A. Ultrasound therapy of subacromial bursitis. A double blind trial. Phys Ther 1986; 66(2): 194–199.PubMed
29.
go back to reference Vecchio P, Cave M, King V, Adebajo AO, Smith M, Hazleman BL. A double-blind study of the effectiveness of low level laser treatment of rotator cuff tendinitis. Br J Rheumatol 1993; 32(8): 740–742.PubMedCrossRef Vecchio P, Cave M, King V, Adebajo AO, Smith M, Hazleman BL. A double-blind study of the effectiveness of low level laser treatment of rotator cuff tendinitis. Br J Rheumatol 1993; 32(8): 740–742.PubMedCrossRef
30.
go back to reference Ludewig PM, Borstad JD. Effects of a home exercise programme on shoulder pain and functional status in construction workers. Occup Environ Med 2003; 60(11): 841–849.PubMedCrossRef Ludewig PM, Borstad JD. Effects of a home exercise programme on shoulder pain and functional status in construction workers. Occup Environ Med 2003; 60(11): 841–849.PubMedCrossRef
31.
go back to reference Bang MD, Deyle GD. Comparison of supervised exercise with and without manual physical therapy for patients with shoulder impingement syndrome. J Orthop Sports Phys Ther 2000; 30(3): 126–137.PubMed Bang MD, Deyle GD. Comparison of supervised exercise with and without manual physical therapy for patients with shoulder impingement syndrome. J Orthop Sports Phys Ther 2000; 30(3): 126–137.PubMed
32.
go back to reference Brox JI, Gjengedal E, Uppheim G, Bohmer AS, Brevik JI, Ljunggren AE, Staff PH. Arthroscopic surgery versus supervised exercises in patients with rotator cuff disease (stage II impingement syndrome): A prospective, randomized, controlled study in 125 patients with a 2 1/2-year follow-up. J Shoulder Elbow Surg 1999; 8(2): 102–111.PubMedCrossRef Brox JI, Gjengedal E, Uppheim G, Bohmer AS, Brevik JI, Ljunggren AE, Staff PH. Arthroscopic surgery versus supervised exercises in patients with rotator cuff disease (stage II impingement syndrome): A prospective, randomized, controlled study in 125 patients with a 2 1/2-year follow-up. J Shoulder Elbow Surg 1999; 8(2): 102–111.PubMedCrossRef
33.
go back to reference Sachs RA, Stone ML, Devine S. Open vs. arthroscopic acromioplasty: A prospective, randomized study. Arthroscopy 1994; 10(3): 248–254.PubMedCrossRef Sachs RA, Stone ML, Devine S. Open vs. arthroscopic acromioplasty: A prospective, randomized study. Arthroscopy 1994; 10(3): 248–254.PubMedCrossRef
34.
go back to reference Spangehl MJ, Hawkins RH, McCormack RG, Loomer RL. Arthroscopic versus open acromioplasty: A prospective, randomized, blinded study. J Shoulder Elbow Surg 2002; 11(2): 101–107.PubMedCrossRef Spangehl MJ, Hawkins RH, McCormack RG, Loomer RL. Arthroscopic versus open acromioplasty: A prospective, randomized, blinded study. J Shoulder Elbow Surg 2002; 11(2): 101–107.PubMedCrossRef
35.
go back to reference Lindh M, Norlin R. Arthroscopic subacromial decompression versus open acromioplasty. A two-year follow-up study. Clin Orthop 1993; (290): 174–176. Lindh M, Norlin R. Arthroscopic subacromial decompression versus open acromioplasty. A two-year follow-up study. Clin Orthop 1993; (290): 174–176.
36.
go back to reference Anderson NH, Sojbjerg JO, Johannsen HV, Sneppen O. Self-training versus physiotherapist-supervised rehabilitation of the shoulder in patients treated with arthroscopic subacromial decompression: A clinical randomized study. J Shoulder Elbow Surg 1999; 8(2): 99–101.CrossRef Anderson NH, Sojbjerg JO, Johannsen HV, Sneppen O. Self-training versus physiotherapist-supervised rehabilitation of the shoulder in patients treated with arthroscopic subacromial decompression: A clinical randomized study. J Shoulder Elbow Surg 1999; 8(2): 99–101.CrossRef
37.
go back to reference Roddey TS, Olson SL, Gartsman GM, Hanten WP, Cook KF. A randomized controlled trial comparing 2 instructional approaches to home exercise instruction following arthroscopic full-thickness rotator cuff repair surgery. J Orthop Sports Phys Ther 2002; 32(11): 548–559.PubMed Roddey TS, Olson SL, Gartsman GM, Hanten WP, Cook KF. A randomized controlled trial comparing 2 instructional approaches to home exercise instruction following arthroscopic full-thickness rotator cuff repair surgery. J Orthop Sports Phys Ther 2002; 32(11): 548–559.PubMed
38.
go back to reference Lastayo PC, Wright T, Jaffe R, Hartzel J. Continuous passive motion after repair of the rotator cuff. A prospective outcome study. J Bone Joint Surg Am 1998; 80(7): 1002–1011.PubMed Lastayo PC, Wright T, Jaffe R, Hartzel J. Continuous passive motion after repair of the rotator cuff. A prospective outcome study. J Bone Joint Surg Am 1998; 80(7): 1002–1011.PubMed
39.
go back to reference Raab MG, Rzeszutko D, O'Connor W, Greatting MD. Early results of continuous passive motion after rotator cuff repair: A prospective, randomized, blinded, controlled study. Am J Orthop 1996; 25(3): 214–220.PubMed Raab MG, Rzeszutko D, O'Connor W, Greatting MD. Early results of continuous passive motion after rotator cuff repair: A prospective, randomized, blinded, controlled study. Am J Orthop 1996; 25(3): 214–220.PubMed
40.
go back to reference Vingard E, Alexanderson K, Norlund A. Swedish Council on Technology Assessment in Health Care (SBU). Chapter 9. Consequences of being on sick leave. Scand J Public Health Suppl 2004; 32(63): 207–15.CrossRef Vingard E, Alexanderson K, Norlund A. Swedish Council on Technology Assessment in Health Care (SBU). Chapter 9. Consequences of being on sick leave. Scand J Public Health Suppl 2004; 32(63): 207–15.CrossRef
41.
go back to reference Burdorf A, Post W, Bruggeling T. Reliability of a questionnaire on sickness absence with specific attention to absence due to back pain and respiratory complaints. Occup Environ Med. 1996; 53(1): 58–62.PubMedCrossRef Burdorf A, Post W, Bruggeling T. Reliability of a questionnaire on sickness absence with specific attention to absence due to back pain and respiratory complaints. Occup Environ Med. 1996; 53(1): 58–62.PubMedCrossRef
42.
go back to reference Fredriksson K, Toomingas A, Torgen M, Thorbjornsson CB, Kilbom A. Validity and reliability of self-reported retrospectively collected data on sick leave related to musculoskeletal diseases. Scand J Work Environ Health 1998; 24(5): 425–431.PubMed Fredriksson K, Toomingas A, Torgen M, Thorbjornsson CB, Kilbom A. Validity and reliability of self-reported retrospectively collected data on sick leave related to musculoskeletal diseases. Scand J Work Environ Health 1998; 24(5): 425–431.PubMed
43.
go back to reference Severens JL, Mulder J, Laheij RJ, Verbeek AL. Precision and accuracy in measuring absence from work as a basis for calculating productivity costs in The Netherlands. Soc Sci Med 2000; 51(2): 243–249.PubMedCrossRef Severens JL, Mulder J, Laheij RJ, Verbeek AL. Precision and accuracy in measuring absence from work as a basis for calculating productivity costs in The Netherlands. Soc Sci Med 2000; 51(2): 243–249.PubMedCrossRef
44.
go back to reference Verbeek JH, van der Weide WE, van Dijk FJ. Early occupational health management of patients with back pain: A randomized controlled trial. Spine 2002; 27(17): 1844–1851; discussion 1851.PubMedCrossRef Verbeek JH, van der Weide WE, van Dijk FJ. Early occupational health management of patients with back pain: A randomized controlled trial. Spine 2002; 27(17): 1844–1851; discussion 1851.PubMedCrossRef
45.
go back to reference van Poppel MN, de Vet HC, Koes BW, Smid T, Bouter LM. Measuring sick leave: A comparison of self-reported data on sick leave and data from company records. Occup Med (Lond) 2002; 52(8): 485–490.CrossRef van Poppel MN, de Vet HC, Koes BW, Smid T, Bouter LM. Measuring sick leave: A comparison of self-reported data on sick leave and data from company records. Occup Med (Lond) 2002; 52(8): 485–490.CrossRef
46.
go back to reference Bot SD, Terwee CB, van der Windt DA, Bouter LM, Dekker J, de Vet HC. Clinimetric evaluation of shoulder disability questionnaires: A systematic review of the literature. Ann Rheum Dis 2004; 63(4): 335–341.PubMedCrossRef Bot SD, Terwee CB, van der Windt DA, Bouter LM, Dekker J, de Vet HC. Clinimetric evaluation of shoulder disability questionnaires: A systematic review of the literature. Ann Rheum Dis 2004; 63(4): 335–341.PubMedCrossRef
47.
48.
go back to reference Teefey SA, Rubin DA, Middleton WD, Hildebolt CF, Leibold RA, Yamaguchi K. Detection and quantification of rotator cuff tears. Comparison of ultrasonographic, magnetic resonance imaging, and arthroscopic findings in seventy-one consecutive cases. J Bone Joint Surg Am 2004; 86-A(4): 708–716.PubMed Teefey SA, Rubin DA, Middleton WD, Hildebolt CF, Leibold RA, Yamaguchi K. Detection and quantification of rotator cuff tears. Comparison of ultrasonographic, magnetic resonance imaging, and arthroscopic findings in seventy-one consecutive cases. J Bone Joint Surg Am 2004; 86-A(4): 708–716.PubMed
49.
go back to reference Park HB, Yokota A, Gill HS, El Rassi G, McFarland EG. Diagnostic accuracy of clinical tests for the different degrees of subacromial impingement syndrome. J Bone Joint Surg Am 2005; 87(7): 1446–1455.PubMedCrossRef Park HB, Yokota A, Gill HS, El Rassi G, McFarland EG. Diagnostic accuracy of clinical tests for the different degrees of subacromial impingement syndrome. J Bone Joint Surg Am 2005; 87(7): 1446–1455.PubMedCrossRef
50.
go back to reference MacDonald PB, Clark P, Sutherland K. An analysis of the diagnostic accuracy of the Hawkins and Neer subacromial impingement signs. J Shoulder Elbow Surg 2000; 9(4): 299–301.PubMedCrossRef MacDonald PB, Clark P, Sutherland K. An analysis of the diagnostic accuracy of the Hawkins and Neer subacromial impingement signs. J Shoulder Elbow Surg 2000; 9(4): 299–301.PubMedCrossRef
Metadata
Title
Treatment of Impingement Syndrome: A Systematic Review of the Effects on Functional Limitations and Return to Work
Authors
Elske Faber
Judith I. Kuiper
Alex Burdorf
Harald S. Miedema
Jan A. N. Verhaar
Publication date
01-03-2006
Publisher
Springer US
Published in
Journal of Occupational Rehabilitation / Issue 1/2006
Print ISSN: 1053-0487
Electronic ISSN: 1573-3688
DOI
https://doi.org/10.1007/s10926-005-9003-2

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