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Isolated exercises versus standard treatment for the shoulder in an industrial setting
Maher SE, Gioannini A, Kowslowski S, Puszczewicz A, Swanson J
Orthopaedic Physical Therapy Practice 2011;23(3):154-160
clinical trial
2/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND AND PURPOSE: Cumulative trauma disorders are common in industrial workers, leading to morbidity and disability. This study compared the effectiveness of home exercise programs with standard medical treatment, for individuals with shoulder injuries, in an industrial setting. METHODS: A convenience sample of 9 industrial employees, were randomly placed into either a control group (n = 5) consisting of standard medical care or an exercise group (n = 4) consisting of a home exercise program. Participants were evaluated 3 times during a 6-month period using a disability index survey and measurements of shoulder range of motion and strength. FINDINGS: Three significant findings were found between the groups (two strength measurements and one measure of disablement), with improvement noted in the exercise group. Trends were also observed in greater improvement in the exercise group in strength and disability scores. CLINICAL RELEVANCE: This study provides limited support for the use of home exercise programs as a secondary intervention in an industrial setting.

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