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Physical therapists’ perceptions and use of exercise in the management of subacromial shoulder impingement syndrome: Focus Group Study

Hanratty, Catherine, Kerr, Daniel Paul, Wilson, Iseult M, McCracken, Martin, Sim, Julius, Basford, Jeffrey R and McVeigh, Joseph G (2016) Physical therapists’ perceptions and use of exercise in the management of subacromial shoulder impingement syndrome: Focus Group Study. Physical Therapy, 96 (9). pp. 1354-1363. [Journal article]

[img] Text - Accepted Version

URL: http://ptjournal.apta.org/content/early/2016/03/23/ptj.20150427

DOI: 10.2522/ptj.20150427


Background: Shoulder pain resulting from subacromial impingement syndrome (SAIS) is a common problem with a relatively poor response to treatment. There is little research exploring physical therapists’ perspectives on the management of the syndrome.Objectives: To investigate physical therapists’ perceptions and experiences regarding the use of exercise in the treatment of patients with SAIS.Design: Qualitative focus group study. Methods: Three 60–90 minute focus group sessions containing 6–8 experienced musculoskeletal physical therapists (total n=20) were conducted. Thematic content analysis was used to analyse transcripts and develop core themes and categories.Results: Exercise was seen as key in the treatment of SAIS. The overarching theme was the need to “gain buy-in to exercise” at an early stage. The main subtheme was patient education. Therapists identified the need to use education about SAIS etiology to foster buy-in and “sell” self-management through exercise to the patient. They consistently mentioned achieving education and buy-in using visual tools, postural advice and sometimes a “quick fix” of pain control. Furthermore, experienced practitioners reported including educational interventions much earlier in treatment than when they first qualified. Therapists emphasized the need for individually tailored exercises including: scapular stabilization; rotator cuff, lower trapezius and serratus anterior strengthening; and anterior shoulder and pectoralis minor stretching. Quality of exercise performance was deemed more important than the number of repetitions that the patient performed. Conclusion: Experienced musculoskeletal physical therapists believe that exercise is central in managing patients with SAIS, and that gaining patient buy-in to its importance, patient education, promoting self-management, and postural advice are central to the successful management of people with SAIS.

Item Type:Journal article
Keywords:Sub-acromial impingement, SAIS
Faculties and Schools:Ulster Business School > Department of Management and Leadership
Ulster Business School
Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Health Sciences
Research Institutes and Groups:Institute of Nursing and Health Research > Centre for Health and Rehabilitation Technologies
Institute of Nursing and Health Research
Business and Management Research Institute
ID Code:36491
Deposited By: Dr Iseult Wilson
Deposited On:13 Dec 2016 11:52
Last Modified:25 May 2017 11:09

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