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An exploration of evidence-based exercises for shoulder impingement syndrome

Abstract Objective: This review of published literature was done to explore evidence-based practice exercises for shoulder impingement syndrome (SIS) that have been researched by randomised, controlled trial or systematic review. Materials and Methods: OVID Medline searches and hand searching revealed seven suitable articles for collation. These studies were analysed for valid outcome measures and suitable sample sizes. Evidence-based exercises were then extracted from the studies to collate a list of effective exercises for SIS. Results: The following exercises have an evidence-base for use in treating SIS: serratus anterior strengthening, scapular control with lateral rotation, pectoralis minor stretch, upper trapezius stretch, posterior capsule stretch, lateral rotation with Thera-Band® through range of abduction, resisted flexion, resisted extension, resisted adduction and resisted medial rotation (resisted with weights or Thera-Band®) and abduction with dumbbell. Conclusions: The specific outlined exercises have an evidence-base for use with patients with SIS to improve their outcome measures. Physiotherapists should modify repetitions, frequency and resistance weight relative to each patient's individual ability.