Management of the Unilateral Shoulder Impingement Syndrome
Authors: Daniel I. Rhon, Robert B. Boyles, Joshua A. Cleland
Journal: Annals of Internal Medicine (2015)

Letters3 February 2015Management of the Unilateral Shoulder Impingement SyndromeDaniel I. Rhon, PT, DPT, DSc, Robert B. Boyles, PT, DSc, and Joshua A. Cleland, PT, PhDDaniel I. Rhon, PT, DPT, DScFrom Madigan Army Medical, Tacoma, Washington; University of Puget Sound, Tacoma, Washington; and Franklin Pierce University, Manchester, New Hampshire., Robert B. Boyles, PT, DScFrom Madigan Army Medical, Tacoma, Washington; University of Puget Sound, Tacoma, Washington; and Franklin Pierce University, Manchester, New Hampshire., and Joshua A. Cleland, PT, PhDFrom Madigan Army Medical, Tacoma, Washington; University of Puget Sound, Tacoma, Washington; and Franklin Pierce University, Manchester, New Hampshire.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-5043-2 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We thank Dr. Leib for his interest in our study and the list of factors that he feels may confound the direct comparison of the 2 treatments for the SIS: corticosteroid injection and MPT. We appreciate the opportunity to address each of these comments.First, as stated in our article, 1 limitation is the lack of consensus on diagnostic criteria for this condition. To study a homogeneous group of patients, we enrolled those with similar presentations and functional limitations—thus, the inclusion criteria. What Dr. Leib suggests for evaluation is exactly what was done. As part of the assessment ...References1. Thorpe KE, Zwarenstein M, Oxman AD, Treweek S, Furberg CD, Altman DG, et al. A pragmatic-explanatory continuum indicator summary (PRECIS): a tool to help trial designers. J Clin Epidemiol. 2009;62:464-75. [PMID: 19348971] doi:10.1016/j.jclinepi.2008.12.011 CrossrefMedlineGoogle Scholar2. Treweek S, Zwarenstein M. Making trials matter: pragmatic and explanatory trials and the problem of applicability. Trials. 2009;10:37. [PMID: 19493350] doi:10.1186/1745-6215-10-37 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Madigan Army Medical, Tacoma, Washington; University of Puget Sound, Tacoma, Washington; and Franklin Pierce University, Manchester, New Hampshire.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-2199. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoOne-Year Outcome of Subacromial Corticosteroid Injection Compared With Manual Physical Therapy for the Management of the Unilateral Shoulder Impingement Syndrome Daniel I. Rhon , Robert B. Boyles , and Joshua A. Cleland One-Year Outcome of Subacromial Corticosteroid Injection Compared With Manual Physical Therapy for the Management of the Unilateral Shoulder Impingement Syndrome Daniel I. Rhon , Robert B. Boyles , and Joshua A. Cleland Management of the Unilateral Shoulder Impingement Syndrome Christopher Leib Management of the Unilateral Shoulder Impingement Syndrome Christopher Leib Metrics Cited byCervicothoracic Manual Therapy Plus Exercise Therapy Versus Exercise Therapy Alone in the Management of Individuals With Shoulder Pain: A Multicenter Randomized Controlled TrialRotator Cuff Impingement 3 February 2015Volume 162, Issue 3Page: 237-238KeywordsChronic obstructive pulmonary diseaseClinical trialsDisclosureHealth care providersStiffness ePublished: 3 February 2015 Issue Published: 3 February 2015 Copyright & PermissionsCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...