Philadelphia Panel – John Albright,
The Philadelphia Panel also developed evidence-based clinical practice guidelines for selected rehabilitation interventions for the management of shoulder pain. The results showed that only 1 positive recommendation of clinical benefit was developed. Ultrasound provided clinically important pain relief relative to a control for patients with calcific tendinitis in the short term (less than 2 months). There was good agreement with this recommendation from practitioners (75%). For several interventions and indications (eg, thermotherapy, therapeutic exercise, massage, electrical stimulation, mechanical traction), there was a lack of evidence regarding efficacy. The authors conclude that further well-designed RCTs are warranted regarding the use of several interventions for patients with shoulder pain where evidence was insufficient to make recommendations.
Physical Therapy, Vol. 81, No. 10, October 2001, pp. 1719-1730