Research Article  |   December 2016
Effectiveness of Occupational Therapy Interventions for Musculoskeletal Shoulder Conditions: A Systematic Review
Author Affiliations
  • Tambra L. Marik, OTD, OTR/L, CHT, is Hand Therapy Elective Track Director, Rocky Mountain University for Health Professions, Provo, UT, and Staff Therapist, ATI Physical Therapy, Tacoma, WA; tambraasht@gmail.com
  • Shawn C. Roll, PhD, OTR/L, RMSKS, FAOTA, is Assistant Professor, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles
Article Information
Evidence-Based Practice / Hand and Upper Extremity / Musculoskeletal Impairments / Special Issue: Evidence Review
Research Article   |   December 2016
Effectiveness of Occupational Therapy Interventions for Musculoskeletal Shoulder Conditions: A Systematic Review
American Journal of Occupational Therapy, December 2016, Vol. 71, 7101180020p1-7101180020p11. doi:10.5014/ajot.2017.023127
American Journal of Occupational Therapy, December 2016, Vol. 71, 7101180020p1-7101180020p11. doi:10.5014/ajot.2017.023127
Abstract

People with musculoskeletal disorders of the shoulder commonly experience pain, decreased strength, and restricted range of motion (ROM) that limit participation in meaningful occupational activities. The purpose of this systematic review was to evaluate the current evidence for interventions within the occupational therapy scope of practice that address pain reduction and increase participation in functional activities. Seventy-six studies were reviewed for this study—67 of Level I evidence, 7 of Level II evidence, and 2 of Level III evidence. Strong evidence was found that ROM, strengthening exercises, and joint mobilizations can improve function and decrease pain. The evidence to support physical modalities is moderate to mixed, depending on the shoulder disorder. Occupational therapy practitioners can use this evidence to guide daily clinical decision making.