title: The use of evidence-based practices for the management of shoulder impingement syndrome among Indian physical therapists: a cross-sectional survey.
abstract: BACKGROUND
  The understanding of the pathomechanics of shoulder impingement has evolved over the years. Likewise, assessment techniques and effective treatment strategies have also been developed. Physical therapists should keep up-to-date on the current evidence.
  
  
  OBJECTIVE
  This study explored the practices currently used by Indian physical therapists for the assessment and management of shoulder impingement syndrome (SIS).
  
  
  METHODS
  Using an online questionnaire, therapists were asked to declare the causes, methods of assessment and their choices of physical therapy techniques for the management of SIS. The proportions of therapists using different techniques were analyzed descriptively, and comparisons across gender, experience level, and training were made. Data were analyzed to see if the choices of respondents compared with their responses for etiology.
  
  
  RESULTS
  A total of 211 responses were analyzed. Most respondents (>75%) believed that overuse and abnormal motion/posture are the most significant causes of SIS. However, fewer respondents reported assessing posture (60.2%) and dyskinesis, especially in women (24.2%). Ninety-four percent of the respondents reported using exercises, but exercise prescription was rather generic. Therapists additionally trained in the techniques of joint mobilization or taping declared using these techniques more frequently. The use of interferential therapy and ultrasound was reported by 89.5% and 98.4% of respondents, respectively
  
  
  CONCLUSIONS
  Most therapists declared awareness of current recommended practices, but patient assessment, exercise prescription, and use of electrotherapy modalities were only partially based on current evidence. The study helps to identify gaps in current physical therapy approaches to SIS in India.
authors.affiliation: Clinical Research Department, Indian Spinal Injuries Center, New Delhi, India.
authors.forename: Vandana
authors.initials: V
authors.lastname: Phadke
authors.affiliation: Institute of Rehabilitation Sciences, New Delhi, India.
authors.forename: Meena
authors.initials: M
authors.lastname: Makhija
authors.affiliation: Department of Orthopedics, ISIC, New Delhi, India.
authors.forename: Harpreet
authors.initials: H
authors.lastname: Singh
mesh_terms: D006801:Humans; D007194:India; D059825:Physical Therapists; D026741:Physical Therapy Modalities; D019534:Shoulder Impingement Syndrome; D016896:Treatment Outcome