Literature Review of the use of Norwegian Medical Exercise Therapy (MET) on Patients with Longstanding Subacromial Shoulder Pain

Abstract

Background and Purpose:  Subacromial pain, whether caused by rotator cuff tendonitis or shoulder impingement syndrome, is considered to be one of the most common causes of intrinsic shoulder pain.  In adults under 70 years old, the prevalence is 7-27%, and in adults over the age of 70 the prevalence is 13-26%.  The purpose of this case report is to examine the most recent evidence pertaining to the use of high dose Medical Exercise Therapy (MET) as an effective treatment method of subacromial pain.

Case description:  Patient is a 45 year old male presenting with unilateral shoulder pain consistent with primary shoulder impingement syndrome.  Patient has complained of pain for 3-4 months, and has no history of shoulder surgery.  Patient showed no neurological signs, of spinal dysfunction, and has no history of shoulder dislocation, fracture, and adhesive capsulitis.  Patient has been diagnosed with subacromial pain, and physical therapy management is recommended.

Outcomes:  At the end of 12 weeks, the patient presented with significant improvements in pain according to the VAS scale, and function according to the SRQ.

Discussion:  This case supports MET as an effective treatment strategy of patients with longstanding subacromial pain.  Patients react positively to MET because of its inflammation reduction and pain reduction properties.