AimThe purpose of this study is to investigate whether there is scientific evidence that exercise and/or manual therapy can improve function, in terms of increased mobility and strength on shoulder impingement-like symptoms among athletes. Another aim is to investigate whether these interventions can reduce shoulder pain.MethodA systematic review was conducted in the databases PubMed, CINAHL, PEDro and Amed. A total of thirteen articles were selected for further review and compilation. They were then graded for level of evidence according to the PEDro scale and the Swedish Council on Technology Assessment (SBU).ResultsThe systematic review shows that there is strong scientific evidence that acupuncture and heat can reduce pain in athletes diagnosed with Supraspinatus-tendiopathy. There is limited scientific evidence that exercise increases strength, limited scientific evidence that stretching increases mobility and insufficient scientific evidence that a combination of treatments, with both exercise and stretching, reduces pain and increases function in overhead athletes.ConclusionsExercise and manual therapy can reduce pain and/or improve function in terms of increased mobility and strength in athletes with shoulder impingement-like symptoms.

Bakgrund: Tendinoser är en vanligt förekommande skada som främst drabbar människor med repetitiva arbeten samt efter överbelastning i idrotter. Besvären är ofta långvariga och ger stora problem för den drabbade. Detta tillstånd är svårbehandlat och kirurgiska ingrepp kan i vissa fall vara nödvändiga. Excentrisk träning är en relativt ny behandlingsmetod som börjat användas mer frekvent. Syfte: Syftet med studien var att sammanställa effekterna av excentrisk träning som behandling vid tendinoser.

Ultrasound is a well established diagnostic method in small animal veterinary practice but there appears to be limited use of ultrasound for evaluating the musculoskeletal system. The aim of this study was to investigate what publications exist concerning musculoskeletal ultrasound of dogs and to compare the use of musculoskeletal ultrasound at the University Animal Hospital (UDS) in Uppsala, to other animal hospitals in the world. The literature review is divided into three parts, the front leg, the hind leg and miscellaneous. The literature review focuses on the musculoskeletal abnormalities that can be seen with ultrasound. The front and hind leg sections are mainly focused on the joints.