Logo do repositório
 
Publicação

Effectiveness of specific scapular therapeutic exercises in patients with shoulder pain

2024-05Recensão Acesso aberto
Ver registo simples
dc.contributor.authorMelo, Ana S.C.
dc.contributor.authorMoreira, Juliana S.
dc.contributor.authorAfreixo, Vera
dc.contributor.authorMoreira-Gonçalves, Daniel
dc.contributor.authorDonato, Helena
dc.contributor.authorCruz, Eduardo B.
dc.contributor.authorVilas-Boas, J. Paulo
dc.contributor.authorSousa, Andreia S.P.
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - pólo NMS
dc.contributor.pblElsevier
dc.date.accessioned2024-04-24T00:47:49Z
dc.date.available2024-04-24T00:47:49Z
dc.date.issued2024-05
dc.descriptionPublisher Copyright: © 2024 The Authors
dc.description.abstractBackground: Therapeutic exercise has been considered a useful tool to rehabilitate shoulder pain, namely through its influence on scapular dynamics. Accordingly, the effectiveness of scapular therapeutic exercise needs to be explored. The present study aims to evaluate the effectiveness of scapular therapeutic exercises in shoulder pain and to identify the most effective exercise type (focal or multijoint) and ways of delivering them (as dose and progression). Methods: Search was conducted at EMBASE, Cochrane Library, MEDLINE via PubMed, Web of Science, PEDro (Physiotherapy Evidence Database), and trial registration databases. The meta-analysis considered randomized controlled/crossover trials that compared the effect of scapular exercises against other types of intervention in the shoulder pain, shoulder function, scapular motion, and/or muscular activity. The risk of bias was assessed through the PEDro scale. Results: From the 8318 records identified, 8 (high to low risk of bias– scoring from 4 to 8 on the PEDro scale) were included. The overall data, before sensitivity analysis, indicated that the scapular therapeutic exercises are: a) more effective than comparators in improving shoulder function (standardized mean difference [SMD] = 0.52 [95% Cl: 0.05, 0.99], P = .03, I2 = 76%); and b) as effective as comparators in reducing shoulder pain (SMD = 0.32 [95% Cl: −0.09, 0.73], P = .13, I2 = 70%). Subgroup analysis revealed that scapular exercises are more effective in improving shoulder function when the program duration is equal to or higher than 6 weeks (SMD = 0.43 [95% Cl: 0.09, 0.76] P = .01, I2 = 21%) and/or when the maximum number of exercise repetitions per session is lower than 30 (SMD = 0.79 [95% Cl: 0.15, 1.42], P = .01, I2 = 77%). Only 1 study considered scapular motion as an outcome measure, revealing therapeutic exercise effectiveness to improve scapular range of motion. Conclusions: Intervention programs involving scapular therapeutic exercises are effective in improving shoulder function, presenting benefits when performed for 6 or more weeks and/or when used up to a maximum of 30 repetitions per exercise, per session.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent2299021
dc.identifier.doi10.1016/j.xrrt.2023.12.006
dc.identifier.issn2666-6391
dc.identifier.otherPURE: 89126707
dc.identifier.otherPURE UUID: 86772e60-8b18-4537-962a-7531f5ea3aa6
dc.identifier.otherScopus: 85189668834
dc.identifier.urihttp://hdl.handle.net/10362/166544
dc.identifier.urlhttps://www.scopus.com/pages/publications/85189668834
dc.language.isoeng
dc.peerreviewedyes
dc.subjectFunction
dc.subjectKinematics
dc.subjectLevel II
dc.subjectMuscular activity
dc.subjectPain
dc.subjectRehabilitation
dc.subjectScapular muscles
dc.subjectSystematic Review/Meta-Analysis
dc.subjectSurgery
dc.subjectReviews and References, Medical
dc.subjectOrthopedics and Sports Medicine
dc.subjectRehabilitation
dc.titleEffectiveness of specific scapular therapeutic exercises in patients with shoulder painen
dc.title.subtitlea systematic review with meta-analysisen
dc.typereview
degois.publication.firstPage161
degois.publication.issue2
degois.publication.lastPage174
degois.publication.titleJSES Reviews, Reports, and Techniques
degois.publication.volume4
dspace.entity.typePublication
rcaap.rightsopenAccess

Ficheiros

Principais
A mostrar 1 - 1 de 1
Miniatura
Nome:
1-s2.0-S2666639124000129-main.pdf
Tamanho:
2.19 MB
Formato:
Adobe Portable Document Format
Ver/Abrir

Coleções

NMS: CHRC - Artigos em revista internacional com arbitragem científica