| 000 | 02494nas a22002537a 4500 | ||
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| 003 | OSt | ||
| 005 | 20210316164211.0 | ||
| 006 | m|||||r|||| 00| 0 | ||
| 007 | ta | ||
| 008 | 171219t2016 sp ||||| |||| 00| 0 spa | | ||
| 022 | _a1356-689X | ||
| 040 | _cSalus Infirmorum | ||
| 245 | 0 | 0 |
_aEffectiveness of scapula-focused approaches in patients with rotator cuff related shoulder pain: a systematic review and meta-analysis /
_cJulie Bury, Morgan West, Gema Chamorro-Moriana, Chris Littlewood |
| 500 | _aPDF en biblioteca | ||
| 504 | _aBibliografía: p.17-20 | ||
| 520 | 8 | _aBackground: Rotator cuff related shoulder pain (RCSP) is common with a range of conservative treatments currently offered. Evidence supporting superiority of one approach over another is lacking. Scapula focused approaches (SFA) are frequently prescribed and warrant investigation. Objective: To evaluate the effectiveness of SFA in RCSP. Design: Systematic review of randomised controlled trials. Methods: An electronic search including MEDLINE, PEDro, ENFISPO to January 2016 was supplemented by hand searching. Randomised controlled trials were included; appraised using the PEDro scale and synthesised via meta-analysis or narratively, where appropriate. Results: Four studies (n = 190) reported on pain and three studies (n = 122) reported on disability. Regarding pain, there was statistical but not clinically significant benefit of SFA versus generalised approaches (mean difference (VAS) 0.714; 95% CI 0.402 to 1.026) in the short term (< 6 weeks); regarding disability, there was significant benefit of SFA versus generalised approaches (mean difference 14.0; 95% CI 11.2 to 16.8) in the short term (< 6weeks). One study (n = 22) reported disability at 3 months, which was not statistically significant. Evidence is conflicting from four studies relating to the effect of SFA on scapula position/ movement. Conclusion: SFA for RCSP confers benefit over generalised approaches up to six weeks but this benefit is not apparent by 3 months. Early changes in pain are not clinically significant. With regards to scapula position/ movement, the evidence is conflicting. These preliminary conclusions should be treated with significant caution due to limitations of the evidence base. | |
| 653 | 1 | 4 | _ascapula |
| 653 | 1 | 4 | _arotator cuff |
| 653 | 1 | 4 | _arehabilitation |
| 653 | 1 | 4 | _aexercise |
| 653 | 1 | 4 | _asystematic review |
| 773 |
_g-- 2016, v 25, p. 35-42 _tManual Therapy |
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_2udc _cARTÍCULO |
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| 999 |
_c12921 _d12921 |
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