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Effectiveness of specific scapular therapeutic exercises in patients with shoulder pain: a systematic review with meta-analysis

2024-05Journal article Restricted access
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dc.contributor.authorMelo, Ana
dc.contributor.authorMoreira, Juliana
dc.contributor.authorAfreixo, Vera
dc.contributor.authorGonçalves, Daniel Moreira
dc.contributor.authorDonato, Helena
dc.contributor.authorCruz, Eduardo B.
dc.contributor.authorVilas-Boas, J. Paulo
dc.contributor.authorSousa, Andreia
dc.date.accessioned2024-10-09T09:55:55Z
dc.date.available2024-10-09T09:55:55Z
dc.date.issued2024-05
dc.description.abstractTherapeutic 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). 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. 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. 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMelo, A. S. C., Moreira, J. S., Afreixo, V., Moreira-Gonçalves, D., Donato, H., Cruz, E. B., Vilas-Boas, J. P., & Sousa, A. S. P. (2024). Effectiveness of specific scapular therapeutic exercises in patients with shoulder pain: A systematic review with meta-analysis. JSES Reviews, Reports, and Techniques, 4(2), 161–174. https://doi.org/10.1016/j.xrrt.2023.12.006pt_PT
dc.identifier.doi10.1016/j.xrrt.2023.12.006pt_PT
dc.identifier.eissn2666-6391
dc.identifier.urihttp://hdl.handle.net/10400.22/26218
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relationThis work was supported by the under Grant SFRH/BD/ 140874/2018 and through R&D Units funding (UIDB/05210/2020), Fundaç~ao para a Ci^encia e Tecnologia (FCT), Portugal. Vera Afreixo is supported in part by the Fundaç~ao para a Ci^encia e a Tecnologia (FCT), through CIDMA - Center for Research & Development in Mathematics and Applications, within project UIDB/04106/2020 and UIDP/ 04106/2020.pt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/pii/S2666639124000129?via%3Dihubpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectScapular musclespt_PT
dc.subjectPainpt_PT
dc.subjectFunctionpt_PT
dc.subjectKinematicspt_PT
dc.subjectMuscular activitypt_PT
dc.subjectRehabilitationpt_PT
dc.titleEffectiveness of specific scapular therapeutic exercises in patients with shoulder pain: a systematic review with meta-analysispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleJSES Reviews, Reports, and Techniquespt_PT
oaire.citation.volume4 (2)pt_PT
person.familyNameMelo
person.familyNameSantos Moreira
person.familyNamePinheiro de Sousa
person.givenNameAna
person.givenNameJuliana
person.givenNameAndreia Sofia
person.identifier1070119
person.identifier.ciencia-idA21A-8BEC-7504
person.identifier.ciencia-idF217-BF1E-8507
person.identifier.ciencia-id2216-9200-7EF6
person.identifier.orcid0000-0001-7001-0157
person.identifier.orcid0000-0003-0123-4960
person.identifier.orcid0000-0001-9528-1463
person.identifier.ridC-7138-2019
person.identifier.scopus-author-id55810322400
person.identifier.scopus-author-id55950021600
rcaap.rightsclosedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication08d4c4d4-00a1-417a-8d38-a34aadec9185
relation.isAuthorOfPublication574f928e-bf87-4e65-8396-ae884fa7e544
relation.isAuthorOfPublicationaeecfe02-e80d-49ab-9033-a1ade15658f2
relation.isAuthorOfPublication.latestForDiscovery574f928e-bf87-4e65-8396-ae884fa7e544

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