Efficacy of Conservative Therapy in Overhead Athletes with Glenohumeral Internal Rotation Deficit: A Systematic Review and Meta-Analysis.

Autor: Jiménez-Del-Barrio S; Clinical Research Group in Health Sciences, Department of Surgery, Ophthalmology and Physiotherapy, Faculty of Health Sciences, University of Valladolid, 42004 Soria, Spain., Ceballos-Laita L; Department of Physiatry and Nursery, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain., Lorenzo-Muñoz A; Department of Health and Sports, Pablo Olavide University, 41013 Sevilla, Spain., Mingo-Gómez MT; Clinical Research Group in Health Sciences, Department of Surgery, Ophthalmology and Physiotherapy, Faculty of Health Sciences, University of Valladolid, 42004 Soria, Spain., Rebollo-Salas M; Department of Physiotherapy, University of Sevilla, 41004 Sevilla, Spain., Jiménez-Rejano JJ; Department of Physiotherapy, University of Sevilla, 41004 Sevilla, Spain.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2022 Dec 20; Vol. 12 (1). Date of Electronic Publication: 2022 Dec 20.
DOI: 10.3390/jcm12010004
Abstrakt: Background: To evaluate the effectiveness of conservative therapy in range of movement (ROM), strength, pain, subacromial space and physical function, in overhead athletes with glenohumeral internal rotation deficit (GIRD).
Methods: A systematic review and meta-analysis was designed, and the protocol was registered in PROSPERO (CRD42021281559). The databases searched were: PubMed, Cochrane Central Register of Controlled Trials, Physiotherapy Evidence Database, Web of Science and SCOPUS. Randomized controlled trials (RCTs) involving conservative therapy applied in overhead athletes with GIRD were included. Two independent assessors evaluated the quality of the studies with the PEDro scale, and with the Cochrane Risk-of-Bias tool. The overall quality of the evidence was assessed using GRADE. Data on outcomes of interest were extracted by a researcher using RevMan 5.4 software. Estimates were presented as standardized mean differences (SMD) with 95% confidence intervals (CIs).
Results: A total of eleven studies involving 514 overhead athletes were included in the systematic review; of these 8 were included in the meta-analysis. The methodological quality of the included RCTs ranged from high to low. Conservative therapy showed significant improvements in internal rotation, adduction, physical function and subacromial space.
Conclusions: Conservative therapy based on stretch, passive joint and muscular mobilizations can be useful to improve the internal rotation and adduction ROM, subacromial space, and physical function of the shoulder in overhead athletes with glenohumeral internal rotation deficit.
Databáze: MEDLINE
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