Association of trunk and lower limb factors with shoulder complaints and sport performance in overhead athletes: A systematic review including GRADE recommendations and meta-analysis.

Autor: Machado EM; Post-Graduate Program in Physical Therapy (PPGFt), Universidade Federal de Sao Carlos (UFSCar), Sao Carlos, Brazil; Laboratory of Analysis and Intervention of the Shoulder Complex, Department of Physical Therapy, Universidade Federal de São Carlos, Sao Carlos, Brazil., Haik MN; Post-Graduate Program in Physical Therapy (PPGFt), Universidade Federal de Sao Carlos (UFSCar), Sao Carlos, Brazil; Laboratory of Analysis and Intervention of the Shoulder Complex, Department of Physical Therapy, Universidade Federal de São Carlos, Sao Carlos, Brazil., Ferreira JK; Post-Graduate Program in Physical Therapy (PPGFt), Universidade Federal de Sao Carlos (UFSCar), Sao Carlos, Brazil; Laboratory of Analysis and Intervention of the Shoulder Complex, Department of Physical Therapy, Universidade Federal de São Carlos, Sao Carlos, Brazil., da Silva Santos JF; Physical Training and Sport Performance Research Group, Department of Physical Education, School of Biological and Health Sciences, Universidade Federal dos Vales do Jequitinhonha e do Mucuri, Diamantina, MG, Brazil., Camargo PR; Post-Graduate Program in Physical Therapy (PPGFt), Universidade Federal de Sao Carlos (UFSCar), Sao Carlos, Brazil; Laboratory of Analysis and Intervention of the Shoulder Complex, Department of Physical Therapy, Universidade Federal de São Carlos, Sao Carlos, Brazil., Mendonça LM; Post-Graduate Program in Physical Therapy (PPGFt), Universidade Federal de Sao Carlos (UFSCar), Sao Carlos, Brazil; Physical Therapy Department, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil. Electronic address: lucianademichelis@yahoo.com.br.
Jazyk: angličtina
Zdroj: Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine [Phys Ther Sport] 2023 Mar; Vol. 60, pp. 112-131. Date of Electronic Publication: 2023 Feb 02.
DOI: 10.1016/j.ptsp.2023.01.012
Abstrakt: Objective: To identify the association of trunk and lower limb factors with shoulder complaints and sport performance in overhead athletes.
Methods: Search performed at PubMed/Medline, Embase, CINAHL, LILACS, Cochrane, Web of Science and SPORTDiscus for observational studies. Methodological quality and strength of the evidence was assessed with the Newcastle-Ottawa Scale and GRADE. Meta-analysis and effects sizes analysis were calculated when possible.
Results: Sixty-five studies were included. Low to very-low evidence suggests no association of trunk/lower limb strength, endurance, power, jump or balance with shoulder complaints and/or throwing performance. Athletes with shoulder complaints performed worse in trunk stability and endurance tests (mean difference: -6.83 (95%CI: -8.78, -4.88)). Athletes with high throwing performance presented better results in CMJ, horizontal jump, power measures and knee extension strength. For swimmers, there was no association of trunk/lower limb endurance with shoulder complaints (moderate evidence) and no association of balance and swimming performance (low evidence). Better trunk/lower limb strength, power and vertical jumps measures were associated with better swimming performance.
Conclusions: In methodologically similar studies, some trunk/lower limb outcomes are associated with shoulder complaint or sport/swimming performance. Results should be considered with caution and future studies should use better methodologies.
Competing Interests: Declaration of competing interest The authors also declare that there aren't conflicts of interest relating to the present manuscript.
(Copyright © 2023 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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