No relationship between the acromiohumeral distance and pain in adults with subacromial pain syndrome: a systematic review and meta-analysis
Autor: | Birgit Juul-Kristensen, Yuan Tai Chen, Andreas Kjoenoe, Lindsay Thompson, Vinicius Cavalheri, Soo Whan Park, Leanda McKenna |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Biopsychosocial model
Shoulder medicine.medical_specialty Decompression lcsh:Medicine Article Mean difference 03 medical and health sciences 0302 clinical medicine Shoulder Pain medicine Humans Signs and symptoms lcsh:Science 030222 orthopedics Pain syndrome Multidisciplinary business.industry lcsh:R Health care 030229 sport sciences Shoulder Impingement Syndrome Shoulder abduction Meta-analysis Physical therapy lcsh:Q Manual therapy business Acromion |
Zdroj: | Scientific Reports, Vol 10, Iss 1, Pp 1-14 (2020) Park, S W, Chen, Y T, Thompson, L, Kjoenoe, A, Juul-Kristensen, B, Cavalheri, V & McKenna, L 2020, ' No relationship between the acromiohumeral distance and pain in adults with subacromial pain syndrome : a systematic review and meta-analysis ', Scientific Reports, vol. 10, 20611 . https://doi.org/10.1038/s41598-020-76704-z Scientific Reports |
ISSN: | 2045-2322 |
Popis: | To determine whether subacromial space (i.e. acromiohumeral distance; AHD, and/or occupation ratio percentage) differs between people with subacromial pain syndrome (SAPS) and those without. To investigate whether there is a correlation between subacromial space and pain or disability in adults with SAPS and whether temporal changes in pain or disability are accompanied by changes in subacromial space. Systematic review and meta-analysis. Fifteen studies with a total of 775 participants were included. Twelve studies were of high quality and three studies were of moderate quality using the modified Black and Downs checklist. There was no between group difference in AHD in neutral shoulder position (mean difference [95% CI] 0.28 [−0.13 to 0.69] mm), shoulder abduction at 45° (−0.02 [−0.99 to 0.96] mm) or 60° (−0.20 [−0.61 to 0.20] mm). Compared to the control group, a greater occupation ratio in neutral shoulder position was demonstrated in participants with SAPS (5.14 [1.87 to 8.4] %). There was no consistent pattern regarding the correlation between AHD and pain or disability in participants with SAPS, and no consistent increase in subacromial space with improvement in pain or disability over time. The results suggest that surgical (e.g. sub-acromial decompression) and non-surgical (e.g. manual therapy, taping, stretching and strengthening) management of subacromial pain syndrome should not focus solely on addressing a potential decrease in subacromial space, but also on the importance of other biopsychosocial factors. |
Databáze: | OpenAIRE |
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