Journal of bodywork and movement therapies · 2025
The Relationship between early and late stimulation of the deltoid muscle in patients undergoing reverse total shoulder arthroplasty. A systematic review with meta-analysis.
СтатьяСистематический обзорМетаанализПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
do Nascimento Filho Flávio Martins, Andrade Talita Santos, Menezes Pedro Machado, Menezes Mayara Alves, Dos Santos Caduda Suziany, Alves Mendonça Igor Leonardo, Lima Tarcísio Brandão, de Farias Neto Jader Pereira, da Silva Junior Walderi Monteiro
Аннотация
OBJECTIVE: To evaluate the effects of early stimulation on deltoid functional performance in patients undergoing reverse total shoulder arthroplasty (RTSA).
STUDY DESIGN: Systematic review with meta-analysis.
METHODS: A comprehensive search was conducted in 12 databases. Two independent reviewers assessed the studies for inclusion and quality of evidence. Data were analyzed using meta-analysis when possible; otherwise, they were qualitatively synthesized. The outcomes evaluated were functional performance, pain, functional capacity, range of motion (ROM), muscle strength, and adverse effects. The quality of evidence was assessed using the GRADE approach.
RESULTS: Four randomized controlled trials (RCTs) were included, of which three provided viable comparisons for meta-analysis. In the comparison between early and late stimulation, early stimulation demonstrated statistically significant improvements in ROM for flexion, abduction, and external rotation. Conversely, delayed stimulation resulted in better outcomes for internal rotation. Nevertheless, no significant differences were found between groups in functional performance, pain, or functional capacity.
CONCLUSION: Although both groups showed improvements, early stimulation demonstrated superior ROM outcomes in specific movements. However, the evidence was classified as low to very low due to methodological limitations. To enhance clinical decision-making, further studies with greater methodological rigor are necessary.
STUDY DESIGN: Systematic review with meta-analysis.
METHODS: A comprehensive search was conducted in 12 databases. Two independent reviewers assessed the studies for inclusion and quality of evidence. Data were analyzed using meta-analysis when possible; otherwise, they were qualitatively synthesized. The outcomes evaluated were functional performance, pain, functional capacity, range of motion (ROM), muscle strength, and adverse effects. The quality of evidence was assessed using the GRADE approach.
RESULTS: Four randomized controlled trials (RCTs) were included, of which three provided viable comparisons for meta-analysis. In the comparison between early and late stimulation, early stimulation demonstrated statistically significant improvements in ROM for flexion, abduction, and external rotation. Conversely, delayed stimulation resulted in better outcomes for internal rotation. Nevertheless, no significant differences were found between groups in functional performance, pain, or functional capacity.
CONCLUSION: Although both groups showed improvements, early stimulation demonstrated superior ROM outcomes in specific movements. However, the evidence was classified as low to very low due to methodological limitations. To enhance clinical decision-making, further studies with greater methodological rigor are necessary.