Exercise-Based Muscle Development Programmes and Their Effectiveness in the Functional Recovery of Rotator Cuff Tendinopathy: A Systematic Review

(1) Background: Rotator cuff (RC) tendinopathy causes pain and functional limitation of the shoulder. Physical exercises are effective therapies but there is no consensus on which exercise programme is the most appropriate. Objective: To analyze and compare the effectiveness of different interventio...

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Main Authors: Juan G. Dominguez-Romero, José J. Jiménez-Rejano, Carmen Ridao-Fernández, Gema Chamorro-Moriana
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/11/3/529
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author Juan G. Dominguez-Romero
José J. Jiménez-Rejano
Carmen Ridao-Fernández
Gema Chamorro-Moriana
author_facet Juan G. Dominguez-Romero
José J. Jiménez-Rejano
Carmen Ridao-Fernández
Gema Chamorro-Moriana
author_sort Juan G. Dominguez-Romero
collection DOAJ
description (1) Background: Rotator cuff (RC) tendinopathy causes pain and functional limitation of the shoulder. Physical exercises are effective therapies but there is no consensus on which exercise programme is the most appropriate. Objective: To analyze and compare the effectiveness of different intervention modalities-based exclusively on physical exercise muscle-development programs to improve shoulder pain and function in RC tendinopathy. (2) Methods: Systematic review (PRISMA) through a search in PubMed, WOS, PEDro, Cinahl, Scopus and Dialnet. The PEDro Scale and the Cochrane Risk of Bias analyzed the methodological quality. A pre-established table collected data on: patients, interventions, outcome measures and results. A narrative synthesis of the results was conducted. (3) Results: eight articles were selected (Cochrane: <i>low risk of bias</i>; PEDro: good quality). All assessed programs were effective. Only one study found statistically and clinically significant differences in favour of eccentric training. The exercises used were: eccentric/concentric/conventional, open/closed kinetic chain, with/without co-activation of glenohumeral muscle, with/without pain, and in clinic/at home. (4) Conclusions: All exercise programs were effective in RC tendinopathy, improving pain and shoulder function. No solid results were obtained when the interventions were compared due to their heterogeneity. Patients perception assessment tools were the most widely used. Amount of load applied should be considered.
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spelling doaj.art-23450473e4d14fb3a82e24683f90c95f2023-11-21T10:41:58ZengMDPI AGDiagnostics2075-44182021-03-0111352910.3390/diagnostics11030529Exercise-Based Muscle Development Programmes and Their Effectiveness in the Functional Recovery of Rotator Cuff Tendinopathy: A Systematic ReviewJuan G. Dominguez-Romero0José J. Jiménez-Rejano1Carmen Ridao-Fernández2Gema Chamorro-Moriana3Research Group “Area of Physiotherapy” CTS-305, University of Seville, 41009 Seville, SpainResearch Group “Area of Physiotherapy” CTS-305, University of Seville, 41009 Seville, SpainResearch Group “Area of Physiotherapy” CTS-305, University of Seville, 41009 Seville, SpainResearch Group “Area of Physiotherapy” CTS-305, University of Seville, 41009 Seville, Spain(1) Background: Rotator cuff (RC) tendinopathy causes pain and functional limitation of the shoulder. Physical exercises are effective therapies but there is no consensus on which exercise programme is the most appropriate. Objective: To analyze and compare the effectiveness of different intervention modalities-based exclusively on physical exercise muscle-development programs to improve shoulder pain and function in RC tendinopathy. (2) Methods: Systematic review (PRISMA) through a search in PubMed, WOS, PEDro, Cinahl, Scopus and Dialnet. The PEDro Scale and the Cochrane Risk of Bias analyzed the methodological quality. A pre-established table collected data on: patients, interventions, outcome measures and results. A narrative synthesis of the results was conducted. (3) Results: eight articles were selected (Cochrane: <i>low risk of bias</i>; PEDro: good quality). All assessed programs were effective. Only one study found statistically and clinically significant differences in favour of eccentric training. The exercises used were: eccentric/concentric/conventional, open/closed kinetic chain, with/without co-activation of glenohumeral muscle, with/without pain, and in clinic/at home. (4) Conclusions: All exercise programs were effective in RC tendinopathy, improving pain and shoulder function. No solid results were obtained when the interventions were compared due to their heterogeneity. Patients perception assessment tools were the most widely used. Amount of load applied should be considered.https://www.mdpi.com/2075-4418/11/3/529physiotherapyrotator cufftendinopathyexerciseresistance training
spellingShingle Juan G. Dominguez-Romero
José J. Jiménez-Rejano
Carmen Ridao-Fernández
Gema Chamorro-Moriana
Exercise-Based Muscle Development Programmes and Their Effectiveness in the Functional Recovery of Rotator Cuff Tendinopathy: A Systematic Review
Diagnostics
physiotherapy
rotator cuff
tendinopathy
exercise
resistance training
title Exercise-Based Muscle Development Programmes and Their Effectiveness in the Functional Recovery of Rotator Cuff Tendinopathy: A Systematic Review
title_full Exercise-Based Muscle Development Programmes and Their Effectiveness in the Functional Recovery of Rotator Cuff Tendinopathy: A Systematic Review
title_fullStr Exercise-Based Muscle Development Programmes and Their Effectiveness in the Functional Recovery of Rotator Cuff Tendinopathy: A Systematic Review
title_full_unstemmed Exercise-Based Muscle Development Programmes and Their Effectiveness in the Functional Recovery of Rotator Cuff Tendinopathy: A Systematic Review
title_short Exercise-Based Muscle Development Programmes and Their Effectiveness in the Functional Recovery of Rotator Cuff Tendinopathy: A Systematic Review
title_sort exercise based muscle development programmes and their effectiveness in the functional recovery of rotator cuff tendinopathy a systematic review
topic physiotherapy
rotator cuff
tendinopathy
exercise
resistance training
url https://www.mdpi.com/2075-4418/11/3/529
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