CETAPS EA3832, Research Center for Sports and Athletic Activities Transformations, University of Rouen Normandy, F-76821 Mont-Saint-Aignan, France; Clinical Research Departement, La Musse Hospital, La Renaissance Sanitaire Fundation, Saint Sébastien de Morsent, France.
Superior Institute of Psychomotor Rehabilitation, Paris, France.
Clin Biomech (Bristol). 2023 Jul;107:106029. doi: 10.1016/j.clinbiomech.2023.106029. Epub 2023 Jun 15.
Subacromial shoulder pain syndrome is a very common and challenging musculoskeletal disorder. Kinematics, electromyographic muscle activity and isokinetic dynamometry are promising non-invasive movement analysis tools to improve understanding of this condition. No review has combined their results to provide a better understanding of the effects of subacromial pain syndrome on shoulder movement. This systematic review aimed to synthesise the associations between exposure to shoulder pain due to subacromial pain syndromes or subacromial impingement and changes in shoulder movement measures.
The databases were Scholar google, Pubmed, Science Direct, Scopus and the Cochrane Library. We included studies that observed the association of the presence of subacromial pain syndromes or subacromial impingement with changes in shoulder motion measures.
Seventeen studies with 943 participants were included. The main kinematic change was a lower scapular posterior during abduction in the subacromial pain syndrome group with a "low" level of evidence (standardised mean difference = -0.61, 95% confidence interval [-0.80; -0.43]). The main electromyographic change was an earlier onset of activation of the upper trapezius in the subacromial pain syndrome group, with a "moderate" level of evidence (standardised mean difference = 1.01, 95% confidence interval: [-2.97; 0.96]). The main isokinetic change was a lower peak internal rotator torque in the subacromial pain syndrome group, with a 'low' level of evidence (standardised mean difference = -0.41, 95% confidence interval: [-0.53; -0.29]).
The variables measured during movement are associated with subacromial pain syndrome or subacromial impingement syndrome. Consistency between the results supports the importance of scapula biomechanics measurements in these conditions.
肩峰下疼痛综合征是一种非常常见且具有挑战性的肌肉骨骼疾病。运动学、肌电图肌肉活动和等速测力法是很有前途的非侵入性运动分析工具，可以帮助更好地理解这种情况。目前还没有文献综述将这些结果结合起来，以更好地了解肩峰下疼痛综合征对肩部运动的影响。本系统综述旨在综合分析由于肩峰下疼痛综合征或肩峰下撞击而导致的肩部疼痛与肩部运动测量值变化之间的关系。
我们检索了 Scholar google、Pubmed、Science Direct、Scopus 和 Cochrane 图书馆，纳入了观察肩峰下疼痛综合征或肩峰下撞击与肩部运动测量值变化之间关联的研究。
纳入了 17 项研究，共 943 名参与者。肩峰下疼痛综合征组在肩外展时肩胛骨后倾的主要运动学变化为“低”证据水平（标准化均数差=-0.61，95%置信区间[-0.80；-0.43]）。肩峰下疼痛综合征组斜方肌上部激活起始时间提前，这是主要的肌电图变化，具有“中”等证据水平（标准化均数差=1.01，95%置信区间：[-2.97；0.96]）。肩峰下疼痛综合征组的主要等速变化是内旋峰值扭矩降低，具有“低”证据水平（标准化均数差=-0.41，95%置信区间：[-0.53；-0.29]）。
运动过程中测量的变量与肩峰下疼痛综合征或肩峰下撞击综合征有关。结果的一致性支持在这些情况下测量肩胛骨生物力学的重要性。
