scholarly journals Risk factors for rotator cuff tendinopathy: A systematic review and meta-analysis

2019 ◽  
Vol 51 (9) ◽  
pp. 627-637 ◽  
Author(s):  
H Leong ◽  
S Fu ◽  
X He ◽  
J Oh ◽  
N Yamamoto ◽  
...  
Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e309-e310
Author(s):  
A. Desjardins-Charbonneau ◽  
J.-S. Roy ◽  
C.E. Dionne ◽  
P. Frémont ◽  
J.C. MacDermid ◽  
...  

2015 ◽  
Vol 45 (5) ◽  
pp. 330-350 ◽  
Author(s):  
Ariel Desjardins-Charbonneau ◽  
Jean-Sébastien Roy ◽  
Clermont E. Dionne ◽  
Pierre Frémont ◽  
Joy C. MacDermid ◽  
...  

2017 ◽  
Vol 25 (1) ◽  
pp. 230949901668431 ◽  
Author(s):  
Andrew Arjun Sayampanathan ◽  
Tan Hwee Chye Andrew

Purpose: Rotator cuff tears (RCTs) occur commonly, especially among certain groups of individuals. In this meta-analysis, we aim to identify risk factors for RCTs. Methods: We searched MEDLINE for 210 articles. Seventeen articles were selected for systematic review, of which 10 were eligible for meta-analysis. Data was analysed with Review Manager 5.3, using Mantel–Haenszel statistics and random effect models. Results: A total of 6653 individuals were analysed. The odds of sustaining a RCT on the dominant hand was 2.30 times more than the non-dominant hand (95% confidence interval (CI): 1.01–5.25, Z = 1.99, p = 0.05; Heterogenity: τ2 = 0.38, χ2 = 8.84, df = 2 ( p = 0.01), I2 = 77%). The odds of an individual aged 60 years and above sustaining a RCT was 5.07 times higher than an individual less than 60 years old (95% CI: 2.45–10.51, Z = 4.37, p < 0.001; Heterogenity: τ2 = 0.47, χ2 = 25.24, df = 3 ( p < 0.001), I2 = 88%). Female gender was not a significant association, with an odds ratio of 0.98 when compared to the male gender (95% CI: 0.66–1.45, Z = 0.09, p = 0.93; Heterogenity: τ2 = 0.20, χ2 = 44.24, df = 5 ( p < 0.001), I2 = 89%). Conclusions: Hand dominance and older age are associated with RCTs. More studies are required for further assessment of associations and risk factors of RCTs.


2021 ◽  
Vol 12 ◽  
pp. 204062232110261
Author(s):  
Cheuk-Kin Kwan ◽  
Man-Chi Ko ◽  
Sai-Chuen Fu ◽  
Hio-Teng Leong ◽  
Samuel Ka-Kin Ling ◽  
...  

Background: Underlying muscle weakness and stiffness may increase the risk of developing rotator cuff tendinopathy. This systematic review aims to assess existing prospective studies to summarize whether muscle weakness and stiffness are risk factors for the development of rotator cuff tendinopathy in overhead athletes. Methods: A systematic search was performed using PRISMA guidelines. Prospective studies measuring muscle strength or stiffness and the incidence of rotator cuff tendinopathy were included. Quality assessment was performed with the Newcastle-Ottawa quality assessment scale. Results: The search yielded six studies, with a total of 523 trained overhead athletes followed up for one season. External rotation (ER) and internal rotation (IR) strength were described as protective factors against the development of rotator cuff tendinopathy. Athletes who did not sustain shoulder injuries had statistically stronger eccentric IR ( p < 0.01) and ER ( p < 0.05) strength in the pre-season assessment. Muscle stiffness indicated by limited range of motion of <106° for shoulder ER was described as a risk factor with an odds ratio of 1.12 ( p < 0.001). Imbalance between ER and IR strength was reported as risk factors for shoulder injuries in two studies, with a relative risk of 2.57 ( p < 0.05) reported in one study. Supraspinatus weakness was also reported as a risk factor for shoulder injuries in one study. Conclusion: Limited evidence support ER, IR weakness, limited ER range of motion, and very limited evidence support imbalance in ER/IR strength, and supraspinatus weakness as risk factors for rotator cuff tendinopathy in overhead athletes. No existing studies investigated the general population on this topic. Future cohort studies may improve on existing evidence with investigations on the general public, a longer follow-up time, clearly documented injury history, and a stringent diagnosis to rotator cuff tendinopathy.


2015 ◽  
Vol 16 (3) ◽  
pp. 276-284 ◽  
Author(s):  
François Desmeules ◽  
Jennifer Boudreault ◽  
Jean-Sébastien Roy ◽  
Clermont Dionne ◽  
Pierre Frémont ◽  
...  

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