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AuthorBurne G.
AuthorMansfield M.
AuthorGaida J.E.
AuthorLewis J.S.
Available date2020-04-01T06:50:39Z
Publication Date2019
Publication NameBMJ Open Sport and Exercise Medicine
ResourceScopus
ISSN20557647
URIhttp://dx.doi.org/10.1136/bmjsem-2019-000544
URIhttp://hdl.handle.net/10576/13574
AbstractObjectives Rotator cuff-related shoulder pain (RCRSP) is a common upper limb complaint. It has been suggested that this condition is more common among people with cardiometabolic risk factors. This systematic review has synthesised evidence from case-control, cross-sectional and cohort studies on the association between metabolic syndrome (MetS) and RCRSP. Design and data sources Five medical databases (MEDLINE, EMBASE, SCOPUS, CINAHL and AMED) and reference checking methods were used to identify all relevant English articles that considered MetS and RCRSP. Studies were appraised using the Newcastle-Ottawa Scale (NOS). Two reviewers performed critical appraisal and data extraction. Narrative synthesis was performed via content analysis of statistically significant associations. Results Three cross-sectional, two case-control and one cohort study met the inclusion criteria, providing a total of 1187 individuals with RCRSP. Heterogeneity in methodology and RCRSP or MetS definition precluded a meaningful meta-analysis. Four of the included studies identified associations between the prevalence of MetS and RCRSP. Studies consistently identified independent cardiometabolic risk factors associated with RCRSP. All studies were level III evidence. Summary and conclusion The low-moderate quality evidence included in this review suggests an association between MetS and RCRSP. Most studies demonstrated moderate quality on appraisal. The direction of association and cardiometabolic factors influencing should be investigated by longitudinal and treatment studies. These preliminary conclusions and clinical utility should be treated with caution due to limitations of the evidence base. - Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
SponsorFunding This study was undertaken in partial fulfilment of an MSc Advanced Physiotherapy undertaken at the Department of Allied Health Professions and Midwifery, School of Health and Social Work, University of Hertfordshire.
Languageen
PublisherBMJ Publishing Group
Subjectmetabolic syndrome
rotator cuff related shoulder pain
systematic review
TitleIs there an association between metabolic syndrome and rotator cuff-related shoulder pain? A systematic review
TypeArticle Review
Issue Number1
Volume Number5
dc.accessType Open Access


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