| アブストラクト | 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. |
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| ジャーナル名 | Journal of bodywork and movement therapies |
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| Pubmed追加日 | 2026/4/3 |
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| 投稿者 | do Nascimento Filho, Flavio Martins; Andrade, Talita Santos; Menezes, Pedro Machado; Menezes, Mayara Alves; Dos Santos Caduda, Suziany; Alves Mendonca, Igor Leonardo; Lima, Tarcisio Brandao; de Farias Neto, Jader Pereira; da Silva Junior, Walderi Monteiro |
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| 組織名 | Graduate Program in Health Sciences, Federal University of Sergipe (PPGSC-UFS),;Sao Cristovao, 49100-000, Aracaju, SE, Brazil. Electronic address:;flaviomartinsfilho@gmail.com.;Sao Cristovao, 49100-000, Aracaju, SE, Brazil.;Department of Physiotherapy, Federal University of Sergipe, Aracaju, Sergipe,;Brazil.;CIAFEL, Faculty Sport of the University of Porto, Rua Dr. Placido da Costa 91,;Porto, Portugal. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/41927206/ |
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