Relationship between Shoulder Pain, Trunk and Lower Limb Pain in Overhead Athletes: A Systematic Review with Meta-analysis
# Background Forty-nine percent of overhead athletes suffer from shoulder pain. Throwing movements require the participation of all components of the kinetic chain to reduce risk for shoulder overuse. Thus, limited lower limb range of motion or weakness has been identified as a risk factor for sho...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
North American Sports Medicine Institute
2024-12-01
|
| Series: | International Journal of Sports Physical Therapy |
| Online Access: | https://doi.org/10.26603/001c.125882 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1825196967504904192 |
|---|---|
| author | Marine Leroux Franck Lagniaux |
| author_facet | Marine Leroux Franck Lagniaux |
| author_sort | Marine Leroux |
| collection | DOAJ |
| description | # Background
Forty-nine percent of overhead athletes suffer from shoulder pain. Throwing movements require the participation of all components of the kinetic chain to reduce risk for shoulder overuse. Thus, limited lower limb range of motion or weakness has been identified as a risk factor for shoulder pain in overhead athletes.
# Purpose
This systematic review aims to evaluate the association between shoulder, trunk, and lower limb pain in overhead athletes.
# Study Design
Systematic Review and Meta-analysis
# Methods
A systematic review was conducted in the PubMed/MEDLINE, Science Direct and CENTRAL/Cochrane databases for observational studies. Search terms included sports-related terms (e.g., 'overhead', 'baseball', 'volleyball', 'handball') and injury-related terms (e.g., 'injury history', 'shoulder pain', 'lower limb pain', 'hip pain', 'knee pain', 'ankle pain', 'foot pain', 'trunk pain'). Studies were considered for review if they met the following criteria: inclusion of overhead athletes, investigation of injury or pain in shoulder and lower limb or trunk, had data related to or could calculate the calculation of odds ratio (OR) or relative risk (RR), available in French or English. The ROBINS-E tool was used to assess the methodological quality of each article. The data were pooled in a random-effects meta-analysis, using odds ratios to estimate the strength of the association between shoulder pain and pain at other locations.
# Results
Seven articles were included. Five of them were at moderate risk of bias and two were at high risk of bias. Shoulder pain was associated with low back pain (OR=5.51), hip pain (OR=4.32), knee pain (OR=3.03) and ankle/foot pain (OR=2.84).
# Conclusion
This systematic review highlighted, with very low to low certainty, a significant association between shoulder pain and trunk/lower limb pain or injuries.
# Level of Evidence
Level 3 |
| format | Article |
| id | doaj-art-d3bfef1e7c4543cf94f0f3fe2e30e0b6 |
| institution | Kabale University |
| issn | 2159-2896 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | North American Sports Medicine Institute |
| record_format | Article |
| series | International Journal of Sports Physical Therapy |
| spelling | doaj-art-d3bfef1e7c4543cf94f0f3fe2e30e0b62025-02-11T20:30:00ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962024-12-011912Relationship between Shoulder Pain, Trunk and Lower Limb Pain in Overhead Athletes: A Systematic Review with Meta-analysisMarine LerouxFranck Lagniaux# Background Forty-nine percent of overhead athletes suffer from shoulder pain. Throwing movements require the participation of all components of the kinetic chain to reduce risk for shoulder overuse. Thus, limited lower limb range of motion or weakness has been identified as a risk factor for shoulder pain in overhead athletes. # Purpose This systematic review aims to evaluate the association between shoulder, trunk, and lower limb pain in overhead athletes. # Study Design Systematic Review and Meta-analysis # Methods A systematic review was conducted in the PubMed/MEDLINE, Science Direct and CENTRAL/Cochrane databases for observational studies. Search terms included sports-related terms (e.g., 'overhead', 'baseball', 'volleyball', 'handball') and injury-related terms (e.g., 'injury history', 'shoulder pain', 'lower limb pain', 'hip pain', 'knee pain', 'ankle pain', 'foot pain', 'trunk pain'). Studies were considered for review if they met the following criteria: inclusion of overhead athletes, investigation of injury or pain in shoulder and lower limb or trunk, had data related to or could calculate the calculation of odds ratio (OR) or relative risk (RR), available in French or English. The ROBINS-E tool was used to assess the methodological quality of each article. The data were pooled in a random-effects meta-analysis, using odds ratios to estimate the strength of the association between shoulder pain and pain at other locations. # Results Seven articles were included. Five of them were at moderate risk of bias and two were at high risk of bias. Shoulder pain was associated with low back pain (OR=5.51), hip pain (OR=4.32), knee pain (OR=3.03) and ankle/foot pain (OR=2.84). # Conclusion This systematic review highlighted, with very low to low certainty, a significant association between shoulder pain and trunk/lower limb pain or injuries. # Level of Evidence Level 3https://doi.org/10.26603/001c.125882 |
| spellingShingle | Marine Leroux Franck Lagniaux Relationship between Shoulder Pain, Trunk and Lower Limb Pain in Overhead Athletes: A Systematic Review with Meta-analysis International Journal of Sports Physical Therapy |
| title | Relationship between Shoulder Pain, Trunk and Lower Limb Pain in Overhead Athletes: A Systematic Review with Meta-analysis |
| title_full | Relationship between Shoulder Pain, Trunk and Lower Limb Pain in Overhead Athletes: A Systematic Review with Meta-analysis |
| title_fullStr | Relationship between Shoulder Pain, Trunk and Lower Limb Pain in Overhead Athletes: A Systematic Review with Meta-analysis |
| title_full_unstemmed | Relationship between Shoulder Pain, Trunk and Lower Limb Pain in Overhead Athletes: A Systematic Review with Meta-analysis |
| title_short | Relationship between Shoulder Pain, Trunk and Lower Limb Pain in Overhead Athletes: A Systematic Review with Meta-analysis |
| title_sort | relationship between shoulder pain trunk and lower limb pain in overhead athletes a systematic review with meta analysis |
| url | https://doi.org/10.26603/001c.125882 |
| work_keys_str_mv | AT marineleroux relationshipbetweenshoulderpaintrunkandlowerlimbpaininoverheadathletesasystematicreviewwithmetaanalysis AT francklagniaux relationshipbetweenshoulderpaintrunkandlowerlimbpaininoverheadathletesasystematicreviewwithmetaanalysis |