Effectiveness of movement representation techniques in non-specific shoulder pain: a systematic review and meta-analysis
Abstract This systematic review and meta-analysis aims to assess the effects of movement representation techniques (MRT) on pain, range of motion, functional outcomes, and pain-related fear in patients with non-specific shoulder pain (NSSP). A literature search conducted in PubMed, PEDro, EBSCO, Sco...
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Nature Portfolio
2025-01-01
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| Online Access: | https://doi.org/10.1038/s41598-024-84016-9 |
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| author | Nuray Alaca Ali Ömer Acar Sergen Öztürk |
| author_facet | Nuray Alaca Ali Ömer Acar Sergen Öztürk |
| author_sort | Nuray Alaca |
| collection | DOAJ |
| description | Abstract This systematic review and meta-analysis aims to assess the effects of movement representation techniques (MRT) on pain, range of motion, functional outcomes, and pain-related fear in patients with non-specific shoulder pain (NSSP). A literature search conducted in PubMed, PEDro, EBSCO, Scopus, Cochrane Library, ScienceDirect, and gray literature on April 31, 2023. We selected seven randomized controlled trials based on the PICOS framework. Incomplete data or non-NSSP excluded. Study quality was assessed using the PEDro scale (mean score = 6.43), and certainty of evidence was evaluated with the GRADE approach. MRT demonstrated a large effect size for pain reduction (high heterogeneity, I2 = 85.2%, Hedges’g = 1.324, 95% CI = 0.388–2.260, P = 0.006), functional improvement (moderate heterogeneity, I2 = 70.82%, Hedges’g = 1.263, 95% CI = 0.622–1.904, P < 0.001), and reduction of pain-related fear (moderate heterogeneity, I2 = 70.86%, Hedges’g = 0.968, 95% CI = 0.221–1.716, P < 0.001). MRT also showed significant benefits for range of motion, particularly in flexion (low heterogeneity, I2 = 26.38%, Hedges’g = 0.683), abduction (low heterogeneity, I2 = 33.27%, Hedges’g = 0.756), and external rotation (low heterogeneity, I2 = 48.33%, Hedges’g = 0.542) (P < 0.001 for all), while no significant effect was found for internal rotation (P > 0.05). No publication bias was detected. While limited evidence and methodological concerns necessitate further research, MRT appears to positively impact pain, range of motion, functional outcomes, and pain-related fear in NSSP patients. |
| format | Article |
| id | doaj-art-d8f4756964a5432ea61685658d5b05f0 |
| institution | OA Journals |
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| language | English |
| publishDate | 2025-01-01 |
| publisher | Nature Portfolio |
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| series | Scientific Reports |
| spelling | doaj-art-d8f4756964a5432ea61685658d5b05f02025-08-20T01:47:58ZengNature PortfolioScientific Reports2045-23222025-01-0115111410.1038/s41598-024-84016-9Effectiveness of movement representation techniques in non-specific shoulder pain: a systematic review and meta-analysisNuray Alaca0Ali Ömer Acar1Sergen Öztürk2Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, University of Acibadem Mehmet Ali AydınlarFaculty of Health Sciences, Department of Physiotherapy and Rehabilitation, University of Acibadem Mehmet Ali AydınlarFaculty of Health Sciences, Department of Physiotherapy and Rehabilitation, University of Acibadem Mehmet Ali AydınlarAbstract This systematic review and meta-analysis aims to assess the effects of movement representation techniques (MRT) on pain, range of motion, functional outcomes, and pain-related fear in patients with non-specific shoulder pain (NSSP). A literature search conducted in PubMed, PEDro, EBSCO, Scopus, Cochrane Library, ScienceDirect, and gray literature on April 31, 2023. We selected seven randomized controlled trials based on the PICOS framework. Incomplete data or non-NSSP excluded. Study quality was assessed using the PEDro scale (mean score = 6.43), and certainty of evidence was evaluated with the GRADE approach. MRT demonstrated a large effect size for pain reduction (high heterogeneity, I2 = 85.2%, Hedges’g = 1.324, 95% CI = 0.388–2.260, P = 0.006), functional improvement (moderate heterogeneity, I2 = 70.82%, Hedges’g = 1.263, 95% CI = 0.622–1.904, P < 0.001), and reduction of pain-related fear (moderate heterogeneity, I2 = 70.86%, Hedges’g = 0.968, 95% CI = 0.221–1.716, P < 0.001). MRT also showed significant benefits for range of motion, particularly in flexion (low heterogeneity, I2 = 26.38%, Hedges’g = 0.683), abduction (low heterogeneity, I2 = 33.27%, Hedges’g = 0.756), and external rotation (low heterogeneity, I2 = 48.33%, Hedges’g = 0.542) (P < 0.001 for all), while no significant effect was found for internal rotation (P > 0.05). No publication bias was detected. While limited evidence and methodological concerns necessitate further research, MRT appears to positively impact pain, range of motion, functional outcomes, and pain-related fear in NSSP patients.https://doi.org/10.1038/s41598-024-84016-9Motor imageryAction observationMirror therapyVisual mirror feedback therapyGraded motor imageryPain |
| spellingShingle | Nuray Alaca Ali Ömer Acar Sergen Öztürk Effectiveness of movement representation techniques in non-specific shoulder pain: a systematic review and meta-analysis Scientific Reports Motor imagery Action observation Mirror therapy Visual mirror feedback therapy Graded motor imagery Pain |
| title | Effectiveness of movement representation techniques in non-specific shoulder pain: a systematic review and meta-analysis |
| title_full | Effectiveness of movement representation techniques in non-specific shoulder pain: a systematic review and meta-analysis |
| title_fullStr | Effectiveness of movement representation techniques in non-specific shoulder pain: a systematic review and meta-analysis |
| title_full_unstemmed | Effectiveness of movement representation techniques in non-specific shoulder pain: a systematic review and meta-analysis |
| title_short | Effectiveness of movement representation techniques in non-specific shoulder pain: a systematic review and meta-analysis |
| title_sort | effectiveness of movement representation techniques in non specific shoulder pain a systematic review and meta analysis |
| topic | Motor imagery Action observation Mirror therapy Visual mirror feedback therapy Graded motor imagery Pain |
| url | https://doi.org/10.1038/s41598-024-84016-9 |
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