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

Journal of Rehabilitation Medicine

卷:51

Hio Teng Leong¹  Nobuyuki Yamamoto²  Shu Hang Patrick Yung²  Sai Chuen Fu²  Xin He²  Joo Han Oh² 

[1] ;

关键词: rotator cuff tendinopathy;    shoulder;    overuse;    risks;    odd ratios;    systematic review;    meta-analysis.;   

DOI  :  10.2340/16501977-2598

来源: DOAJ

【 摘 要 】

Objectives: To conduct a systematic review and meta-analysis to identify risk and associated factors for symptomatic rotator cuff tendinopathy.Data sources: PubMed, CINAHL and Scopus were searched from inception to June 2017.Study selection: Participants presented with signs and symptoms suggestive of rotator cuff tendinopathy/tendinosis/tendinitis, shoulder impingement syndrome, or subacromial bursitis diagnosed by clinical tests and/or conventional imaging.Data extraction: Screening, quality assessment and data extraction were carried out by 2 reviewers.Data synthesis: Sixteen studies were included in this review. Overall, 22 factors were identified and 5 factors were explored using meta-analysis. Pooled analyses provided strong evidence that age above 50 years (odds ratio (OR)?=?3.31, 95% confidence interval (95% CI)?=?2.30–4.76, I2?=?0%, p<0.001) and diabetes (OR?=?2.24, 95% CI?=?1.37–3.65, I2?=?0%, p?=?0.001) were associated with increased risk of rotator cuff tendinopathy. In addition, moderate evidence showed that work with the shoulder above 90° was associated with increased risk of rotator cuff tendinopathy (OR?=?2.41, 95% CI?=?1.31–4.45, I2=?83%, p?=?0.005).Conclusion: Age above 50 years, diabetes and overhead activities were associated with increased risk of rotator cuff tendinopathy.

【 授权许可】

Unknown