Effects of electromyographic biofeedback interventions for shoulder pain and function: Systematic review and meta-analysis

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dc.contributor.authorKamonseki, Danilo Harudy
dc.contributor.authorCalixtre, Letícia Bojikian [UNESP]
dc.contributor.authorBarreto, Rodrigo Py Gonçalves
dc.contributor.authorCamargo, Paula Rezende
dc.contributor.institutionUniversidade Federal de São Carlos (UFSCar)
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2021-06-25T10:51:59Z
dc.date.available2021-06-25T10:51:59Z
dc.date.issued2021-01-01
dc.description.abstractObjective: To systematically review the effectiveness of electromyographic biofeedback interventions to improve pain and function of patients with shoulder pain. Design: Systematic review of controlled clinical trials. Literature search: Databases (Medline, EMBASE, CINAHL, PEDro, CENTRAL, Web of Science, and SCOPUS) were searched in December 2020. Study selection criteria: Randomized clinical trials that investigated the effects of electromyographic biofeedback for individuals with shoulder pain. Patient-reported pain and functional outcomes were collected and synthesized. Data synthesis: The level of evidence was synthesized using GRADE and Standardized Mean Differences and 95% confidence interval were calculated using a random-effects inverse variance model for meta-analysis. Results: Five studies were included with a total sample of 272 individuals with shoulder pain. Very-low quality of evidence indicated that electromyographic biofeedback was not superior to control for reducing shoulder pain (standardized mean differences = −0.21, 95% confidence interval: −0.67 to 0.24, P = 0.36). Very-low quality of evidence indicated that electromyographic biofeedback interventions were not superior to control for improving shoulder function (standardized mean differences = −0.11, 95% confidence interval: −0.41 to 0.19, P = 0.48). Conclusion: Electromyographic biofeedback may be not effective for improving shoulder pain and function. However, the limited number of included studies and very low quality of evidence does not support a definitive recommendation about the effectiveness of electromyographic biofeedback to treat individuals with shoulder pain.en
dc.description.affiliationLaboratory of Analysis and Intervention of the Shoulder Complex Universidade Federal de São Carlos (UFSCar) São Carlos
dc.description.affiliationDepartment of Dental Materials and Prosthodontics Araraquara Dental School Universidade Estadual Paulista (UNESP), Araraquara
dc.description.affiliationUnespDepartment of Dental Materials and Prosthodontics Araraquara Dental School Universidade Estadual Paulista (UNESP), Araraquara
dc.identifierhttp://dx.doi.org/10.1177/0269215521990950
dc.identifier.citationClinical Rehabilitation.
dc.identifier.doi10.1177/0269215521990950
dc.identifier.issn1477-0873
dc.identifier.issn0269-2155
dc.identifier.scopus2-s2.0-85100588060
dc.identifier.urihttp://hdl.handle.net/11449/207255
dc.language.isoeng
dc.relation.ispartofClinical Rehabilitation
dc.sourceScopus
dc.subjectfeedback
dc.subjectmotor control
dc.subjectRehabilitation
dc.subjectscapula
dc.subjectsubacromial
dc.titleEffects of electromyographic biofeedback interventions for shoulder pain and function: Systematic review and meta-analysisen
dc.typeArtigo
unesp.author.orcid0000-0001-7552-8959[1]

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