Actualización sobre la efectividad de la fisioterapia en la tendinopatía del manguito rotador. Revisión de revisiones.
Saved in:
| Title: | Actualización sobre la efectividad de la fisioterapia en la tendinopatía del manguito rotador. Revisión de revisiones. |
|---|---|
| Alternate Title: | Update on the effectiveness of physical therapy in rotator cuff tendinopathy. Umbrella review. Atualização sobre a eficácia da fisioterapia na tendinopatia da coifa dos rotadores. Revisão de revisões. |
| Authors: | Andrade-Abilleira, Ángel1, Justo-Cousiño, Lorenzo Antonio1,2 lorenzo.justo@uvigo.es |
| Source: | Revista Andaluza de Medicina del Deporte. jun2025, Vol. 18 Issue 2, p59-68. 12p. |
| Subjects: | PHYSICAL therapy, EXERCISE therapy, TENDINOPATHY, ROTATOR cuff, SHOULDER disorders, EXTRACORPOREAL shock wave therapy, LASER therapy |
| Abstract (English): | Rotator cuff tendinopathies are common shoulder disorders, usually caused by overuse. Conservative treatment includes therapeutic exercise, extracorporeal shockwave therapy, and laser therapy. The aim is to update systematic reviews published in the last five years regarding the effectiveness of physiotherapy in the treatment of this condition. An overview of reviews was conducted following the PRIOR guidelines. Eight databases were searched, and the methodological quality of included studies was assessed using the AMSTAR-2 scale. As the results, six systematic reviews and/or meta-analyses were included. Therapeutic exercise, especially programs involving progressive loading and eccentric exercises, reduced pain and improved shoulder function. Shockwave therapy showed effectiveness in cases of calcific tendinopathy. It was concluded that there is strong evidence supporting the effectiveness of therapeutic exercise. Multimodal treatment approaches, including laser therapy and shockwave therapy, appear promising. Further research is necessary to establish optimal exercise protocols and evaluate the effectiveness of interventions in non-calcific rotator cuff tendinopathies. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Las tendinopatías del manguito rotador son afecciones frecuentes del hombro, comúnmente originadas por sobreuso. El tratamiento conservador incluye ejercicio terapéutico, ondas de choque y terapia láser. El objetivo es actualizar las revisiones sistemáticas publicadas en los últimos cinco años sobre la efectividad de la fisioterapia en esta patología. Se llevó a cabo una revisión de revisiones conforme a la guía PRIOR. Se consultaron ocho bases de datos y se evaluó la calidad metodológica de los estudios mediante la escala AMSTAR-2. Como resultados se incluyeron seis revisiones sistemáticas y/o metaanálisis. El ejercicio terapéutico, especialmente con cargas progresivas y ejercicios excéntricos, redujo el dolor y mejoró la función. Las ondas de choque demostraron eficacia en tendinopatías calcificadas. Se concluyó que existe evidencia sólida sobre el beneficio del ejercicio terapéutico. Los tratamientos multimodales, que incluyen terapia láser y ondas de choque, son prometedores. Se necesitan más estudios sobre protocolos óptimos y tendinopatías no calcificadas. [ABSTRACT FROM AUTHOR] |
| Abstract (Portuguese): | As tendinopatias do manguito rotador são condições frequentes do ombro, geralmente causadas por uso excessivo. O tratamento conservador inclui exercício terapêutico, terapia por ondas de choque e laserterapia. O objetivo é atualizar as revisões sistemáticas publicadas nos últimos cinco anos sobre a eficácia da fisioterapia no tratamento dessa patologia. Foi realizada uma revisão de revisões conforme as diretrizes da PRIOR. Oito bases de dados foram consultadas, e a qualidade metodológica dos estudos incluídos foi avaliada utilizando a escala AMSTAR-2. Resultados: Foram incluídas seis revisões sistemáticas e/ou metanálises. O exercício terapêutico, especialmente com cargas progressivas e exercícios excêntricos, reduziu a dor e melhorou a função do ombro. A terapia por ondas de choque mostrou-se eficaz em tendinopatias calcificadas. Concluiu-se que existe evidência sólida sobre os benefícios do exercício terapêutico. Tratamentos multimodais, como laserterapia e ondas de choque, são promissores. Mais estudos são necessários sobre protocolos ideais e tendinopatias não calcificadas. [ABSTRACT FROM AUTHOR] |
| Copyright of Revista Andaluza de Medicina del Deporte is the property of Centro Andaluza de Medicina del Deporte and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| Abstract: | Rotator cuff tendinopathies are common shoulder disorders, usually caused by overuse. Conservative treatment includes therapeutic exercise, extracorporeal shockwave therapy, and laser therapy. The aim is to update systematic reviews published in the last five years regarding the effectiveness of physiotherapy in the treatment of this condition. An overview of reviews was conducted following the PRIOR guidelines. Eight databases were searched, and the methodological quality of included studies was assessed using the AMSTAR-2 scale. As the results, six systematic reviews and/or meta-analyses were included. Therapeutic exercise, especially programs involving progressive loading and eccentric exercises, reduced pain and improved shoulder function. Shockwave therapy showed effectiveness in cases of calcific tendinopathy. It was concluded that there is strong evidence supporting the effectiveness of therapeutic exercise. Multimodal treatment approaches, including laser therapy and shockwave therapy, appear promising. Further research is necessary to establish optimal exercise protocols and evaluate the effectiveness of interventions in non-calcific rotator cuff tendinopathies. [ABSTRACT FROM AUTHOR] |
|---|---|
| ISSN: | 18887546 |
| DOI: | 10.33155/ramd.v18i2.1207 |
