Effects of Strength Training on Scapular Dyskinesia: A Systematic Review

AbstractScapular dyskinesia refers to the functional disorder that affects the shoulder complex. Strength training has recently been used as a non-pharmacological strategy to minimize functional disorders that affect the musculoskeletal system. However, the evidence pointing to the contributions of strength training on scapular dyskinesia is still poorly understood. Therefore, the objective of the present study was to systematically review the evidence on the effects of strength training on scapular dyskinesia. The search for articles was carried out in the index databases Google Scholar, SciELO and PubMED until October 2017, with the application of the following descriptors: "scapular dyskinesia" and "strength training" in Portuguese and English, in different orders and combinations. Two researchers participated in the process of searching and selecting the articles and the PEDro scale was used as an instrument to evaluate the quality of the studies. 12 articles were found and after the application of the inclusion and exclusion criteria six manuscripts presented eligibility to compose the review. The evidences found allows us to point out the effects of strength training on the increase of lean mass, strengthening of the shoulder complex, reduction of reported pain and improvement in movement pattern. Therefore, considering the evidence found, strength training is suggested as one of the possible and efficient strategies in the people’s rehabilitation with scapular dyskinesia. Keywords: Exercise Therapy. Rehabilitation. Musculoskeletal System.ResumoA discinesia escapular faz referência ao distúrbio funcional que compromete o complexo do ombro. O treinamento de força, recentemente, tem sido utilizado como estratégia não farmacológica para minimização dos distúrbios funcionais que comprometem o sistema musculoesquelético. Todavia, as evidências que apontam as contribuições do treinamento de força sobre a discinesia escapular ainda são pouco conhecidas. Portanto, o objetivo do presente estudo foi revisar de forma sistemática as evidências sobre os efeitos do treinamento de força sobre a discinesia escapular. A busca dos artigos foi realizada nas bases indexadoras Google Acadêmico, SciELO e PubMED até outubro de 2017, com a aplicação dos seguintes descritores: “discinesia escapular” e “treinamento de força” em português e inglês, em diferentes ordens e combinações. Dois pesquisadores participaram do processo de busca e seleção dos artigos e a escala PEDro foi utilizada como instrumento de avaliação da qualidade dos estudos. 12 artigos foram encontrados e após a aplicação dos critérios de inclusão e exclusão seis manuscritos apresentaram elegibilidade para compor a revisão. As evidências encontradas permitem apontar como efeitos do treinamento de força o aumento da massa magra, o fortalecimento do complexo do ombro, a redução da dor relatada e a melhora no padrão de movimento. Logo, considerando as evidências encontradas, sugere-se a treinamento de força como uma das estratégias possíveis e eficiente na reabilitação de pessoas com discinesia escapular. Palavras-chave: Terapia por Exercício. Reabilitação. Sistema Musculoesquelético.

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Prognostic Factors for Development of Subsequent Metastases in Localized Osteosarcoma: A Systematic Review and Identification of Literature Gaps

Sarcoma ◽

10.1155/2020/7431549 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7 ◽

Cited By ~ 2

Author(s):

Patrick Basile ◽

Emily Greengard ◽

Brenda Weigel ◽

Logan Spector

Keyword(s):

Systematic Review ◽

Prognostic Factors ◽

Predictive Models ◽

Pulmonary Metastases ◽

Tumor Location ◽

Evidence Based ◽

Review Of The Literature ◽

Histologic Response ◽

Exclusion Criteria

Aim. To investigate prognostic factors in pediatric and young adult patients with localized osteosarcoma that could predict the development of subsequent pulmonary metastases and lead to an ability to risk-stratify therapy. We performed a systematic review of the literature published since January 1990 to establish common evidence-based prognostic factors. Methods. PubMed and Embase searches (Jan 1990–Aug 2018) were performed. Two reviewers independently selected papers for patients with localized osteosarcoma with subsequent metastatic development and then reviewed for quality of methods and prognostic factors. Results. Database searches yielded 216 unique results. After screening, 27 full-text articles were studied in depth, with 9 items fulfilling predetermined inclusion and exclusion criteria. Age, tumor location, tumor size/volume, and histologic response carried independent prognostic value in the majority of the studies. Conclusions. Several prognostic factors seemed to be consistent amongst the studies, but the heterogeneity and smaller sizes of the study populations made pooling of results difficult. Standardization of larger patient populations and consistent definitions/cutoffs for prognostic factors are needed to further assess for consistent prognostic factors and potential predictive models to be developed.

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Evidence of Animal-Assisted Therapy in Neurological Diseases in Adults: A Systematic Review

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182412882 ◽

2021 ◽

Vol 18 (24) ◽

pp. 12882

Author(s):

María del Carmen Rodríguez-Martínez ◽

Alba De la Plana Maestre ◽

Juan Antonio Armenta-Peinado ◽

Miguel Ángel Barbancho ◽

Natalia García-Casares

Keyword(s):

Systematic Review ◽

Clinical Trials ◽

Neurological Diseases ◽

Animal Assisted Therapy ◽

Social Benefits ◽

Exclusion Criteria ◽

Behavioural Health ◽

Different Populations ◽

Selection Of

Background: In recent years, the possibility of intervening humans with animal-assisted therapy (AAT) has been growing due to numerous physical, psychological, and social benefits provided to humanity, enabling them to maintain or improve their quality of life. There exist different animals through which this therapy can be performed. The purpose of this systematic review will focus on the effects of AAT in several neurological diseases. Methods: The search of clinical trials was carried out in the PubMed, Scielo, Embase and PEDro databases. The selection of articles was made according to the different inclusion and exclusion criteria, incorporating those that approached neurological diseases to be reviewed. Results: Twenty-five clinical trials were identified, seventeen of which were finally included in the review. The results indicate that animal-assisted therapy (AAT) in different neurological diseases has many benefits in several areas, for example, in motor and physical ability as well as in mental and behavioural health. Conclusions: This systematic review provides occupational therapy practitioners with evidence on the use of activity based on animal-assisted therapy as a novel field of intervention that can complement other therapies and obtain benefits in different populations.

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Prescription and Effects of Strength Training in Individuals with Intellectual Disability—A Systematic Review

Sports ◽

10.3390/sports9090125 ◽

2021 ◽

Vol 9 (9) ◽

pp. 125

Author(s):

Miguel Jacinto ◽

Rafael Oliveira ◽

João P. Brito ◽

Alexandre D. Martins ◽

Rui Matos ◽

...

Keyword(s):

Systematic Review ◽

Intellectual Disability ◽

Strength Training ◽

Web Of Science ◽

Fat Free Mass ◽

Intervention Programs ◽

Healthy Population ◽

Muscle Groups ◽

Present Systematic Review

The practice of physical exercise (PE), especially strength training (ST), has health benefits in the healthy population; however, the literature is scarce in the recommendations related to the population with intellectual disability (ID). This study represents the first analysis on the topic and aims to examine the structure and efficacy of ST experimental intervention programs in individuals with ID. This systematic review was carried out between January and April 2021, using the PubMed, Web of Science, Scopus, and SPORTDiscus databases, according to the PRISMA guidelines. From a total of 166 studies, eight were included in the present systematic review. The studies included a total of 280 individuals (18.23 ± 2.86 years old). The main features of the exercise programs are: 12 weeks average duration, three weekly sessions of 45–60 min, six to seven exercises targeting the main muscle groups, two to three sets, 6–12 repetitions, and avoiding free weights for safety reasons. The main results showed increments in strength, balance and fat-free mass and decrements in fat mass and waist circumference. It is a useful guideline for PE technicians to prescribe and adjust correctly in order to not only promote physical fitness, but improve the quality of life of individuals with ID.

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Effects of exercise on patients with Down syndrome

10.25242/8868113820212390 ◽

2021 ◽

Author(s):

Debora Benevides Barreto ◽

Carolina dos Santos Freitas ◽

Emili Gomes Henriques ◽

Thalia Pereira Silva ◽

Thalyta Márjory Fernandes Costa ◽

...

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Down Syndrome ◽

Randomized Clinical Trials ◽

Resistance Exercises ◽

Different Types ◽

Motor Activities ◽

Early Physical Therapy ◽

Keywords Exercise

Patients with Down syndrome have a delay in neuropsychomotor development. For this reason, physiotherapy is indicated early, in order to stimulate motor activities and provide a better quality of life. To verify the effects of exercise on the quality of life of patients with Down syndrome. A non-systematic review was carried out through a search in the PEDro database, with randomized clinical trials, published between 2008 and 2019, using the following keywords: exercise down, down syndrome physiotherapy. Six studies were included for review. Strength increased with various exercises in the 5 studies in which it was evaluated. Three studies showed improved balance with the use of resistance, isokinetic and stabilization exercises. Two articles evaluated physical function, based on resistance exercises, and only one improved. One article assessed blood glucose, fat, cholesterol and blood pressure, but there were no significant differences. Exercise improves important aspects such as strength and balance, with different types of intervention for patients with Down syndrome, reinforcing the importance of early physical therapy.

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How Effective are Complementary Therapies for HIV and AIDS?—a Systematic Review

International Journal of STD & AIDS ◽

10.1258/0956462991913088 ◽

1999 ◽

Vol 10 (10) ◽

pp. 629-635 ◽

Cited By ~ 22

Author(s):

Metin Özsoy ◽

Edzard Ernst

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Stress Management ◽

Complementary Therapies ◽

Randomized Clinical Trials ◽

Hiv And Aids ◽

Hiv Positive ◽

Exclusion Criteria ◽

Published Evidence

Complementary treatments are often used by HIV-infected individuals. Yet little is known about their effectiveness. The aim of this systematic review was therefore to summarize the published evidence for or against the effectiveness of complementary therapies in HIV-positive people. A comprehensive literature search was conducted to locate all randomized clinical trials (RCTs) of complementary therapies. Data were extracted in a standardized fashion and evaluated critically. Fourteen studies met our pre-de® ned inclusion/exclusion criteria; 2 of herbal treatments, 5 of vitamins and other supplements, 5 of stress management, one of massage therapy, and one of acupuncture. They fall into 2 broad categories of ‘cure’ and ‘care’. While the former category yields few encouraging results, the latter group of studies is more promising. In particular, stress management may prove to be an effective way to increase the quality of life. It is concluded that few rigorous trials of complementary treatments for HIV exist. The domain of complementary medicine may lie in the care for HIV-infected individuals with a view of increasing their quality of life. This notion requires further rigorous investigation.

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Efectos del entrenamiento de fuerza y suplementación en personas vegetarianas: Revisión sistemática (Effects of strength training and supplementation in vegetarian people: Systematic review)

Retos ◽

10.47197/retos.v0i34.58300 ◽

2018 ◽

pp. 247-251

Author(s):

Jose Antonio Rodríguez-Gandullo ◽

Francisco Álvarez-Barbosa

Keyword(s):

Systematic Review ◽

Strength Training ◽

Web Of Science ◽

Creatine Supplementation ◽

Vegetarian Diet ◽

Positive Effects ◽

Revisión Sistemática ◽

Prisma Statement ◽

Total Creatine

El objetivo del estudio fue investigar los efectos de un entrenamiento de fuerza más una suplementación adicional sobre deportistas adultos no profesionales y vegetarianos. Una revisión sistemática de las bases de datos MEDLINE (PubMed), Scopus, SportDiscus y WOS (Web of Science) fue realizada siguiendo el modelo PICO, utilizando términos que representasen a personas vegetarianas de entre 18 y 64 años que hubiesen realizado una intervención basada en un entrenamiento de fuerza más suplementación. Siguiendo el procedimiento PRISMA, de los 62 estudios encontrados tan solo 3 cumplieron todos los criterios por lo que fueron analizados en su totalidad para poder ser incluidos en la revisión. La calidad metodológica de los estudios se evaluó mediante la escala PEDro. El estudio de Shomrat et al. (2000) la suplementación con creatina provocó un incremento de la masa corporal y potencia media. El estudio de Burke et al. (2003) obtuvo con la suplementación de creatina incrementos en la fosfocreatina (PCr), creatina total (TCr), fuerza, fibras musculares de tipo II y tejido magro, siendo estos cambios más significativos en las personas vegetarianas. Por último, en el estudio de Burke et al. (2008), el factor de crecimiento insulínico de tipo 1 (IGF-1) se incrementó en un 67%, con mayor acumulación en el grupo que fue suplementado con creatina. A raíz de estos resultados se puede concluir que la suplementación con creatina puede provocar efectos positivos en el rendimiento de los deportistas vegetarianos, ya que puede cubrir ciertas carencias derivadas de la dieta vegetariana.Abstract: The aim of the study was to investigate the effects of strength training plus additional supplementation on non-professional adult athletes who are vegetarian. A systematic review of MEDLINE (PubMed), Scopus, SportDiscus, and WOS (Web of Science) databases was performed following the PICO model, using terms related to vegetarians aged between 18 and 64 years who realized an intervention based on strength training and supplementation. Following the PRISMA statement, of the 62 studies found only 3 met all the inclusion criteria and were analyzed entirely to be included in the review. The methodological quality of the studies was performed using the PEDro scale. The study of Shomrat et al. (2000) with creatine supplementation resulted in an increase in body mass and power. The study of Burke et al. (2003), based on creatine supplementation, obtained an increase of phosphocreatine (PCr), total creatine (TCr), strength, type II muscle fibers, and lean tissue. These changes were significant in vegetarians. Finally, in a study of Burke et al. (2008), insulin-like growth factor-1 (IGF-1) increased by 67%, with higher accumulation in the group that was supplemented with creatine. As a consequence of these results we can conclude that creatine supplementation could have positive effects on the performance of vegetarians due to the fact that it could cover certain shortcomings derived from the vegetarian diet.

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Computed tomography of the heads of ancient Egyptian mummies: a systematic review of the medical literature.

NEMESIS ◽

10.14428/nemesis.v9i1.52583 ◽

2020 ◽

Vol 9 (1) ◽

pp. 1-49

Author(s):

Raphael Olszewski ◽

Jean-Philippe Hastir ◽

Caroline Tilleux ◽

Luc Delvaux ◽

Etienne Danse

Keyword(s):

Systematic Review ◽

Current Knowledge ◽

Case Reports ◽

Case Series ◽

Ct Scanning ◽

General Information ◽

Exclusion Criteria ◽

Ancient Egyptian ◽

Final Study

Objective: To summarize the current knowledge on CT scanning of Egyptian mummy heads and faces and provide more valid methodology than that previously available. Material and methods: A systematic review was performed by one observer using two biomedical databases: PubMed and EMBASE. Inclusion and exclusion criteria were applied along with language restrictions. Finally, 2120 articles were found, 359 articles were duplicated among all search equations, 1454 articles were excluded, 307 articles were retained for full review, and 28 articles (31 mummies) were selected for the final study (PRISMA workflow). Results: The data were categorized into the following groups: 1) general information; 2) 1st author affiliation; 3) CT radiological protocol; 4) excerebration pathways; 5) soft tissue preservation; 6) dental status and displaced teeth; 7) packing of the mouth, ears, nose, and eyes, and 8) outer facial appearance. The evidence-based quality of the studies was low because only case reports and small case series were found. Discussion: The embalming art applied to a mummified head and face shows great variability across the whole span of Egyptian civilization. The differences among the various embalming techniques rely on multiple tiny details that are revealed by meticulous analysis of CT scans by a multidisciplinary team of experts. Conclusion: There is a need for more systematization of the CT radiological protocol and the description of Egyptian mumm’y heads and faces to better understand the details of embalming methods.

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Challenges of Health Care Reforms (HCRS) in Low and Middle-Income Countries (LMICs): A Qualitative Systematic Review

10.21203/rs.3.rs-510547/v1 ◽

2021 ◽

Author(s):

Farbod Ebadi FardAzar ◽

Azam Choopani ◽

Seyed Ahmad Ahmadi Teymourlouy ◽

Seyed Hasan Arkian

Keyword(s):

Systematic Review ◽

Health Care ◽

Human Resources ◽

Exclusion Criteria ◽

Health Care Reforms ◽

Middle Income ◽

Middle Income Countries ◽

Text Reading ◽

Low And Middle Income

Abstract Background: Healthcare reforms (HCRs) are performed by many resource-limited countries to improve the quality of health care. However, reforms do not always lead to the expected benefits and implementation problems are not fully considered due to lack of a systematic analysis of HCRs in these countries. Thus, the present study aimed to review the challenges of health care reforms in low and middle-income countries systematically.Method: A systematic review of qualitative studies was used in the present study. Data were searched in five databases. The references related to the selected articles were searched for any relevant study irrespective of gray literature. The articles were screened based on PRISMA. The duplicates were removed, others were screened based on the title and abstract, and the eligible ones were selected for full-text reading and those matched with inclusion and exclusion criteria were selected for review. Framework analyses were used for data analysis, and the quality of the studies was evaluated by the CASP checklist for qualitative studies.Results: 702 articles were found, among which 149 were duplicated, 553 were selected to primary screening, 390 were excluded, and 163 were selected for full text reading. Finally, 151 articles were excluded, and 12 matched with the inclusion and exclusion criteria were included in the study.Conclusion:Health reforms in low and middle-income countries have faced different challenges in financing, human resources, drugs and medicine, infrastructures, and governance, which can be influenced the delivery of qualified services. Thus, in order to design and implement any health care reforms in these countries, it is recommended for policymakers to take appropriate decisions about agenda setting, regulations and guidelines, sustainability of financing resources, collaborations, accountabilities and responsibilities, as well as the way of providing human resources, infrastructures, needed drugs, and medicine. In addition, the way of accessing services in rural and remote areas should be clarified. Finally, the reforms should be made very intelligently to direct the funds for the right needs and priorities in the countries where the donors’ interests may be affected.

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Effectiveness of Workplace Exercise Interventions on Body Composition: A Systematic Review and Meta-Analysis

American Journal of Health Promotion ◽

10.1177/08901171211014726 ◽

2021 ◽

pp. 089011712110147

Author(s):

Guillermo García Pérez de Sevilla ◽

Fernando Cobo Vicente-Arche ◽

Israel John Thuissard ◽

Olga Barcelo ◽

Margarita Perez-Ruiz

Keyword(s):

Body Composition ◽

Strength Training ◽

Data Extraction ◽

Meta Analysis ◽

Moderate Intensity ◽

Exclusion Criteria ◽

Exercise Interventions ◽

Body Adiposity ◽

Data Source

Objective: The aim of this review was to analyze the effectiveness of workplace exercise interventions on body composition (BC). Data Source: Studies published in PubMed, Scopus, SPORTDiscus, Web of Science, CINAHL and PsycINFO, from the earliest time point until 8 July 2020. Study Inclusion and Exclusion Criteria: Inclusion criteria were worksite interventions, in adults, Randomized Controlled Trials (RCTs), real exercise practice, and measuring BC outcomes. Exclusion criteria were full-text non-available, abstract not in English, and exercise protocol missing. Data Extraction: 157 studies were retrieved and assessed for inclusion by 2 independent reviewers, who also used the Cochrane’s Collaboration Tool to assess study quality and risk of bias. Data Synthesis: We performed a meta-analysis to determine the effect size of the interventions on BC outcomes reported in at least 5 studies. Results: Twelve RCTs were included (n = 1270, 66% women), quality of studies being low to high (25% moderate, 67% high). Interventions achieved a statistically significant decrease in waist circumference (SMD = 0.24; 95% confidence interval (CI): 0.06 to 0.41; p = 0.008), total mass fat (SMD = 0.21; 95%CI: 0.00 to 0.41; p = 0.047), and body adiposity index (SMD = 0.20; 95%CI: 0.00 to 0.41; p = 0.049). No changes were observed in body weight (SMD = 0.08 95%CI: −0.02 to 0.18; p = 0.128). Additionally, muscle mass increased in interventions that included strength training. There were no adverse events reported. Conclusion: The most effective workplace exercise interventions to improve BC combined supervised, moderate-intensity aerobic and strength training, for at least 4 months.

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Systematic review of the effect of physical activity and religiosity on anxiety, depression, stress and quality of life in older people

Research Society and Development ◽

10.33448/rsd-v10i5.10150 ◽

2021 ◽

Vol 10 (5) ◽

pp. e11910510150

Author(s):

Helena Andrade Figueira ◽

Olivia Andrade Figueira ◽

Joanir Pereira Passos ◽

Alan Andrade Figueira ◽

Maria Aparecida de Luca Nascimento ◽

...

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Systematic Review ◽

Older People ◽

Initial Sample ◽

Exclusion Criteria ◽

Anxiety Depression

Aims: A systematic review to determine the effect of physical activity and religiosity on anxiety, depression, stress and quality of life in older people. Methods: The LILACS, MEDLINE/PUBMED, SCIELO, and COCHRANE databases were searched. Titles, abstracts and keywords of original articles published in English from January 1990 to January 2019 were examined using the following DeCS descriptors: anxiety, depression, stress, quality of life, active, sedentary, religiosity, ageing, aging, older people. The operator ‘or’ was used between the descriptors ageing, aging and older people. In the screening, exclusion criteria were applied. Eighteen studies, from the initial sample of 47,494, remained at the end of this process. Results: This systematic review found that most of these eighteen studies focus on depression (16), stress (12), anxiety (11) and QOL (11). Depression was the foremost ageing concern. Conclusions: Although these descriptors are so often studied today, their synchronized relationship has not yet been studied. Further studies should be conducted to assess the effect of physical activity and religiosity on depression, anxiety, stress and quality of life in older people.

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