RT info:eu-repo/semantics/article T1 Efficacy of conservative therapy in overhead athletes with glenohumeral internal rotation deficit: A systematic review and meta-analysis A1 Jiménez del Barrio, Sandra A1 Ceballos Laita, Luis A1 Lorenzo Muñoz, Almudena A1 Mingo Gómez, María Teresa A1 Rebollo Salas, Manuel A1 Jiménez Rejano, José Jesús K1 Athletes K1 Sports medicine K1 Medicina deportiva K1 Sports injuries - Prevention K1 Lesiones deportivas - Prevención K1 Rehabilitation K1 Deportistas - Rehabilitación K1 Shoulder - Diseases K1 Hombro - Enfermedades - Tratamiento K1 Joints - Diseases K1 Articulaciones - Enfermedades K1 Physical therapy K1 Systematic reviews (Medical research) K1 Meta-analysis K1 Statistics K1 Estadística K1 3201 Ciencias Clínicas K1 3213.11 Fisioterapia AB Background: To evaluate the effectiveness of conservative therapy in range of movement (ROM), strength, pain, subacromial space and physical function, in overhead athletes with glenohumeral internal rotation deficit (GIRD). Methods: A systematic review and meta-analysis was designed, and the protocol was registered in PROSPERO (CRD42021281559). The databases searched were: PubMed, Cochrane Central Register of Controlled Trials, Physiotherapy Evidence Database, Web of Science and SCOPUS. Randomized controlled trials (RCTs) involving conservative therapy applied in overhead athletes with GIRD were included. Two independent assessors evaluated the quality of the studies with the PEDro scale, and with the Cochrane Risk-of-Bias tool. The overall quality of the evidence was assessed using GRADE. Data on outcomes of interest were extracted by a researcher using RevMan 5.4 software. Estimates were presented as standardized mean differences (SMD) with 95% confidence intervals (CIs). Results: A total of eleven studies involving 514 overhead athletes were included in the systematic review; of these 8 were included in the meta-analysis. The methodological quality of the included RCTs ranged from high to low. Conservative therapy showed significant improvements in internal rotation, adduction, physical function and subacromial space. Conclusions: Conservative therapy based on stretch, passive joint and muscular mobilizations can be useful to improve the internal rotation and adduction ROM, subacromial space, and physical function of the shoulder in overhead athletes with glenohumeral internal rotation deficit. PB MDPI SN 2077-0383 YR 2022 FD 2022 LK https://uvadoc.uva.es/handle/10324/60628 UL https://uvadoc.uva.es/handle/10324/60628 LA eng NO Journal of Clinical Medicine, 2022, Vol. 12, Nº.1, 4 NO Producción Científica DS UVaDOC RD 24-nov-2024