RT Journal Article
T1 Functional Outcomes After Imaging- and Orthopedic Test-Guided Evaluation of Shoulder Disorders: Systematic Review and Meta-Analysis
A1 García De Pereda Notario, Carlos Miguel
A1 Palomeque del Cerro, Luis
A1 García Mata, Ricardo
A1 Arráez Aybar, Luis Alfonso
AB Background: Shoulder soft tissue disorders, such as rotator cuff tears and subacromial impingement, are among the most common causes of musculoskeletal disability. Both physical examination tests and imaging techniques are routinely used in clinical settings; however, their respective contributions to patient outcomes and their potential complementarity remain underexplored. Methods: A systematic review and meta-analysis wereconducted following PRISMA 2020 guidelines. Controlled clinical studies comparing pre￾and post-intervention outcomes in adults with suspected or confirmed shoulder soft tissue pathology were included. Two groups were analyzed: studies using musculoskeletal imaging (ultrasound or MRI) and studies applying orthopedic physical examination tests (e.g., Neer, Hawkins, and Jobe). Functional outcomes were converted into standardized mean differences (SMDs) and synthesized using a random-effects model. Heterogeneity was quantified using the I2 statistic. Results: In total, 11 studies met the inclusion criteria(n = 6 imaging, n = 5 orthopedic tests). Imaging-based studies showed a pooled SMD of 4.85 (95% CI: 2.77–6.93), indicating substantial clinical improvement. Orthopedic test-basedstudies yielded a pooled SMD of 2.34 (95% CI: 1.27–3.41). Heterogeneity was high across both groups (I2 > 90%). Conclusions: Imaging was associated with a larger overall clini￾cal effect, while orthopedic tests provided functional insight valuable for screening and monitoring. These findings support the complementary use of both strategies to enhancediagnostic accuracy and treatment planning in shoulder care.
PB MDPI
YR 2025
FD 2025-11-03
LK https://hdl.handle.net/20.500.14352/129569
UL https://hdl.handle.net/20.500.14352/129569
LA eng
NO García-de-Pereda-Notario, C. M., Palomeque-Del-Cerro, L., García-Mata, R., & Arráez-Aybar, L. A. (2025). Functional outcomes after imaging-and orthopedic test-guided evaluation of shoulder disorders: systematic review and meta-analysis. Methods and Protocols, 8(6), 133.
DS Docta Complutense
RD 20 ene 2026