PMID- 33006720 OWN - NLM STAT- MEDLINE DCOM- 20210826 LR - 20210826 IS - 1573-3688 (Electronic) IS - 1053-0487 (Linking) VI - 31 IP - 2 DP - 2021 Jun TI - Effects of Workplace-Based Intervention for Shoulder Pain: A Systematic Review and Meta-analysis. PG - 243-262 LID - 10.1007/s10926-020-09927-6 [doi] AB - The main objective of this study is to update the evidence related to the effectiveness of exercise and ergonomic interventions in the perception of shoulder pain intensity in workers considering the shoulder pain intensity and the minimum clinically important change in the analysis. The bibliographic search was conducted in seven databases (Cochrane, EMBASE, SciELO, PubMed, PEDro, Web of Science and Scopus) from March to April 2019. The study selection included randomized controlled trials (RCTs) involving workers with shoulder pain who underwent physical exercises, ergonomics, and combined interventions. To analyze the RCTs, the intensity of pain was divided into two subgroups < 3 and >/= 3 (0-10 points scale). A total of 27 RCTs were included in the qualitative synthesis considering the perception scales of shoulder pain intensity and the PEDro scale score of assessment of RCTs quality and risk of bias. Within these, seven RCTs were included in the quantitative synthesis. The overall effectiveness of interventions was calculated using a meta-analysis method, and the associated measurement used as a mean difference. The meta-analysis revealed that exercise interventions in workers with shoulder pain > 3 presented a minimally clincially important difference (MCID), but with no difference in workers with pain < 3. The interventions with exercise in workers with pain >/= 3 at baseline reported a beneficial effect in reducing shoulder pain intensity, and a MCID. However, there was no significant difference for workers with pain < 3 and the effects of ergonomic interventions are still uncertain to reduce shoulder pain in workers. FAU - Picon, Sol Patricia Beltran AU - Picon SPB AUID- ORCID: 0000-0001-9649-3038 AD - Associated Graduate Program in Physical Education UPE/UFPB, Recife, Brazil. marpatt822@hotmail.com. FAU - Batista, Gabriel de Amorim AU - Batista GA AD - Associated Graduate Program in Physical Education UPE/UFPB, Recife, Brazil. FAU - Pitangui, Ana Carolina Rodarti AU - Pitangui ACR AD - Department of Physical Therapy, University of Pernambuco, Petrolina, Brazil. FAU - de Araujo, Rodrigo Cappato AU - de Araujo RC AD - Associated Graduate Program in Physical Education UPE/UFPB, Recife, Brazil. AD - Department of Physical Therapy, University of Pernambuco, Petrolina, Brazil. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20201002 PL - Netherlands TA - J Occup Rehabil JT - Journal of occupational rehabilitation JID - 9202814 SB - IM MH - Ergonomics MH - Exercise MH - Humans MH - *Shoulder Pain MH - *Workplace OTO - NOTNLM OT - Ergonomics OT - Exercise OT - Occupational health OT - Shoulder pain OT - Workplace EDAT- 2020/10/03 06:00 MHDA- 2021/08/27 06:00 CRDT- 2020/10/02 12:09 PHST- 2020/09/18 00:00 [accepted] PHST- 2020/10/03 06:00 [pubmed] PHST- 2021/08/27 06:00 [medline] PHST- 2020/10/02 12:09 [entrez] AID - 10.1007/s10926-020-09927-6 [pii] AID - 10.1007/s10926-020-09927-6 [doi] PST - ppublish SO - J Occup Rehabil. 2021 Jun;31(2):243-262. doi: 10.1007/s10926-020-09927-6. Epub 2020 Oct 2.