Evidence map›Paper›PMID 31937577›Full record

SynthesisBritish journal of sports medicine2020

Preseason shoulder range of motion screening and in-season risk of shoulder and elbow injuries in overhead athletes: systematic review and meta-analysis.

Federico Pozzi, Hillary A Plummer, Ellen Shanley, Charles A Thigpen, Chase Bauer, Melissa L Wilson, Lori A Michener

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in British journal of sports medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
8.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
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  4. Trial
  5. Within-Session Sequence of the Tennis Serve Training in Youth Elite Players.International journal of environmental research and public health · 2020
    Trial
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  7. Review
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  11. Risk Factors and Injury Prevention in the Throwing Athlete.Arthroscopy, sports medicine, and rehabilitation · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Federico PozziDepartment of Physical Therapy, University of Florida, Gainesville, Florida, USA fpozzi@phhp.ufl.edu.ORCID http://orcid.org/0000-0002-6384-9605
Hillary A PlummerAndrews Research & Education Foundation, Gulf Breeze, Florida, USA.ORCID https://orcid.org/0000-0003-3282-2538
Ellen ShanleyATI Physical Therapy, Greenville, South Carolina, USA.
Charles A ThigpenATI Physical Therapy, Greenville, South Carolina, USA.ORCID https://orcid.org/0000-0003-2487-1399
Chase BauerWestern University of Health Sciences, Pomona, California, USA.
Melissa L WilsonDepartment of Preventive Medicine, University of Southern California, Los Angeles, California, USA.ORCID https://orcid.org/0000-0001-7785-4221
Lori A MichenerDivision of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, California, USA.
University of Southern California · USATI Physical Therapy · USAndrews Research & Education Foundation · USWestern University of Health Sciences · US

Funding

Southern California Clinical and Translational Science InstituteUL1TR001855 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Thomas A Buchanan, Michele D. Kipke · 2016 to 2026
$81.3M
Southern California Clinical and Translational Science InstituteUL1TR000130 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BUCHANAN, THOMAS A · 2012 to 2015
$36.0M
Rehabilitation Research Career Development ProgramK12HD055929 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BROWN, DAVID A · 2007 to 2021
$11.7M
NCATS NIH HHS UL1 TR000130NCATS NIH HHS UL1 TR001855NICHD NIH HHS K12 HD055929
6 · The paper itself

Abstract

objectiveTo characterise whether preseason screening of shoulder range of motion (ROM) is associated with the risk of shoulder and elbow injuries in overhead athletes.

designSystematic review and meta-analysis. DATA SOURCES: Six electronic databases up to 22 September 2018. ELIGIBILITY CRITERIA: Inclusion criteria were (1) overhead athletes from Olympic or college sports, (2) preseason measures of shoulder ROM, (3) tracked in-season injuries at the shoulder and elbow, and (4) prospective cohort design. Exclusion criteria were (1) included contact injuries, (2) lower extremity, spine and hand injuries, and (3) full report not published in English.

resultsFifteen studies were identified, and they included 3314 overhead athletes (baseball (74.6%), softball (3.1%), handball (16.1%), tennis (2.0%), volleyball (2.0%) and swimming (2.2%)). Female athletes are unrepresented (12% of the overall sample). Study quality ranged from 11 to 18 points on a modified Downs and Black checklist (maximum score 21, better quality). In one study, swimmers with low (<93°) or high (>100°) shoulder external rotation were at higher risk of injuries. Using data pooled from three studies of professional baseball pitchers, we showed in the meta-analysis that shoulder external rotation insufficiency (throwing arm <5° greater than the non-throwing arm) was associated with injury (odds ratio=1.90, 95% confidence interval 1.24 to 2.92, p<0.01).

conclusionPreseason screening of shoulder external rotation ROM may identify professional baseball pitchers and swimmers at risk of injury. Shoulder ROM screening may not be effective to identify handball, softball, volleyball and tennis players at risk of injuries. The results of this systematic review and meta-analysis should be interpreted with caution due to the limited number of studies and their high degree of heterogeneity. PROSPERO REGISTRATION NUMBER: CRD42017072895.

Indexed as

Elbow InjuriesRange of Motion, ArticularAthletic InjuriesBaseballElbow JointHumansRisk FactorsRotationShoulderShoulder InjuriesSwimmingTennisVolleyballbaseballhandballswimming

Identifiers

PMID31937577
PMCPMC7456673
OpenAlexW2999440416

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.