Evidence map›Paper›PMID 35033136›Full record

Observational studyJournal of orthopaedic surgery and research2022

Function, strength, and muscle activation of the shoulder complex in Crossfit practitioners with and without pain: a cross-sectional observational study.

Elisa Raulino Silva, Nicola Maffulli, Filippo Migliorini, Gilmar Moraes Santos, Fábio Sprada de Menezes, Rodrigo Okubo

Registry-linked trialAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Journal of orthopaedic surgery and research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05909592 (Epidemiological Profile and Shoulder Injury Risk Factors Investigation Among CrossFit Participants. Predictive Modeling for Shoulder Injury Incidence in These Populations.), which is not on this map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT05909592 completednot on this map

Epidemiological Profile and Shoulder Injury Risk Factors Investigation Among CrossFit Participants. Predictive Modeling for Shoulder Injury Incidence in These Populations.

Typeobservational_patient_registrySponsorUniversity of PatrasRan2022 to 2024Enrolled111ConditionsSports Injury, Shoulder Injuries, Risk Factors, Injury Prediction
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Sport-Related Injuries in Portuguese CrossFitMuscles (Basel, Switzerland) · 2025
    Article
  8. Article
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

6 authors.

Elisa Raulino SilvaDepartamento de Fisioterapia, Universidade do Estado de Santa Catarina, Florianópolis, SC, Brasil.
Nicola MaffulliDepartment of Musculoskeletal Disorders, Faculty of Medicine, Surgery and Dentistry, Salerno, Italy.
Filippo MiglioriniDepartment of Orthopaedic, Trauma, and Reconstructive Surgery, RWTH Aachen University Hospital, Pauwelsstraße 30, 52074, Aachen, Germany. migliorini.md@gmail.com.ORCID http://orcid.org/0000-0001-7220-1221
Gilmar Moraes SantosDepartamento de Fisioterapia, Universidade do Estado de Santa Catarina, Florianópolis, SC, Brasil.
Fábio Sprada de MenezesDepartamento de Fisioterapia, Universidade do Estado de Santa Catarina, Florianópolis, SC, Brasil.
Rodrigo OkuboDepartamento de Fisioterapia, Universidade do Estado de Santa Catarina, Florianópolis, SC, Brasil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe shoulder joint is the most commonly injured joint in CrossFit practitioners, because of the high intensity and loads associated with this sport. Despite the large number of clinical cases, there is a shortage of studies that investigate influence of biomechanical aspects of upper limbs' injuries on CrossFit practitioners. This study hypothesized that there would be a difference in function, strength, and muscle activation between Crossfit practitioners with and without shoulder pain.

methodsWe divided 79 Crossfit practitioners into two groups according to whether they reported pain (n = 29) or no pain (n = 50) in the shoulder during Crossfit training. Muscle function, strength, and activation were assessed using the Disability Arm, Shoulder and Hand function questionnaire, Upper Quarter Y Balance Test and Closed Kinetic Chain Upper Extremity Stability Test shoulder tests, isometric muscle strength assessment by manual dynamometry and muscle activation by surface electromyography and pain report.

resultsThe function based on questionnaire was associated with pain (p = 0.004). We observed a statistically significant difference between the two groups only in the surface electromyography activity of the lower trapezius, and in the variables of shoulder pain and function (p = 0.038).

conclusionCrossfit practitioners with shoulder pain occurring during training showed good function and stability of the shoulder joint, but there was a reduction in the activation of stabilizing muscles, especially the lower trapezius. Trial registration Registro Brasileiro de Ensaios Clinico (Brasilian National Registry) with the ID: RBR-2gycyv.

Indexed as

Muscle, SkeletalMuscle StrengthMusculoskeletal SystemAdolescentAdultElectromyographyFemaleHumansMaleRange of Motion, ArticularShoulderShoulder PainSuperficial Back MusclesCrossfitMobilityMuscle activationPainShoulderShoulder function

Identifiers

PMID35033136
PMCPMC8760714

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Registered trials

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.