Evidence map›Paper›PMID 39747277›Full record

SynthesisScientific reports2025

Effectiveness of movement representation techniques in non-specific shoulder pain: a systematic review and meta-analysis.

Nuray Alaca, Ali Ömer Acar, Sergen Öztürk

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

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

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

  1. Pooled it
  2. Pooled it
  3. Effectiveness of motor imagery techniques in the treatment of chronic musculoskeletal pain: A scoping review.Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia · 2026
    Review
  4. Observational
  5. 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

3 authors.

Nuray AlacaFaculty of Health Sciences, Department of Physiotherapy and Rehabilitation, University of Acibadem Mehmet Ali Aydınlar, Kerem Aydinlar Kampusu, Icerenkoy Mah. Kayisdagi Cad. No: 32, Atasehir, 34752, Istanbul, Turkey. nuray.alaca@acibadem.edu.tr.ORCID 0000-0003-3034-9388
Ali Ömer AcarFaculty of Health Sciences, Department of Physiotherapy and Rehabilitation, University of Acibadem Mehmet Ali Aydınlar, Kerem Aydinlar Kampusu, Icerenkoy Mah. Kayisdagi Cad. No: 32, Atasehir, 34752, Istanbul, Turkey.
Sergen ÖztürkFaculty of Health Sciences, Department of Physiotherapy and Rehabilitation, University of Acibadem Mehmet Ali Aydınlar, Kerem Aydinlar Kampusu, Icerenkoy Mah. Kayisdagi Cad. No: 32, Atasehir, 34752, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review and meta-analysis aims to assess the effects of movement representation techniques (MRT) on pain, range of motion, functional outcomes, and pain-related fear in patients with non-specific shoulder pain (NSSP). A literature search conducted in PubMed, PEDro, EBSCO, Scopus, Cochrane Library, ScienceDirect, and gray literature on April 31, 2023. We selected seven randomized controlled trials based on the PICOS framework. Incomplete data or non-NSSP excluded. Study quality was assessed using the PEDro scale (mean score = 6.43), and certainty of evidence was evaluated with the GRADE approach. MRT demonstrated a large effect size for pain reduction (high heterogeneity, I2 = 85.2%, Hedges'g = 1.324, 95% CI = 0.388-2.260, P = 0.006), functional improvement (moderate heterogeneity, I2 = 70.82%, Hedges'g = 1.263, 95% CI = 0.622-1.904, P < 0.001), and reduction of pain-related fear (moderate heterogeneity, I2 = 70.86%, Hedges'g = 0.968, 95% CI = 0.221-1.716, P < 0.001). MRT also showed significant benefits for range of motion, particularly in flexion (low heterogeneity, I2 = 26.38%, Hedges'g = 0.683), abduction (low heterogeneity, I2 = 33.27%, Hedges'g = 0.756), and external rotation (low heterogeneity, I2 = 48.33%, Hedges'g = 0.542) (P < 0.001 for all), while no significant effect was found for internal rotation (P > 0.05). No publication bias was detected. While limited evidence and methodological concerns necessitate further research, MRT appears to positively impact pain, range of motion, functional outcomes, and pain-related fear in NSSP patients.

Indexed as

Range of Motion, ArticularShoulder PainHumansMovementRandomized Controlled Trials as TopicTreatment OutcomeAction observationFunctionalityGraded motor imageryMirror therapyMotor imageryPainPain-related fearRange of motionVisual mirror feedback therapy

Identifiers

PMID39747277
PMCPMC11696106

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.