Dor no ombro de origem cervical: revisão da literatura

Abstract

According to the Brazilian Society for the Study of Pain (2010), diagnoses related to pain, injuries and musculoskeletal disorders account for more than 40% of all sick leave and 30% of all disability pensions in Brazil, with high and increasing prevalence in young adults. The cervical region and the shoulder are commonly affected, surpassed only by the lower back and knee (HANVOLD et al., 2014). Changes in the cervical region and shoulder appear to be related to each other. This review aims to describe and understand what the literature presents about shoulder pain that originates in the cervical region, cause little considered in clinical practice. A comprehensive review of the literature was conducted from studies correlating shoulder pain with cervical origins. The databases consulted were Medline (Pubmed), Scielo, Pedro and Lilacs. The descriptors used were: shoulder pain and cervical origin, cervical pain and shoulder pain, scapular dysfunction and cervicalgia, factors for cervical pain and shoulder pain, cervical hypomobility and shoulder pain, cervical spine, shoulder function and associations between them, "with their proper translations into English and Spanish. The research found 72 articles, after applying the inclusion and exclusion criteria, and the double citation analysis, 27 studies remained. It appears that changes in the cervical region and shoulder may be better justified by the dynamic relationships between these regions, but these findings are not clearly evident in current studies. There is a strong anatomical, biomechanical and functional correlation between movements of the cervical spine and shoulder. However, further studies are needed to better understand the mechanism of contribution of the cervical region to the pain reported in the shoulder complex.