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The effects of scapular stabilization based exercise therapy on pain, posture, flexibility and shoulder mobility in patients with shoulder impingement syndrome: a controlled randomized clinical trial.

Moezy A, Sepehrifar S, Solaymani Dodaran M - Med J Islam Repub Iran (2014)

Bottom Line: No significant difference was detected in pain reduction between the groups (p=0.576).Apparent changes occurred in scapular rotation and symmetry in both groups but no significant differences were observed between the two groups (respectively; p=0.183, p=0.578).The scapular stabilization based exercise intervention was successful in increasing shoulder range, decreasing forward head and shoulder postures and Pectoralis minor flexibility.

View Article: PubMed Central - HTML - PubMed

Affiliation: 1. PhD, PT, Assistant Professor, Department of Sports Medicine, Hazrat Rasool-e-Akram Hospital, Iran University of Medical Sciences, Tehran, Iran. azarmoezy@yahoo.com moezy.a@iums.ac.ir.

ABSTRACT

Background: Dysfunction in the kinetic chain caused by poor scapula stabilization can contribute to shoulder injuries and Shoulder Impingement Syndrome (SIS). The purpose of this study was to compare the effectiveness of two treatment approaches scapular stabilization based exercise therapy and physical therapy in patients with SIS.

Methods: The study is a randomized clinical trial in which 68 patients with SIS were randomly assigned in two groups of exercise therapy (ET) and physical therapy (PT) and received 18 sessions of treatment. Pain, shoulders' range of abduction and external rotation, shoulder protraction, scapular rotation and symmetry as well as postural assessment and Pectoralis minor length were evaluated pre and post intervention. The paired-sample t test and the independent sample t test were applied respectively to determine the differences in each group and between two groups.

Results: Our findings indicated significant differences in abduction and external rotation range, improvement of forward shoulder translation and increase in the flexibility of the involved shoulder between the two groups (respectively ; p=0.024, p=0.001, p<0/0001, p<0/0001). No significant difference was detected in pain reduction between the groups (p=0.576). Protraction of the shoulder (p<0.0001), forward head posture (p<0/0001) and mid thoracic curvature (p<0.0001) revealed a significant improvement in the ET group. Apparent changes occurred in scapular rotation and symmetry in both groups but no significant differences were observed between the two groups (respectively; p=0.183, p=0.578).

Conclusion: The scapular stabilization based exercise intervention was successful in increasing shoulder range, decreasing forward head and shoulder postures and Pectoralis minor flexibility.

No MeSH data available.


Related in: MedlinePlus

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Mentions: Subjects: A total of 98 subjects was initially recruited from Hazrat Rasool-e-Akram hospital sports medicine and orthopedic clinics and judged to meet the criteria for the study. Twenty six subjects did not fulfill the inclusion criteria (Fig 1). Inclusion and exclusion criteria were assessed for each subject based on a clinical examination performed by the first author. The inclusion criteria were as follows: (1) Male and female mentally fitted between the ages of 18 to 75 years; (2) Unilateral shoulder pain of more than one month localized (anterior and/or anterolateral) to the acromion; (3) Tenderness to palpation of the rotator cuff tendons; (4) Positive impingement tests, or a painful arc of movement (60°–120°) ; (5) Pain produced or increased during flexion and/or abduction of the symptomatic shoulder.


The effects of scapular stabilization based exercise therapy on pain, posture, flexibility and shoulder mobility in patients with shoulder impingement syndrome: a controlled randomized clinical trial.

Moezy A, Sepehrifar S, Solaymani Dodaran M - Med J Islam Repub Iran (2014)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4301231&req=5

Mentions: Subjects: A total of 98 subjects was initially recruited from Hazrat Rasool-e-Akram hospital sports medicine and orthopedic clinics and judged to meet the criteria for the study. Twenty six subjects did not fulfill the inclusion criteria (Fig 1). Inclusion and exclusion criteria were assessed for each subject based on a clinical examination performed by the first author. The inclusion criteria were as follows: (1) Male and female mentally fitted between the ages of 18 to 75 years; (2) Unilateral shoulder pain of more than one month localized (anterior and/or anterolateral) to the acromion; (3) Tenderness to palpation of the rotator cuff tendons; (4) Positive impingement tests, or a painful arc of movement (60°–120°) ; (5) Pain produced or increased during flexion and/or abduction of the symptomatic shoulder.

Bottom Line: No significant difference was detected in pain reduction between the groups (p=0.576).Apparent changes occurred in scapular rotation and symmetry in both groups but no significant differences were observed between the two groups (respectively; p=0.183, p=0.578).The scapular stabilization based exercise intervention was successful in increasing shoulder range, decreasing forward head and shoulder postures and Pectoralis minor flexibility.

View Article: PubMed Central - HTML - PubMed

Affiliation: 1. PhD, PT, Assistant Professor, Department of Sports Medicine, Hazrat Rasool-e-Akram Hospital, Iran University of Medical Sciences, Tehran, Iran. azarmoezy@yahoo.com moezy.a@iums.ac.ir.

ABSTRACT

Background: Dysfunction in the kinetic chain caused by poor scapula stabilization can contribute to shoulder injuries and Shoulder Impingement Syndrome (SIS). The purpose of this study was to compare the effectiveness of two treatment approaches scapular stabilization based exercise therapy and physical therapy in patients with SIS.

Methods: The study is a randomized clinical trial in which 68 patients with SIS were randomly assigned in two groups of exercise therapy (ET) and physical therapy (PT) and received 18 sessions of treatment. Pain, shoulders' range of abduction and external rotation, shoulder protraction, scapular rotation and symmetry as well as postural assessment and Pectoralis minor length were evaluated pre and post intervention. The paired-sample t test and the independent sample t test were applied respectively to determine the differences in each group and between two groups.

Results: Our findings indicated significant differences in abduction and external rotation range, improvement of forward shoulder translation and increase in the flexibility of the involved shoulder between the two groups (respectively ; p=0.024, p=0.001, p<0/0001, p<0/0001). No significant difference was detected in pain reduction between the groups (p=0.576). Protraction of the shoulder (p<0.0001), forward head posture (p<0/0001) and mid thoracic curvature (p<0.0001) revealed a significant improvement in the ET group. Apparent changes occurred in scapular rotation and symmetry in both groups but no significant differences were observed between the two groups (respectively; p=0.183, p=0.578).

Conclusion: The scapular stabilization based exercise intervention was successful in increasing shoulder range, decreasing forward head and shoulder postures and Pectoralis minor flexibility.

No MeSH data available.


Related in: MedlinePlus