Rotator Cuff Syndrome of Shoulder and Allied Disorders
Conditions
Keywords
Scapula, Endurance, Disability, Rotator cuff lesions
Brief summary
The purpose of this study is to compare scapular muscle endurance (SME), shoulder pain, and functionality of patients with rotator cuff related shoulder pain (RCRSP) with those in the age-gender matched healthy controls and to evaluate the relationship between SME with shoulder pain, and functional impairments in patients with RCRSP.
Detailed description
Patients with RCRSP (n:23), and age-gender matched healthy controls (n:23) were included in the study. SME were measured by a one-kilogram dynamometer while the shoulder and elbows are flexed 90°. Self-reported pain intensity (activity, night, after SME and FIT-HaNSA) was assessed visual analog scale (VAS). Functionality was also assessed using the Functional Impairment test-hand, neck, shoulder, and arm (FIT-HaNSA).
Interventions
DEVICEScapular muscle endurance test
The SME test, developed by Edmondston et al. 17, is based on an exercise used to improve the performance of the serratus anterior and trapezius muscles. The test was carried out while the subjects were facing the wall in standing position and with their shoulders and elbows flexed to 90 degrees. While both scapulae were in neutral position, an appropriate size of stick (18-36 cm) was selected and placed between the elbows, and they were asked to hold the dynamometer (Feta 137 F0202 1 kg/10 N) between their hands.
OTHERPain intensity
Pain intensity assessment was performed by questioning rest, activity, night, and measuremant pain using a visual analogue scale (VAS) on a 10 cm line with marks at both ends to define the limits of the pain experience as no pain (0) and maximum pain experienced (10), with higher scores indicating greater pain 20.
DEVICEUpper Limb Functional Performance
The Functional Impairment Test-Hand and Neck/Shoulder/Arm (FIT-HaNSA) protocol, which was developed by MacDermid et al. 21, was used to evaluate the functional performance of the upper extremity when performing 3 tasks.
Sponsors
Gazi University
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Inclusion criteria
* Positive sign in two or more specific shoulder clinical tests; * The presence of RCRSP in magnetic resonance imaging (MRI); * At least 120° flexion, 25° abduction, and 30° external rotation movements of the shoulder; * Being right arm dominant; * No surgical history in the shoulder region.
Exclusion criteria
* Patients with shoulder pathology other than RCRSP such as glenohumeral instability (capsular and ligamentous lesions, labral lesions, or bone lesions), bicipital tendon lesions, acromioclavicular joint osteoarthritis, glenohumeral joint osteoarthritis, adhesive capsulitis, shoulder or cervical surgery history, * Neurological and systemic inflammatory diseases, * Bilateral shoulder complaints, * Cardiovascular system diseases, * Pregnancy, * Underwent shoulder-related physical therapy within the past three months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Scapular muscle endurance | Baseline assessment, no follow-up | Unit of Measure:second |
| Pain intensity | Baseline assessment, no follow-up | Unit of Measure:visual analogue scale |
| Upper Limp Functional Performance | Baseline assessment, no follow-up | Protocol: FIT-HaNSA |
Outcome results
None listed