Rotator Cuff Impingement Syndrome
Conditions
Keywords
pain severity, functional status, acromiohumeral distance, shoulder pain
Brief summary
Scapula retraction exercises are often recommended as a part of the exercise programs. The primary aim of this study is to investigate the initial effect of the scapula retraction exercises on acromiohumeral distance (AHD) at varying shoulder abduction angles and to compare asymptomatic subjects. The secondary aim of this study is to investigate the effect of scapula retraction exercises on AHD values and symptoms (pain and disability) in patients with SPS.
Detailed description
Subacmial pain syndrome (SPS) is a common cause of shoulder pain and dysfunction in the general population. Exercise interventions is thought as a primary choice in clinical settings. Scapula retraction exercises are commonly recommended as a part of the exercise programs. Applying scapula retraction exercises at varying shoulder abduction angles could restore balance between the scapulothoracic muscles. Since the scapulothoracic muscles dynamically control subacromial space, scapula retraction exercises could further help to maintain AHD during arm elevation. The primary aim of this study is to investigate the initial effect of the scapula retraction exercises on acromiohumeral distance (AHD) at varying shoulder abduction angles and to compare asymptomatic subjects. The secondary aim of this study is to investigate the effect of scapula retraction exercises on AHD values and symptoms (pain and disability) in patients with SPS.
Interventions
OTHERExercise Intervention
Scapula retraction exercises at varying shoulder abduction angles will be applied
Sponsors
Hacettepe University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
Inclusion Criteria: * aged between 18-45 * painful arc of movement during flexion or abduction; * positive Neer or Kennedy-Hawkins impingement signs * pain on resisted lateral rotation, abduction or empty can test.
Exclusion criteria
* previous shoulder surgery; * shoulder pain reproduced by neck movement; * clinical signs of full-thickness RC tears; or * adhesive capsulitis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acromiohumeral Distance (AHD) measurement | Acromiohumeral distance values will be recorded at baseline and 8-week follow-up | Acromiohumeral Distance will be recorded at 0°, 30°, 45°, 60° and 90° of shoulder abduction, and while they are doing scapular retraction with resistive elastic band at each shoulder position. All assessment will be recorded at baseline and at the end of the eight week rehabilitation sessions |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pain severity | pain severity will be recorded at baseline and 8-week follow-up | pain severity will be assessed by using 100 millimeters Visual Analogue Scale at rest, at night and during activity. All patients were asked to mark their pain level that corresponds to their pain intensity on the line between 0=no pain and 100=the worst pain imaginable. |
| disability status | PADI Score will be recorded at baseline and 8-week follow-up | disability status will be assessed by using Shoulder Pain and Disability Index (SPADİ). All assessment will be recorded at baseline and at the end of the eight week treatment sessions. The questionnaire is scored on a 100-point scale, where 0 represents no disabilities and 100 represents extreme disabilities |
Countries
Turkey (Türkiye)
Outcome results
None listed