Elif Turgut1, Irem Duzgun2, Gul Baltaci3. 1. Hacettepe University, Ankara, Turkey. Electronic address: elifcamci@hacettepe.edu.tr. 2. Hacettepe University, Ankara, Turkey. 3. Private Guven Hospital, Ankara, Turkey.
Abstract
OBJECTIVE: To investigate the effects of 2 different exercise programs on 3-dimensional scapular kinematics, disability, and pain in participants with subacromial impingement syndrome (SIS). DESIGN: Randomized controlled trial. SETTING: Outpatient clinic and research laboratory. PARTICIPANTS: Participants who were diagnosed with SIS and who also exhibited scapular dyskinesis (N=30). INTERVENTIONS: The participants were randomized in 2 different exercise groups: (1) shoulder girdle stretching and strengthening with additional scapular stabilization exercises based on a kinetic chain approach (intervention group), and (2) shoulder girdle stretching and strengthening exercises only (control group). MAIN OUTCOME MEASURES: Three-dimensional scapular kinematics, self-reported shoulder pain, and disability were evaluated at baseline, after 6 weeks of training, and after 12 weeks of training. RESULTS: Significant differences were observed between the control and intervention groups in external rotation and posterior tilt after 6 weeks of training and in external rotation, posterior tilt, and upward rotation after 12 weeks of training. All groups showed improvement in self-reported pain and disability scores; however, there were no significant differences between the groups. CONCLUSIONS:Progressive exercise training independent from specific scapular stabilization exercises provides decreased disability and pain severity in impingement syndrome.
RCT Entities:
OBJECTIVE: To investigate the effects of 2 different exercise programs on 3-dimensional scapular kinematics, disability, and pain in participants with subacromial impingement syndrome (SIS). DESIGN: Randomized controlled trial. SETTING:Outpatient clinic and research laboratory. PARTICIPANTS: Participants who were diagnosed with SIS and who also exhibited scapular dyskinesis (N=30). INTERVENTIONS: The participants were randomized in 2 different exercise groups: (1) shoulder girdle stretching and strengthening with additional scapular stabilization exercises based on a kinetic chain approach (intervention group), and (2) shoulder girdle stretching and strengthening exercises only (control group). MAIN OUTCOME MEASURES: Three-dimensional scapular kinematics, self-reported shoulder pain, and disability were evaluated at baseline, after 6 weeks of training, and after 12 weeks of training. RESULTS: Significant differences were observed between the control and intervention groups in external rotation and posterior tilt after 6 weeks of training and in external rotation, posterior tilt, and upward rotation after 12 weeks of training. All groups showed improvement in self-reported pain and disability scores; however, there were no significant differences between the groups. CONCLUSIONS: Progressive exercise training independent from specific scapular stabilization exercises provides decreased disability and pain severity in impingement syndrome.
Authors: Umile Giuseppe Longo; Laura Risi Ambrogioni; Alessandra Berton; Vincenzo Candela; Carlo Massaroni; Arianna Carnevale; Giovanna Stelitano; Emiliano Schena; Ara Nazarian; Joseph DeAngelis; Vincenzo Denaro Journal: Int J Environ Res Public Health Date: 2020-04-24 Impact factor: 3.390