scholarly journals Shoulder Function and 3-Dimensional Scapular Kinematics in People With and Without Shoulder Impingement Syndrome

2006 ◽  
Vol 86 (8) ◽  
pp. 1075-1090 ◽  
Author(s):  
Philip W McClure ◽  
Lori A Michener ◽  
Andrew R Karduna
Keyword(s):  
Range Of Motion ◽  
Muscle Force ◽  
External Rotation ◽  
Impingement Syndrome ◽  
Control Group ◽  
Shoulder Impingement Syndrome ◽  
Shoulder Impingement ◽  
3 Dimensional ◽  
Scapular Kinematics ◽  
Shoulder Range Of Motion

Abstract Background and Purpose. Several factors such as posture, muscle force, range of motion, and scapular dysfunction are commonly believed to contribute to shoulder impingement. The purpose of this study was to compare 3-dimensional scapular kinematics, shoulder range of motion, shoulder muscle force, and posture in subjects with and without primary shoulder impingement syndrome. Subjects. Forty-five subjects with impingement syndrome were recruited and compared with 45 subjects without known pathology or impairments matched by age, sex, and hand dominance. Methods. Shoulder motion and thoracic spine posture were measured goniometrically, and force was measured with a dynamometer. An electromagnetic motion analysis system was used to capture shoulder kinematics during active elevation in both the sagittal and scapular planes as well as during external rotation with the arm at 90 degrees of elevation in the frontal plane. Results. The impingement group demonstrated slightly greater scapular upward rotation and clavicular elevation during flexion and slightly greater scapular posterior tilt and clavicular retraction during scapular-plane elevation compared with the control group. The impingement group demonstrated less range of motion and force in all directions compared with the control group. There were no differences in resting posture between the groups. Discussion and Conclusion. The kinematic differences found in subjects with impingement may represent scapulothoracic compensatory strategies for glenohumeral weakness or motion loss. The decreased range of motion and force found in subjects with impingement support rehabilitation approaches that focus on strengthening and restoring flexibility.

scholarly journals Effect of therapeutic kinesio-taping in patients with shoulder impingement syndrome: A pilot study

2022 ◽  
Vol 8 (4) ◽  
pp. 248-252
Author(s):  
Zoya Khatoon Shamim Ahmed ◽  
Deepak B Anap
Keyword(s):  
Range Of Motion ◽  
Functional Disability ◽  
Impingement Syndrome ◽  
Control Group ◽  
Ultrasound Therapy ◽  
Shoulder Impingement Syndrome ◽  
Shoulder Impingement ◽  
Kinesio Taping ◽  
Shoulder Range Of Motion ◽  
Shoulder Range

Kinesio-taping is widely used in sports rehabilitation for prevention and treatment of sports-related injuries. The role of Kinesio-taping has recently received renewed interest in patients with shoulder problems like shoulder impingement or rotator cuff tendinopathy.This pilot study was undertaken to check the effect of therapeutic kinesio-taping versus placebo kinesio-taping on shoulder pain, acromio-humeral distance (AHD), mobility and disability in patients with shoulder impingement syndrome.8 patients diagnosed with shoulder impingement syndrome were included in the study and they were allocated into the experimental and control group. The patients in experimental group received ultrasound therapy for 8 minutes followed by application of therapeutic kinesio-taping and in control group patients received ultrasound therapy for 8 minutes followed by application of placebo kinesio-taping. Outcome measure were pain intensity by NPRS, shoulder range of motion by goniometry, acromio-humeral distance (AHD) using ultrasonography and functional disability by SPADI assessed at baseline, immediate after taping application and 3 days post intervention. Data analyzed with Kruskal-Wallis H test and p value less than 0.05 consider as significant.Therapeutic kinesio-taping group showed significant change in AHD (p=0.04), pain.(p=0.0001), shoulder range of motion including abduction (p=0.04), internal rotation (p=0.001) and functional disability (0.04), whereas placebo kinesio-taping showed no significant improvement in outcomes. Therapeutic kinesio-taping found to be effective in increasing AHD, range of motion, decreasing pain and functional disability when compare with placebo kinesio-taping. It can be used as adjunct treatment option in patient with shoulder impingement.

scholarly journals Shoulder Function and 3-Dimensional Kinematics in People With Shoulder Impingement Syndrome Before and After a 6-Week Exercise Program

2004 ◽  
Vol 84 (9) ◽  
pp. 832-848 ◽  
Author(s):  
Philip W McClure ◽  
Jason Bialker ◽  
Nancy Neff ◽  
Gerald Williams ◽  
Andrew Karduna
Keyword(s):  
Functional Limitations ◽  
Exercise Program ◽  
Shoulder Function ◽  
Rehabilitation Program ◽  
Impingement Syndrome ◽  
Shoulder Impingement Syndrome ◽  
Shoulder Impingement ◽  
3 Dimensional ◽  
Scapular Kinematics ◽  
And Function

Abstract Background and Purpose. Shoulder impingement syndrome is a common condition and is often managed with an exercise program. The purpose of this study was to examine an exercise program in patients with shoulder impingement syndrome. Specifically, the purpose was to identify changes that might occur in 3-dimensional scapular kinematics, physical impairments, and functional limitations. Subjects. Fifty-nine patients with impingement syndrome were recruited, and 39 patients successfully completed the 6-week rehabilitation program and follow-up testing. Impingement was defined as having at least 3 of 6 predefined clinical signs or symptoms. Methods. Subjects were assessed before and after a 6-week rehabilitation program and again at 6 months. Pain, satisfaction, and function were measured using the University of Pennsylvania Shoulder Scale. Range of motion, isometric muscle force, and 3-dimensional scapular kinematic data also were collected. Subjects were given a progressive exercise program that included resistive strengthening, stretching, and postural exercises that were done daily at home. Subjects also were given shoulder education related to anatomy, the basic mechanics of impingement, and strategies for reducing load on the shoulder. Each subject attended one physical therapy session per week for a 6-week period, primarily for monitoring and upgrading the exercise program. Pretest and posttest scores were compared using paired t tests and repeated-measures analysis of variance. Results. Passive range of motion increased for both external and internal rotation but not for elevation. Abduction external and internal rotation force all increased. There were no differences in scapular kinematics. Improvements were found for pain, satisfaction, and shoulder function and for Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) scores related to physical function. At 6-month follow-up, improvements made in pain, satisfaction, and function were maintained. Discussion and Conclusion. The use of this exercise protocol in the management of shoulder impingement syndrome may have a positive impact on patients' impairments and functional limitations. Our findings suggest a relatively simple exercise program combined with patient education may be effective and, therefore, merits study in a larger trial using a control group. Changes in scapular kinematics did not appear to be a primary mechanism underlying improvement in symptoms and function.

Comparing the effects of no intervention with therapeutic exercise, and exercise with additional Kinesio tape in patients with shoulder impingement syndrome. A three-arm randomized controlled trial

2020 ◽  
pp. 026921552097176
Author(s):  
Amir Letafatkar ◽  
Pouya Rabiei ◽  
Sarvenaz Kazempour ◽  
Samaneh Alaei-Parapari
Keyword(s):  
Clinical Outcomes ◽  
Sagittal Plane ◽  
Controlled Trial ◽  
Impingement Syndrome ◽  
Control Group ◽  
Shoulder Impingement Syndrome ◽  
Therapeutic Exercise ◽  
Kinesio Tape ◽  
Shoulder Impingement ◽  
Therapeutic Exercises

Objective: To investigate if adding Kinesio tape to therapeutic exercise is an effective treatment to improve clinical outcomes compared to therapeutic exercise alone and no intervention, in patients with shoulder impingement syndrome. Design: Three-arm randomized controlled trial Setting: Outpatient setting Subjects: One hundred and twenty patients (mean (SD): age 37.8 (5.4)) with shoulder impingement syndrome. Intervention: Patients were randomly assigned to eight-weeks therapeutic exercise alone, therapeutic exercise with Kinesio tape, and control group. Main measures: Pain was measured with a numerical rating scale and disability and scapular kinematics were measured with a relative questionnaire and motion analysis software respectively, at baseline and after eight-weeks intervention. Results: There was significant differences in therapeutic exercise with Kinesio tape group vs. therapeutic exercise alone and control group respectively for pain ( d = –0.34, P = 0.042; and d = –1.53, P = 0.001), disability ( d = –0.46, P = 0.024; and d = –2.18, P = 0.001), scapular upward rotation at sagittal plane ( d = 0.33, P = 0.033; and d = 0.68, P = 0.001), scapular plane ( d = 0.18, P = 0.045; and d = 0.43, P = 0.001), scapular tilt at sagittal plane ( d = 0.55, P = 0.043; and d = 1.39, P = 0.001), and scapular plane ( d = 0.29, P = 0.034; and d = 0.58, P = 0.001). Therapeutic exercise alone was superior over control group in all significant outcomes ( P < 0.05). Conclusion: Although therapeutic exercises alone showed positive effect on clinical outcomes, adding Kinesio tape to therapeutic exercises had more significant effects with larger effect sizes. Adding Kinesio tape to therapeutic exercise may be of some assistance to clinicians in improving clinical outcomes in patients with shoulder impingement syndrome.

scholarly journals Correlation of 3-Dimensional Shoulder Kinematics to Function in Subjects With Idiopathic Loss of Shoulder Range of Motion

2005 ◽  
Vol 85 (7) ◽  
pp. 636-647 ◽  
Author(s):  
Peter J Rundquist ◽  
Paula M Ludewig
Keyword(s):  
Range Of Motion ◽  
Multiple Regression ◽  
External Rotation ◽  
Regression Equation ◽  
Multiple Regression Equation ◽  
3 Dimensional ◽  
Shoulder Range Of Motion ◽  
Shoulder Kinematics ◽  
And Function ◽  
Shoulder Range

AbstractBackground and Purpose. People with idiopathic loss of shoulder range of motion (ROM) have difficulty completing activities of daily living. This investigation was performed to determine the association between active glenohumeral ROM and function and to develop a multiple regression equation to explain variation in function in people with idiopathic loss of shoulder motion. Subjects and Methods. This was a comparative study of 21 subjects (18 female, 3 male), using measurements of shoulder kinematics and administration of the Shoulder Rating Questionnaire (SRQ). Electromagnetic tracking sensors monitored the 3-dimensional position of the scapula and humerus throughout active shoulder motions. Correlations were performed between the active ROMs of interest and various demographic factors and the SRQ. A multiple regression equation was generated. Results. A multiple regression equation including scapular-plane abduction, external rotation at the side, external rotation at 90 degrees of abduction, and weight explained 69% of the variation in the SRQ scores. Discussion and Conclusion. The results suggest that active ROM can be used to predict function in people with idiopathic loss of shoulder ROM.

scholarly journals Comparison of Shoulder Functions Between Workers With and Without Shoulder Impingement Syndrome

2020 ◽  
Author(s):  
Jun-hee Kim ◽  
Oh-yun Kwon ◽  
Chung-hwi Yi ◽  
Hye-seon Jeon ◽  
Woo-chol Joseph Choi ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Internal Rotation ◽  
External Rotation ◽  
Impingement Syndrome ◽  
Shoulder Abduction ◽  
Shoulder Impingement Syndrome ◽  
Asymmetry Ratio ◽  
Shoulder Injuries ◽  
Shoulder Impingement ◽  
The Asymmetry

The occurrence of shoulder impingement syndrome (SIS) is associated with the frequent handling and lifting of heavy loads and excessive repetitive work above the shoulder level. Thus, assembly workers have a high prevalence of shoulder injuries, including SIS. The purpose of this study was to investigate differences in shoulder ROM, muscle strength, asymmetry ratio, function, productivity, and depression between workers with and without SIS.Sixty-seven assembly line male workers (35 workers with SIS and 32 workers without SIS) participated in this study. The four shoulder ROMs and the five muscle strengths were measured using a Smart KEMA system. The asymmetry ratios were calculated using the asymmetry ratio formula; shoulder functions were measured using the shoulder pain and disability index (SPADI), disabilities of the arm, shoulder, and hand (DASH), and visual analogue scale (VAS); and Endicott work productivity scale (EWPS). Severity of depression was measured using the Beck depression inventory (BDI). Independent t-tests were performed for statistical analysis.The SPADI, DASH, and VAS values of workers with SIS were significantly higher than those of workers without SIS. Also, workers with SIS had significantly smaller shoulder internal rotation and shoulder abduction compared to workers without SIS. In addition, workers with SIS exhibited significantly lower SIR muscle strength than workers without SIS. Workers with SIS had significantly higher asymmetry ratios in shoulder internal rotation, shoulder external rotation, and elbow flexion muscle strength than workers without SIS.The SPADI and DASH scores, which indicate shoulder function, were higher, and the intensity of self-aware pain was higher in workers with SIS. Also, workers with SIS exhibited reduced SIR and SAB ROMs; decreased SIR muscle strength. Particularly, the asymmetry ratios of SIR, SER, EF muscle strength are good comparable factors for workers with and without SIS. In addition, the asymmetry ratios of shoulder muscle strengths could provide an important baseline comparison for the workers with SIS.

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