scholarly journals Effect of Motor Control and Strengthening Exercises on Pain, Function, Strength and the Range of Motion of Patients with Shoulder Impingement Syndrome

2011 ◽  
Vol 23 (4) ◽  
pp. 687-692 ◽  
Author(s):  
Youn Hee Bae ◽  
Gyu Chang Lee ◽  
Won Seob Shin ◽  
Tae Hoon Kim ◽  
Suk Min Lee
Keyword(s):  
Motor Control ◽  
Range Of Motion ◽  
Impingement Syndrome ◽  
Shoulder Impingement Syndrome ◽  
Shoulder Impingement ◽  
Strengthening Exercises

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 Progressive Resistance Exercises plus Manual Therapy Is Effective in Improving Isometric Strength in Overhead Athletes with Shoulder Impingement Syndrome: A Randomized Controlled Trial

2021 ◽  
Vol 2021 ◽  
pp. 1-13
Author(s):  
Saurabh Sharma ◽  
Amer K. Ghrouz ◽  
M. Ejaz Hussain ◽  
Shalini Sharma ◽  
Mosab Aldabbas ◽  
...  
Keyword(s):  
Motor Control ◽  
Manual Therapy ◽  
Impingement Syndrome ◽  
Isometric Strength ◽  
Shoulder Impingement Syndrome ◽  
Pronounced Increase ◽  
Shoulder Impingement ◽  
Overhead Athletes ◽  
Resistance Exercises ◽  
Progressive Resistance

Reduction in isometric strength of the scapulohumeral muscles is a commonly seen impairment in overhead athletes afflicted with shoulder impingement syndrome (SIS). The purpose of this study was to compare the effects of two different treatment programs: progressive resistance exercises plus manual therapy (PRE plus MT) and motor control exercises (MCE), on isometric strength of upper trapezius (UT), middle trapezius (MTr), lower trapezius (LT), serratus anterior (SA), supraspinatus (Supr.), anterior deltoid (A.D), and latissimus dorsi (LD). 80 male university-level overhead athletes clinically diagnosed with SIS were randomly allocated into either of the two groups: PRE plus MT and MCE group. Athletes in the PRE plus MT group underwent graduated exercises with resistance elastic band, stretching exercises, and mobilization of the thoracic and shoulder joints. MCE group was submitted to motor control exercises in varied planar positions. Athletes in both groups underwent management 3 times a week for 8 weeks. Isometric strength of UT, MTr, LT, Supr, A.D, SA, and LD was measured at three-time points: baseline, 4th week, and 8th week. Relative to baseline, both interventions were found to be effective in increasing and optimizing the isometric strength of muscles ( p < 0.05 ) except for supraspinatus in the MCE group ( p > 0.05 ). However, athletes in PRE plus MT group presented a more pronounced increase in isometric strength than those in the MCE group. Between groups analysis found the largest isometric strength improvement in PRE plus MT group for A.D, followed by Supr. and UT muscles ( p < 0.05 ; effect size: 0.39 to 0.40). The study concluded that compared to MCE, PRE plus MT provides greater improvement in the isometric strength of scapulohumeral muscles.

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.

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