Effects of strengthening and stretching exercises applied during working hours on pain and physical impairment in workers with subacromial impingement syndrome

2009 ◽  
Vol 25 (7) ◽  
pp. 463-475 ◽  
Author(s):  
Paula R Camargo ◽  
Melina N Haik ◽  
Paula M Ludewig ◽  
Raul B Filho ◽  
Stela M G Mattiello-Rosa ◽  
...  
Keyword(s):  
Working Hours ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
Physical Impairment ◽  
Subacromial Impingement ◽  
Stretching Exercises

Stretching Exercises for Subacromial Impingement Syndrome: Effects of 6-Week Program on Shoulder Tightness, Pain, and Disability Status

2018 ◽  
Vol 27 (2) ◽  
pp. 132-137 ◽  
Author(s):  
Elif Turgut ◽  
Irem Duzgun ◽  
Gul Baltaci
Keyword(s):  
Impingement Syndrome ◽  
Pain Severity ◽  
Posterior Capsule ◽  
Subacromial Impingement Syndrome ◽  
Subacromial Impingement ◽  
Disability Score ◽  
Pectoralis Minor ◽  
Significant Difference ◽  
Disability Status ◽  
Stretching Exercises

Context: Increasing soft tissue flexibility and joint mobility is one of the important aims of studies to treat subacromial impingement syndrome (SIS). Objective: The aim of this study was to investigate the effects of a stretching program on posterior capsule tightness, pectoralis minor tightness, pain severity, and disability status in SIS. Design: Single-group pretest posttest design. Setting: University outpatient clinic. Participants: 18 participants diagnosed with SIS (34.8±9.4 y, symptoms duration 5.8±4.9 months) were included in the study. Intervention: The 6-week self-stretching program for pectoralis minor, posterior capsule, levator scapula, and latissimus dorsi was performed. Main Outcome Measures: Posterior capsule tightness, pectoralis minor tightness, pain severity (visual analog scale), and self-reported shoulder-related pain and disability status (Shoulder Pain and Disability Index) were used to assess changes in flexibility and symptoms. Results: Comparisons showed that there was significantly less posterior capsule and pectoralis minor tightness, less pain severity on activity and at night, and a lower disability score reported after the 6-week stretching program (P < 0.05). There was no statistically significant difference in pain severity at rest after the 6-week stretching program (P > 0.05). Conclusions: The findings of the study showed that flexibility, pain severity, and disability gains can be achieved with a 6-week stretching exercise training for participants with SIS. Therefore, shoulder girdle stretching exercises should be recommended early in shoulder rehabilitation program.

scholarly journals Effects of Modified Posterior Shoulder Stretching Exercises on Shoulder Mobility, Pain, and Dysfunction in Patients With Subacromial Impingement Syndrome

2020 ◽  
Vol 12 (2) ◽  
pp. 139-148
Author(s):  
Özge Tahran ◽  
Sevgi Sevi Yeşilyaprak
Keyword(s):  
Internal Rotation ◽  
Treatment Program ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
Control Group ◽  
Subacromial Impingement ◽  
Positive Effects ◽  
Posterior Shoulder ◽  
Significant Difference ◽  
Stretching Exercises

Background: Posterior shoulder stretching exercises (PSSEs) aim to reduce posterior shoulder tightness (PST). Position modification of traditional PSSEs has been suggested to minimize inadequate control of scapular and glenohumeral rotation, possibly leading to increased subacromial impingement. Hypothesis: Modified PSSEs will have positive effects on shoulder mobility, pain, and dysfunction. Study Design: Randomized controlled trial. Level of Evidence: Level 1. Methods: A total of 67 symptomatic patients with subacromial impingement syndrome (SIS) and shoulder internal rotation asymmetry were randomly assigned to 3 groups: modified cross-body stretch (MCS) (n = 22; treatment program + MCS), modified sleeper stretch (MSS) (n = 22; treatment program + MSS), and a control group (n = 23; treatment program consisting of only modalities, range of motion [ROM], and strength training but no PSSEs) for 4 weeks. Pain, PST, shoulder rotation ROM, and dysfunction were evaluated. Results: Pain, PST, shoulder rotation ROM, function, and disability improved in all groups ( P < 0.05). The MCS and MSS groups had better results compared with the control group with regard to pain with activity, internal rotation ROM, function, and disability ( P < 0.05). There was no significant difference between the stretching groups ( P > 0.05). Conclusion: All treatments improved pain, shoulder mobility, function, and disability in patients with SIS. However, modified PSSEs in addition to a treatment program was superior to the treatment program alone (without PSSEs) in improving pain with activity, internal rotation ROM, and dysfunction. Moreover, stretching provided clinically significant improvements. Clinical Relevance: Modified PSSEs, in addition to a treatment program, are beneficial for patients with SIS. Both modified cross-body and sleeper stretches are safe and efficacious for improving shoulder mobility, pain, and dysfunction.

Reliability of scapular upward rotation and anterior-posterior tilt measurements using a modified digital inclinometer in patients with subacromial impingement syndrome

2021 ◽  
pp. 1-7
Author(s):  
Da-In An ◽  
Jung-Eun Park ◽  
Chang-Hyung Lee ◽  
Soo-Yong Kim
Keyword(s):  
Intraclass Correlation ◽  
Absolute Measurement ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
Subacromial Impingement ◽  
Digital Inclinometer ◽  
Posterior Tilt ◽  
Standard Error Of Measurement ◽  
Absolute Reliability ◽  
Anterior Posterior

BACKGROUD: Reliable scapular upward rotation and anterior-posterior tilt data are required for patients with subacromial impingement syndrome (SIS). Only a few studies have explored the reliability of such measurements derived using a modified inclinometer. OBJECTIVES: To determine the relative and absolute reliability of scapular upward rotation and anterior-posterior tilt measurements derived using a modified digital inclinometer in patients with SIS. METHOD: Seventeen SIS patients were assessed twice within 1 week. We determined the relative and absolute measurement reliability by calculating the intraclass correlation coefficient (ICC), standard error of measurement (SEM), and minimal clinically important difference (MCID). Both intra- and interrater reliability were determined. RESULTS: The intra-rater reliability (both measurements) was high (0.72–0.88), and the interrater ICC was high to excellent (0.72–0.98). Clinically acceptable SEM and MCID values were obtained for scapular upward rotation (SEM: 4.28–9.33∘, MCID: 5.1–11.3∘) and anterior-posterior tilt (SEM: 3.72–7.55∘, MCID: 2.5–10.8∘). CONCLUSIONS: Measurements of scapular upward rotation and anterior-posterior tilt using a modified digital inclinometer reliably reveal scapular position and kinematics in patients with SIS.

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