scholarly journals Effects of Thoracic Mobilization and Extension Exercise on Thoracic Alignment and Shoulder Function in Patients with Subacromial Impingement Syndrome: A Randomized Controlled Pilot Study

Healthcare ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 316
Author(s):  
Shin Jun Park ◽  
Seok Hyeon Kim ◽  
Soon Hee Kim
Keyword(s):  
Pilot Study ◽  
Thoracic Kyphosis ◽  
Muscle Tone ◽  
Shoulder Function ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
Combination Group ◽  
Subacromial Impingement ◽  
Joint Mobilization ◽  
Medial Rotation

Introduction: Thoracic kyphosis commonly occurs in subacromial impingement syndrome. This pilot study investigated the effect of thoracic joint mobilization and extension exercise on improving thoracic alignment and shoulder function. Methods: In total, 30 patients with subacromial impingement syndrome were recruited and randomly assigned to three groups, the joint mobilization group (n = 10), exercise group (n = 10), and combination group (n = 10). After four weeks of treatment, the measured outcomes included thoracic kyphosis using a manual inclinometer; pectoralis major (PM) and upper trapezius (UT) muscle tone and stiffness using the MyotonPRO®; affected side passive range of motion (ROM) using the goniometer (flexion, abduction, medial rotation, and lateral rotation); and shoulder pain and disability index (SPADI). Results: All three groups had significant improvements in all variables (p < 0.05). Thoracic kyphosis; UT muscle tone; and flexion, medial rotation, and lateral rotation ROM and SPADI were all significantly improved in the combination group compared to the mobilization and exercise groups (p < 0.05). Conclusions: The combination therapy of thoracic mobilization and extension exercise can be regarded as a promising method to improve thoracic alignment and shoulder function in patients with subacromial impingement syndrome.

scholarly journals Effect of corticosteroid injections versus physiotherapy on pain, shoulder range of motion and shoulder function in patients with subacromial impingement syndrome: A systematic review and meta-analysis

2016 ◽  
Vol 72 (1) ◽  
Author(s):  
Marlette Burger ◽  
Carly Africa ◽  
Kara Droomer ◽  
Alexa Norman ◽  
Chloé Pheiffer ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Meta Analysis ◽  
Shoulder Function ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
Subacromial Impingement ◽  
Shoulder Range Of Motion ◽  
Ebsco Host ◽  
Shoulder Range ◽  
Corticosteroid Injections

Background: Subacromial impingement syndrome (SIS) is one of the most common causes of shoulder pain. Limited research has been conducted into the efficacy of corticosteroid injections (CSIs) compared to physiotherapy in the management of SIS.Objective: To critically appraise and establish the best available evidence for the effectiveness of CSI in comparison with physiotherapy for the management of pain, shoulder range of motion (ROM) and shoulder function in patients with SIS.Methodology:  Seven databases were searched from inception to February 2016, namely PubMed, Science Direct, EBSCO Host: SPORTDiscus, EBSCO Host: CINAHL, Cochrane, Scopus and PEDro. The main search terms were shoulder impingement syndrome and/or subacromial impingement syndrome, corticosteroid injections and/or steroid injections, physical therapy and/or physiotherapy. Only randomised controlled trials (RCTs) were considered for inclusion. The articles were appraised according to the PEDro scale. The Revman© Review Manager Software was used to combine the results of shoulder function and the data were illustrated in forest plots.Results: The PEDro scores of the three RCTs that qualified for this review ranged from 7 to 8/10. There is Level II evidence suggesting that besides a significant improvement in shoulder function in favour of CSI at 6–7 weeks follow-up (p < 0.0001), no evidence was found for the superiority of CSIs compared with physiotherapy for pain, ROM and shoulder function in the short- (1–3 months), mid- (6 months) and long term (12 months).Conclusion: In patients with SIS only a short term significant improvement in shoulder function was found in favour of CSIs.

scholarly journals Physiotherapy Rehabilitation in Subjects Diagnosed with Subacromial Impingement Syndrome Does Not Normalize Periscapular and Rotator Cuff Muscle Onset Time of Activation

2021 ◽  
Vol 18 (17) ◽  
pp. 8952
Author(s):  
Silvia Ortega-Cebrián ◽  
Monserrat Girabent-Farrés ◽  
Rodney Whiteley ◽  
Caritat Bagur-Calafat
Keyword(s):  
Rotator Cuff ◽  
Clinical Outcomes ◽  
Onset Time ◽  
Shoulder Function ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
Subacromial Impingement ◽  
Prospective Longitudinal Study ◽  
Physiotherapy Program ◽  
Prospective Longitudinal

Clinicians suggest that rehabilitation of Subacromial Impingement Syndrome (SIS) should target improving movement patterns to ensure better clinical outcomes. Understanding changes in onset time of activation patterns and associated changes in clinical outcomes could improve our understanding of rehabilitation strategies. In this prospective longitudinal study, we examined neuromuscular firing patterns and clinical features before and after a standardized physiotherapy program in subjects diagnosed with SIS. Electromyography (EMG) recordings of eleven shoulder muscles were taken at the initial and discharge consultation in 34 male volunteers diagnosed with SIS. EMG recording was performed during flexion, scaption, and abduction at slow, medium, and fast speeds with a loaded (3 kg) and unloaded arm, as well as rotational motion, rotational strength, pain, and shoulder function. Completion of standardized shoulder physiotherapy program for SIS resulted in improvements in clinical outcomes. Resulted showed inconsistent differences of onset time of activation mainly in some of the periscapular muscles for all movements. No differences were seen on the EMG recordings for rotator cuff muscles. Differences in range of motion, strength and function were shown. Despite some changes in onset time of activation, this study was not able to demonstrate consistent changes of onset time of activation of the periscapular and rotator cuff muscles.

scholarly journals Effectiveness of Myofascial Release Therapy with Shoulder Taping on Subacromial Impingement Syndrome in Collegiate Basket Ball Players -A Quasi experimental Pilot study

2016 ◽  
Vol 15 (3) ◽  
pp. 347-351
Author(s):  
V Mohan Gandhi ◽  
B Arun ◽  
RK Punitha Kumar
Keyword(s):  
Pilot Study ◽  
Functional Ability ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
P Value ◽  
Subacromial Impingement ◽  
Basketball Players ◽  
Myofascial Release ◽  
Quasi Experimental ◽  
Collegiate Basketball

Background: Shoulder complex dysfunction can arise when any of its components goes for malfunction. Overhead athletes cause impingement in the shoulder due to subacromial impingement or anterior instability. Myofascial tightness is found to be the common causative mechanism for the shoulder pain, though the literatures were not detailed in considering the myofascial tightness and the management.Aims & Objective: The aim of the study was to find out the effect of myofascial release therapy with shoulder taping on subacromial impingement syndrome in collegiate basketball players. Quasi experimental pilot study with 38 collegiate basketball players who participated in the university tournaments were selected for the study. 19 players in control group were under myofascial therapy whereas 19 players in experimental group underwent shoulder taping and myofascial release therapy.Result: The outcome measures were pain and functional ability. Pain was assessed using numerical pain rating scale, and functional ability was assessed using SPADI. Unrelated ‘t’ test was done to evaluate the effect of the treatment for pain value between groups is 13.9 with the p value <0.05% and SPADI scale was 13.8 with the p value <0.05%. The result shows that the myofascial release therapy with shoulder taping had more significant improvement than myofascial release therapy only.Conclusion: Study concludes that shoulder taping and myofascial release therapy helps in reducing pain and improvement of functional disability.Bangladesh Journal of Medical Science Vol.15(3) 2016 p.347-351

scholarly journals One year outcome of Subacromial Methylprednisolone Injection and Psychotherapy for Subacromial Impingement Syndrome

2013 ◽  
Vol 1 (1) ◽  
Author(s):  
S Lakhey ◽  
RR Manandhar
Keyword(s):  
Shoulder Function ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
Subacromial Impingement ◽  
Constant Murley Score ◽  
Shoulder Region ◽  
Vas Scores ◽  
One Year ◽  
The One

BACKGROUND: Subacromial impingement syndrome is a common cause of pain in the shoulder region. When analgesics and physiotherapy are not helpful in relieving the patient’s shoulder pain, subacromial methylprednisolone injection is given. The aim of this prospective study was to determine the one year clinical outcome of subacromial injections of methylprednisolone and physiotherapy in patients with subacromial impingement syndrome. METHODS: The pain of thirty shoulders in twenty nine patients characteristic of subacromial impingement syndrome was assessed by Visual Analogue Scale (VAS) scores of 0 to 10, and the overall clinical and functional assessment was done by Constant Murley score. Each shoulder received methylprednisolone injection in the sub-acromial space by the posterior approach. The subacromial injections were repeated at two to three weekly intervals (a maximum of three injections) until the pain subsided to 2 or less in the VAS. This was followed by physiotherapy exercises. Treatment Outcome at final follow-up of one year was measured using VAS and Constant Murley Score. RESULTS: Pain before starting the injections was a mean of 7.87 in the VAS (range: 5-10 ). At the end of follow-up, it was a mean of 1.27 (range: 0 to 5). The Constant Murley Score was a mean of 30.83 (range: 6-49) before the start of injections. At the end of follow-up, it was a mean of 84.87(range: 70-96). CONCLUSION: Subacromial methylprednisolone injections followed by physiotherapy exercises can provide statistically and clinically satisfactory pain relief and improvement of shoulder function at one year follow up in 96.7% patients with subacromial impingement syndrome. DOI: http://dx.doi.org/10.3126/noaj.v1i1.8128 Nepal Orthopaedic Association Journal Vol.1(1) 2010

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