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J Rehabil Med. 2008 Jun;40(6):456-60. doi: 10.2340/16501977-0199.

Relationship of glenohumeral elevation and 3-dimensional scapular kinematics with disability in patients with shoulder disorders.

Author information

1
Department of Physical Medicine and Rehabilitation, Cochin Hospital, 27 Rue du Faubourg Saint Jacques, Paris Cedex 14, France. fouadfayad@yahoo.fr

Abstract

OBJECTIVE:

To determine variables among glenohumeral elevation and 3-dimensional scapular rotations that are related to shoulder function as assessed by the Disability of the Arm, Shoulder and Hand-Disability/Symptom (DASH-D/S) scale.

DESIGN:

Prospective, cross-sectional study.

PATIENTS:

Eighty-eight patients with shoulder pain and limited range of motion were included.

METHODS:

Each patient performed 2 full active range of motion activities, forward flexion and abduction, and 2 activities of daily living, combing hair and simulating washing the back. Glenohumeral elevation and scapular rotations were measured by the Polhemus Fastrak electromagnetic system.

RESULTS:

On multiple regression analysis, glenohumeral elevation in combing hair and scapular lateral rotation in both abduction and simulating washing the back were the best predictors of shoulder function and explained 39.7% of the variance of the DASH-D/S score.

CONCLUSION:

These findings support the classical rehabilitation of the shoulder based on glenohumeral elevation and suggest the importance of attention paid to scapular lateral rotation.

PMID:
18509561
DOI:
10.2340/16501977-0199
[Indexed for MEDLINE]
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