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J Sport Rehabil. 2018 Mar 1;27(2):132-137. doi: 10.1123/jsr.2016-0182. Epub 2018 Mar 8.

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

Abstract

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.

KEYWORDS:

pectoralis minor; posterior capsule; rehabilitation

PMID:
28095214
DOI:
10.1123/jsr.2016-0182
[Indexed for MEDLINE]

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