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Arch Phys Med Rehabil. 2017 Oct;98(10):1915-1923.e3. doi: 10.1016/j.apmr.2017.05.023. Epub 2017 Jun 24.

Effects of Scapular Stabilization Exercise Training on Scapular Kinematics, Disability, and Pain in Subacromial Impingement: A Randomized Controlled Trial.

Author information

1
Hacettepe University, Ankara, Turkey. Electronic address: elifcamci@hacettepe.edu.tr.
2
Hacettepe University, Ankara, Turkey.
3
Private Guven Hospital, Ankara, Turkey.

Abstract

OBJECTIVE:

To investigate the effects of 2 different exercise programs on 3-dimensional scapular kinematics, disability, and pain in participants with subacromial impingement syndrome (SIS).

DESIGN:

Randomized controlled trial.

SETTING:

Outpatient clinic and research laboratory.

PARTICIPANTS:

Participants who were diagnosed with SIS and who also exhibited scapular dyskinesis (N=30).

INTERVENTIONS:

The participants were randomized in 2 different exercise groups: (1) shoulder girdle stretching and strengthening with additional scapular stabilization exercises based on a kinetic chain approach (intervention group), and (2) shoulder girdle stretching and strengthening exercises only (control group).

MAIN OUTCOME MEASURES:

Three-dimensional scapular kinematics, self-reported shoulder pain, and disability were evaluated at baseline, after 6 weeks of training, and after 12 weeks of training.

RESULTS:

Significant differences were observed between the control and intervention groups in external rotation and posterior tilt after 6 weeks of training and in external rotation, posterior tilt, and upward rotation after 12 weeks of training. All groups showed improvement in self-reported pain and disability scores; however, there were no significant differences between the groups.

CONCLUSIONS:

Progressive exercise training independent from specific scapular stabilization exercises provides decreased disability and pain severity in impingement syndrome.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT02286310.

KEYWORDS:

Exercise; Motion; Rehabilitation; Scapula; Shoulder

PMID:
28652066
DOI:
10.1016/j.apmr.2017.05.023
[Indexed for MEDLINE]

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