Do isometric pull-down exercises increase the acromio-humeral distance?

Sealey, Paul L.; Critchley, Duncan

doi:10.1016/j.physio.2016.03.002

Cited by 4 publications

(3 citation statements)

References 16 publications

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“…17,19,35,42 According to their findings, SRE at different shoulder abduction positions, isometric pulldown exercise, and GRE increased AHD. 17,19,35,42 To add to previous findings, our main contribution is that applying those exercises over the long term could increase the AHD in patients with SPS. Since the GRE was the only difference between groups in exercise selection, the additional effect of these exercises may have improved AHD values in our study.…”

Section: Discussionmentioning

confidence: 97%

“…Previous studies have demonstrated the initial effect of exercises on AHD. 17,19,35,42 According to their findings, SRE at different shoulder abduction positions, isometric pulldown exercise, and GRE increased AHD. 17,19,35,42 To add to previous findings, our main contribution is that applying those exercises over the long term could increase the AHD in patients with SPS.…”

Section: Discussionmentioning

confidence: 97%

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Utilizing Scapula Retraction Exercises With or Without Glenohumeral Rotational Exercises With a Gradual Progression for Subacromial Pain Syndrome

Eraslan

Yar

Ergen

et al. 2023

Sports Health: A Multidisciplinary Approach

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Background: Although exercise interventions are recommended in the management of subacromial pain syndrome (SPS), there is a lack of data regarding the exercises focusing on the principal biomechanical deficiencies that cause symptoms. Hypothesis: Utilizing progressive scapula retraction exercises (SRE) and glenohumeral rotation exercises (GRE) in the scapula stabilization program may lead to more reduction in symptoms and greater acromiohumeral distance (AHD) values. Study Design: A double-blind, randomized controlled trial. Level of Evidence: Level 2. Methods: A total of 33 patients were assigned randomly to either SRE or SRE+GRE. Both groups received a 12-week supervised rehabilitation program, including manual therapy and exercises (stretching and progressive scapula stabilization exercises). In addition, the SRE+GRE group performed GRE exercises at gradual elevation angles. From 12 to 24 weeks, patients performed exercise programs less frequently (3 times per week). Disability (shoulder pain and disability index [SPADI]), AHD (at 5 active abduction angles), pain intensity (visual analogue scale [VAS]), and patient satisfaction were recorded at baseline, 12 weeks, and 24 weeks. A total of 16 healthy individuals were recruited as a control group to compare AHD values. Data were analyzed using mixed model analyses of variance. Results: A statistically significant group-by-time interaction was found for AHD values ( F4,92 = 6.38; P = 0.001), a significant group-by-time interaction for SPADI-disability ( F1,33 = 5.148; P = 0.01), SPADI-total ( F1,32 = 4.172; P = 0.03), and for pain during activity ( F2,62 = 3.204; P = 0.05). However, no significant group-by-time interaction for SPADI-pain (F1,33 = 0.533; P = 0.48), for pain at rest (F1,31 < 0.001; P = 0.99), and at night (F1,32 = 2.166; P = 0.15). Yet, a significant time effect was observed. Conclusion: Progressive SRE and GRE in the scapula stabilization program lessens symptoms and improves AHD values in patients with SPS. Moreover, this program could preserve outcomes and further increase AHD when applied less frequently. Clinical Relevance: Utilizing SRE and GRE in the scapula stabilization program at gradual shoulder abduction angles provides better rehabilitation outcomes.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 97%

Utilizing Scapula Retraction Exercises With or Without Glenohumeral Rotational Exercises With a Gradual Progression for Subacromial Pain Syndrome

Eraslan

Yar

Ergen

et al. 2023

Sports Health: A Multidisciplinary Approach

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“…30 Additionally, there is only very limited evidence that humeral head procedures actually influence humeral head position. 31 The SSMP assessment form is detailed in figure 1. The specific assessment procedures have been described elsewhere.…”

Section: Introductionmentioning

confidence: 99%

Inter-rater reliability of the Shoulder Symptom Modification Procedure in people with shoulder pain

Lewis

McCreesh

Barratt

et al. 2016

BMJ Open Sport Exerc Med

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BackgroundMusculoskeletal conditions involving the shoulder are common and, because of the importance of the upper limb and hand in daily function, symptoms in this region are commonly associated with functional impairment in athletic and non-athletic populations. Deriving a definitive diagnosis as to the cause of shoulder symptoms is fraught with difficulty. Limitations have been recognised for imaging and for orthopaedic special tests. 1 solution is to partially base management on the response to tests aimed at reducing the severity of the patient's perception of symptoms. 1 (of many) such tests is the Shoulder Symptom Modification Procedure (SSMP). The reliability of this procedure is unknown.Methods37 clinician participants independently watched the videos of 11 patient participants undergoing the SSMP and recorded each patient's response as improved (partially or completely), no change or worse. Inter-rater reliability was assessed by Krippendorff's α, which ranges from 0 to 1.ResultsKrippendorff's α was found to range from 0.762 to 1.000, indicating moderate to substantial reliability. In addition, short (3-hour) and longer (1-day) durations of training were associated with similar levels of reliability across the techniques.ConclusionsDeriving a definitive structural diagnosis for a person presenting with a musculoskeletal condition involving the shoulder is difficult. The findings of the present study suggest that the SSMP demonstrates a high level of reliability. More research is needed to better understand the relevance of such procedures.Trial registration numberISRCTN95412360.

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The effect of five isometric exercises on glenohumeral translations in healthy subjects and patients with the hypermobility type of the ehlers-danlos syndrome (heds) or hypermobility spectrum disorder (hsd) with multidirectional shoulder instability: an observational study

et al. 2020

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Do isometric pull-down exercises increase the acromio-humeral distance?

Cited by 4 publications

References 16 publications

Utilizing Scapula Retraction Exercises With or Without Glenohumeral Rotational Exercises With a Gradual Progression for Subacromial Pain Syndrome

Utilizing Scapula Retraction Exercises With or Without Glenohumeral Rotational Exercises With a Gradual Progression for Subacromial Pain Syndrome

Inter-rater reliability of the Shoulder Symptom Modification Procedure in people with shoulder pain

The effect of five isometric exercises on glenohumeral translations in healthy subjects and patients with the hypermobility type of the ehlers-danlos syndrome (heds) or hypermobility spectrum disorder (hsd) with multidirectional shoulder instability: an observational study

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