Exercise therapy may affect scapular position and motion in individuals with scapular dyskinesis: a systematic review of clinical trials

Moghadam, Afsun Nodehi; Rahnama, Leila; Dehkordi, Shohreh Noorizadeh; Abdollahi, Shima

doi:10.1016/j.jse.2019.05.037

Cited by 38 publications

(24 citation statements)

References 43 publications

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“…However, the methodological quality of these studies is debatable, and the evidence for the effect of exercise on scapular dyskinesis in these populations is conflicting. 30 In our study, NDI improved in both groups in the third and sixth sessions. Since NDI is a pain-dependent questionnaire and the VAS scores for both groups were similar, 25 it is reasonable that there was no difference in NDI scores between the experimental and observation groups in our study.…”

Section: Discussionsupporting

confidence: 57%

Outcomes of scapulothoracic mobilisation in patients with neck pain and scapular dyskinesis: A randomised clinical trial

Alshami

AlSadiq

2021

Journal of Taibah University Medical Sciences

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Objectives The perceived outcomes of scapulothoracic mobilisation with movement (MWM) in patients with neck pain and scapular dyskinesis remain unclear. This study aimed to examine the effects of adding scapulothoracic MWM to the corrective exercise and taping regimen in patients with neck pain and scapular dyskinesis. Methods Forty participants with neck pain and scapular dyskinesis were randomly assigned to one of two 3-week regimens: experimental (scapulothoracic MWM + corrective exercises + tape) or comparison (corrective exercises + tape). The visual analogue scale, pressure pain threshold (PPT), cervical and scapular range of motion (ROM), and neck disability index (NDI) were measured at the start and after the third and sixth sessions. Results Pain decreased after the sixth session in both experimental (mean difference: 3.1; 95% confidence interval [CI]: 2.1–4.1) and comparison (mean difference: 1.8; 95% CI: 0.81–2.8) groups. Although there was no change in PPT and scapular ROM, scapular upward rotation decreased significantly only in the comparison group in the sixth session ( p = 0.014). The ROM for neck extension, right rotation, and right and left side bending improved significantly ( p ≤ 0.031) in both groups. The NDI improved in both the experimental (mean difference: 7.2–10.6; 95% CI: 2.5–15.7) and comparison (mean difference: 5.9–10.3; 95% CI: 1.2–15.4) groups. There were no significant differences in outcomes between the groups. Conclusions In this study, the addition of scapulothoracic MWM to the corrective exercise and taping regimen over a 3-week period did not increase pain or improve function in patients with neck pain and scapular dyskinesis.

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Section: Discussionsupporting

confidence: 57%

Outcomes of scapulothoracic mobilisation in patients with neck pain and scapular dyskinesis: A randomised clinical trial

Alshami

AlSadiq

2021

Journal of Taibah University Medical Sciences

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“…As an intervention for scapula dysfunction, Afsun et al [18] investigated muscle strengthening exercises, muscle balance exercises, and movement control exercises for the scapula. Kibler [19] also stated that a rehabilitation protocol based on the kinetic chain can gradually restore the scapula dynamic stability by strengthening the scapula stabilizing muscles, thus improving muscle activity and muscle balance.…”

Section: Introductionmentioning

confidence: 99%

“…In a 2020 systematic literature review of clinical trials on scapula dysfunction, Moghadam [18] reported that the main causes of the scapula dyskinesia are muscle weakness, lack of mobility, presence of lesions in the soft tissues, inappropriate movements, increasing the risk of impact and reduction of the rotator cuff strength.…”

Section: Introductionmentioning

confidence: 99%

Effects of the Proprioceptive Neuromuscular Facilitation Technique on Scapula Function in Office Workers with Scapula Dyskinesis

Hwang

Lee

2021

Medicina

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Background and Objectives; Proprioceptive neuromuscular facilitation (PNF) are effective in improving and maintaining Range of motion(ROM), increasing muscular strength and power, and increasing athletic performance, especially after exercise. The scapula patterns defined in PNF are activated within the upper extremity patterns and scapula motions together. Proper function of the upper extremities requires both motion and stability of the scapula. The purpose of this study was to compare the effects of scapula stabilization exercise training involving muscle strengthening, muscle balance, and movement control exercises on office workers with scapula dysfunction. Materials and Methods: A total of 42 office workers with scapula dyskinesis were recruited and randomly divided into three groups: muscle strengthening exercise group (n = 14), muscle balance exercise group (n = 14), and movement control exercise group (n = 14). The participants underwent 18 sessions (25 min/session, 3 days a week for 6 weeks) of training involving the three types of exercises. Results: The measurement outcomes included the scapula index, measured using a digital Vernier caliper; scapula function, evaluated using the Disability of the Arm, Shoulder, and Hand (DASH) outcome questionnaire (pain and performing, work ability, and sports and art activities); and scapulohumeral movements (scapula upward rotation at humeral abduction angles of 0°, 45°, 90°, 135°, and 180°), evaluated using inclinometers. After the exercise intervention, the scapula index (p = 0.002), DASH pain and performing score (p = 0.000), DASH work ability score (p = 0.000), DASH sports and art activity score (p = 0.027), and scapulohumeral movements (scapula upward rotation at 0° (p = 0.013) and 45° (p = 0.043) humeral abduction) showed significantly greater improvements in the movement control group than in the muscle strengthening and muscle balance groups. Conclusions: Thus, proprioceptive neuromuscular facilitation can be used as a rehabilitation intervention for scapula position and movement, pain reduction, and functional improvement in office workers with scapula dyskinesis.

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“…O papel da escápula é fornecer uma base estável e maximizar os graus de liberdade necessários para execução dos movimentos dos membros superiores (MMSS). A discinesia escapular é caracterizada por mau posicionamento escapular durante o repouso e movimento, sinal de instabilidade e é resultado de fraqueza dos músculos escapulo torácicos (Hejrati, 2016;Nodehi, 2020;Romkes, 2017;McQuade, 2016). Frente ao exposto, esta pesquisa apresenta como objetivo analisar, através da literatura científica, o índice da discinese escapular em atletas arremessadores.…”

Section: Introductionunclassified

Discinese escapular em atletas de esportes acima da cabeça: revisão integrativa

Nogueira

Júnior

2021

RSD

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O atleta possui grandes demandas de treino, que se intensificam durante as temporadas esportivas. Treinos excessivos tendem a sobrecarregar as estruturas responsáveis pela formação do movimento, quanto maior a sobrecarga de uma estrutura, maior o risco de lesão e dor, amplificando o risco de afastamento do esporte. Atletas com modalidades esportivas que envolvem arremesso repetitivos podem gerar alteração na movimentação da escapula em relação ao ombro, sendo uma das alterações comuns a discinese escapular, que pode ser descrita como o mau posicionamento da escapula durante os movimentos do ombro ou em repouso. Este estudo tem como objetivo analisar, através da literatura científica, o índice da discinese escapular em atletas arremessadores. Trata-se de uma revisão integrativa da literatura, realizada através do levantamento de artigos científicos que abordassem a relação entre discinese escapular em corredores através das bases de dados: Pubmed, Scielo, Lilacs e Medline, publicados entre os anos de 2016 e 2021. A estratégia de busca totalizou 90 artigos potencialmente relevantes, sendo realizada a revisão do título e do resumo, apenas 10 artigos restaram, sendo esses retidos e lidos na íntegra. Por fim, 3 artigos foram considerados relevantes e retidos para análise. Os resultados demonstraram que a discinese escapular pode aumentar o risco para lesões de ombro em atletas. A discinese escapular comumente está presente em esportes específicos para membros superiores, sendo que idade, volume de treinamentos e cargas podem aumentar as chances de lesões no membro superior quando comparados a atletas sem alterações na movimentação escapular.

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Exercise therapy may affect scapular position and motion in individuals with scapular dyskinesis: a systematic review of clinical trials

Cited by 38 publications

References 43 publications

Outcomes of scapulothoracic mobilisation in patients with neck pain and scapular dyskinesis: A randomised clinical trial

Outcomes of scapulothoracic mobilisation in patients with neck pain and scapular dyskinesis: A randomised clinical trial

Effects of the Proprioceptive Neuromuscular Facilitation Technique on Scapula Function in Office Workers with Scapula Dyskinesis

Discinese escapular em atletas de esportes acima da cabeça: revisão integrativa

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