Study of the scapular muscle latency and deactivation time in people with and without shoulder impingement

Phadke, Vandana; Ludewig, Paula M.

doi:10.1016/j.jelekin.2012.10.004

Cited by 49 publications

(55 citation statements)

References 25 publications

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“…Primary studies which evaluated individuals, males or females aged 18 years or older, diagnosed with SAPS through medical, imaging or clinical diagnosis with at least one of the tests positive, including painful arc, Neer test,37 Hawkins test,38 Jobe test,39 pain with passive40 or isometrically resisted41 42 shoulder external rotation, were included in this review.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of physical therapy treatment of clearly defined subacromial pain: a systematic review of randomised controlled trials

et al. 2016

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Section: Methodsmentioning

confidence: 99%

Effectiveness of physical therapy treatment of clearly defined subacromial pain: a systematic review of randomised controlled trials

et al. 2016

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“…9,42,52,63 Shoulder im pingement syndrome (SIS) is the most frequently encountered shoulder condition and accounts for 44% to 65% of all shoulder pain. 63 A greater amount of scapular internal rotation, as well as a lesser amount of scapular upward rotation and posterior tilt during arm elevation, has previously been documented in individuals with symptoms of SIS compared to asymptomatic individuals.…”

mentioning

confidence: 99%

“…To be classified as having SIS, potential subjects had to present with at least 3 of the following findings: positive Neer impingement test, 47 positive Hawkins impingement test, 21 positive Jobe test, 28 pain with passive 24 or isometric resisted 52,60 shoulder lateral rotation, pain with active shoulder elevation, 27 pain with palpation of rotator cuff tendons, and pain in the C5 or C6 dermatome region. 41 A recent review 22 has suggested that using a combination of shoulder tests may provide better di- …”

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confidence: 99%

Scapular Kinematics Pre– and Post–Thoracic Thrust Manipulation in Individuals With and Without Shoulder Impingement Symptoms: A Randomized Controlled Study

Haik¹,

Alburquerque‐Sendín²,

Silva³

et al. 2014

Journal of Orthopaedic & Sports Physical Therapy

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Shoulder pain is a common and debilitating condi tion, and its prevalence is second only to low back pain. 9,42,52,63 Shoulder im pingement syndrome (SIS) is the most frequently encountered shoulder condition and accounts for 44% to 65% of all shoulder pain. 63 A greater amount of scapular internal rotation, as well as a lesser amount of scapular upward rotation and posterior tilt during arm elevation, has previously been documented in individuals with symptoms of SIS compared to asymptomatic individuals. [35][36][37][38] These kinematic alterations have been associated with lesser activation of the middle and lower trapezius and serratus anterior muscles and excessive upper trapezius muscle activation. 37,51 Systematic literature reviews support the efficacy of therapeutic exercises for the rehabilitation of individuals with SIS, 29,43 and the results of randomized clinical trials suggest that providing manual therapy T T OBJECTIVES:To evaluate the immediate effects of a low-amplitude, high-velocity thrust thoracic spine manipulation (TSM) on pain and scapular kinematics during elevation and lowering of the arm in individuals with shoulder impingement syndrome (SIS). The secondary objective was to evaluate the immediate effects of TSM on scapular kinematics during elevation and lowering of the arm in individuals without symptoms. T T BACKGROUND:Considering the regional interdependence among the shoulder and the thoracic and cervical spines, TSM may improve pain and function in individuals with SIS. Comparing individuals with SIS to those without shoulder pathology may provide information on the effects of TSM specifically in those with SIS. T T METHODS:Fifty subjects (mean  SD age, 31.8  10.9 years) with SIS and 47 subjects (age, 25.8  5.0 years) asymptomatic for shoulder dysfunction were randomly assigned to 1 of 2 interventions: TSM or a sham intervention. Scapular kinematics were analyzed during elevation and lowering of the arm in the sagittal plane, and a numeric pain rating scale was used to assess shoulder pain during arm movement at preintervention and postintervention.

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“…To be classified as having shoulder impingement, subjects had to present with at least 3 of the following: positive Neer impingement test, 26 positive Hawkins-Kennedy impingement test, 8 pain with isometric resisted shoulder abduction, 13 pain with passive 9 or isometric resisted shoulder lateral rotation, 27,30 pain with active shoulder elevation, 11 pain with palpation of rotator cuff tendons, and pain in the C5 or C6 dermatome region. 25 All subjects had to achieve 150° of active arm elevation.…”

mentioning

confidence: 99%

Reliability and Minimal Detectable Change of 3-Dimensional Scapular Orientation in Individuals With and Without Shoulder Impingement

Haik

Alburquerque‐Sendín²,

Camargo³

2014

J Orthop Sports Phys Ther

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Scapulothoracic movement results from a complex interaction of sternoclavicular and acromioclavicular joint motion. 12,21 There is evidence that alterations of this motion pattern are associated with shoulder pathologies, such as shoulder impingement and rotator cuff disease. 20,22,23,25 However, there are some inconsistencies and discrepancies regarding scapular orientation alterations across studies. 22Electromagnetic devices are commonly used to measure 3-D scapular orientation during shoulder movements in healthy subjects and individuals with different shoulder conditions. [19][20][21][23][24][25]31,37,38 The use of a skin-based sensor attached to the scapula has previously been shown to be a valid method to measure scapular orientation and motion when compared to a bone-based technique.14 Despite the wide use of surface sensors to assess 3-D scapular orientation in different shoulder conditions, limited data are available concerning reliability of these methods.Only 1 study 32 has specifically evaluated the reliability of measurement of scapular orientation and showed that the within-day was better than the betweenday reliability in young, healthy subjects. The authors 32 also recommended the use of arm elevation in the sagittal plane when the most repeatable scapular pattern is desired. Although Thigpen et al 32 have contributed to the literature, their results cannot be generalized, as they only evaluated healthy subjects and elevation of the arm. It is also important to measure scapular orientation in people with shoulder dysfunction and when lowering the arm. Most importantly, a number of recent studies have investigated the efficacy of therapeutic interventions by making kinematic evaluations of subjects on different days without a clear knowledge of between-day reliability. 10,24,34 Better documentation of the reliability of 3-D T T STUDY DESIGN: Clinical measurement. T T OBJECTIVE:To establish trial-to-trial within-day and between-day reliability, standard error of measurement, and minimal detectable change of scapular orientation during elevation and lowering of the arm, and with the arm relaxed at the side, in individuals with and without shoulder impingement. T T BACKGROUND:Electromagnetic devices are commonly used to measure 3-D scapular kinematics during arm elevation in different conditions and for intervention studies. However, there is a lack of studies that evaluate within-and between-day reliability of these measurements. T T METHODS:The subjects were allocated to either a control group or an impingement group. Kinematic data were collected using the Flock of Birds electromagnetic device during elevation and lowering of the arm in the sagittal plane on 2 different occasions, separated by 3 to 5 days. Forty-nine subjects were tested for within-day reliability. Forty-three subjects were reassessed for between-day reliability. T T RESULTS:Intraclass correlation coefficients for within-and between-day assessment of scapular orientation during elevation and lowering of the arm in both groups ran...

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Study of the scapular muscle latency and deactivation time in people with and without shoulder impingement

Cited by 49 publications

References 25 publications

Effectiveness of physical therapy treatment of clearly defined subacromial pain: a systematic review of randomised controlled trials

Effectiveness of physical therapy treatment of clearly defined subacromial pain: a systematic review of randomised controlled trials

Scapular Kinematics Pre– and Post–Thoracic Thrust Manipulation in Individuals With and Without Shoulder Impingement Symptoms: A Randomized Controlled Study

Reliability and Minimal Detectable Change of 3-Dimensional Scapular Orientation in Individuals With and Without Shoulder Impingement

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