The effectiveness of scapular stabilization exercise in the patients with subacromial impingement syndrome

Başkurt, Zeliha; Başkurt, Ferdi; Gelecek, Nihal; Özkan, Mustafa

doi:10.3233/bmr-2011-0291

Cited by 137 publications

(208 citation statements)

References 19 publications

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Section: Interventions/comparisonsmentioning

confidence: 99%

“…One study had an intervention group of mobilisations, stretching and motor control exercises all focused on the scapula, compared to glenohumeral joint passive mobilisations with eccentric exercises for the rotator cuff (35); one study compared a scapula stabilisation based exercise therapy group of mainly exercises, stretches and advice to a physical therapy group which included range of movement exercises (ROM) and electrotherapy modalities (36). The settings varied with two studies based in a hospital setting (27,36); one in a private setting (35) and one unclear (32). All studies had a supervised programme (27,32,36) and only one study also included home-based exercises (35), although there was no data provided on adherence to this.…”

Section: Interventions/comparisonsmentioning

confidence: 99%

“…The settings varied with two studies based in a hospital setting (27,36); one in a private setting (35) and one unclear (32). All studies had a supervised programme (27,32,36) and only one study also included home-based exercises (35), although there was no data provided on adherence to this.…”

Section: Interventions/comparisonsmentioning

confidence: 99%

“…Two studies were very similar and compared what they described as conventional physiotherapy to the same programme, but with the addition of scapula stabilisation exercises in the intervention group (27,32). The latter study also had an advice component (32). One study had an intervention group of mobilisations, stretching and motor control exercises all focused on the scapula, compared to glenohumeral joint passive mobilisations with eccentric exercises for the rotator cuff (35); one study compared a scapula stabilisation based exercise therapy group of mainly exercises, stretches and advice to a physical therapy group which included range of movement exercises (ROM) and electrotherapy modalities (36).…”

Section: Interventions/comparisonsmentioning

confidence: 99%

“…Disability scores were measured on different tools but these tools used the same scales (0 to 100) and it was felt that they measured similar constructs of shoulder related disability so, similar to pain outcomes, mean scores along with their respective standard deviations (SD) were extracted and pooled (31). The disability scale used in one study (32) required reversal of the direction of the scores to enable meta-analysis, accordingly the total scores of the scale were multiplied by -1 (33).…”

Section: Data Synthesismentioning

confidence: 99%

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Effectiveness of scapula-focused approaches in patients with rotator cuff related shoulder pain: A systematic review and meta-analysis

et al. 2016

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Background: Rotator cuff related shoulder pain (RCSP) is common with a range of conservative treatments currently offered. Evidence supporting superiority of one approach over another is lacking. Scapula focused approaches (SFA) are frequently prescribed and warrant investigation. Objective: To evaluate the effectiveness of SFA in RCSP. Design: Systematic review of randomised controlled trials. Methods: An electronic search including MEDLINE, PEDro, ENFISPO to January 2016 was supplemented by hand searching. Randomised controlled trials were included; appraised using the PEDro scale and synthesised via meta-analysis or narratively, where appropriate. Results: Four studies (n = 190) reported on pain and three studies (n = 122) reported on disability. Regarding pain, there was statistical but not clinically significant benefit of SFA versus generalised approaches (mean difference (VAS) 0.714; 95% CI 0.402 to 1.026) in the short term (< 6 weeks); regarding disability, there was significant benefit of SFA versus generalised approaches (mean difference 14.0; 95% CI 11.2 to 16.8) in the short term (< 6 weeks). One study (n = 22) reported disability at 3 months, which was not statistically significant. Evidence is conflicting from four studies relating to the effect of SFA on scapula position/ movement. Conclusion: SFA for RCSP confers benefit over generalised approaches up to six weeks but this benefit is not apparent by 3 months. Early changes in pain are not clinically significant. With regards to scapula position/ movement, the evidence is conflicting. These preliminary conclusions should be treated with significant caution due to limitations of the evidence base.

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Section: Interventions/comparisonsmentioning

confidence: 99%

Section: Interventions/comparisonsmentioning

confidence: 99%

Section: Interventions/comparisonsmentioning

confidence: 99%

Section: Interventions/comparisonsmentioning

confidence: 99%

Section: Data Synthesismentioning

confidence: 99%

See 3 more Smart Citations

Effectiveness of scapula-focused approaches in patients with rotator cuff related shoulder pain: A systematic review and meta-analysis

et al. 2016

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Manual therapy and exercise for rotator cuff disease

Page

Green

McBain³

et al. 2016

Cochrane Database of Systematic Reviews

140

149

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Despite identifying 60 eligible trials, only one trial compared a combination of manual therapy and exercise reflective of common current practice to placebo. We judged it to be of high quality and found no clinically important differences between groups in any outcome. Effects of manual therapy and exercise may be similar to those of glucocorticoid injection and arthroscopic subacromial decompression, but this is based on low quality evidence. Adverse events associated with manual therapy and exercise are relatively more frequent than placebo but mild in nature. Novel combinations of manual therapy and exercise should be compared with a realistic placebo in future trials. Further trials of manual therapy alone or exercise alone for rotator cuff disease should be based upon a strong rationale and consideration of whether or not they would alter the conclusions of this review.

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Aging

Rosenthal¹,

Mickschl²,

Burns³

et al. 2020

The Wiley Encyclopedia of Health Psychology

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The effectiveness of scapular stabilization exercise in the patients with subacromial impingement syndrome

Abstract: It is suggested that in the treatment of SIS; scapular stabilization exercises, given with stretching and strengthening exercises, can be more effective in increasing the muscle strength, developing the JPS and decreasing the scapular dyskinesis.

Cited by 137 publications

References 19 publications

Effectiveness of scapula-focused approaches in patients with rotator cuff related shoulder pain: A systematic review and meta-analysis

Effectiveness of scapula-focused approaches in patients with rotator cuff related shoulder pain: A systematic review and meta-analysis

Manual therapy and exercise for rotator cuff disease

Aging

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