Background: Scapular focused exercise interventions are frequently used to treat individuals with shoulder pain. However, evidence for changes in scapular motion after intervention is limited.
Objective: To compare the effects of scapular movement training versus standardized exercises for individuals with shoulder pain.
Methods: This will be a single-blinded randomized controlled trial. Sixty-four individuals with shoulder pain for at least 3 months, scapular dyskinesis, and a positive scapular assistance test will be randomly allocated to one of two groups: Scapular Movement Training (group 1) and Standardized Exercises (group 2). Group 1 will receive education about scapular position and movement, and be trained to modify the scapular movement pattern. Group 2 will perform stretching and strengthening exercises. Both groups will be treated twice a week for eight weeks. Three-dimensional scapular kinematics and muscle activity of the serratus anterior and upper, middle, and lower trapezius during elevation and lowering of the arm will be assessed at baseline and after 8 weeks of treatment. Pain intensity, function, fear avoidance beliefs, and kinesiophobia will be assessed at baseline and after 4 and 8 weeks of treatment, and 4 weeks after the end of treatment.
Conclusions: The results of this study may contribute to a better understanding of the efficacy of scapular focused treatments for individuals with shoulder pain.
Clinical Trial Registration: NCT03528499.
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http://dx.doi.org/10.1016/j.bjpt.2020.08.001 | DOI Listing |
Cureus
December 2024
Medical Research, Universidad Francisco Marroquín, Guatemala, GTM.
Scapular fractures are rare, typically resulting from high-energy trauma. These injuries frequently present alongside other thoracic or shoulder injuries. Patients often exhibit posterior shoulder pain, swelling, and limited range of motion, which can suggest a variety of shoulder pathologies.
View Article and Find Full Text PDFInt J Sports Med
January 2025
Physical Therapy, Catholic University of Pusan, Busan, Korea (the Republic of).
The effects of the two popular strategies, scapular adduction and depression and scapular posterior tilt, on muscle activity of the trapezius and serratus anterior muscles have not been compared. This study demonstrates the effects of additional scapular adduction and depression or scapular posterior tilt movements on the activation of trapezius and serratus anterior muscles and scapular kinematics during arm raising. Eighteen asymptomatic men performed arm raising tasks with and without additional scapular movements, including scapular adduction and depression or scapular posterior tilt.
View Article and Find Full Text PDFJ Shoulder Elbow Surg
January 2025
Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, Campus UZ Gent, Ghent, Belgium.
Background: Reversed shoulder arthroplasty (rTSA) is often used to restore functionality in patients with joint arthropathy and dysfunctional rotator cuff. As rTSA changes the biomechanical properties of the shoulder, an altered movement pattern of arm and scapula is to be expected. Previous studies focused on changes of the scapulohumeral rhythm during functional elevation tasks.
View Article and Find Full Text PDFClin Biomech (Bristol)
January 2025
Health Sciences Department, Ribeirão Preto Medical School, University of São Paulo, Brazil.
Background: Upper limb fractures significantly alter movement, impacting function and recovery. Three-dimensional motion analysis allows precise assessment of these changes.
Methods: Sixty patients were divided into four groups: shoulder, elbow, wrist fractures, and controls.
J Hand Ther
January 2025
Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium.
Background: Usually, patients with hand, wrist/forearm disorders report musculoskeletal complaints in the shoulder. Although, role of scapula is fundamental for movement and functional stability across the upper limb kinetic chain; however, there are no systematic reviews and meta-analyses that have analyzed the effect of scapular exercises in these patients.
Purpose: This study aimed to determine the effectiveness of a scapular exercise program on functional outcomes in patients with hand, wrist or elbow disorders.
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