Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1392
10
1
gregorian
2014
1
1
28
1
online
1
fulltext
en
The effects of scapular stabilization based exercise therapy on pain, posture, flexibility and shoulder mobility in patients with shoulder impingement syndrome: a controlled randomized clinical trial
Rehabilitation
Rehabilitation
Original Research
Original Research
<p> <strong> Background </strong>:Dysfunction in the kinetic chain caused by poor scapula stabilization can contribute to shoulder injuries and Shoulder Impingement Syndrome (SIS). The purpose of this study was to compare the effectiveness of two treatment approaches scapular stabilization based exercise therapy and physical therapy in patients with SIS. </p><p> <strong> Methods </strong>: The study is a randomized clinical trial in which 68 patients with SIS were randomly assigned in two groups of exercise therapy (ET) and physical therapy (PT) and received 18 sessions of treatment. Pain, shoulders' range of abduction and external rotation, shoulder protraction, scapular rotation and symmetry as well as postural assessment and Pectoralis minor length were evaluated pre and post intervention. The paired-sample t test and the independent sample t test were applied respectively to determine the differences in each group and between two groups. </p><p> <strong> Results </strong>: Our findings indicated significant differences in abduction and external rotation range, improvement of forward shoulder translation and increase in the flexibility of the involved shoulder between the two groups (respectively p=0.024, p=0.001, p<0/0001, p<0/0001). No significant difference was detected in pain reduction between the groups (p=0.576). Protraction of the shoulder (p<0.0001), forward head posture (p<0/0001) and mid thoracic curvature (p<0.0001) revealed a significant improvement in the ET group. Apparent changes occurred in scapular rotation and symmetry in both groups but no significant differences were observed between the two groups (respectively p=0.183, p=0.578). </p><p> <strong> Conclusion </strong>: The scapular stabilization based exercise intervention was successful in increasing shoulder range, decreasing forward head and shoulder postures and Pectoralis minor flexibility. </p>
Shoulder Impingement Syndromes, Posture, Exercise Therapy, Physical Therapy.
554
568
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-714&slc_lang=en&sid=1
Azar
Moezy
azarmoezy@yahoo.com, moezy.a@iums.ac.ir
200319475328460012634
200319475328460012634
Yes
Department of Sports Medicine, HazratRasool-e-AkramHospital, Iran University of Medical Sciences, Tehran, Iran.
Saeed
Sepehrifar
sepehrifar.s@gmail.com
200319475328460012635
200319475328460012635
No
HazratRasool-e-AkramHospital, Iran University of Medical Sciences, Tehran, Iran
Masoud
Solaymani Dodaran
solaymani.m@iums.ac.ir
200319475328460012636
200319475328460012636
No
Epidemiology Department, Iran University of Medical Sciences, Tehran, Iran.