Scapular motion in the presence of rotator cuff tears: a systematic review

Barcia, Anthony M.; Makovicka, Justin L.; Spenciner, David B.; Chamberlain, Aaron M.; Jacofsky, Marc C.; Gabriel, Stefan; Moroder, Philipp; Rechenberg, Brigitte von; Sengun, Mehmet Z.; Tokish, John M.

doi:10.1016/j.jse.2020.12.012

Cited by 16 publications

(15 citation statements)

References 29 publications

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“…Such impingement may cause the risk of RC tear and reduced RC muscle strength. In previous studies, it was expected that recovery of the RC and normal muscle activity pattern of the scapular muscle would lead to normalization of scapular movement after surgery [27]. However, our study result is different.…”

Section: Discussioncontrasting

confidence: 62%

Effects of Passive Scapular Stabilization on Upper Extremity Muscle Strength in Patients With Rotator Cuff Repair

Jeong

2023

Physical Therapy Korea

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Background: Scapular dyskinesis may cause not only rotator cuff (RC) tear but also weakness of the upper extremity, studies on scapular dyskinesis that may occur after RC repair is still lacking.Objects: To determine whether scapular dsykinesis was present in patients after arthroscopic RC repair and to investigate the influence of passive scapular stabilization on upper extremity strength.Methods: A total of 30 patients after RC repair participated in this study. To compare the scapula of the arthroscopic RC repair shoulder and the contralateral shoulder, the winged scapula (WS) was measured using a scapulometer and scapular dyskinesis was also classified by type. Fixed instruments for muscle strength measurements were used to measure upper extremity muscle strength differences depending on passive scapular stabilization position or natural scapular position. A chi-square test, an independent t-test and a 2-way mixed measures analysis of variance (ANOVA) was used as statistical analysis. In analyses, p < 0.05 was deemed to be statistically significant. Results:Postoperative shoulder had a significant association with scapular dyskinesis and the WS compared to the contralateral shoulder (F = 0.052, p < 0.01). Postoperative shoulder, muscle strength in the shoulder abduction (p < 0.01), elbow flexion (p < 0.01) and forearm supination (p < 0.05) were significantly greater in the scapular stabilization position than in the scapular natural position. Conclusion:Patients underwent arthroscopic RC repair had a significant association with scapular dyskinesis and muscle strength was improved by a passive scapular stabilization position, therefore scapular stabilization is important in rehabilitation program.[9,10]. Excessive scapular protraction was frequently observed in patients with scapular dyskinesis and decreased maximal RC

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Section: Discussioncontrasting

confidence: 62%

Effects of Passive Scapular Stabilization on Upper Extremity Muscle Strength in Patients With Rotator Cuff Repair

Jeong

2023

Physical Therapy Korea

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“…A systematic review showed changes in scapular kinematics in the rotator cuff tear and found more tissue damage to cause more scapular dysfunction (36). The majority of the studies included in the present review used clinical tests to diagnose SIS.…”

Section: Discussionmentioning

confidence: 94%

Scapular Kinematic During Arm Elevation in Shoulder Impingement Syndrome Using Motion Analysis System: A Systematic Review and Meta-analysis

Hajibashi

Amiri

Sarrafzadeh

et al. 2022

Middle East J Rehabil Health Stud

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Context: With a key role in normal shoulder function, scapular kinematics have been investigated in shoulder impingement syndrome (SIS). Objectives: This systematic review aimed at determining scapular kinematic patterns in patients with SIS compared to in asymptomatic individuals. Data Sources: Databases such as PubMed, Scopus, Web of Science, Ovid, Embase and PEDRO were searched from January 1995 to June 2021. Study Selection: Articles in English published in peer-reviewed journals and using motion analysis systems to compare scapular kinematics between patients with SIS and asymptomatic subjects during arm elevation were included. Data Extraction: A modified Downs and Black checklist was used to assess the risk of bias of the included studies. A random-effects model was employed to perform a meta-analysis. Results: Nine out of 1650 screened abstracts were included for data extraction. Scapular upward rotation significantly decreased during arm elevation in SIS (SMD = -0.13, 95% CI = -0.23 to -0.02) with a low effect size (I2 = 46%). No differences were observed in scapular posterior tilt (SMD = -0.07, 95% CI = -0.18 to 0.03) and external rotation (SMD = 0.02, 95% CI = -0.06 to 0.09) between patients with SIS and asymptomatic subjects. Conclusions: This review revealed that except for scapular upward rotation, scapular movement was generally insignificantly different between the subjects with and without SIS during arm elevation. Between-group differences might have been overlooked as a result of the high risk of bias in the included studies. The high-quality studies addressing confounders are required to provide a definitive conclusion on the relationship between SIS and scapular kinematics.

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“…The causes of pain in the cuff tear are synovitis, subacromial bursitis, impingement pain and arthritis (11). Alteration of scapular kinematics is undoubtedly common in all patients with rotator cuff tear (12). A short duration of analgesics and anti inflammatory drugs along with therapeutic modalities will help to relieve the inflammation around the shoulder joint.…”

Section: J O U R N a L P R E -P R O O Fmentioning

confidence: 99%