Effect of Motor Control and Strengthening Exercises on Pain, Function, Strength and the Range of Motion of Patients with Shoulder Impingement Syndrome

Abstract

Abstract.[Purpose] The aim of the study was to evaluate the effect of an intervention, including shoulder control and strengthening exercises, on the shoulder function of persons with shoulder impingement.[Subjects] The subjects were patients who visited our hospital due to shoulder impingement syndrome and they were randomly allocated to two groups: a shoulder control and strengthening exercises group (n=17) and a conservative therapy group (n=18).[Methods] Both groups received conservative therapy for 3 sessions (45 minutes per week) for 4 weeks. The shoulder control and strengthening exercises group practiced additional motor control and strengthening exercises for 30 minutes. Values of the pain, function, isokinetic strength and the range of motion were compared with those of the conservative therapy group.[Results] There were significant differences in the amount of change of the pain, function, isokinetic strength and range of motion between the two groups (p<0.05); however as a measure of isokinetic strength, the peak torque of the internal rotators at 60°/sec did not show a significant difference.[Conclusion] The motor control and strengthening exercise program training improved pain, function, strength and the range of motion. These results suggest that a motor control and strengthening exercise program is feasible and suitable for individuals with shoulder impingement syndrome.

Content reporting of exercise interventions in rotator cuff disease trials: results from application of the Consensus on Exercise Reporting Template (CERT)

“…Twelve trials referred specifically to supplementary material, and five of these were not open access 29–33. Of the included trials, three34–36 were judged to be at low risk of bias; eight trials37–44 were at unclear risk of bias; and 23 trials45–67 were at high risk of bias (figure 1).…”

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

“…Scapular training versus mixed therapy protocol : Three studies21 22 77 investigated the effects of scapular focused training compared with mixed therapy protocol using shoulder stretching, strengthening and electrotherapy to improve pain, function and/or range of motion in a follow-up of 1.5–3 months. Low evidence was synthesised towards greater benefits of scapular training over mixed therapy protocol to improve pain, function and range of motion.…”

“…Nevertheless, it is important to emphasise that other outcomes as muscle strength and scapular motion were not included in this review but are usually focused in a rehabilitation programme for SAPS treatment. It should also be highlighted that some studies did not provide enough details regarding the programmes for strengthening rather than reporting target muscles involved in the treatment,73 74 while others were more specific in describing the exercise programmes 15 16 21 77. Therefore, consistent comparisons and conclusions about specific types of exercises are difficult to be established.…”

The effect of exercise types for rotator cuff repair patients on activities of shoulder muscles and upper limb disability

“…After rotator cuff repair, fixation of the surgical site changes of contractile forces the muscles, reducing the muscle activity on the affected side limb8 ) , and fatigue of the surrounding muscles may become more severe due to traction of the tendon and muscle atrophy with time10 ) . There are limits to performing activities of daily living and keeping maximum contraction of the muscles, and inputs such as proprioception and visual feedback become damaged11 ) . When rotator cuff injury patients perform humeral external rotation, their movement differs from a normal person’s external rotation, and special measures are needed for this12, 13 ) .…”