Effectiveness of Global Postural Reeducation Compared to Segmental Exercises on Function, Pain, and Quality of Life of Patients With Scapular Dyskinesis Associated With Neck Pain: A Preliminary Clinical Trial

Amorim, Cinthia Santos Miotto; Gracitelli, Mauro Emílio Conforto; Marques, Amélia Pasqual; Alves, Vera Lúcia dos Santos

doi:10.1016/j.jmpt.2013.08.011

Cited by 27 publications

(35 citation statements)

References 29 publications

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“…22 All muscles of the same chain are simultaneously stretched during a posture, avoiding any compensation. 23 Some studies support GPR's clinical effectiveness in treating patient with different musculoskeletal disorders and impairments. 19,20,24,25 To the knowledge of the authors, only one randomized controlled trial (RCT) using GPR for NP has been conducted.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Global Postural Re-education in Patients With Chronic Nonspecific Neck Pain: Randomized Controlled Trial

et al. 2016

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Global Postural Re-education in Patients With Chronic Nonspecific Neck Pain: Randomized Controlled Trial

et al. 2016

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“…No alteration in isometric force during shoulder flexo-abduction and external rotation has been shown [145]. Patients with SD can also suffer from neck pain; a randomized clinical trial showed that global postural re-education, aimed at stretching the posterior and anterior muscular chains, compared with conventional stretching exercises, improves patients' quality of life and pain [33].…”

Section: Treatmentmentioning

confidence: 99%

“…In sedentary young adult males, it has been demonstrated that changing a specific position may influence pain level [31,32]. Altered scapular kinematics could be linked to pain in the region of the neck [33]. An evaluation of muscles in patients with SD and neck pain shows middle trapezius activity during scaption in comparison with neck pain-free patients [34].…”

Section: Introductionmentioning

confidence: 99%

Scapular Dyskinesis: From Basic Science to Ultimate Treatment

Longo

Ambrogioni

Berton

et al. 2020

IJERPH

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Background: This study intends to summarize the causes, clinical examination, and treatments of scapular dyskinesis (SD) and to briefly investigate whether alteration can be managed by a precision rehabilitation protocol planned on the basis of features derived from clinical tests. Methods: We performed a comprehensive search of PubMed, Cochrane, CINAHL and EMBASE databases using various combinations of the keywords “Rotator cuff”, “Scapula”, “Scapular Dyskinesis”, “Shoulder”, “Biomechanics” and “Arthroscopy”. Results: SD incidence is growing in patients with shoulder pathologies, even if it is not a specific injury or directly related to a particular injury. SD can be caused by multiple factors or can be the trigger of shoulder-degenerative pathologies. In both cases, SD results in a protracted scapula with the arm at rest or in motion. Conclusions: A clinical evaluation of altered shoulder kinematics is still complicated. Limitations in observing scapular motion are mainly related to the anatomical position and function of the scapula itself and the absence of a tool for quantitative SD clinical assessment. High-quality clinical trials are needed to establish whether there is a possible correlation between SD patterns and the specific findings of shoulder pathologies with altered scapular kinematics.

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“…The relevance of scapular dyskinesis in pain is mostly dependent on clinical observation rather than on scienti c evidence [4]. Although several studies have investigated scapular dyskinesis in patients with shoulder conditions [5][6][7][8][9], few studies have explored the relationship between scapular dyskinesis and neck pain [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Scapulothoracic Mobilization in Patients with Neck Pain and Scapular Dyskinesis: A Single-Blind, Randomized, Clinical Trial

Alshami¹,

AlSadiq²

2020

Preprint

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Background: No studies are available on the effects of scapulothoracic mobilization with neck movement (MWM) on patients with neck pain and scapular dyskinesis. Objective: To investigate the effects of scapulothoracic MWM on neck pain, range of motion (ROM), and function in patients with neck pain who demonstrated scapular dyskinesis.Methods: This was a single-blind, randomized, clinical trial. Forty participants with neck pain and scapular dyskinesis were randomly assigned to one of two 2-week regimens: experimental (scapulothoracic MWM + corrective exercises + tape) or comparison (corrective exercises + tape). The visual analog scale (VAS), pressure pain threshold (PPT), cervical and scapular ROM, and Neck Disability Index (NDI) were measured at baseline, after the third session, and after the sixth session.Results: Pain decreased after the sixth session in both the experimental [mean difference: 3.1; 95% confidence interval (CI): 2.1-4.1] and comparison groups (1.8; 95%CI: 0.81-2.8). PPT and scapular ROM did not change in either group at any session. After the sixth session, the ROM of neck extension, right rotation, and right and left side bending improved significantly (p£ 0.031) in both groups, but did not reach the minimal detectable change. The NDI improved in both the experimental (7.2-10.6; 95%CI: 2.5-15.7) and comparison groups (5.9-10.3; 95%CI: 1.2-15.4). There were no significant differences between the groups in any outcome measure at any session. Conclusions: Adding scapulothoracic MWM to corrective exercises and tape over a 2-week period did not seem to add benefit for pain and function in patients with neck pain with scapular dyskinesis.Trial registration: ClinicalTrials.gov, NCT03046160. Registered 8 February 2017 - Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT0304616

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Effectiveness of Global Postural Reeducation Compared to Segmental Exercises on Function, Pain, and Quality of Life of Patients With Scapular Dyskinesis Associated With Neck Pain: A Preliminary Clinical Trial

Cited by 27 publications

References 29 publications

Effectiveness of Global Postural Re-education in Patients With Chronic Nonspecific Neck Pain: Randomized Controlled Trial

Effectiveness of Global Postural Re-education in Patients With Chronic Nonspecific Neck Pain: Randomized Controlled Trial

Scapular Dyskinesis: From Basic Science to Ultimate Treatment

The Effects of Scapulothoracic Mobilization in Patients with Neck Pain and Scapular Dyskinesis: A Single-Blind, Randomized, Clinical Trial

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