Scapular-focused exercise treatment protocol for shoulder impingement symptoms: Three-dimensional scapular kinematics analysis

Hotta, Gisele Harumi; Santos, Adriane Lopes; McQuade, Kevin J.; Oliveira, Anamaria Siriani de

doi:10.1016/j.clinbiomech.2017.12.005

Cited by 35 publications

(20 citation statements)

References 46 publications

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“…Random sequence generation was reported in 6 articles and not done in Hotta et al (2018) . Allocation concealment had high risk in 3 articles ( Bernhardsson et al, 2011 ; Hotta et al, 2018 ; Shankar et al, 2016 ). Blinding of participants to study group allocation was achieved in one study, not achieved in one, and not reported in five studies.…”

Section: Resultsmentioning

confidence: 99%

“…Incomplete outcome data and selective reporting had a complete low-risk percentage. In summary, the study by Struyf et al (2013) was determined to have low risk of bias and two articles, by Hotta et al (2018) and Shankar et al (2016) were judged to have a high risk of bias ( Figs. 2 , 3 ).…”

Section: Resultsmentioning

confidence: 99%

“…It is proved that specific scapular stabilization exercises decrease pain and disability in impingement syndrome. Hotta et al (2018) in Brazil analyzed the effect of scapula focused exercise protocol in impingement syndrome. Fifty subjects were randomized into both intervention (n=25) and control group (n=25), interventions were given for 8 weeks duration.…”

Section: Risk Of Bias In Included Studiesmentioning

confidence: 99%

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Effect of scapular stabilization exercise program in patients with subacromial impingement syndrome: a systematic review

Ravichandran¹,

Janakiraman²,

Gelaw³

et al. 2020

J Exerc Rehabil

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Scapular stabilization approaches have been a mainstay of therapeutic training programs in the recent past for patients with subacromial impingement syndrome, whereas its contributions solely in the clinical outcome of reducing shoulder pain and disability are largely unclear. This systematic review aims to evaluate and summarize the best evidence regarding the role of scapular stabilization interventions in alleviating shoulder dysfunction among subjects with subacromial impingement syndrome. Six reviewers involved in this systematic review. Literature was retrieved systematically through searching 5 electronic databases (PubMed, MEDLINE, CINAHL, Cochrane, and Google Scholar). Articles published from the year 2010 up to and including 2019 were included. The literature search included clinical trials those intervened subjects with scapular exercises or scapular stabilization exercises or scapular rehabilitation, as an intervention for subacromial impingement syndrome. Seven studies, totaling 228 participants were included in this systematic review. Articles included in this review were graded according to Lloyd-Smith hierarchy of evidence scale and critically appraised with a tool developed by National, Heart, Lung and Blood Institute (United States), named as quality assessment of controlled intervention studies tool. There was a significant effect on the scapular stabilization exercise program on improving pain and disability among subjects with subacromial impingement syndrome. This systematic review provides sufficient evidence to suggest that scapular stabilization exercises offers effectiveness in reducing pain and disability among subjects with subacromial impingement syndrome. However, more trials with larger sample are needed to provide a more definitive evidence on the clinical outcomes of scapular stabilization exercises among patients with impingement.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Risk Of Bias In Included Studiesmentioning

confidence: 99%

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Effect of scapular stabilization exercise program in patients with subacromial impingement syndrome: a systematic review

Ravichandran¹,

Janakiraman²,

Gelaw³

et al. 2020

J Exerc Rehabil

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“…In the present study the physical therapists were also allowed to use verbal and tactile feedback in both groups, as previously used ( Jones et al, 2018 ), however, without influencing group differences of EMG levels. Another reason may be that the current exercise protocol used standardised as opposed to individualised intense progressions (De Mey et al, 2012;Hotta et al, 2018), potentially insufficiently challenging the neuromuscular system. However, as some participants were unable to complete arm elevation tasks with 3 kg due to pain, progression criteria seemed reasonable.…”

Section: Primary Analysismentioning

confidence: 99%

Positive effects of neuromuscular shoulder exercises with or without EMG-biofeedback, on pain and function in participants with subacromial pain syndrome – A randomised controlled trial

Juul-Kristensen

Larsen

Eshøj

et al. 2019

Journal of Electromyography and Kinesiology

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Background : The aim was to investigate the effect of Electromyography (EMG)-biofeedback guided exercises (BIONEX) on shoulder pain and function in participants with subacromial pain syndrome (SPS). Methods : Twenty-five women and 24 men (19-67 years), diagnosed with SPS, were randomised to BIONEX or the same exercises without EMG-biofeedback (NEX). Primary outcome was shoulder pain during the past 7 days (Numeric Pain Rating Scale (NPRS)). Secondary outcomes Birgit Juul-Kristensen a,

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“…In patients with shoulder pathologies, for example due to brachial nerve palsy, the model enables us to test hypotheses about the causes and cures for scapula dyskinesia. There is mounting evidence that altered scapula kinematics is indicative of shoulder pathologies (Ludewig and Reynolds, 2009; Kibler et al, 2013), and scapula-focused treatments improve outcomes in patients with shoulder disorders (Struyf et al, 2013; Hotta et al, 2018). The biomechanics underlying these improvements, however, are poorly understood.…”

Section: Discussionmentioning

confidence: 99%

Muscle Contributions to Upper-Extremity Movement and Work From a Musculoskeletal Model of the Human Shoulder

et al. 2019

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Musculoskeletal models enable movement scientists to examine muscle function by computing the mechanical work done by muscles during motor tasks. To estimate muscle work accurately requires a model that is physiologically plausible. Previous models of the human shoulder have coupled scapula movement to humeral movement. While coupled movement produces a stereotypical scapulohumeral rhythm, it cannot model shrugging or independent movement of the scapula and humerus. The artificial coupling of humeral elevation to scapular rotation permits muscles that cross the glenohumeral joint, such as the rotator-cuff muscles and deltoids, to do implausible work to elevate and rotate the scapula. In reality, the motion of the scapula is controlled by thoracoscapular muscles, yet the roles of these muscles in shoulder function remains unclear. To elucidate the roles of the thoracoscapular muscles, we developed a shoulder model with an accurate scapulothoracic joint and includes scapular muscles to drive its motion. We used the model to compute the work done by the thoracoscapular muscles during shrugging and arm elevation. We found that the bulk of the work done in upper-extremity tasks is performed by the largest muscles of the shoulder: trapezius, deltoids, pectoralis major, and serratus-anterior. Trapezius and serratus anterior prove to be important synergists in performing upward-rotation of the scapula. We show that the large thoracoscapular muscles do more work than glenohumeral muscles during arm-elevation tasks. The model, experimental data and simulation results are freely available on SimTK.org to enable anyone to explore our results and to perform further studies in OpenSim 4.0.

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Scapular-focused exercise treatment protocol for shoulder impingement symptoms: Three-dimensional scapular kinematics analysis

Cited by 35 publications

References 46 publications

Effect of scapular stabilization exercise program in patients with subacromial impingement syndrome: a systematic review

Effect of scapular stabilization exercise program in patients with subacromial impingement syndrome: a systematic review

Positive effects of neuromuscular shoulder exercises with or without EMG-biofeedback, on pain and function in participants with subacromial pain syndrome – A randomised controlled trial

Muscle Contributions to Upper-Extremity Movement and Work From a Musculoskeletal Model of the Human Shoulder

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