The effects of wall slide and sling slide exercises on scapular alignment and pain in subjects with scapular downward rotation

Abstract

[Purpose] The present study was performed to evaluate the changes in the scapular alignment, pressure pain threshold and pain in subjects with scapular downward rotation after 4 weeks of wall slide exercise or sling slide exercise. [Subjects and Methods] Twenty-two subjects with scapular downward rotation participated in this study. The alignment of the scapula was measured using radiographic analysis (X-ray). Pain and pressure pain threshold were assessed using visual analogue scale and digital algometer. Patients were assessed before and after a 4 weeks of exercise. [Results] In the within-group comparison, the wall slide exercise group showed significant differences in the resting scapular alignment, pressure pain threshold, and pain after four weeks. The between-group comparison showed that there were significant differences between the wall slide group and the sling slide group after four weeks. [Conclusion] The results of this study found that the wall slide exercise may be effective at reducing pain and improving scapular alignment in subjects with scapular downward rotation.

The Comparison for Serratus Anterior Muscle Activity during Protraction in Open Chain and Closed Chain Exercises in Healthy Adults

“…Some studies found that the wall slide exercise is effective to activate selectively serratus anterior . 7,15 The wall slide exercise slip upward the lower arms against the wall with elbow flexed at 90°, the shoulder joints at 90°, and the trunk fixed in a standing posture. 7 Although the wall slide exercise is not the same the posture of open chain exercise in this study, it does not have any weight bearing and focuses on the movement of a single joint, so it is similar the movement for the open chain exercise.…”

“…Kim and Lim found that the wall side exercise might be effective in reducing pain and improving scapular alignment in subjects with scapular downward rotation rather than the sling slide exercise, such as closed chain posture. 15 Hardwick and colleagues found that a wall slide exercise activated the muscle activity of serratus anterior than other traditional exercises. 7 All the subjects in this study were healthy.…”

Effect of Wall Slide and Ground-Based Push Up Exercises on Scapular Alignment and Shoulder Range of Motion in A Greater Tubercle Fracture of Humerus with Brachial Plexus Injury: A Case Report

“…Repetitive use of UT muscle results in scapular elevation. However, during treatment of scapular muscle imbalance in a patient with SDR, it is necessary to do exercises which corrects the abnormal alignment of the scapula by strengthening the scapular upward rotators and extending the scapular downward rotators [4]. Jeong et al conducted a study on healthy adults and measured activities of UT, SA, and deltoid while performing push-up plus exercises on a stable base of support and an unstable base of support, i.e.…”

“…a sling. He got the results that the SA and UT has higher muscle activities in a push-up plus exercise conducted on a sling [4].…”

“…Each session starts with the wall slide exercise, which includes 1.wall slide 2.wall slide with rotate away 3.wall plank with rotate away, to strengthen the SA muscle, the affected arms slides upward on the wall with the elbow and shoulder joints flexed at 90°, and the trunk fixed in a standing position,. She was told to perform each exercise with 20 repetitions [4]. Followed by wall slide exercises an intensive ground based push-up on stable and unstable base of support was given which includes push-up on ground and push-up on ball with 20 repetitions on each session.…”