The pectoralis minor muscle and shoulder movement-related impairments and pain: Rationale, assessment and management

Morais, Nuno; Cruz, Joana

doi:10.1016/j.ptsp.2015.10.003

Cited by 45 publications

(42 citation statements)

References 85 publications

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“…The functions of this muscle are to stabilize the scapula and help inspiration by pulling up the costas that it holds on to when the shoulder is stable. When the pectoral muscles are short, they cause rounded and stoop shoulders, the head-tilt-forward posture and thoracic kyphosis by pulling the shoulder arch to the protraction 36,37 . Furthermore, it is assumed that a shortened Pectoralis Minor muscle may have a relation with the decrease in the upper body mobility 38 .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the functional capacity, respiratory functions and musculoskeletal systems of the children with chest pain for non-cardiac reasons

Daşkapan¹,

Sanli²,

Aydoğan-Arslan³

et al. 2017

Turk J Pediatr

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Chronic chest pain in healthy children and adolescents generally arises from non-cardiac factors. The purpose of our study was to compare the evaluation results of effort test, respiratory function and musculoskeletal system in children and adolescents with chest pain for non-cardiac reasons with healthy children and adolescents. Physical activity level was determined by the International Physical Activity Questionnaire. The respiratory function test was performed using a spirometer. The posture analysis was performed to determine the upper body deformities. The effort test was performed on a treadmill. The two groups were similar in terms of the physical activity levels, respiratory function and effort test results (p>0.05). The rate of the rounded shoulder, kyphosis was significantly higher in the patient group with chest pain (p<0.005). Consequently, the musculoskeletal system findings including the pectoralis minor shortness, rounded shoulder, and thoracic kyphosis could have a role in non-cardiac chest pain.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the functional capacity, respiratory functions and musculoskeletal systems of the children with chest pain for non-cardiac reasons

Daşkapan¹,

Sanli²,

Aydoğan-Arslan³

et al. 2017

Turk J Pediatr

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“…The traction on scapular posture can be reduced by performing exercises that increase muscle flexibility [50,133]. Stretching exercises with shoulder horizontal abduction at 90 • and 150 • of elevation have been demonstrated to be useful in increasing pectoralis minor flexibility and the ER and posterior tilt of the scapula during forward elevation [50,133,134] (Figure 3). Scapular stabilization exercises, based on stretching and strengthening, aim to improve muscle strength and joint position sense [26,135,136].…”

Section: Treatmentmentioning

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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“…PM length was measured in the resting position using a tape measure with 0.10-cm resolution before isokinetic muscle strength test. The caudal edge of the fourth rib at the sternum and the inferomedial aspect of the coracoid process were palpated and marked with a pencil [ Figure 2A] [5,9,10]. The distance between these landmarks was measured.…”

Section: Pectoralis Minor (Pm) Length Assessmentmentioning

confidence: 99%

Is there Relationship between Pectoralis Minor Muscle Length and Shoulder Rotator Muscles Strength?

Kocahan¹,

Akınoğlu²,

Soylu³

et al. 2018

ujph

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Problem Statement: In joint movement, agonist and antagonist muscle strength, as well as the length and the shortness of these muscles is an important parameter. Muscle shortness is one of the factor that responsible of sports injuries. Shoulder is one of the most injured joint in Judo. In this joint, determination of the relationship between muscle shortness and agonist-antagonist muscles strength will be effective to increase muscle strength, sportive performance and prevent sports injuries. Purpose of Study: This study was conducted to determine the relationship between pectoralis minor (PM) muscle length and shoulder internal(IR)/external(ER) rotation isokinetic muscle strength in Judo athletes. Methods: The study included 80 (56 males, 24 female) professional Judo athletes aged between 14-25 (mean 17,31±2,51). Isokinetic muscle strength was assessed by ISOMED 2000 ® device. Pectoralis minor length was evaluated using a flexible tape measure in resting position. The assessments were made bilaterally. Findings and Results: There was a strong and statistically significant correlation between the PM length and the shoulder IR and ER peak torque values at both angular velocities and both sides (p <0,01). Conclusions and Recommendations: It was determined that the relationship between the length of the PM muscle and the internal and external rotator muscle strength of Judo athletes. Therefore, we think that by increasing shoulder muscle strength to enhance sportive performance, stretching exercises for PM muscle shortening should be added to training programs.

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The pectoralis minor muscle and shoulder movement-related impairments and pain: Rationale, assessment and management

Cited by 45 publications

References 85 publications

Evaluation of the functional capacity, respiratory functions and musculoskeletal systems of the children with chest pain for non-cardiac reasons

Evaluation of the functional capacity, respiratory functions and musculoskeletal systems of the children with chest pain for non-cardiac reasons

Scapular Dyskinesis: From Basic Science to Ultimate Treatment

Is there Relationship between Pectoralis Minor Muscle Length and Shoulder Rotator Muscles Strength?

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