Comparative effects of Conventional Vs. Scapula Rehabilitation Protocol on Pain, Position of Scapula and Function in Shoulder Dysfunction Patietns Over a Period of 3 Weeks
Asian Journal of Orthopaedic Research,
Aim: To study the comparative effects of conventional vs. conventional and scapula rehabilitation protocol on pain, position of scapula and function in shoulder dysfunction patients over 3 weeks.
Study design: Randomized control trial, double blinded.
Place and duration of Study: Musculoskeletal OPD at K.J. Somaiya College of Physiotherapy, Mumbai, and the community setting, 18 months.
Methodology: The study was conducted on 31 participants (15male,16females) in the age group of 40-65 years (mean age- 50.48 +6.62). The patients were divided into two groups Group A (conventional) and Group B (conventional+ scapula rehabilitation) using random table number. Visual analogue scale, Lennie test and SPADI were used as outcome measures. Outcome measures assessed pre intervention and post 3weeks (9 sessions).
Results: Total 31 samples were recruited and allocated into 2 groups by random number table. The average age of the patients was 50.48 (+6.62) with 56% females and 44% males. P value of less than 0.05 was considered statistically significant VAS (P= 0.6827), Lennie (1H P= 0.9510, 2H P= 0.2431, 3H P= 0.6127, V P= 0.6490) and SPADI (P= 0.7825) were found to be not significant between the two groups. Within the group, for Group A, VAS (P= 0.0003) and SPADI (P= 0.002) were all significant. For Group B, VAS (P< 0.0001), Lennie (1H P= 0.0454 and 3H P> 0.0313) and SPADI (P= 0.0001) were significant.
Conclusion: Conventional and scapula rehabilitation protocols, both have an effect on pain and function in older adults.
- Scapula position
- shoulder dysfunction
- scapula rehabilitation protocol
- Lennie test
How to Cite
Oatis CA with contributors. Kinesiology: The Mechanics and Pathomechanics of the Human Movement, 2nd ed, Baltimore: Lippincott Williams and Wilkins, 2009.
Sanchez HM, de Morais Sanchez EG, Tavares LI. Association between Scapular Dyskinesia and shoulder pain in young adult. Acta Ortop Bras. 2016;24(5):243-248.
Ajit D et al. Effects of scapular muscle strengthening on shoulder function and disability in shoulder impingement syndrome (SIS) –A Randomized controlled trial. International Journal of Therapies and Rehabilitation Research. 2015;4(4):26-30.
Millar AL, Jasheway PA, Eaton W, Christensen F. A Retrospective, Descriptive Study of Shoulder Outcomes in Outpatient Physical Therapy. JOSPT. 2006;36(6):403- 414.
Singh S et al. Prevalence of Shoulder disorders in Tertiary care centre, International Journal of Research in Medical Sciences. 2015;3(4):917- 920.
Moezy A, Sepehrifar S, Solaymani Dodaran M. The Effects of Scapular Stabilization Based Exercise Therapy on Pain, Posture, Flexibility and Shoulder Mobility in Patients with Shoulder Impingement Syndrome: A Controlled Randomized Clinical Trial. MedJIslam RepubIran. 2014; 28:87.
Isaac Jason J, Ganesh Sundaram S, Vengata Subramani M. Physiotherapy Interventions for Adhesive Capsulitis of shoulder: A Systematic Review, Int J Physiother Res. 2015;3(6):1318-25.
Kuhn JE. Exercise in the treatment of rotator cuff impingement: A systematic review and a synthesized evidence- based rehabilitation protocol, J Shoulder Elbow Surg, 2009; 18:138-160.
Panagiotopoulos AC, Crowther IM. Scapular Dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate, SICOT-J. 2019;5(29).
Mottram SL, et al. Motion analysis study of a scapular orientation exercise and subjects’ ability to learn the exercise. Manual Therapy, 2007;14(1):13-18.
Nakra N, Quddus N, Khan S, Kumar S, Meena RL. Efficacy of proprioceptive neuromuscular facilitation on shoulder function in secondary shoulder impingement, International Journal of Therapy and Rehabilitation. 2013;20(9).
Prasanna KJ, Rajeswari R, Sivakumar VPR. Effectiveness of Scapular Proprioceptive Neuromuscular Facilitation (PNF) Techniques in Adhesive Capsulitis of the Shoulder Joint. J Physiother Res. 2017;1:2-9.
Hawker GA, Mian S, Kendzerska T, French M. Measures of Adult Pain. Arthritis Care & Research. 2011;63:240- 252.
Sobush DC, Simoneau GG, Dietz KE et al. The Lennie Test for Measuring Scapular Position in Healthy Young Adult Females: A Reliability and Validity Study. JOSPT. 1996;23:39-50.
Breckenridge JD, McAuley JH. Shoulder Pain and Disability Index (SPADI). Journal of Physiotherapy. 2011;57:197.
Haahr JP, Ostergaard S, Dalsgaard J, Norup K, Frost P, Lausen S, Holm EA et al. Exercises versus arthroscopic decompression in patients with subacromial impingement: a randomised, controlled study in 90 cases with a one year follow up. Ann Rheum Dis. 2005;64:760–764.
Walter M, Werner A, Stahlschmidt T, Woelfel R, Gohlke F. The subacromial impingement of the shoulder treated by conventional physiotherapy, self- training, and a shoulder brace: Results of a prospective, randomized study. J Shoulder Elbow Surgery. 2004;13:417-23.
Shah M, Sutaria J, Khant A. Effectiveness of scapular stability exercises in the patient with Shoulder impingement syndrome. Indian Journal of Physical Therapy,2014; 2(1):79-84.
De Mey K, Danneels L, Cagnie B et al. Kinetic chain influences on upper and lower trapezius muscle activation during eight variations of a scapular retraction exercise in overhead athletes. Journal of Science and Medicine in Sport. 2013; 16:65-70.
Lin JJ, Hanten WP, Olson SL, Roddey TS, Soto-quijano DA, Lim HK, et al. Functional activity characteristics of individuals with shoulder dysfunctions. J Electromyogr Kinesiol. 2005; 15(6):576–86.
Thornton AL, McCarty CW, Burgess MJ. Effectiveness of Low-Level Laser Therapy Combined with an Exercise Program to Reduce Pain and Increase Function in Adults with Shoulder Pain: A Critically Appraised Topic. Journal of Sport Rehabilitation. 2013;22:72-78.
Erdem EU and Unver B. Effects of supervised home-based exercise therapy on disability and function in patients with shoulder pain. Journal of Exercise Therapy and Rehabilitation. 2018;5(3):143-149.
Ludewig PM and Borstad JD. Effects of a home exercise programme on shoulder pain and functional status in construction workers. Occup Environ Med. 2003;60:841–849.
Cools AM, Dewitte V, Lanszweert F, Notebaert D, Roets A, Soetens B, Cagnie B et al. Rehabilitation of Scapular Muscle Balance: Which Exercises to Prescribe? Am. J. Sports Med. 2007;35(10):1744-1751.
Paine RM, Voight ML.The role of scapula. J Ortho Sports Phys Ther. 1993;18(1):386-91.
Benjaboonyanupap D, Paungmali A, Pirunsan U. Effect of Therapeutic Sequence of Hot Pack and Ultrasound on Physiological Response Over Trigger Point of Upper Trapezius. Asian J Sports Med. 2015;6(3):57-61.
Ramova E, Ramov L. Non-Pharmacological Treatment of Pain with Physical Therapy Modalities and Alternative Medicine Methods. Res Arthritis Bone Study. 2018;1(4).
Nijs J, Roussel N, Struyf F, Mottram S and Meeusen R. Clinical Assessment of scapular positioning in patients with shoulder pain: State of the Art. Journal of Manipulative and Physiological Therapeutics. 2007;30(1):69-75.
Balci NC, Yuruk ZO, Zeybek A et al. Acute effect of scapular proprioceptive neuromuscular facilitation (PNF) techniques and classic exercises in adhesive capsulitis: a randomized controlled trial. J. Phys. Ther. Sci, 2016;28:1219–1227.
Rosner B. Fundamentals of Biostatistics, 5th ed, California, Duxbury.
Abstract View: 224 times
PDF Download: 40 times