Scapular movement training is not superior to standardized exercises in the treatment of individuals with chronic shoulder pain and scapular dyskinesis: randomized controlled trial

医学 物理医学与康复 物理疗法 随机对照试验 矢状面 肩胛骨 生物力学 肩撞击综合征 肩袖 外科 生理学 放射科
作者
Danilo Harudy Kamonseki,Melina Nevoeiro Haik,Larissa Pechincha Ribeiro,Rafaela Firmino de Almeida,Paula Rezende Camargo
出处
期刊:Disability and Rehabilitation [Informa]
卷期号:45 (18): 2925-2935 被引量:7
标识
DOI:10.1080/09638288.2022.2114552
摘要

To investigate whether scapular movement training (SMT) is superior to standardized exercises in improving scapular biomechanics, behavioral, and clinical aspects of individuals with shoulder pain.A total of 64 individuals with chronic shoulder pain were randomly assigned to receive 16 sessions of SMT or SE over 8 weeks. Outcome measures included three-dimensional scapular kinematics, muscle activity of scapulothoracic muscles, pain, disability, fear-avoidance, kinesiophobia, and self-perceived changes. Kinematics and muscle activity were assessed at baseline and after treatment, and self-reported measurements at baseline, 4, 8, and 12 weeks.SMT significantly (p < 0.05) decreased scapular internal rotation during arm elevation and lowering at sagittal and scapular planes (mean difference [MD]: ranged from 2.8 to 4.1°), and at lower angles of arm elevation and lowering at the frontal plane (MD: 3.4° and 2.4°, respectively), increased upper trapezius (UT) activity (MD: 10.3%) and decreased middle trapezius (MT) (MD: 60.4%) and serratus anterior (MD: 9.9%) activity during arm lowering compared to SE. Both groups significantly improved pain, disability, fear-avoidance, kinesiophobia, and self-perceived changes over 4 weeks, which was sustained over the remaining 8 weeks.SMT is not superior to standardized exercises in improving scapular biomechanics, behavioral, and clinical aspects of individuals with shoulder pain.NCT03528499Implications for rehabilitationScapular movement training (SMT) showed small and likely not clinically relevant changes in scapular kinematics and muscle activity compared to standardized exercises.SMT and standardized exercises presented similar improvements in pain, disability, fear-avoidance beliefs, kinesiophobia, and self-perceived change in health condition immediately following 4-weeks of treatment, which was sustained over the following 8 weeks.The changes in patient-reported outcome measures are unlikely to be associated with changes in scapular kinematics and electromyographic activity.Clinicians should consider other factors than scapular movement during the treatment of patients with shoulder pain.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
淡淡的小蘑菇完成签到 ,获得积分10
1秒前
G_Serron完成签到,获得积分10
2秒前
swordshine完成签到,获得积分10
2秒前
Anonymous完成签到,获得积分10
6秒前
medzhou完成签到,获得积分10
10秒前
儒雅的千秋完成签到,获得积分10
18秒前
普鲁卡因发布了新的文献求助10
21秒前
小雯完成签到,获得积分10
22秒前
搞怪梦寒完成签到,获得积分20
23秒前
喵了个咪完成签到 ,获得积分10
24秒前
mc完成签到 ,获得积分10
26秒前
量子星尘发布了新的文献求助10
29秒前
30秒前
30秒前
虚幻谷波完成签到,获得积分10
32秒前
ruochenzu发布了新的文献求助10
35秒前
小马甲应助搞怪梦寒采纳,获得10
37秒前
firewood完成签到 ,获得积分10
38秒前
天天快乐应助普鲁卡因采纳,获得10
40秒前
orixero应助NXK采纳,获得10
40秒前
bjr完成签到 ,获得积分10
42秒前
研友_LwlAgn完成签到,获得积分10
46秒前
陈昊完成签到,获得积分10
54秒前
55秒前
tian发布了新的文献求助10
57秒前
1分钟前
1分钟前
龙舞星完成签到,获得积分10
1分钟前
1分钟前
王涉发布了新的文献求助10
1分钟前
普鲁卡因发布了新的文献求助10
1分钟前
量子星尘发布了新的文献求助10
1分钟前
柚子完成签到,获得积分10
1分钟前
1分钟前
马儿饿了要吃草完成签到,获得积分10
1分钟前
1分钟前
sudor123456完成签到,获得积分10
1分钟前
NXK发布了新的文献求助10
1分钟前
打打应助普鲁卡因采纳,获得10
1分钟前
1分钟前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Handbook of Industrial Diamonds.Vol2 1100
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038128
求助须知:如何正确求助?哪些是违规求助? 3575831
关于积分的说明 11373827
捐赠科研通 3305610
什么是DOI,文献DOI怎么找? 1819255
邀请新用户注册赠送积分活动 892655
科研通“疑难数据库(出版商)”最低求助积分说明 815022