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
menghongmei发布了新的文献求助20
刚刚
来瓶可乐完成签到,获得积分10
5秒前
善学以致用应助天边采纳,获得10
5秒前
乐乐应助Onism采纳,获得10
7秒前
9秒前
hf关闭了hf文献求助
9秒前
我是老大应助沐晴采纳,获得10
10秒前
LEE佳完成签到 ,获得积分10
10秒前
量子星尘发布了新的文献求助10
10秒前
断数循环应助小七采纳,获得10
11秒前
唐Doctor发布了新的文献求助10
12秒前
CodeCraft应助负蕲采纳,获得10
14秒前
15秒前
15秒前
诸葛醉薇完成签到,获得积分10
16秒前
尼克尼克你好完成签到 ,获得积分10
16秒前
16秒前
大模型应助科研通管家采纳,获得10
16秒前
pluto应助科研通管家采纳,获得50
17秒前
香蕉觅云应助科研通管家采纳,获得10
17秒前
暴躁小鸟完成签到,获得积分10
17秒前
ED应助科研通管家采纳,获得10
17秒前
坦率的匪应助科研通管家采纳,获得10
17秒前
CodeCraft应助科研通管家采纳,获得10
17秒前
17秒前
坦率的匪应助科研通管家采纳,获得10
17秒前
在水一方应助科研通管家采纳,获得10
17秒前
传奇3应助科研通管家采纳,获得10
17秒前
星辰大海应助科研通管家采纳,获得10
17秒前
NexusExplorer应助科研通管家采纳,获得10
18秒前
18秒前
木木应助科研通管家采纳,获得10
18秒前
Owen应助guozizi采纳,获得10
18秒前
香蕉觅云应助科研通管家采纳,获得10
18秒前
Ava应助科研通管家采纳,获得10
18秒前
18秒前
18秒前
18秒前
19秒前
19秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
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 3988827
求助须知:如何正确求助?哪些是违规求助? 3531197
关于积分的说明 11252739
捐赠科研通 3269830
什么是DOI,文献DOI怎么找? 1804815
邀请新用户注册赠送积分活动 881915
科研通“疑难数据库(出版商)”最低求助积分说明 809028