Article

OBJECTIVE: To investigate the effects of 2 different exercise programs on 3-dimensional scapular kinematics, disability, and pain in participants with
subacromial impingement syndrome (SIS). DESIGN: Randomized controlled trial.
SETTING: Outpatient clinic and research laboratory. PARTICIPANTS: Participants
who were diagnosed with SIS and who also exhibited scapular dyskinesis (N=30).
INTERVENTIONS: The participants were randomized in 2 different exercise groups:
(1) shoulder girdle stretching and strengthening with additional scapular
stabilization exercises based on a kinetic chain approach (intervention group),
and (2) shoulder girdle stretching and strengthening exercises only (control
group). MAIN OUTCOME MEASURES: Three-dimensional scapular kinematics,
self-reported shoulder pain, and disability were evaluated at baseline, after 6
weeks of training, and after 12 weeks of training. RESULTS: Significant
differences were observed between the control and intervention groups in external
rotation and posterior tilt after 6 weeks of training and in external rotation,
posterior tilt, and upward rotation after 12 weeks of training. All groups showed
improvement in self-reported pain and disability scores; however, there were no
significant differences between the groups. CONCLUSIONS: Progressive exercise
training independent from specific scapular stabilization exercises provides
decreased disability and pain severity in impingement syndrome.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS