Article

One of the shoulder pain disorders
in which the function of the scapula is comprised is the subacromial pain
syndrome. Several rehabilitation guidelines and exercises have been proposed to
improve scapulothoracic muscle dysfunction. Consideration of muscle activation
patterns may help to select the most appropriate rehabilitation exercise in these
patients. To date, suggesting rehabilitation exercises is often based upon the
knowledge of the superficial lying scapulothoracic muscles' activity. In the
assumption that the deeper lying scapulothoracic muscles' activity may hinder
normal scapular movement in case of tightness or hyperactivity, exercise
protocols for patients with altered pattern in scapulothoracic muscles should
also integrate knowledge on the deeper lying scapulothoracic muscle activity.
PURPOSE OF THE STUDY: To help clinicians choosing the most appropriate exercise
in patients with subacromial pain syndrome related to scapulothoracic muscle
dysfunction. METHODS: First, a summary of key alterations in scapulothoracic
(muscle) function in patients with subacromial pain was accomplished. Second,
promising practical rehabilitation strategies toward restoring scapulothoracic
muscle dysfunction (with a focus on scapulothoracic exercises) were developed,
integrating current new research evidence (including information about the deeper
lying scapulothoracic muscles) with clinical practice. CONCLUSION: This review
details clinical exercises and their muscular activity to guide clinicians to
optimize individualized scapulothoracic training and treatment programs by
selecting the most appropriate exercise, based on knowledge from the clinical examination. LEVEL OF EVIDENCE: Level 5.
CI - Copyright (c) 2017 Hanley & Belfus. Published by Elsevier Inc. All rights
reserved.

Langue : ANGLAIS