Open Access
Subscription Access
Open Access
Subscription Access
Efficacy of Scapular Movement with Mobilization in Patients with Shoulder Impingement
Subscribe/Renew Journal
Background & Purpose of the study: Scapular kinematic alterations have been demonstrated in subjects with impingement syndrome. These scapula movement alterations are believed to decrease the subacromial space by failing to move the acromion away from the humeral head during arm elevation resulting in increased compressive loads on the tendons of rotator cuff or long head of the biceps muscle. Mulligan's movement with mobilization (M.W.M) hypothesize that positional malalignment can be corrected with appropriate gliding. Thus this research investigates the efficacy of scapular movement with mobilization in patients with shoulder impingement.
Aim: Efficacy of scapular movement with mobilization in patients with shoulder impingement
Objective: Assess immediate effect of scapular movement with mobilization in shoulder impingement
Research design: Exploratory study
Methodology: Scapula M.W.M was given to the patient, 10 repetitions thrice were repeated.
Outcome measures: Visual analogue scale was used to assess pain, Range of Motion in Scaption plane was assessed by using Goniometer, Supraspinatus strength assessment was assessed in Scaption plane, Shoulder pain and disability index (SPADI) was assessed
Data collection and analysis: Baseline data recorded for the outcome measures and post intervention data was statistically analyzed for the level of significance. Paired t-test was done for the same.
Results: Significant differences were observed with respect to various outcome measures studied. Visual analogue scale Mean difference is 2.880,Standard deviation difference is 1.447,95% confidence interval difference is 2.283 to 3.477,(p
Conclusion: Scapular movement with mobilization proved to be effective in patients with shoulder impingement
Keywords
Impingement Shoulder, Scapular Alteration, Movement with Mobilization
Subscription
Login to verify subscription
User
Font Size
Information
- Neer CS. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am. 1972; 54(1):41-50.
- Van der Windt DA, Koes BW, de Jong BA, Bouter LM. Shoulder disorders in general practice: Incidence patient characteristics, and management. Ann Rheum Dis. 1995; 54(12): 959-964.
- Soslowsky LJ, Thomopoulos S, Esmail A, Flanagan CL, Iannotti JP, Williamson JD 3rd, et al. Rotator cuff tendinosis in an animal model: Role of extrinsic and overuse factors. Ann Biomed Eng. 2002; 30(8):1057-63.
- Michael L. Voight, DPT, OCS, SCS, ATC; Brian C. Thomson SPT, The Role of the Scapula in the Rehabilitation of Shoulder Injuries, Journal of Athletic Training 2000; 35(3):364–372
- Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther. 2000; 80: 276-291
- Solem-Bertoft E, Thuomas KA, Westerberg CE. The influence of scapular retraction and protraction on the width of the subacromial space. Clin Orthop Relat Res. 1993; 99-103
- Kibler WB, McMullen J. Scapular dyskinesis and its relation to shoulder pain. J Am Acad Orthop Surg. 2003; 11(2):142-51.
- Lukaseiwicz AC, McClure P, Michener L, Pratt N, Sennett B. Comparison of 3-dimensional scapular position and orientation between subjects with and without shoulder impingement. J Orthop Sports Phys Ther. 1999; 29(10):574-83
- Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther. 2000; 80(3):276-91.
- Endo K, Ikata T, Katoh S, Takeda Y. Radiographic assessment of scapular rotational tilt in chronic shoulder impingement syndrome. J Orthop Sci. 2001; 6(1):3-10.
- Hebert LJ, Moffet H, McFadyen BJ, Dionne CE. Scapular behaviour in shoulder impingement syndrome. Arch Phys Med Rehabil. 2002; 83(1):60-9.
- Ludewig PM, Cook TM. Translations of the humerus in persons with shoulder impingement symptoms. J Orthop Sports Phys Ther. 2002; 32(6):248-59.
- Laudner KG, Myers JB, Pasquale MR, Bradley JP, Lephart SM. Scapular dysfunction in throwers with pathologic internal impingement. J Orthop Sports Phys Ther. 2006; 36(7):485-94.
- McClure PW, Michener LA, Karduna AR. Shoulder function and 3-dimensional scapular kinematics in people with and without shoulder impingement syndrome. Phys Ther. 2006; 86(8):1075-90.
- Ludewig PM, Cook TM, Nawoczenski DA. Three-dimensional scapular orientation and muscle activity at selected positions of humeral elevation. J Orthop Sports Phys Ther. 1996; 24(2):57-65.
- McClure PW, Michener LA, Sennett BJ, Karduna AR. Direct 3-dimensional measurement of scapular kinematics during dynamic movements in vivo. J Shoulder Elbow Surg. 2001; 10(3): 269-277.
- Warner JJ, Micheli LJ, Arslanian LE, Kennedy J, Kennedy R. Scapulothoracic motion in normal shoulders and shoulders with glenohumeral instability and impingement syndrome: A study using moire topographic analysis. Clin Orthop Rel Res. 1992; 285:191-9.
- Lin JJ, Hanten WP, Olson SL, Roddey TS, Sotoquijano DA, Lim HK, et al. Functional activity characteristics of individuals with shoulder dysfunctions. J Electromyogr Kinesiol. 2005; 15(6):576-86.
- Inman VT, Saunders JB, Abbott LC. Observations on the function of the shoulder joint. J Bone Joint Surg. 1944; 26A:1-30.
- Wiedenbauer MM, Mortensen OA. An electromyographic study of the trapezius muscle. Am J Phys Med. 1952; 31(5):363-72
- McClure PW, Michener LA, Sennett BJ, Karduna AR. Direct 3-dimensional measurement of scapular kinematics during dynamic movements in vivo. J Shoulder Elbow Surg. 2001; 10(3): 269-277.
- Ludewig PM, Phadke V, Braman JP, Hassett DR, Cieminski CJ, LaPrade RF. Motion of the shoulder complex during multiplanar humeral elevation. J Bone Joint Surg Am. 2009; 91(2):378-89.
- Dvir Z, Berme N. The shoulder complex in elevation of the arm: A mechanism approach. J Biomech. 1978; 11(5):219-25.
Abstract Views: 611
PDF Views: 0