Author(s): McClure PW, Bialker J, Neff N, Williams G, Karduna A
Background and purpose: Shoulder impingement syndrome is a common condition and is often managed with an exercise program. The purpose of this study was to examine an exercise program in patients with shoulder impingement syndrome. Specifically, the purpose was to identify changes that might occur in 3-dimensional scapular kinematics, physical impairments, and functional limitations.
Subjects: Fifty-nine patients with impingement syndrome were recruited, and 39 patients successfully completed the 6-week rehabilitation program and follow-up testing. Impingement was defined as having at least 3 of 6 predefined clinical signs or symptoms.
Methods: Subjects were assessed before and after a 6-week rehabilitation program and again at 6 months. Pain, satisfaction, and function were measured using the University of Pennsylvania Shoulder Scale. Range of motion, isometric muscle force, and 3-dimensional scapular kinematic data also were collected. Subjects were given a progressive exercise program that included resistive strengthening, stretching, and postural exercises that were done daily at home. Subjects also were given shoulder education related to anatomy, the basic mechanics of impingement, and strategies for reducing load on the shoulder. Each subject attended one physical therapy session per week for a 6-week period, primarily for monitoring and upgrading the exercise program. Pretest and posttest scores were compared using paired t tests and repeated-measures analysis of variance.
Results: Passive range of motion increased for both external and internal rotation but not for elevation. Abduction external and internal rotation force all increased. There were no differences in scapular kinematics. Improvements were found for pain, satisfaction, and shoulder function and for Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) scores related to physical function. At 6-month follow-up, improvements made in pain, satisfaction, and function were maintained.
Discussion and conclusion: The use of this exercise protocol in the management of shoulder impingement syndrome may have a positive impact on patients' impairments and functional limitations. Our findings suggest a relatively simple exercise program combined with patient education may be effective and, therefore, merits study in a larger trial using a control group. Changes in scapular kinematics did not appear to be a primary mechanism underlying improvement in symptoms and function.
Referred From: https://www.ncbi.nlm.nih.gov/pubmed/15330696
Author(s): Andriacchi TP, Alexander EJ
Author(s): Meskers CG, Fraterman H, van der Helm FC, Vermeulen HM, Rozing PM
Author(s): Karduna AR, McClure PW, Michener LA, Sennett B
Author(s): Leardini A, Chiari L, Della Croce U, Cappozzo A
Author(s): Ramsey DK, Wretenberg PF
Author(s): Benoit DL, Ramsey DK, Lamontagne M, Xu L, Wretenberg P, et al.
Author(s): Della Croce U, Leardini A, Chiari L, Cappozzo A
Author(s): Piazza SJ, Cavanagh PR
Author(s): Cappozzo A, Della Croce U, Leardini A, Chiari L
Author(s): Brisson N, Lamontagne M, Kennedy MJ, BeaulÃƒÂ© PE
Author(s): Astephen JL, Deluzio KJ, Caldwell GE, Dunbar MJ
Author(s): Heiden TL, Lloyd DG, Ackland TR
Author(s): Hurd WJ, Chmielewski TL, Axe MJ, Davis I, Snyder-Mackler L
Author(s): McClure PW, Michener LA, Sennett BJ, Karduna AR
Author(s): Ebaugh DD, McClure PW, Karduna AR
Author(s): McClure P, Greenberg E, Kareha S
Author(s): Robbins SM, Astephen Wilson JL, Rutherford DJ, Hubley-Kozey CL
Author(s): Sigward SM, Powers CM
Author(s): Schmitz A, Ye M2, Shapiro R3, Yang R2, Noehren B4
Author(s): Carson MC, Harrington ME, Thompson N, O'Connor JJ, Theologis TN
Author(s): Leardini A, Benedetti MG, Catani F, Simoncini L, Giannini S
Author(s): DeLuzio KJ, Wyss UP, Li J, Costigan PA
Author(s): Van Herp G, Rowe P, Salter P, Paul JP
Author(s): Mannion A, Troke M
Author(s): Dayanidhi S, Orlin M, Kozin S, Duff S, Karduna A
Author(s): Coutts F
Author(s): Laroche D, Duval A, Morisset C, Beis JN, d'Athis P, et al.
Author(s): Bourne DA, Choo AM, Regan WD, MacIntyre DL, Oxland TR
Author(s): Halder AM, Itoi E, An KN
Author(s): Chopp JN, Fischer SL, Dickerson CR
Author(s): Finley MA, Lee RY
Author(s): Michener LA, McClure PW, Karduna AR
Author(s): Rundquist PJ, Anderson DD, Guanche CA, Ludewig PM
Author(s): Ebaugh DD, McClure PW, Karduna AR
Author(s): Rundquist PJ, Ludewig PM
Author(s): Ornetti P, Laroche D, Morisset C, Beis JN, Tavernier C, et al.
Author(s): Koo S, Rylander JH, Andriacchi TP
Author(s): Hunt MA, Guenther JR, Gilbart MK
Author(s): Hooper DM, Morrissey MC, Drechsler WI, Clark NC, Coutts FJ, et al.
Author(s): Rutherford DJ, Hubley-Kozey CL, Stanish WD
Author(s): Levinger P, Menz HB, Morrow AD, Feller JA, Bartlett JR, et al.
Author(s): Pohl MB, Rabbito M, Ferber R
Author(s): Nadeau S, McFadyen BJ, Malouin F
Author(s): Ferber R, Davis IM, Williams DS 3rd
Author(s): MÃƒÂ¼ndermann A, Dyrby CO, Andriacchi TP
Author(s): Gardinier ES, Manal K, Buchanan TS, Snyder-Mackler L
Author(s): Chiari L, Della Croce U, Leardini A, Cappozzo A