Scapula Retraction Exercises in Subacromial Pain Syndrome

Hacettepe University

Status: Completed

Conditions: Rotator Cuff Impingement Syndrome

Treatments: Other: Exercise Intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT04956757

GO18/55

Details and patient eligibility

About

Scapula retraction exercises are often recommended as a part of the exercise programs. The primary aim of this study is to investigate the initial effect of the scapula retraction exercises on acromiohumeral distance (AHD) at varying shoulder abduction angles and to compare asymptomatic subjects. The secondary aim of this study is to investigate the effect of scapula retraction exercises on AHD values and symptoms (pain and disability) in patients with SPS.

Full description

Subacmial pain syndrome (SPS) is a common cause of shoulder pain and dysfunction in the general population. Exercise interventions is thought as a primary choice in clinical settings. Scapula retraction exercises are commonly recommended as a part of the exercise programs. Applying scapula retraction exercises at varying shoulder abduction angles could restore balance between the scapulothoracic muscles. Since the scapulothoracic muscles dynamically control subacromial space, scapula retraction exercises could further help to maintain AHD during arm elevation.

The primary aim of this study is to investigate the initial effect of the scapula retraction exercises on acromiohumeral distance (AHD) at varying shoulder abduction angles and to compare asymptomatic subjects. The secondary aim of this study is to investigate the effect of scapula retraction exercises on AHD values and symptoms (pain and disability) in patients with SPS.

Enrollment: 42 patients

Sex: All

Ages: 18 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

Inclusion Criteria:

• aged between 18-45
• painful arc of movement during flexion or abduction;
• positive Neer or Kennedy-Hawkins impingement signs
• pain on resisted lateral rotation, abduction or empty can test.

Exclusion criteria

• previous shoulder surgery;
• shoulder pain reproduced by neck movement;
• clinical signs of full-thickness RC tears; or
• adhesive capsulitis.

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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42 participants in 2 patient groups

Intervention Group

Experimental group

Description:

exercise program consists of progressive scapula retraction exercises will be applied three times a week total 24 sessions. Home exercise program will also advised two times a day.

Treatment:

Other: Exercise Intervention

Control Group

No Intervention group

Description:

Control group will not perform scapula retraction exercises. AHD values of the control group will be compared to intervention groups both retracted and non-retracted conditions.