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Exercise therapy may affect scapular position and motion in individuals with scapular dyskinesis: a systematic review of clinical trials
- Source :
- Journal of Shoulder and Elbow Surgery. 29:e29-e36
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Background Therapeutic exercise for scapular muscles is suggested to be effective in reducing shoulder pain in patients with rotator cuff disorders, whereas its effectiveness on scapular position and motion has remained unclear. Therefore, the aim of this systematic review was to investigate whether exercise therapy improves scapular position and motion in individuals with scapular dyskinesis. Methods This study is a wide systematic review including any type of clinical trial in which the effect of any type of therapeutic exercise, including scapular muscle strengthening, stretching, and scapular stabilization exercise, is investigated in adult participants. Results Twenty studies were included in this systematic review. Studies were categorized on the basis of the techniques they used to measure scapular position and motion and the included participants. Methodologic quality of the studies was assessed by the Cochrane tool of assessing the risk of bias. Eight studies used 3-dimensional techniques for measuring scapular motions. Among them, 5 studies showed significant effects of exercise on scapular motion, of which 3 studies investigated individuals with subacromial impingement syndrome (SIS). The other 12 studies used 2-dimensional measurement techniques, of which 8 studies reported significant effects of exercise on scapular position and motion both in SIS patients and in asymptomatic individuals. However, their methodologic quality was debatable. Therefore, there was conflicting evidence for the effect of exercise on scapular dyskinesis. Conclusion There is a lack of evidence for beneficial effects of exercise in improving scapular position and motion in individuals with scapular dyskinesis. However, exercise is beneficial in reducing pain and disability in individuals with SIS.
- Subjects :
- musculoskeletal diseases
medicine.medical_specialty
Movement
Affect (psychology)
Asymptomatic
Motion (physics)
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
Scapula
Shoulder Pain
medicine
Humans
Orthopedics and Sports Medicine
Rotator cuff
030222 orthopedics
business.industry
Exercise therapy
030229 sport sciences
General Medicine
musculoskeletal system
Exercise Therapy
Clinical trial
Position (obstetrics)
medicine.anatomical_structure
Shoulder Impingement Syndrome
Superficial Back Muscles
Surgery
medicine.symptom
business
Subjects
Details
- ISSN :
- 10582746
- Volume :
- 29
- Database :
- OpenAIRE
- Journal :
- Journal of Shoulder and Elbow Surgery
- Accession number :
- edsair.doi.dedup.....23ba2c4fe95688bd59c3942128c43f28