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Shoulder impingement: the effect of sitting posture on shoulder pain and range of motion
- Source :
- Manual Therapy. 10:28-37
- Publication Year :
- 2005
- Publisher :
- Elsevier BV, 2005.
-
Abstract
- The re-education of spinal posture is an integral part of shoulder impingement management yet supporting evidence is limited. The purpose of this study was to evaluate the effect of slouched versus erect sitting posture on shoulder pain intensity and range of motion (ROM) in subjects with impingement. A same-subject repeated-measures design was utilized. Maximum active shoulder flexion and associated pain intensity were measured in 28 subjects in slouched and erect sitting postures, using video-analysis and visual analogue scales, respectively. An intra-tester reliability study of the video-analysis system was completed and intra-class correlation coefficients calculated. Shoulder flexion differences between slouched and erect sitting posture were analysed using a repeated-measures analysis of variance (ANOVA). The intra-tester reliability of the video-analysis method was found to be 'excellent' (ICC = 0.99). Flexion ROM was significantly greater in the erect sitting posture (F = 100.3, P0.0001); the mean ROM difference between postures was 17.67 degrees (+/- 9.17 degrees). There was no significant difference in pain intensity between postures (F = 1.9, P = 0.179). An erect sitting posture appeared to increase active shoulder flexion in subjects with shoulder impingement, although there were no differences in reported pain intensity. Further research is required to investigate the long-term effects of postural re-education.
- Subjects :
- Adult
Male
musculoskeletal diseases
medicine.medical_specialty
Posture
Shoulder Impingement
Physical Therapy, Sports Therapy and Rehabilitation
Sitting
Shoulder flexion
Physical medicine and rehabilitation
Risk Factors
Shoulder Pain
Surveys and Questionnaires
Reliability study
medicine
Humans
Range of Motion, Articular
Muscle, Skeletal
Pain Measurement
Analysis of Variance
business.industry
Reproducibility of Results
Sitting posture
General Medicine
Middle Aged
Shoulder Impingement Syndrome
Spinal posture
Physical therapy
Female
business
Range of motion
Subjects
Details
- ISSN :
- 1356689X
- Volume :
- 10
- Database :
- OpenAIRE
- Journal :
- Manual Therapy
- Accession number :
- edsair.doi.dedup.....999c53c959cb120da8b2f7a6781fb299