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- Title
The Effects of Scapular Mobilization in Patients With Subacromial Impingement Syndrome: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial.
- Authors
Aytar, Aydan; Baltaci, Gul; Uhl, Tim; Tuzun, Handan; Oztop, Pinar; Karatas, Metin
- Abstract
Objective: To determine the effects of scapular mobilization on function, pain, range of motion, and satisfaction in patients with subacromial impingement syndrome (SAIS). Design: Randomized, double-blind, placebo-controlled clinical trial. Setting: University hospital clinics in Turkey. Participants: 66 participants (mean ± SD age 52.06 ± 3.71 y) with SAIS. Interventions: Participants were randomized into 3 groups: scapular mobilization, sham scapular mobilization, and supervised exercise. Before the interventions transcutaneous electrical stimulation and hot pack were applied to all groups. Total intervention duration for all groups was 3 wk with a total of 9 treatment sessions. Main Outcome Measures: Shoulder function and pain intensity were primary outcome measures; range of motion and participant satisfaction were secondary outcome measures. Shoulder function was assessed with the short form of the Disabilities of the Arm, Shoulder and Hand Questionaire (DASH). A visual analog scale was used to evaluate pain severity. Active range of motion was measured with a universal goniometer. A 7-point Likert scale was used to evaluate satisfaction. Outcome measurements were performed at baseline, before visits 5 and 10, 4 wk after visit 9, and 8 wk after visit 9. Results: There was no group difference for DASH score (P = .75), pain at rest (P = .41), pain with activity (P = .45), pain at night (P = .74), and shoulder flexion (P = .65), external rotation (P = .63), and internal rotation (P = .19). There was a significant increase in shoulder motion and function and a significant decrease in pain across time when all groups were combined (P < .001). The level of satisfaction was not significantly different for any of the questions about participant satisfaction between all groups (P > .05). Conclusion: There was not a significant advantage of scapular mobilization for shoulder function, pain, range of motion, and satisfaction compared with sham or supervised-exercise groups in patients with SAIS.
- Subjects
TURKEY; SCAPULA; THERMOTHERAPY; SHOULDER pain; ANALYSIS of variance; ANTHROPOMETRY; EXERCISE; EXERCISE physiology; EXERCISE therapy; RANGE of motion of joints; LIFE skills; LONGITUDINAL method; MANIPULATION therapy; MUSCLE strength; PATIENT satisfaction; PHYSICAL diagnosis; PHYSICAL therapy; PROBABILITY theory; ROTATIONAL motion; STATISTICAL sampling; SCALE analysis (Psychology); SHOULDER disorders; SHOULDER injuries; STATISTICS; STRETCH (Physiology); TRANSCUTANEOUS electrical nerve stimulation; STATISTICAL power analysis; DATA analysis; STATISTICAL significance; EFFECT sizes (Statistics); PAIN measurement; RANDOMIZED controlled trials; VISUAL analog scale; PRE-tests &; post-tests; BLIND experiment; MEASUREMENT of angles (Geometry); DATA analysis software; FUNCTIONAL assessment; DESCRIPTIVE statistics; ONE-way analysis of variance; PREVENTION; PHYSIOLOGY
- Publication
Journal of Sport Rehabilitation, 2015, Vol 24, Issue 2, p116
- ISSN
1056-6716
- Publication type
Article
- DOI
10.1123/jsr.2013-0120