Journal of Semnan University of Medical Sciences
Image Credit:Koomesh
Outline
The effect of postural restoration exercises on function and isokinetic torque of shoulder external and internal rotator muscles in non-professional athletes with shoulder internal impingement syndrome
Authors
Abstract
Introduction: Internal Shoulder impingement is one of the most common problems in athletes with postural asymmetry. The present study aimed to investigate the effect of postural restoration exercises on patients' disabilities and the torque of the shoulder rotator muscles. Materials and Methods: In this clinical trial study, 23 patients with internal shoulder entrapment were randomly divided into control and intervention groups. A positive Ober's test on the left hip indicated pelvic asymmetry and was considered a criterion for admission. Patients in the intervention group were treated with postural restoration exercises for six weeks. The control group did not receive any intervention. Internal and external rotator muscle torque and shoulder functional disability were measured using the Biodex isokinetic and DASH (Disability of Arm, Shoulder, and Hand) questionnaires, respectively. The variables were measured before the intervention, six weeks after the intervention, and four weeks after the completion of the intervention at angular velocities of 60 and 120 o/s at 45o, 70o, and 90o of shoulder abduction. Data analysis was performed using ANOVA with repeated measurements for intergroup comparison. Results: Findings of the present study showed a significant increase (P=0.000) in the isokinetic torque of the shoulder rotator muscles and also a significant decrease in functional disability (P=0.000) in the intervention group compared to the control group Conclusion: The results of this study showed that postural restoration exercises in athletes with pelvic asymmetry can improve functional disability and increase shoulder rotational muscle torque
Highlights
References
- 1.Henning S, Mangino LC, Mass J. Postural restoration: a tri-planar asymmetrical framework for understanding, assessing, and treating scoliosis and other spinal dysfunctions. Innovations in Spinal Deformities and Postural Disord 2017; 135.##https://doi.org/10.5772/intechopen.69037.
- 2.Thiruvarangan S, Srigrishna P, Saravanan V. Conservative Approach for Restoring Subacromial Impingement Syndrome. SM J Orthop 2019; 5: 1067.
- 3.Mihata T, Gates J, McGarry MH, Lee J, Kinoshita M, Lee TQ. Effect of rotator cuff muscle imbalance on forceful internal impingement and peel-back of the superior labrum: a cadaveric study. Am J Sports Med 2009; 37: 2222-2227.
- 4.Mihata T, Jun BJ, Bui CN, Hwang J, McGarry MH, Kinoshita M, et al. Effect of scapular orientation on shoulder internal impingement in a cadaveric model of the cocking phase of throwing. J Bone Joint Surg Am 2012; 94: 1576-183.
- 5.Mihata T, McGarry MH, Kinoshita M, Lee TQ. Excessive glenohumeral horizontal abduction as occurs during the late cocking phase of the throwing motion can be critical for internal impingement. Am J Sports Med 2010; 38: 369-374.
- 6.Heyworth BE, Williams RJ, 3rd. Internal impingement of the shoulder. Am J Sports Med 2009; 37: 1024-1037.
- 7.Mihata T, McGarry MH, Neo M, Ohue M, Lee TQ. Effect of anterior capsular laxity on Horizontal abduction and forceful internal impingement in a cadaveric model of the throwing shoulder. Am J Sports Med 2015; 43: 1758-1763.
- 8.Akhtar M, Karimi H, Gilani SA, Ahmad A. Effects of routine physiotherapy with and without neuromobilization in the management of internal shoulder impingement syndrome: A randomized controlled trial. Pakistan J Med Sci 2020; 36: 596.
- 9.Cools AM, Johansson FR, Cagnie B, Cambier DC, Witvrouw EE. Stretching the posterior shoulder structures in subjects with internal rotation deficit: comparison of two stretching techniques. Shoulder Elbow 2012; 4: 56-63.##https://doi.org/10.1111/j.1758-5740.2011.00159.x.
- 10.Bolia IK, Collon K, Bogdanov J, Lan R, Petrigliano FA. Management options for shoulder impingement syndrome in athletes: insights and future directions. Open access J Sports Med 2021; 12: 43.
- 11.Waldron JL, McKenney MA, Samuel MN, Girouard TJ, Turner CL, Radzak KN. The use of postural restoration for treatment of chronic rotator cuff pathology: a case report. Int J Sports Phys Ther 2020; 15: 832.
- 12.Jiang C, Li F. Impingement syndrome: diagnosis and management. disorders of the rotator cuff and biceps tendon: the surgeon S guide to comprehensive management. 2019; 90.
- 13.Kromer TO, de Bie RA, Bastiaenen CH. Effectiveness of individualized physiotherapy on pain and functioning compared to a standard exercise protocol in patients presenting with clinical signs of subacromial impingement syndrome. A randomized controlled trial. BMC Musculoskelet Disord 2010; 11: 114.
- 14.Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther 2000; 80: 276-291.##https://doi.org/10.1093/ptj/80.3.276.
- 15.Kuhn JE. Exercise in the treatment of rotator cuff impingement: a systematic review and a synthesized evidence-based rehabilitation protocol. J Shoulder Elbow Surg 2009; 18: 138-160.
- 16.Mohseni-Bandpei MA, Keshavarz R, Minoonejhad H, Mohsenifar H, Shakeri H. Shoulder pain in Iranian elite athletes: the prevalence and risk factors. J Manipulative Physiol Ther 2012; 35: 541-548.
- 17.Kachingwe AF, Phillips B, Sletten E, Plunkett SW. Comparison of manual therapy techniques with therapeutic exercise in the treatment of shoulder impingement: a randomized controlled pilot clinical trial. J Man Manip Ther 2008; 16: 238-247.
- 18.Navarro-Ledesma S, Struyf F, Labajos-Manzanares MT, Fernandez-Sanchez M, Morales-Asencio JM, Luque-Suarez A. Does the acromiohumeral distance matter in chronic rotator cuff related shoulder pain? Musculoskelet Sci Pract 2017; 29: 38-42.
- 19.Mousavi SJ, Parnianpour M, Abedi M, Askary-Ashtiani A, Karimi A, Khorsandi A, et al. Cultural adaptation and validation of the Persian version of the Disabilities of the Arm, Shoulder and Hand (DASH) outcome measure. Clin Rehab 2008; 22: 749-757.
- 20.Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG). Am J Indust Med 1996; 29: 602-608.##https://doi.org/10.1002/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L.
- 21.Lin HT, Ko HT, Lee KC, Chen YC, Wang DC. The changes in shoulder rotation strength ratio for various shoulder positions and speeds in the scapular plane between baseball players and non-players. J Phys Ther Sci 2015; 27: 1559-1563.
- 22.Fathizadeh M, Karimi N, Nourbakhsh MR, Biglarian A. Efficacy of pelvic repositioning exercises on pain, hip and shoulder range of motion and disability of the patients with chronic nonspecific low back pain: a single blinded randomized controlled trial. J Rehab Sci Res 2021; 8: 106-114.
- 23.Robb AJ, Fleisig G, Wilk K, Macrina L, Bolt B, Pajaczkowski J. Passive ranges of motion of the hips and their relationship with pitching biomechanics and ball velocity in professional baseball pitchers. Am J Sports Med 2010; 38: 2487-2493.
- 24.Tenney HR, Boyle KL, DeBord A. Influence of hamstring and abdominal muscle activation on a positive Ober's test in people with lumbopelvic pain. Physiother Can 2013; 65: 4-11.
- 25.Bakhsh W, Nicandri G. Anatomy and physical examination of the shoulder. Sports Med Arthrosc Rev 2018; 26: e10-e22.
- 26.Robey JH, Boyle KL. Bilateral functional thoracic outlet syndrome in a collegiate football player. N Am J Sports Phys Ther 2009; 4: 170.
Copyright
© 2022, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
Similar Articles
Electrical Activity of Selected Shoulder Girdle Muscles During Arm Abduction/Adduction in Athletes with and Without Shoulder Impingement Syndrome: Cross-sectional Study
Hosseinimehr SH, Najafian Ghobadi Z. Electrical Activity of Selected Shoulder Girdle Muscles During Arm Abduction/Adduction in Athletes with and Without Shoulder Impingement Syndrome: Cross-sectional Study. J Motor Control Learn. 2025;7(2):e160567. doi: https://doi.org/10.5812/jmcl-160567
Investigation of the Effect of Conventional Treatment on Postural Stability and Balance in Individuals with Shoulder Pain
Tahmaz T, Demircioğlu G, Genc H, Kuran Aslan G. Investigation of the Effect of Conventional Treatment on Postural Stability and Balance in Individuals with Shoulder Pain. Interv Pain Med Neuromod. 2023;3(1):e135776. doi: https://doi.org/10.5812/ipmn-135776
The Effects of Magnet Therapy on Pain and Disability in Patients with Shoulder Impingement Syndrome
Afzalifard Z, Soltani A, E. Oskouei A. The Effects of Magnet Therapy on Pain and Disability in Patients with Shoulder Impingement Syndrome. Middle East J Rehabil Health Stud. 2023;10(1):e130587. doi: https://doi.org/10.5812/mejrh-130587
Exercise Therapy for Total Tear of Rotator Cuff: A Case Report
Nejati P, Akbari F. Exercise Therapy for Total Tear of Rotator Cuff: A Case Report. Asian J Sports Med. 2014;5(1):e34236. doi: https://doi.org/10.5812/asjsm.34236
Scapular Kinematic During Arm Elevation in Shoulder Impingement Syndrome Using Motion Analysis System: A Systematic Review and Meta-analysis
Hajibashi A, Amiri A, Sarrafzadeh J, Salehi R, Shanbehzadeh S. Scapular Kinematic During Arm Elevation in Shoulder Impingement Syndrome Using Motion Analysis System: A Systematic Review and Meta-analysis. Middle East J Rehabil Health Stud. 2022;9(4):e127437. doi: https://doi.org/10.5812/mejrh-127437
More by these authors
- Scopus by DOI: 0
Last Update: 0 months ago
- Scopus by Title: 0
Last Update: 0 months ago
- Scopus by Title (Ref): 0
Last Update: 0 months ago
- CrossRef: 0
Last Update: 8 hours ago
- OpenAlex: 0
Last Update: 10 hours ago
- OpenCitations: 0
Last Update: 4 days ago