Differences in scapular upward rotation, pectoralis minor and levator scapulae muscle length between the symptomatic, the contralateral asymptomatic shoulder and control subjects: a cross-sectional study in a Spanish primary care setting.

To determine the potential differences in both scapular positioning and scapular movement between the symptomatic and asymptomatic contralateral shoulder, in patients with unilateral subacromial pain syndrome (SAPS), and when compared with participants free of shoulder pain. Three different primary...

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Detalles Bibliográficos
Autores: Navarro-Ledesma, Santiago, Fernandez-Sanchez, Manuel, Struyf, Filip, Martinez-Calderon, Javier, Miguel Morales-Asencio, Jose, Luque-Suarez, Alejandro
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/17877
Acceso en línea:http://hdl.handle.net/20.500.12105/17877
Access Level:acceso abierto
Palabra clave:Chronic pain
Scapular kinematic
Shoulder pain
Adult
Analysis of Variance
Case-Control Studies
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Muscle, Skeletal
Range of Motion, Articular
Scapula
Shoulder Impingement Syndrome
Shoulder Pain
Spain
Descripción
Sumario:To determine the potential differences in both scapular positioning and scapular movement between the symptomatic and asymptomatic contralateral shoulder, in patients with unilateral subacromial pain syndrome (SAPS), and when compared with participants free of shoulder pain. Three different primary care centres. A sample of 73 patients with SAPS in their dominant arm was recruited, with a final sample size of 54 participants. The scapular upward rotation (SUR), the pectoralis minor and the levator scapulae muscles length tests were carried out. When symptomatic shoulders and controls were compared, an increased SUR at all positions (45°, 90° and 135°) was obtained in symptomatic shoulders (2/3,98/8,96°, respectively). These differences in SUR surpassed the minimal detectable change (MDC95) (0,91/1,55/2,83° at 45/90/135° of shoulder elevation). No differences were found in SUR between symptomatic and contralateral shoulders. No differences were found in either pectoralis minor or levator scapulae muscle length in all groups. SUR was greater in patients with chronic SAPS compared with controls at different angles of shoulder elevation.