Title | The effects of scapular mobilization in patients with subacromial impingement syndrome: a randomized, double-blind, placebo-controlled clinical trial. |
Publication Type | Journal Article |
Year of Publication | 2015 |
Authors | Aytar A, Baltaci G, Uhl TL, Tuzun H, Oztop P, Karatas M |
Journal | J Sport Rehabil |
Volume | 24 |
Issue | 2 |
Pagination | 116-29 |
Date Published | 2015 May |
ISSN | 1543-3072 |
Keywords | Double-Blind Method, Female, Humans, Male, Middle Aged, Musculoskeletal Manipulations, Scapula, Shoulder Impingement Syndrome, Turkey |
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 Questionnaire (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. |
DOI | 10.1123/jsr.2013-0120 |
Alternate Journal | J Sport Rehabil |
PubMed ID | 25054347 |