Effects of Passive Scapular Stabilization on Upper Extremity Muscle Strength in Patients With Rotator Cuff Repair
Background: Scapular dyskinesis may cause not only rotator cuff (RC) tear but also weakness of the upper extremity, studies on scapular dyskinesis that may occur after RC repair is still lacking. Objects: To determine whether scapular dsykinesis was present in patients after arthroscopic RC repa...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Research Society of Physical Therapy
2023-02-01
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| Series: | Physical Therapy Korea |
| Subjects: |
| _version_ | 1797246726523846656 |
|---|---|
| author | Won-jeong Jeong Duk-hyun An Jae-seop Oh |
| author_facet | Won-jeong Jeong Duk-hyun An Jae-seop Oh |
| author_sort | Won-jeong Jeong |
| collection | DOAJ |
| description | Background: Scapular dyskinesis may cause not only rotator cuff (RC) tear but also weakness
of the upper extremity, studies on scapular dyskinesis that may occur after RC repair is
still lacking.
Objects: To determine whether scapular dsykinesis was present in patients after arthroscopic
RC repair and to investigate the influence of passive scapular stabilization on upper extremity
strength.
Methods: A total of 30 patients after RC repair participated in this study. To compare the
scapula of the arthroscopic RC repair shoulder and the contralateral shoulder, the winged
scapula (WS) was measured using a scapulometer and scapular dyskinesis was also classified
by type. Fixed instruments for muscle strength measurements were used to measure upper
extremity muscle strength differences depending on passive scapular stabilization position or
natural scapular position. A chi-square test, an independent t-test and a 2-way mixed measures
analysis of variance (ANOVA) was used as statistical analysis. In analyses, p < 0.05 was
deemed to be statistically significant.
Results: Postoperative shoulder had a significant association with scapular dyskinesis and the
WS compared to the contralateral shoulder (F = 0.052, p < 0.01). Postoperative shoulder,
muscle strength in the shoulder abduction (p < 0.01), elbow flexion (p < 0.01) and forearm
supination (p < 0.05) were significantly greater in the scapular stabilization position than in
the scapular natural position.
Conclusion: Patients underwent arthroscopic RC repair had a significant association with
scapular dyskinesis and muscle strength was improved by a passive scapular stabilization position,
therefore scapular stabilization is important in rehabilitation program. |
| first_indexed | 2024-04-24T19:47:23Z |
| format | Article |
| id | doaj.art-67d81f180a87426d8f6e19fd427d64ba |
| institution | Directory Open Access Journal |
| issn | 1225-8962 2287-982X |
| language | English |
| last_indexed | 2024-04-24T19:47:23Z |
| publishDate | 2023-02-01 |
| publisher | Korean Research Society of Physical Therapy |
| record_format | Article |
| series | Physical Therapy Korea |
| spelling | doaj.art-67d81f180a87426d8f6e19fd427d64ba2024-03-25T04:39:35ZengKorean Research Society of Physical TherapyPhysical Therapy Korea1225-89622287-982X2023-02-01301414910.12674/ptk.2023.30.1.41Effects of Passive Scapular Stabilization on Upper Extremity Muscle Strength in Patients With Rotator Cuff RepairWon-jeong Jeong0https://orcid.org/0000-0001-7551-4063Duk-hyun An1https://orcid.org/0000-0003-4687-7724Jae-seop Oh2https://orcid.org/0000-0003-1907-0423Department of Rehabilitation Science, The Graduate School, Inje UniversityDepartment of Physical Therapy, College of Healthcare Medical Science and Engineering, Inje UniversityDepartment of Physical Therapy, College of Healthcare Medical Science and Engineering, Inje UniversityBackground: Scapular dyskinesis may cause not only rotator cuff (RC) tear but also weakness of the upper extremity, studies on scapular dyskinesis that may occur after RC repair is still lacking. Objects: To determine whether scapular dsykinesis was present in patients after arthroscopic RC repair and to investigate the influence of passive scapular stabilization on upper extremity strength. Methods: A total of 30 patients after RC repair participated in this study. To compare the scapula of the arthroscopic RC repair shoulder and the contralateral shoulder, the winged scapula (WS) was measured using a scapulometer and scapular dyskinesis was also classified by type. Fixed instruments for muscle strength measurements were used to measure upper extremity muscle strength differences depending on passive scapular stabilization position or natural scapular position. A chi-square test, an independent t-test and a 2-way mixed measures analysis of variance (ANOVA) was used as statistical analysis. In analyses, p < 0.05 was deemed to be statistically significant. Results: Postoperative shoulder had a significant association with scapular dyskinesis and the WS compared to the contralateral shoulder (F = 0.052, p < 0.01). Postoperative shoulder, muscle strength in the shoulder abduction (p < 0.01), elbow flexion (p < 0.01) and forearm supination (p < 0.05) were significantly greater in the scapular stabilization position than in the scapular natural position. Conclusion: Patients underwent arthroscopic RC repair had a significant association with scapular dyskinesis and muscle strength was improved by a passive scapular stabilization position, therefore scapular stabilization is important in rehabilitation program.muscle strengthpassive scapular stabilizationrehabilitationscapular dyskinesis |
| spellingShingle | Won-jeong Jeong Duk-hyun An Jae-seop Oh Effects of Passive Scapular Stabilization on Upper Extremity Muscle Strength in Patients With Rotator Cuff Repair Physical Therapy Korea muscle strength passive scapular stabilization rehabilitation scapular dyskinesis |
| title | Effects of Passive Scapular Stabilization on Upper Extremity Muscle Strength in Patients With Rotator Cuff Repair |
| title_full | Effects of Passive Scapular Stabilization on Upper Extremity Muscle Strength in Patients With Rotator Cuff Repair |
| title_fullStr | Effects of Passive Scapular Stabilization on Upper Extremity Muscle Strength in Patients With Rotator Cuff Repair |
| title_full_unstemmed | Effects of Passive Scapular Stabilization on Upper Extremity Muscle Strength in Patients With Rotator Cuff Repair |
| title_short | Effects of Passive Scapular Stabilization on Upper Extremity Muscle Strength in Patients With Rotator Cuff Repair |
| title_sort | effects of passive scapular stabilization on upper extremity muscle strength in patients with rotator cuff repair |
| topic | muscle strength passive scapular stabilization rehabilitation scapular dyskinesis |
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