Physical Therapy Clinical Trial
Official title:
A Clinical Prediction Rule to Identify Patients With Shoulder Impingement Syndrome Response to Scapular Training
To investigate if pain severity, scapular upward rotation angle and upper trapezius/serratus anterior isometric strength ratio can predict patient's response to scapular training in patients with subacromial impingement syndrome.
Shoulder impingement syndrome (SIS) is the most commonly diagnosed shoulder disorder. In
literature shoulder impingement is reported between 48% and 65% of all painful shoulder
conditions.
The coordinated coupled motion between the scapula and humerus, the so-called scapulohumeral
rhythm (SHR), is needed for efficient arm movement. Reduced scapular mobility reduces the
acromio-humeral distance during arm abduction and therefore increases the risk for shoulder
impingement syndrome.
Clinical prediction rules (CPRs) are tools designed to improve decision making in clinical
practice by assisting practitioners in making a particular diagnosis, establishing a
prognosis, or matching patients to optimal interventions based on a parsimonious subset of
predictor variables from the history and physical examination.
HYPOTHESES:
Pain severity will not be predictor for treatment success in patients suffering from
subacromial impingement syndrome treated with scapular training.
Scapular upward rotation angle will not be predictor for treatment success in patients
suffering from subacromial impingement syndrome treated with scapular training.
Ratio of upper trapezius /serratus anterior isometric strength will not be predictor for
treatment success in patients suffering from subacromial impingement syndrome treated with
scapular training.
RESEARCH QUESTION:
Does pain severity, scapular upward rotation angle and upper trapezius/serratus anterior
isometric strength ratio predict patient's esponse to scapular training in patients with
subacromial impingement syndrome?
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