Flexibility, Range of Motion and Strength Among Patients With Differing Response to the Scapular and Humeral Assistance Tests
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Shoulder Pain
- Sponsor
- Meir Medical Center
- Enrollment
- 130
- Locations
- 1
- Primary Endpoint
- Pectoralis minor resting length
- Last Updated
- 12 years ago
Overview
Brief Summary
Shoulder pain may result from abnormal arm or shoulder blade (scapular) movement. These abnormal movements may result from a variety of flexibilty, motion or strength impairments. Therefore identifying any abnormal arm or scapular movement, as well as any impairments that are associated with them can help clinicians plan a proper management strategy for patients presenting with shoulder disorders. Our hypothesis is that specific impairments will be associated with abnormal arm movement, while other impairments will be associated with abnormal scapular movement among patients with shoulder pain.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age 18 years or older, main complaint of shoulder pain, ability to elevate arm in the scapular plane to at least 135 degrees, pain during scapular plane elevation, can read Hebrew.
Exclusion Criteria
- •Signs or symptoms suggesting cervical spine origin, previous fracture around shoulder complex, traumatic onset of shoulder pain, Fibromyalgia, Rheumatiod arthritis, previous shoulder surgery, loss of 50% or more of passive range of motion in 2 or more planes of motion, positive lag signs, positive apprehension test, pregnancy.
Outcomes
Primary Outcomes
Pectoralis minor resting length
Time Frame: Baseline
Distance from coracoid process to 4th rib attachment onto sternum
Scapular dyskinesis
Time Frame: Baseline
Visual assessment and classification of scapular movement pattern
Shoulder internal rotation range of motion
Time Frame: Baseline
Measurement of supine glenohumeral internal rotation range of motion.
Posterior capsule flexibility
Time Frame: Baseline
Measurement of sidelying glenohumeral horizontal adduction
Scapular upward rotation range of motion
Time Frame: Baseline
Measured by the use of an inclinometer placed on top of scapular spine during various degrees of glenohumeral elevation angles.
Shoulder elevation torque
Time Frame: Baseline
Measured with a hand-held dynamometer
Shoulder external rotator torque
Time Frame: Baseline
Measured with a hand-held dynamometer