Effects of Myofascial Chain Tension Modulation Combined With Scapular Corrective Exercise on Scapular Movement Performance and Functional Outcomes in Tennis Players With Subacromial Impingement Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 36
- 主要终点
- Pain (VAS score during the Hawkins test)
研究概览
简要总结
Subacromial Impingement Syndrome (SIS) is characterized by abnormal scapular motion, including decreased upward rotation, increased internal rotation, and excessive anterior tilting, which impair shoulder and arm function. Integrated scapular rehabilitation combines Instrument-Assisted Soft Tissue Mobilization (IASTM) and postural correction exercises. IASTM detects soft tissue restrictions through multidirectional strokes and enhances the pain threshold of myofascial trigger points (MTrPs) via reflex hyperemia. Postural correction exercises aim to strengthen weakened muscles and stretch tight ones to improve stability and posture. The combination of these interventions may enhance scapular stability and dynamic control. This study aimed to investigate the effects of integrated scapular rehabilitation on scapular kinematics, movement correction, functional improvement, and pain management in tennis athletes with SIS. A two-way repeated-measures ANOVA was used to analyze pre- and post-intervention effects.
详细描述
Participants aged 20 years or older were recruited. Outcome measures included pain intensity, Shoulder Pain and Disability Index (SPADI), shoulder range of motion (flexion, abduction, internal and external rotation), modified Scapular Assistance Test (mSAT), muscle strength (upper, middle, and lower trapezius; serratus anterior; rhomboids; levator scapulae; internal and external rotators), soft tissue elasticity (upper trapezius), myofascial trigger point pain threshold (upper trapezius, pectoralis minor, levator scapulae, rhomboids), subacromial space, and supraspinatus thickness.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 20 Years 至 35 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Participants were included if they met all of the following conditions:
- •a VAS score greater than 3 during the Hawkins test (indicating mild to moderate pain),
- •at least two positive results among the Hawkins test, Neer test, and painful arch test, and
- •a positive result on the mSAT. Only participants who fulfilled all three criteria were enrolled in the study.
排除标准
- •Participants were excluded if they had a history of clavicle, scapular, or humeral fractures; shoulder dislocation; or rotator cuff surgery; positive results on the cervical compression test, apprehension test, or drop arm test; had received corticosteroid injections within the past three months; had undergone physical therapy within the past six months; or reported a VAS score higher than 9.
研究组 & 干预措施
Integrated scapular rehabilitation training (Instrument-Assisted Soft Tissue Mobilization+ Exercise)
The integrated scapular rehabilitation training group received a specially designed scapular core rehabilitation program, which included the use of IASTM to inhibit overactive and tight muscles, targeted stretching exercises, strengthening training for elongated or weakened muscles, and finally, movement integration through multi-joint exercises.
干预措施: Instrument-Assisted Soft Tissue Mobilization (Device)
Integrated scapular rehabilitation training (Instrument-Assisted Soft Tissue Mobilization+ Exercise)
The integrated scapular rehabilitation training group received a specially designed scapular core rehabilitation program, which included the use of IASTM to inhibit overactive and tight muscles, targeted stretching exercises, strengthening training for elongated or weakened muscles, and finally, movement integration through multi-joint exercises.
干预措施: Elastic band (Device)
Conventional rehabilitation (Stretch+ Exercise)
The conventional rehabilitation training group received only traditional rehabilitation exercises, including stretching and strengthening training.
干预措施: Elastic band (Device)
结局指标
主要结局
Pain (VAS score during the Hawkins test)
时间窗: Participants were assessed at time points: prior to the intervention (baseline), immediately three weeks after the intervention, and at a one-month follow-up.
次要结局
未报告次要终点