Effects of a stretching protocol for the pectoralis minor on muscle length, function, and scapular kinematics in individuals with and without shoulder pain
| Autor: | Dayana P. Rosa, Lívia Silveira Pogetti, John D. Borstad, Paula R. Camargo |
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| Rok vydání: | 2017 |
| Předmět: |
musculoskeletal diseases
030222 orthopedics medicine.medical_specialty business.industry Rehabilitation Healthy subjects Repeated measures design Physical Therapy Sports Therapy and Rehabilitation 030229 sport sciences Kinematics 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Scapula Scapular kinematics Pectoralis Minor Shoulder Impingement Syndrome medicine Physical therapy In patient business |
| Zdroj: | Journal of Hand Therapy. 30:20-29 |
| ISSN: | 0894-1130 |
| DOI: | 10.1016/j.jht.2016.06.006 |
| Popis: | Study Design Parallel-group intervention with repeated measures. Introduction Shortening of the pectoralis minor (PM) may contribute to alterations in scapular kinematics. Purpose of the Study To evaluate the effects of a stretching protocol on function, muscle length, and scapular kinematics in subjects with and without shoulder pain. Methods A sample of 25 patients with shoulder pain and 25 healthy subjects with PM tightness performed a daily stretching protocol for 6 weeks. Outcome measures included Disabilities of the Arm, Shoulder, and Hand questionnaire, PM length, and scapular kinematics. Results Disabilities of the Arm, Shoulder, and Hand scores decreased ( P P > .05) were found for PM length in both groups. Scapular anterior tilt increased ( P Discussion This study demonstrated that a daily home stretching protocol significantly decreases pain and improves function in subjects with shoulder pain. The mechanism responsible for these improvements does not appear directly related to PM muscle length or scapula kinematics, suggesting that other neuromuscular mechanisms are involved. Conclusion The PM stretching protocol did not change the PM length or scapular kinematics in subjects with or without shoulder pain. However, pain and function of the upper limbs improved in patients with shoulder pain. Level of Evidence 2b. |
| Databáze: | OpenAIRE |
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