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Evaluation of a New Exercise Program in the Treatment of Scapular Dyskinesis.

International journal of sports medicine
October 1, 2018
Joerg Nowotny et al. (5 authors)
Journal ArticleMulticenter StudyRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the effectiveness of a scapula-focused exercise program versus massage therapy in treating scapular dyskinesis (SD).

Results Summary

Massage therapy significantly reduced pain levels (VAS) in patients with SD, but it did not improve functional outcomes (QuickDASH, SICK scapula rating scale, hand press-up position test) as effectively as the exercise program.

Population

Patients with scapular dyskinesis (28 participants: 15 in the exercise group, 13 in the massage group).

Effective Dosage

Not specified

Duration

6 weeks

Interactions

None mentioned

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
specific exercise program
decrease
pain levels on the visual analog scale (VAS)
patients with scapular dyskinesis (SD)
p=0.007
significantly reduced
#1
massage therapy
decrease
pain levels on the visual analog scale (VAS)
patients with scapular dyskinesis (SD)
p=0.004
significantly reduced
#2
specific exercise program
increase
scores for QuickDASH
patients with scapular dyskinesis (SD)
p=0.001
significantly improved
#3
specific exercise program
increase
scores for SICK scapula rating scale
patients with scapular dyskinesis (SD)
p=0.003
significantly improved
#4
specific exercise program
increase
scores for hand press-up position test
patients with scapular dyskinesis (SD)
p=0.026
significantly improved
#5
scapula-focused exercise programs
decrease
pain
patients with SD
-
can effectively relieve
#6
massage therapy
decrease
pain
patients with SD
-
can effectively relieve
#7
scapula-focused exercises
increase
shoulder function
patients with SD
-
resulted in greater improvement of
#8
Abstract

An abnormal motion of the scapula, or scapular dyskinesis (SD), can be effectively treated through conservative therapy. The aim of this study is to evaluate a new specific exercise program to restore normal position. A standardized and specific exercise program was created. In a prospective multi-center approach, patients were randomized into two groups: one group received the specific exercise program over a period of six weeks and the controls received massage therapy. The visual-analog scale, QuickDASH score, SICK scapula rating scale, hand press-up position test, lateral scapular slide test and internal rotation of the shoulder were evaluated. Twenty-eight patients were included in the study: fifteen in the exercise group and thirteen in the control group. Pain levels on the visual analog scale (VAS) were significantly reduced in both groups (exercise p=0.007; control p=0.004). The scores for QuickDASH (p=0.001), SICK scapula rating scale (p=0.003) and hand press-up position test (p=0.026) were significantly improved in the exercise group only. Scapula-focused exercise programs, as well as massage therapy, can effectively relieve pain in patients with SD. However, scapula-focused exercises resulted, specifically, in greater improvement of shoulder function.

Medical Subject Headings (MeSH)
AdultDyskinesiasExercise TherapyFemaleHumansMaleMassageMyalgiaProgram EvaluationProspective StudiesRotationScapulaShoulder Pain
Study Links
Quality Scores
SafetyNot Assessed
Efficacy70/10
Quality80/10
Citation Metrics
Total Citations6
Citations/Year0.9
Relative Citation Ratio0.65
NIH Percentile35.1%
Research Impact Scores
APT Score0.25
Weight Score1.95
Normalized Score0.64
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