University of São Paulo, School of Medicine of Ribeirao Preto, Health Sciences Department, Ribeirão Preto, SP, Brazil.
Ghent University, Faculty of Medicine and Health Sciences, Department of Rehabilitation Sciences and Physiotherapy, Ghent, Belgium.
Musculoskelet Sci Pract. 2020 Oct;49:102171. doi: 10.1016/j.msksp.2020.102171. Epub 2020 Jun 29.
Interventions focused on the scapula should be considered in treating subacromial pain syndrome (SAPS). However, the effect of adding scapular stabilization exercises to protocols of progressive strengthening of the shoulder complex muscles on a non-multimodal approach remains unclear.
To investigate the effect of adding scapular stabilization exercises, emphasizing retraction, and depression of the scapula, to a progressive periscapular strengthening protocol on disability, pain, muscle strength, and ROM in patients with SAPS.
Randomized, controlled, superiority trial, prospectively registered, two-arms, parallel, blind assessor, blind patient, and allocation concealment.
Sixty patients with SAPS were randomly allocated into two groups: Periscapular Strengthening (PSG) or Scapular Stabilization (SSG) exercises. The interventions were performed three times a week for eight weeks. The primary outcome function and secondary outcomes (Pain, kinesiophobia, global perceived effect, satisfaction with treatment, the range of motion, scapula position and muscle strength) were measured in the baseline, four weeks, eight weeks (end of intervention) and 16 weeks after baseline. Shoulder pain and function were assessed by the Brazilian version of the Shoulder Pain and Disability Index (SPADI-Br).
A total of 60 patients were included and randomized to PSG (n = 30) or SSG (n = 30) from March 2016 to June 2017. There were no between group differences in primary and secondary outcomes at any time point.
The inclusion of the isolated scapular stabilization exercises, emphasizing retraction and depression of the scapula, to a progressive general periscapular strengthening protocol did not add benefits to self-reported shoulder pain and disability, muscle strength, and ROM in patients with SAPS.
ClinicalTrials.gov.
在治疗肩峰下疼痛综合征（SAPS）时，应考虑针对肩胛骨的干预措施。然而，在非多模式方法的基础上，将肩胛骨稳定练习添加到肩胛带周围肌肉渐进性强化方案中对治疗效果的影响尚不清楚。
研究在肩胛带周围渐进性强化方案中添加强调肩胛骨内收和下压的肩胛骨稳定练习对 SAPS 患者的残疾、疼痛、肌肉力量和关节活动度的影响。
随机、对照、优效性试验，前瞻性注册，双臂、平行、盲评估者、盲患者和分配隐藏。
将 60 例 SAPS 患者随机分为两组：肩胛带周围强化（PSG）或肩胛骨稳定（SSG）练习组。每周进行 3 次，共 8 周。在基线、4 周、8 周（干预结束时）和基线后 16 周测量主要结局功能和次要结局（疼痛、运动恐惧、整体感知效果、对治疗的满意度、关节活动度、肩胛骨位置和肌肉力量）。肩部疼痛和功能通过巴西版肩部疼痛和残疾指数（SPADI-Br）进行评估。
2016 年 3 月至 2017 年 6 月，共纳入 60 例患者并随机分为 PSG 组（n=30）或 SSG 组（n=30）。在任何时间点，两组主要和次要结局均无差异。
在肩胛带周围渐进性强化方案中加入孤立的肩胛骨稳定练习，强调肩胛骨的内收和下压，对 SAPS 患者的自我报告的肩部疼痛和残疾、肌肉力量和关节活动度没有额外益处。
ClinicalTrials.gov。
