Department of Physical Therapy and Rehabilitation, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey.
Department of Physical Therapy and Rehabilitation, Kütahya University of Health Sciences, Evliya Çelebi Training and Research Hospital, Kütahya, Turkey.
Agri. 2022 Apr;34(2):100-108. doi: 10.14744/agri.2022.87059.
The aim of the study was to evaluate the prevalence of scapular dyskinesia in patients with neck, back, and shoul-der pain and examine the variations in clinical parameters cause by this combination.
A total of 121 patients with neck, back, or shoulder pain were included in this prospective cross-sectional study. De-mographic and clinical data of the patients were recorded. It was evaluated the intensity of pain with the visual analog scale (VAS), the presence of muscle shortness with muscle shortness tests, and scapular dyskinesia with the Lateral Scapular Slide Test.
The prevalence of scapular dyskinesia was 41.9% in the study population. Patients were divided into groups, with or without scapular dyskinesia for evaluation, and compared. The presence of scapular dyskinesia was significantly higher in pa-tients with back and shoulder pain (p<0.05). When the distribution of scapular dyskinesia pathological types was evaluated, it was found that Type 1 was the most common in the study population. No significant difference was observed in pain intensity at rest and during activity between the groups (p>0.05), but the VAS score at night was significantly higher in patients with scapular dyskinesia (p<0.05). The pectoral, latissimus dorsi, and rhomboids muscle shortness were significantly higher in the group with scapular dyskinesia (p<0.05).
The evaluation of the presence of scapular dyskinesia in a physical examination in patients with neck, back, and/or shoulder pain will be a guide for the diagnosis and treatment of pain-related problems.
本研究旨在评估颈、背和肩部疼痛患者肩胛骨运动障碍的发生率，并探讨这种组合引起的临床参数变化。
本前瞻性横断面研究共纳入 121 例颈、背或肩部疼痛患者。记录患者的人口统计学和临床数据。使用视觉模拟评分（VAS）评估疼痛强度，通过肌肉缩短测试评估肌肉缩短情况，使用侧肩胛骨滑动试验评估肩胛骨运动障碍。
在研究人群中，肩胛骨运动障碍的发生率为 41.9%。将患者分为有或无肩胛骨运动障碍两组进行评估并比较。结果发现，有肩胛骨运动障碍的患者背部和肩部疼痛的发生率显著更高（p<0.05）。评估肩胛骨运动障碍病理类型的分布时，发现 1 型在研究人群中最常见。两组在静息和活动时的疼痛强度无显著差异（p>0.05），但肩胛骨运动障碍患者的夜间 VAS 评分显著更高（p<0.05）。肩胛骨运动障碍组的胸大肌、背阔肌和菱形肌无力明显更高（p<0.05）。
在颈、背和/或肩部疼痛患者的体格检查中评估肩胛骨运动障碍的存在，将有助于诊断和治疗与疼痛相关的问题。
