Prevalence of Scapular Dyskinesia among Female Students at Jouf University – Alqurayyat: A Cross Sectional Study

Hala T Ahmed, Amal A Al Sharari, Hebatalla M Abd Elrafi, Haifa A Al Fouzan

Hala T Ahmed, Amal A Al Sharari, Hebatalla M Abd Elrafi, Haifa A Al Fouzan – Prevalence of Scapular Dyskinesia among Female Students at Jouf University – Alqurayyat: A Cross Sectional Study . Fizjoterapia Polska 2021; 21(4); 164-168

Abstract
Purpose. To find out the prevalence, characteristic and type of scapular dyskinesia among female students at Jouf University – Alqurayyat.
Methods. A cross-sectional design. One hundred thirty-six female students were recruited from Alqurayyat female branch – Jouf University (Northern Saudi Arabia), to participate in this study. Demographic data were assessed through a structural questionnaire, scapular dyskinesia was clinically assessed through direct observation (Scapular Dyskinesia Test) and manually assisted movements (Scapular Assistance Test (SAT) and Scapular Reposition (Retraction) Test (SRT)), and the levels of pain and functional disability were assessed through Shoulder Pain and Disability Index (SPADI).
Results. The prevalence of scapular dyskinesia was 99.3%, with 56.3% of them had affected left hand and 76% of them had type II existence. There was significant association between scapular dyskinesia and shoulder function (p < 0.05).
Conclusion. The prevalence of scapular dyskinesia among female students at Jouf University – Alqurayyat was 99.3%, with most of them having left hand involvement and presence of type II dyskinesia.
Key words:
Scapular dyskinesia, Scapular movement, Shoulder pain, Disability
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Changes in Rotator Cuff Strength Ratio, Shoulder Pain and Disability after Cervicothoracic Mobilization in Subjects with shoulder impingement syndrome

Ahmed M Elmelhat, Salwa F Abdelmagid, Ebtessam F Gomaa, Ahmed M Gad

Ahmed M Elmelhat, Salwa F Abdelmagid, Ebtessam F Gomaa, Ahmed M Gad – Changes in Rotator Cuff Strength Ratio, Shoulder Pain and Disability after Cervicothoracic Mobilization in Subjects with shoulder impingement syndrome. Fizjoterapia Polska 2020; 20(1); 36-42

Abstract
Background. Shoulder impingement syndrome (SIS) is the most common cause of shoulder pain. Recently, attention has been given to the use of spinal manual therapy to treat shoulder pain. Methods. This study is a Randomized controlled trial. Overall, 35 patients with mean age (32 ± 6.47) years were participated in this study as SIS (stage I and II Neer’s classification) were randomized into 2 equal groups. The control group received only a treatment based on the most evidence-based treatment for SIS (Stretching of the posterior capsule, rotator cuff exercises, and scapular muscle training) while experimental group received Maitland’s rhythmic oscillatory central posteroanterior (PA) and transverse mobilization of cervico-thoracic spine (C7-T4 vertebra) with addition same physiotherapy program received by control group for 4 weeks. All patients in both groups were evaluated pre- and post-treatment with isometric rotator-strength ratio measured by Hand Held Dynamometer (HHD) Device. pain level and shoulder disability were measured by Shoulder Pain and Disability Index (SPADI). Results. Statistical analysis using pre and post treatment design indicated that there’s no significant difference between groups in the isometric rotator-strength ratio. However, a significant difference was found in pain level and shoulder disability index between groups. Conclusions. Cervicothoracic mobilization may be an effective intervention to treat pain and disability associated with shoulder impingement; however, the improvements associated with mobilization are not likely explained by changes in shoulder muscle strength.

Key words:
Manual Therapy, Shoulder Pain, Cervicothoracic, SPADI

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Hemiplegic shoulder pain – clinical factors and pain pressure sensitivity

Agnieszka Sobierajska-Rek

A. Sobierajska-Rek – Hemiplegic shoulder pain – clinical factors and pain pressure sensitivity. FP 2017; 17(4); 24-32

Abstract

Shoulder pain is a typical symptom accompanying upper extremity paresis or plegia after stroke.
Aim of the study. The aim of this study was to determine relationship among clinical factors, such as subluxation or impingement syndrome, spasticity, pain pressure sensitivity and incidence of shoulder pain in stroke patients.
Material and methods. Stroke survivors with hemiplegic shoulder pain (n = 26), and the controls without shoulder pain (n = 11) underwent pain pressure threshold measure at biceps and supraspinatus, soft tissues in shoulder region, motor function of upper limb in Brunnstrom scale and spasticity were assessed.
Results. There was no difference in sensitivity in supraspinatus, but the correlation at the level of statistical tendency is present in biceps. Spasticity was more severe in the shoulder pain group, and intensity of pain was correlated with an increase in muscle tonus.
Conclusion. There is correlation between the pain in hemiplegic shoulder and symptoms of impingement syndrome and subluxation in shoulder joint. The tendency to increased pain pressure sensitivity was observed in biceps in the group with shoulder pain.

Key words:
stroke, hemiplegia, shoulder pain

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