Correction of Posterior Shoulder Tightness Is Associated With Symptom Resolution in Patients With Internal Impingement
Det lader til, at vi kan hjælpe patienter med Posterior Shoulder Tightness via udspænding og mobilisering– eller i hvert fald afhjælpe en del af deres symptomer på internal impingement og dermed deres smerter. Vi vidste det måske godt rent pragmatisk, men nu har nogle forskere også undersøgt det.
Læs abstractet, - og er du yderligere interesseret, er der en henvisning til artiklen.
Am J Sports Med January 2010 38:114-119
Timothy F. Tyler,Stephen J. Nicholas, Steven J. Lee, Michael Mullaney and Malachy P. McHugh
Internal impingement syndrome has been linked to glenohumeral internal rotation deficit (GIRD) and posterior shoulder tightness. The aim of the study was to discover if increases in internal rotation and decreased posterior shoulder tightness result in improved impingement symptoms.
22 patients with internal impingement were assessed for passive internal rotation and external rotation (ER) range of motion (ROM) at 90° of shoulder abduction and posterior shoulder tightness (cross-chest adduction in side lying). The Simple Shoulder Test (SST) was administered on initial evaluation and discharge.
The following treatment involved stretching and mobilizing the posterior shoulder area. Changes in GIRD, ER ROM, and posterior shoulder tightness were compared between patients with complete resolution of symptoms versus patients with residual symptoms.
Patients had significant GIRD (35°), loss of ER ROM (23°), and posterior shoulder tightness (35°) on initial evaluation. Physical therapy improved GIRD, ER ROM loss, and posterior shoulder tightness. The SST improved from 5 ± 3 to 11 ± 1. A greater improvement in posterior shoulder tightness was seen in patients with complete resolution of symptoms compared with patients with residual symptoms. Improvements in GIRD and ER ROM loss were not different between groups.
Resolution of symptoms after physical therapy treatment for internal impingement was related to correction of posterior shoulder tightness but not correction of GIRD.
Redigeret af : Simon Hagbarth, 24.01.2010
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