Quantification of shoulder tightness and associated shoulder kinematics and functional deficits in patients with stiff shoulders
Journal
Manual Therapy
Journal Volume
14
Journal Issue
1
Pages
81-87
Date Issued
2009
Author(s)
Abstract
Measurement of anterior/posterior shoulder tightness, humeral external/internal rotation range of motion (ROM), scapular upward rotation/tipping ROM, and functional limitations were made in 46 patients with unilateral stiff shoulders (SSs) using a clinical measurement (shoulder tightness), a three-dimensional electromagnetic tracking device (shoulder ROM), and self-reports of function. Patients with SSs in their dominant shoulder demonstrated statistically greater posterior shoulder tightness compared to nondominant shoulder. Control dominant shoulders demonstrated decreased internal ROM as compared with control nondominant shoulders (p = 0.021). In SSs, significant relationships were found between humeral internal rotation ROM and posterior shoulder tightness (R = 0.49, p < 0.0005), humeral external rotation ROM and anterior shoulder tightness (R = 0.59, p = 0.0002), scapular tipping and anterior shoulder tightness (R = 0.57, p = 0.004). Specifically, in patients with dominant SSs, posterior shoulder tightness and functional limitation were related (R = 0.56, p = 0.002). In patients with dominant involved shoulders, emphasise on posterior tightness stretch may improve functional ability directly. In addition to stretching program in patients with SSs, internal rotation ROM of control dominant shoulder is also important to consider in the rehabilitation of patients with SSs. ? 2007 Elsevier Ltd. All rights reserved.
SDGs
Other Subjects
adult; aged; article; clinical article; controlled study; electromagnetic field; female; frozen shoulder; functional disease; functional status; human; humerus; joint mobility; kinematics; male; muscle tightness; priority journal; range of motion; scapula; self report; stretching exercise; three dimensional imaging; Aged; Aged, 80 and over; Analysis of Variance; Biomechanics; Cohort Studies; Female; Humans; Male; Middle Aged; Musculoskeletal Manipulations; Physical Examination; Probability; Range of Motion, Articular; Reproducibility of Results; Scapula; Shoulder Impingement Syndrome; Shoulder Joint; Shoulder Pain; Spasm
Type
journal article