Effectiveness of Scapular Stabilization Versus Non-Stabilization Stretching on Shoulder Range of Motion, a Randomized Clinical Trial
# Background Previous research has demonstrated the benefits of both stabilization and non-stabilization of the scapula during stretching in individuals with posterior shoulder tightness, but limited evidence exists in patients with shoulder pain. # Hypothesis/Purpose The aim of this study was to...
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| Language: | English |
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North American Sports Medicine Institute
2022-06-01
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| Series: | International Journal of Sports Physical Therapy |
| Online Access: | https://ijspt.scholasticahq.com/article/34439-effectiveness-of-scapular-stabilization-versus-non-stabilization-stretching-on-shoulder-range-of-motion-a-randomized-clinical-trial |
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| _version_ | 1825196996442456064 |
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| author | Alan J Howell Andrew Burchett Nicholas Heebner Cody Walker Alec Baunach Asia Seidt Tim L Uhl |
| author_facet | Alan J Howell Andrew Burchett Nicholas Heebner Cody Walker Alec Baunach Asia Seidt Tim L Uhl |
| author_sort | Alan J Howell |
| collection | DOAJ |
| description | # Background
Previous research has demonstrated the benefits of both stabilization and non-stabilization of the scapula during stretching in individuals with posterior shoulder tightness, but limited evidence exists in patients with shoulder pain.
# Hypothesis/Purpose
The aim of this study was to determine the effect of stabilized scapular stretching on patients with shoulder pain. The primary hypothesis of this study is that stabilized scapular stretching will improve glenohumeral motion and pain compared to non-stabilized stretch program. A secondary hypothesis of this study is that stabilized scapular stretching will produce greater improvement in function compared to the non-stabilized stretching program.
# Study Design
Randomized Clinical Trial
# Methods
Sixteen patients with sub-acromial pain associated with tendinopathy and associated pathologies presenting to physical therapy were randomized into two groups (stabilized or non-stabilized scapular stretching). Baseline pain and range of motion were measured prior to and following each treatment session for three visits that occurred over the course five to seventeen days depending on the patients availability. The dependent measurements were stabilized horizontal adduction, stabilized internal rotation, stabilized shoulder flexion, non-stabilized shoulder flexion, and current pain level.
# Results
Patients in the scapular stabilization stretching group increased horizontal adduction 40° (CI~95~ 31, 48°) compared to the non-stabilization stretching group increase of 8° (CI~95~ 0, 17°) over the course of the three treatments (*p*<0.001). Similarly, the stabilized stretching group increased internal rotation 48° (CI~95~ 26, 69°) compared to the non-stabilized stretching group increase of 26° (CI~95~ 4, 48°) (*p*=0.001). Pain decreased in the stabilized stretching group by 1.4 points (CI~95~ -0.4, 3.2) but increased slightly in non-stabilized group by -0.5 points (CI~95~ -2.3, 1.3) which was not a clinically meaningful change. (*p*=0.03)
# Conclusion
Stabilized scapular stretching was more effective than non-stabilized stretching at gaining shoulder mobility in patients with shoulder pain. Benefits were immediate and sustained between treatment sessions. Stretching interventions improved range of motion but had limited effect on shoulder pain.
# Level of Evidence
2 |
| format | Article |
| id | doaj-art-24760fbe62da49abb5e14e83f491eabf |
| institution | Kabale University |
| issn | 2159-2896 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | North American Sports Medicine Institute |
| record_format | Article |
| series | International Journal of Sports Physical Therapy |
| spelling | doaj-art-24760fbe62da49abb5e14e83f491eabf2025-02-11T20:27:32ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962022-06-01174Effectiveness of Scapular Stabilization Versus Non-Stabilization Stretching on Shoulder Range of Motion, a Randomized Clinical TrialAlan J HowellAndrew BurchettNicholas HeebnerCody WalkerAlec BaunachAsia SeidtTim L Uhl# Background Previous research has demonstrated the benefits of both stabilization and non-stabilization of the scapula during stretching in individuals with posterior shoulder tightness, but limited evidence exists in patients with shoulder pain. # Hypothesis/Purpose The aim of this study was to determine the effect of stabilized scapular stretching on patients with shoulder pain. The primary hypothesis of this study is that stabilized scapular stretching will improve glenohumeral motion and pain compared to non-stabilized stretch program. A secondary hypothesis of this study is that stabilized scapular stretching will produce greater improvement in function compared to the non-stabilized stretching program. # Study Design Randomized Clinical Trial # Methods Sixteen patients with sub-acromial pain associated with tendinopathy and associated pathologies presenting to physical therapy were randomized into two groups (stabilized or non-stabilized scapular stretching). Baseline pain and range of motion were measured prior to and following each treatment session for three visits that occurred over the course five to seventeen days depending on the patients availability. The dependent measurements were stabilized horizontal adduction, stabilized internal rotation, stabilized shoulder flexion, non-stabilized shoulder flexion, and current pain level. # Results Patients in the scapular stabilization stretching group increased horizontal adduction 40° (CI~95~ 31, 48°) compared to the non-stabilization stretching group increase of 8° (CI~95~ 0, 17°) over the course of the three treatments (*p*<0.001). Similarly, the stabilized stretching group increased internal rotation 48° (CI~95~ 26, 69°) compared to the non-stabilized stretching group increase of 26° (CI~95~ 4, 48°) (*p*=0.001). Pain decreased in the stabilized stretching group by 1.4 points (CI~95~ -0.4, 3.2) but increased slightly in non-stabilized group by -0.5 points (CI~95~ -2.3, 1.3) which was not a clinically meaningful change. (*p*=0.03) # Conclusion Stabilized scapular stretching was more effective than non-stabilized stretching at gaining shoulder mobility in patients with shoulder pain. Benefits were immediate and sustained between treatment sessions. Stretching interventions improved range of motion but had limited effect on shoulder pain. # Level of Evidence 2https://ijspt.scholasticahq.com/article/34439-effectiveness-of-scapular-stabilization-versus-non-stabilization-stretching-on-shoulder-range-of-motion-a-randomized-clinical-trial |
| spellingShingle | Alan J Howell Andrew Burchett Nicholas Heebner Cody Walker Alec Baunach Asia Seidt Tim L Uhl Effectiveness of Scapular Stabilization Versus Non-Stabilization Stretching on Shoulder Range of Motion, a Randomized Clinical Trial International Journal of Sports Physical Therapy |
| title | Effectiveness of Scapular Stabilization Versus Non-Stabilization Stretching on Shoulder Range of Motion, a Randomized Clinical Trial |
| title_full | Effectiveness of Scapular Stabilization Versus Non-Stabilization Stretching on Shoulder Range of Motion, a Randomized Clinical Trial |
| title_fullStr | Effectiveness of Scapular Stabilization Versus Non-Stabilization Stretching on Shoulder Range of Motion, a Randomized Clinical Trial |
| title_full_unstemmed | Effectiveness of Scapular Stabilization Versus Non-Stabilization Stretching on Shoulder Range of Motion, a Randomized Clinical Trial |
| title_short | Effectiveness of Scapular Stabilization Versus Non-Stabilization Stretching on Shoulder Range of Motion, a Randomized Clinical Trial |
| title_sort | effectiveness of scapular stabilization versus non stabilization stretching on shoulder range of motion a randomized clinical trial |
| url | https://ijspt.scholasticahq.com/article/34439-effectiveness-of-scapular-stabilization-versus-non-stabilization-stretching-on-shoulder-range-of-motion-a-randomized-clinical-trial |
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