Identifying patients with shoulder impingement syndrome who improve with scapular training: a clinical prediction study
Introduction There is a preponderance of evidence that scapular training improves scapular muscle performance and decreases the clinical symptoms related to subacromial impingement syndrome (SAIS). To investigate if pain severity, functional disability, scapular upward rotation angle, and upper trap...
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| Format: | Article |
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Termedia Publishing House
2025-03-01
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| Series: | Physiotherapy Quarterly |
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| Online Access: | https://physioquart.awf.wroc.pl/Identifying-patients-with-shoulder-impingement-syndrome-who-improve-with-scapular,186836,0,2.html |
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| author | Ahmed M. El Melhat Hager Tarek Khater Mohamed Enas Fawzy Youssef Ahmed Mahmoud Gad Dina Mohamed Ali Al Hamaky |
| author_facet | Ahmed M. El Melhat Hager Tarek Khater Mohamed Enas Fawzy Youssef Ahmed Mahmoud Gad Dina Mohamed Ali Al Hamaky |
| author_sort | Ahmed M. El Melhat |
| collection | DOAJ |
| description | Introduction
There is a preponderance of evidence that scapular training improves scapular muscle performance and decreases the clinical symptoms related to subacromial impingement syndrome (SAIS). To investigate if pain severity, functional disability, scapular upward rotation angle, and upper trapezius/serratus anterior (UT/SA) isometric strength ratio at baseline assessment can predict a patient’s response to scapular training in cases of SAIS.
Methods
A clinical predictive study was performed on forty-five patients, suffering from SAIS, the assessment included pain severity, disability assessment, scapular upward rotation, and the UT/SA isometric strength ratio. Measurements were collected before and after a 4-week intervention program of scapular muscle training and strengthening of the serratus anterior muscle. The sensitivity and specificity of interfering with this procedure were utilized to identify items included in the clinical prediction rule (CPR).
Results
Excellent results were shown by the area under the receiver operating characteristic curve (ROC curve) with a pain severity of 0.93 (sensitivity 0.9, specificity 0.33), functional disability of 0.94 (sensitivity 0.956, specificity 0.156), and UT/SA isometric strength ratio of 0.9 (sensitivity 0.9, specificity 0.33) and poor results with a scapular upward rotation angle of 0.66 (sensitivity 0.62, specificity 0.36) as static positioning of the scapula was believed not to be adequate in assessing prediction values, and with the upward scapular rotation angle recently being highlighted as not affecting symptoms of SAIS.
Conclusions
This study revealed that shoulder pain, functional disability, and UT/SA isometric strength ratios potentially serve as predictors of the efficacy of a scapular training program in patients who suffer from SAIS. |
| format | Article |
| id | doaj-art-a6ddbb3cfc02449392c9bf23f1e16dd8 |
| institution | OA Journals |
| issn | 2544-4395 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Physiotherapy Quarterly |
| spelling | doaj-art-a6ddbb3cfc02449392c9bf23f1e16dd82025-08-20T02:31:34ZengTermedia Publishing HousePhysiotherapy Quarterly2544-43952025-03-0133110911610.5114/pq/186836186836Identifying patients with shoulder impingement syndrome who improve with scapular training: a clinical prediction studyAhmed M. El Melhat0https://orcid.org/0000-0001-8429-2335Hager Tarek Khater Mohamed1Enas Fawzy Youssef2Ahmed Mahmoud Gad3Dina Mohamed Ali Al Hamaky4Department of Physical Therapy for Musculoskeletal Disorders and their Surgeries, Faculty of Physical Therapy, Cairo University, Cairo, EgyptDepartment of Physical Therapy for Musculoskeletal Disorders and their Surgeries, Faculty of Physical Therapy, Cairo University, Cairo, EgyptDepartment of Physical Therapy for Musculoskeletal Disorders and their Surgeries, Faculty of Physical Therapy, Cairo University, Cairo, EgyptDepartment of Orthopedic Surgery, Faculty of Medicine, Cairo University, Cairo, EgyptDepartment of Physical Therapy for Musculoskeletal Disorders and their Surgeries, Faculty of Physical Therapy, Cairo University, Cairo, EgyptIntroduction There is a preponderance of evidence that scapular training improves scapular muscle performance and decreases the clinical symptoms related to subacromial impingement syndrome (SAIS). To investigate if pain severity, functional disability, scapular upward rotation angle, and upper trapezius/serratus anterior (UT/SA) isometric strength ratio at baseline assessment can predict a patient’s response to scapular training in cases of SAIS. Methods A clinical predictive study was performed on forty-five patients, suffering from SAIS, the assessment included pain severity, disability assessment, scapular upward rotation, and the UT/SA isometric strength ratio. Measurements were collected before and after a 4-week intervention program of scapular muscle training and strengthening of the serratus anterior muscle. The sensitivity and specificity of interfering with this procedure were utilized to identify items included in the clinical prediction rule (CPR). Results Excellent results were shown by the area under the receiver operating characteristic curve (ROC curve) with a pain severity of 0.93 (sensitivity 0.9, specificity 0.33), functional disability of 0.94 (sensitivity 0.956, specificity 0.156), and UT/SA isometric strength ratio of 0.9 (sensitivity 0.9, specificity 0.33) and poor results with a scapular upward rotation angle of 0.66 (sensitivity 0.62, specificity 0.36) as static positioning of the scapula was believed not to be adequate in assessing prediction values, and with the upward scapular rotation angle recently being highlighted as not affecting symptoms of SAIS. Conclusions This study revealed that shoulder pain, functional disability, and UT/SA isometric strength ratios potentially serve as predictors of the efficacy of a scapular training program in patients who suffer from SAIS.https://physioquart.awf.wroc.pl/Identifying-patients-with-shoulder-impingement-syndrome-who-improve-with-scapular,186836,0,2.htmlclinical predictionmusculoskeletalrehabilitationrotator cuffscapular trainingshoulder pain |
| spellingShingle | Ahmed M. El Melhat Hager Tarek Khater Mohamed Enas Fawzy Youssef Ahmed Mahmoud Gad Dina Mohamed Ali Al Hamaky Identifying patients with shoulder impingement syndrome who improve with scapular training: a clinical prediction study Physiotherapy Quarterly clinical prediction musculoskeletal rehabilitation rotator cuff scapular training shoulder pain |
| title | Identifying patients with shoulder impingement syndrome who improve with scapular training: a clinical prediction study |
| title_full | Identifying patients with shoulder impingement syndrome who improve with scapular training: a clinical prediction study |
| title_fullStr | Identifying patients with shoulder impingement syndrome who improve with scapular training: a clinical prediction study |
| title_full_unstemmed | Identifying patients with shoulder impingement syndrome who improve with scapular training: a clinical prediction study |
| title_short | Identifying patients with shoulder impingement syndrome who improve with scapular training: a clinical prediction study |
| title_sort | identifying patients with shoulder impingement syndrome who improve with scapular training a clinical prediction study |
| topic | clinical prediction musculoskeletal rehabilitation rotator cuff scapular training shoulder pain |
| url | https://physioquart.awf.wroc.pl/Identifying-patients-with-shoulder-impingement-syndrome-who-improve-with-scapular,186836,0,2.html |
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