Investigation of Scapular Assistant Test Results in Patients with Shoulder Impingement Syndrome and Rotator Cuff Tear: A Clinical Pilot Study

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KESHAVARZ R.; BASHARDOUST TAJALI S.; MIR S.M.; ASHRAFI H.

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Paper Information

Journal: Journal of Paramedical Science and Rehabilitation Year:2017 | Volume:6 | Issue:1 Page(s): 26-38

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Information Journal Paper

Title

Investigation of Scapular Assistant Test Results in Patients with Shoulder Impingement Syndrome and Rotator Cuff Tear: A Clinical Pilot Study

Author(s)

KESHAVARZ R. | BASHARDOUST TAJALI S. | MIR S.M. | ASHRAFI H. | Issue Writer Certificate

Keywords

Scapular dyskinesiaQ1

Scapular assistant testQ1

Shoulder impingement syndromeQ1

Rotator cuff tearQ1

Shoulder pain and disabilityQ1

Abstract

Purpose: Altered scapular kinematics are common disabilities among patients with Shoulder impingement syndrome and/or Rotator cuff tear. The scapular assistance test (SAT) might be a helpful diagnosis tool to identify clinical type of Scapular dyskinesia. The SAT may correct scapular upward rotation and posterior tilt. The aim of this pilot study was to identify the SAT application as a diagnostic tool for type of Scapular dyskinesia and among patients with Shoulder impingement syndrome and Rotator cuff tear. Moreover, another aim was to determine the effect of SAT on the shoulder pain and shoulder range of Abduction. Methods: Seven patients with Shoulder impingement syndrome and seven patients with Rotator cuff tear met the inclusion criteria and included in the study population. An experienced therapist palpated patient's scapula as starting position for the SAT. In the next stage, patient was asked to perform shoulder Abduction and reported any pain or inconvenience during the examination. Meanwhile, the therapist kept upward rotation and posterior tilt of the scapula. The pain level in shoulder (by VAS, Visual Analogue Scale), shoulder range of Abduction, Flexion and scapular plane elevation (by electrogoniometer) and also, shoulder disability (by DASH, Disability of Shoulder and Hand Questionnaire) had been measured during shoulder Abduction and also the SAT performance. The statistical analysis was performed using independent and paired t-test after normal distribution approval. Results: Duration of disease (p=0. 02), night pain (p<0. 001), work part of DASH questionnaire (p=0. 001), initial Abduction ROM (p=0. 02), first scapular elevation ROM (p=0. 009) and pain during the SAT (p=0. 048) have been shown significantly different between patients with Shoulder impingement syndrome and Rotator cuff tear. In patients with Shoulder impingement syndrome, the VAS values have been substantially different through Abduction and the SAT (p=0. 001). Conclusion: Current study depicts that the SAT might be a useful test to diagnose the type of Scapular dyskinesia in patients with Shoulder impingement syndrome. However, the SAT may not be a valuable diagnostic test for patients with Rotator cuff tear.

Cites

Comparison of the Kyphosis Angle, Position, Muscles Strength, and Range of Motion of Shoulders in Volleyball Players With and Without Shoulder Impingement Syndrome

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APA: Copy

KESHAVARZ, R., BASHARDOUST TAJALI, S., MIR, S.M., & ASHRAFI, H.. (2017). Investigation of Scapular Assistant Test Results in Patients with Shoulder Impingement Syndrome and Rotator Cuff Tear: A Clinical Pilot Study. JOURNAL OF PARAMEDICAL SCIENCE AND REHABILITATION (JPSR), 6(1 ), 26-38. SID. https://sid.ir/paper/245413/en

Vancouver: Copy

KESHAVARZ R., BASHARDOUST TAJALI S., MIR S.M., ASHRAFI H.. Investigation of Scapular Assistant Test Results in Patients with Shoulder Impingement Syndrome and Rotator Cuff Tear: A Clinical Pilot Study. JOURNAL OF PARAMEDICAL SCIENCE AND REHABILITATION (JPSR)[Internet]. 2017;6(1 ):26-38. Available from: https://sid.ir/paper/245413/en

IEEE: Copy

R. KESHAVARZ, S. BASHARDOUST TAJALI, S.M. MIR, and H. ASHRAFI, “Investigation of Scapular Assistant Test Results in Patients with Shoulder Impingement Syndrome and Rotator Cuff Tear: A Clinical Pilot Study,” JOURNAL OF PARAMEDICAL SCIENCE AND REHABILITATION (JPSR), vol. 6, no. 1 , pp. 26–38, 2017, [Online]. Available: https://sid.ir/paper/245413/en

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