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Identifying patients with shoulder impingement syndrome who improve with scapular training: a clinical prediction study
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Tytuł: Identifying patients with shoulder impingement syndrome who improve with scapular training: a clinical prediction study

Autor:

El Melhat, Ahmed M. ; Khater Mohamed, Hager Tarek ; Youssef, Enas Fawzy ; Gad, Ahmed Mahmoud ; Ali Al Hamaky, Dina Mohamed

Abstrakt:

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 iso-metric strength ratio of 0.9 (sensitivity 0.9, specificity 0.33) and poor results with a scapular upward rotation angle of 0.66 (sensi-tivity 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.

Wydawca:

Wydawnictwo Akademii Wychowania Fizycznego im. Polskich Olimpijczyków we Wrocławiu

Miejsce wydania:

Wrocław

Data wydania:

2025

Typ zasobu:

artykuł

Identyfikator zasobu:

oai:dbc.wroc.pl:136003

Język:

ang

Powiązania:

Physiotherapy Quarterly ; Physiotherapy Quarterly,2025,vol.33,nr1

Prawa:

Wszystkie prawa zastrzeżone (Copyright)

Prawa dostępu:

Dla wszystkich zgodnie z licencją

Licencja:

CC BY-NC-ND 4.0

Właściciel praw:

Wydawnictwo Akademii Wychowania Fizycznego im. Polskich Olimpijczyków we Wrocławiu

Temat i słowa kluczowe:

clinical prediction musculoskeletal rehabilitation rotator cuff scapular training shoulder pain

Kolekcje, do których przypisany jest obiekt:

Data ostatniej modyfikacji:

23 lip 2025

Data dodania obiektu:

27 maj 2025

Liczba wyświetleń treści obiektu:

78

Wszystkie dostępne wersje tego obiektu:

https://www.dbc.wroc.pl/publication/174803

Wyświetl opis w formacie RDF:

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Wyświetl opis w formacie OAI-PMH:

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Nazwa wydania Data
Identifying patients with shoulder impingement syndrome who improve with scapular training: a clinical prediction study 23 lip 2025

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