Skip to main content
Log in

Clinical Effectiveness of Scapulothoracic Joint Control Training Exercises on Shoulder Joint Dysfunction

  • Original Paper
  • Published:
Cell Biochemistry and Biophysics Aims and scope Submit manuscript

Abstract

The objective of this study was to examine the clinical effectiveness of scapulothoracic joint control training exercises on shoulder joint dysfunction. Forty patients with traumatic shoulder pain and joint dysfunction were randomized into the treatment or control group. Standard rehabilitation interventions included glenohumeral joint mobilization techniques, ultrasound therapy, traditional Chinese medicine, interference current therapy, and other comprehensive interventions. Patients received scapulothoracic joint control training exercises, including active and passive motions of the scapulothoracic joints, peri-joint muscle exercise, and joint stability exercises for 1 month. Patient status was evaluated by Constant–Murley scales before and after the prescribed interventions. The pain conditions, daily activities, range of movement, strength tests and total scores were significantly improved compared to prior treatment. Moreover, improvements in pain, daily activities, scope of activities, and total scores for patients in the treatment group were statistically significant when compared to the control group (P < 0.05). However, there was no inter-group difference in strength testing. The combination of standard rehabilitation interventions and scapulothoracic joint control training exercises are an effective treatment of the shoulder joint dysfunction. Moreover, the pain outcomes, scope of activities, and total scores were better in the treatment group.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Wu, H., Gu, X. D., Chen, Y. C., et al. (2010). Effectiveness of comprehensive rehabilitations on shoulder motor function in elderly patients with rotator cuff injury. Chinese Journal of Physical Medicine and Rehabilitation, 32, 660–661.

    Google Scholar 

  2. Liu, X. H., Guo, X. F., Yu, J., et al. (2010). Influence of systematic rehabilitation on the post-operative efficacy of surgery for calcified supraspinatus tendinitis. Chinese Journal of Physical Medicine and Rehabilitation, 32, 542–544.

    Google Scholar 

  3. Wan, L., & Bian, R. (2013). Interventional effect of sustained translatory intra-articular mobilization technique on shoulder joint dysfunction following rotator cuff injury. Chinese Journal of Rehabilitation Medicine, 28, 1021–1023.

    Google Scholar 

  4. Donatelli, R. A. (2011). Physical therapy of the shoulder (5th ed., pp. 62–67). Las Vegas: Elsevier.

    Google Scholar 

  5. Cioppa-Mosca, J. (2009). Postsurgical rehabilitation guidelines for the orthopedic clinician (1st Edn, pp. 30–41) (Y. Lu et al, Trans.). Tianjin: Tianjin Science and Technology Translation Publishing House.

  6. Wang, Y., Liu, H. Q., Wang, B. B., et al. (2013). Effect of Thera-Band training on the rehabilitation of shoulder dysfunction. Chinese Journal of Rehabilitation Medicine, 28, 751–753.

    Google Scholar 

  7. Constant, C. R., & Murley, A. H. (1987). A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res, 214, 160–164.

    PubMed  Google Scholar 

  8. Constant, C. R., & Murley, A. H. (2007). A clinical method of functional assessment of the shoulder. Arch Phys Med Rehabil, 88, 1452–1464.

    Article  Google Scholar 

  9. Ge, Y. S., & Chen, S. Y. (2007). Shoulder function scoring system: Status quo and prospects. Chinese Journal of Orthopaedics, 27, 786–789.

    Google Scholar 

  10. Kapandji, A. I. (2011). Functional anatomy of bones and joints (6th Edn, pp. 20–68) (D. Y. Gu & K. R. Dai, Trans.). Beijing: People’s Military Medical Press.

  11. Pi, S. B. (2013). Influence of the balance of scapular muscle strength on shoulder joint rehabilitation. Chinese Journal of Rehabilitation Medicine, 28, 782–784.

    Google Scholar 

  12. Hengeveld, E., & Banks, K. (2005). Maitland’s peripheral manipulation (4th ed., pp. 275–356). London: Elsevier.

    Google Scholar 

  13. Wang, X. Q., Zheng, J. J., & Xu, Z. (2012). Mobilization with movement on the secondary frozen shoulder motion. Chinese Journal of Rehabilitation Medicine, 27, 358–360.

    Google Scholar 

  14. Ludewig, P. M., & Cook, T. M. (2002). Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther, 80, 276–291.

    Google Scholar 

  15. Yuan, S. X., Yu, J., & Liu, X. H. (2011). Application of exercise training on the functional recovery in patients with subacromial impingement syndrome. Chinese Journal of Rehabilitation Medicine, 26, 832–837.

    Google Scholar 

  16. Lin, J., Olson, S. L., Hanten, W. P., et al. (2005). Functional activity characteristics of individuals with shoulder dysfunctions. Journal of Electromyography and Kinesiology, 15, 576–586.

    Article  PubMed  Google Scholar 

  17. Michener, L. A., Boardman, N. D., & Pidcoe, P. E. (2005). Scapular muscle tests in subjects with shoulder pain and functional loss: Reliability and construct validity. Phys Ther, 85, 1128–1138.

    PubMed  Google Scholar 

  18. Chopp, J. N., & Dickerson, C. R. (2012). Resolving the contributions of fatigue-induced migration and scapular reorientation on the subacromial space: An orthopaedic geometric simulation analysis. Human Movement Science, 31, 448–460.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Wei Chen.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Zhang, M., Zhou, Jj., Zhang, Ym. et al. Clinical Effectiveness of Scapulothoracic Joint Control Training Exercises on Shoulder Joint Dysfunction. Cell Biochem Biophys 72, 83–87 (2015). https://doi.org/10.1007/s12013-014-0408-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12013-014-0408-4

Keywords

Navigation