Cell Biochemistry and Biophysics

, Volume 72, Issue 1, pp 83–87 | Cite as

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

  • Ming Zhang
  • Jing-jie Zhou
  • Yu-ming Zhang
  • Ji-hong Wang
  • Qiu-yang Zhang
  • Wei ChenEmail author
Original Paper


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.


Scapula Scapulothoracic joints Control training exercises Shoulder joint 


  1. 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. 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. 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. 4.
    Donatelli, R. A. (2011). Physical therapy of the shoulder (5th ed., pp. 62–67). Las Vegas: Elsevier.Google Scholar
  5. 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.Google Scholar
  6. 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. 7.
    Constant, C. R., & Murley, A. H. (1987). A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res, 214, 160–164.PubMedGoogle Scholar
  8. 8.
    Constant, C. R., & Murley, A. H. (2007). A clinical method of functional assessment of the shoulder. Arch Phys Med Rehabil, 88, 1452–1464.CrossRefGoogle Scholar
  9. 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. 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.Google Scholar
  11. 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. 12.
    Hengeveld, E., & Banks, K. (2005). Maitland’s peripheral manipulation (4th ed., pp. 275–356). London: Elsevier.Google Scholar
  13. 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. 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. 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. 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.PubMedCrossRefGoogle Scholar
  17. 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.PubMedGoogle Scholar
  18. 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.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Ming Zhang
    • 1
  • Jing-jie Zhou
    • 1
  • Yu-ming Zhang
    • 1
  • Ji-hong Wang
    • 1
  • Qiu-yang Zhang
    • 1
  • Wei Chen
    • 1
    Email author
  1. 1.Department of Rehabilitation MedicineXuzhou Central HospitalXuzhouChina

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