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Scapular muscle dysfunction associated with subacromial pain syndrome
Birgit Castelein1, Barbara Cagnie1, Ann Cools1
1Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Summary
This review guides clinicians in selecting optimal scapulothoracic exercises for subacromial pain syndrome by detailing muscle activity. It emphasizes integrating knowledge of deeper muscles for effective rehabilitation.
Area of Science:
- Orthopedics
- Sports Medicine
- Physical Therapy
Background:
- Subacromial pain syndrome often involves scapulothoracic dysfunction.
- Current rehabilitation often focuses on superficial muscles, potentially overlooking deeper muscle contributions.
- Understanding muscle activation patterns is crucial for effective exercise selection.
Purpose of the Study:
- To aid clinicians in choosing the most appropriate exercises for subacromial pain syndrome.
- To address scapulothoracic muscle dysfunction in patients with shoulder pain.
- To integrate knowledge of deeper scapulothoracic muscles into exercise selection.
Main Methods:
- A narrative review was conducted.
- Key alterations in scapulothoracic function in subacromial pain patients were summarized.
- Rehabilitation strategies, focusing on scapulothoracic exercises and incorporating deeper muscle activity, were developed.
Main Results:
- The review details specific clinical exercises for scapulothoracic rehabilitation.
- It provides insights into the muscular activity associated with these exercises.
- This information aims to optimize individualized treatment programs.
Conclusions:
- Clinicians can use this review to select the most appropriate exercises based on clinical examination.
- Optimized scapulothoracic training can be achieved by understanding muscle activation.
- Individualized treatment programs are enhanced by considering deeper muscle function.
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