The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Effect of the Scapular Retraction Exercise on the Subacromial and Costoclavicular Space According to a Thera-Band Resistance Intensity

  • Hyeong-su Lee (Department of Physical Therapy, College of Health Sciences, Sun Moon University) ;
  • Sang-yi Lee (Department of Physical Therapy, College of Health Sciences, Sun Moon University) ;
  • Yeon-ju Choi (Department of Physical Therapy, College of Health Sciences, Sun Moon University) ;
  • Dong-Yeop Lee (Department of Physical Therapy, College of Health Sciences, Sun Moon University) ;
  • Jae-Ho Yu (Department of Physical Therapy, College of Health Sciences, Sun Moon University) ;
  • Jin-Seop Kim (Department of Physical Therapy, College of Health Sciences, Sun Moon University) ;
  • Seung-Gil Kim (Department of Physical Therapy, College of Health Sciences, Sun Moon University) ;
  • Jiheon Hong (Department of Physical Therapy, College of Health Sciences, Sun Moon University)
  • Received : 2023.04.13
  • Accepted : 2023.06.15
  • Published : 2023.06.30
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Abstract

Purpose: This study investigated effect of the scapular retraction exercise on the subacromial and costoclavicular space using different thera-band intensities. Methods: Thirty-six healthy adults participated in this study, and the subjects were randomly divided into three groups (low, moderate, and high-intensity groups). The exercise was conducted twice a week for three weeks. The subacromial and costoclavicular space were measured before and after the intervention via ultrasonography. Data analysis was performed using the two-way Analysis of Variance with repeated measures and the paired t-test. Results: The effect of the scapular retraction exercise on the subacromial and costoclavicular space using a thera-band after a 60° shoulder abduction has significant difference in all groups (p<0.05). However, there was no significant difference between the groups, and the values in the groups before the exercise did not differ significantly from those after the exercise (p>0.05). Conclusion: Our results indicate that the scapular retraction exercise after a 60° shoulder abduction can be used to widen the subacromial and costoclavicular spaces.

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References

  1. Perry J. Normal upper extremity kinesiology. Phys Ther. 1978;58(3):265-78. https://doi.org/10.1093/ptj/58.3.265
  2. Fu FH, Seel MJ, Berger RA. Relevant shoulder biomechanics. Oper Tech Orthop. 1991;1(2):134-46.
  3. Veeger HE, van der Helm FC. Shoulder function: the perfect compromise between mobility and stability. J Biomech. 2007;40(10):2119-29. https://doi.org/10.1016/j.jbiomech.2006.10.016
  4. Levine NA, Rigby BR. Thoracic outlet syndrome: biomechanical and exercise considerations. Healthc. 2018;6(2):68.
  5. Harput G, Guney-Deniz H, Duzgun I et al. Active scapular retraction and acromiohumeral distance at various degrees of shoulder abduction. J Athl Train. 2018;53(6):584-9. https://doi.org/10.4085/1062-6050-318-17
  6. Beirer M, Imhoff AB, Braun S. Impingement-Syndrome der Schulter [Impingement syndromes of the shoulder]. Der Orthopade. 2017;46(4):373-86. https://doi.org/10.1007/s00132-017-3402-x
  7. Desmeules F, Minville L, Riederer B et al. Acromio-humeral distance variation measured by ultrasonography and its association with the outcome of rehabilitation for shoulder impingement syndrome. Clin J Sport Med. 2004;14(4):197-205. https://doi.org/10.1097/00042752-200407000-00002
  8. Camargo PR, Alburquerque-Sendin F, Avila MA et al. Effects of stretching and strengthening exercises, with and without manual therapy, on scapular kinematics, function, and pain in individuals with shoulder impingement: a randomized controlled trial. J Orthop Sports Phys Ther. 2015;45(12):984-97. https://doi.org/10.2519/jospt.2015.5939
  9. Hanratty CE, McVeigh JG, Kerr DP et al. The effectiveness of physiotherapy exercises in subacromial impingement syndrome: a systematic review and meta-analysis. Semin Arthritis Rheum. 2012;42(3):297-316. https://doi.org/10.1016/j.semarthrit.2012.03.015
  10. Nichols AW. Diagnosis and management of thoracic outlet syndrome. Curr Sports Med Rep. 2009;8(5):240-9. https://doi.org/10.1249/JSR.0b013e3181b8556d
  11. Atasoy E. Thoracic outlet syndrome: anatomy. Hand Clin. 2004;20(1), 7-14. https://doi.org/10.1016/S0749-0712(03)00078-7
  12. Demondion X, Herbinet P, Van Sint Jan S et al. Imaaging assessment of thoracic outlet syndrome. Radiographics : a review publication of the radiological society of North America. Inc. 2006;26(6):1735-50. https://doi.org/10.1148/rg.266055079
  13. Huang JH, Zager EL. Thoracic outlet syndrome. Neurosurg. 2004;55(4):897-903. https://doi.org/10.1227/01.NEU.0000137333.04342.4D
  14. Solem-Bertoft E, Thuomas KA, Westerberg CE. The influence of scapular retraction and protraction on the width of the subacromial space: an MRI study. Clin Orthop Relat Res. 93;(296):99-103.
  15. Navarro-Ledesma S, Luque-Suarez A. Comparison of acromiohumeral distance in symptomatic and asymptomatic patient shoulders and those of healthy controls. Clin Biomech. 2018;53:101-6. https://doi.org/10.1016/j.clinbiomech.2018.02.013
  16. Seitz AL., McClure PW, Lynch SS et al. Effects of scapular dyskinesis and scapular assistance test on subacromial space during static arm elevation. J Shoulder Elbow Surg. 2012;21(5):631-40. https://doi.org/10.1016/j.jse.2011.01.008
  17. Novak CB, Mackinnon SE. Repetitive use and static postures: a source of nerve compression and pain. J Hand Ther. 1997;10(2):151-9. https://doi.org/10.1016/S0894-1130(97)80069-5
  18. Watson LA, Pizzari T, Balster S. Thoracic outlet syndrome part 2: conservative management of thoracic outlet. Man ther. 2010;15(4):305-14. https://doi.org/10.1016/j.math.2010.03.002
  19. Azzoni R, Cabitza P, Parrini M. Sonographic evaluation of subacromial space. Ultrasonics. 2004;42(1-9):683-7. https://doi.org/10.1016/j.ultras.2003.11.015
  20. Aloui G, Hammami M, Fathloun M. Effects of an 8-week in-season elastic band training program on explosive muscle performance, change of direction, and repeated changes of direction in the lower limbs of junior male handball players. J Strength Cond. 2019;33(7):1804-15. https://doi.org/10.1519/JSC.0000000000002786
  21. Uchida MC, Nishida MM, Sampaio RA et al. Thera-band elastic band tension: reference values for physical activity. J Phys Ther Sci. 2016;28(4):1266-71. https://doi.org/10.1589/jpts.28.1266
  22. Gillard J, Perez-Cousin M, Hachulla E et al. Diagnosing thoracic outlet syndrome: contribution of provocative tests, ultrasonography, electrophysiology, and helical computed tomography in 48 patients. Jt Bone Spine. 2001;68(5):416-24. https://doi.org/10.1016/S1297-319X(01)00298-6
  23. Demondion X, Vidal C, Herbinet P et al. Ultrasonographic assessment of arterial cross-sectional area in the thoracic outlet on postural maneuvers measured with power Doppler ultrasonography in both asymptomatic and symptomatic populations. J Ultrasound Med. 2006;25(2):217-24. https://doi.org/10.7863/jum.2006.25.2.217
  24. Ramesh, Shubha M, Sowmya M et al. Comparison of ultrasound guided costoclavicular brachial plexus block versus supraclavicular brachial plexus block for forearm and hand surgeries for surgical anaesthesia: a prospective randomised clinical study. Indian J Clin Anaesth. 2018;10(8): 96-101.
  25. Duarte FH, Zerati AE, Gornati VC et al. Normal costoclavicular distance as a standard in the radiological evaluation of thoracic outlet syndrome in the costoclavicular space. Ann Vasc Surg. 2001;72:138-46. https://doi.org/10.1016/j.avsg.2020.09.060
  26. Contemori S, Panichi R, Biscarini. Effects of scapular retraction/protraction position and scapular elevation on shoulder girdle muscle activity during glenohumeral abduction. Hum Mov Sci. 2019;64:55-66. https://doi.org/10.1016/j.humov.2019.01.005
  27. Ryan G, Johnston H, Moreside J. Infraspinatus isolation during external rotation exercise at varying degrees of abduction. J Sport Rehabil. 2018;27(4):334-9. https://doi.org/10.1123/jsr.2016-0217
  28. Escamilla RF, Yamashiro K, Paulos L et al. Shoulder muscle activity and function in common shoulder rehabilitation exercises. Sports Med. 2009;39(8):663-85. https://doi.org/10.2165/00007256-200939080-00004
  29. Bdaiwi AH, Mackenzie TA, Herrington L et al. Acromiohumeral distance during neuromuscular electrical stimulation of the lower trapezius and serratus anterior muscles in healthy participants. J Athl Train. 2015;50(7):713-8. https://doi.org/10.4085/1062-6050-50.4.03
  30. Guney-Deniz H, Harput G, Toprak U et al. Relationship between middle trapezius muscle activation and acromiohumeral distance change during shoulder elevation with scapular retraction. J Sport Rehab. 2019;28(3):266-71. https://doi.org/10.1123/jsr.2018-0131
  31. Lindgren KA. Conservative treatment of thoracic outlet syndrome: a 2-year follow-up. Arch Phys Med Rehabil. 1997;78(4):373-8. https://doi.org/10.1016/S0003-9993(97)90228-8
  32. Porter JM, Rivers SP, Coull BM. Thoracic outlet syndrome: a conservative approach. Vase Diagn Ther. 1982;3:35-42.
  33. Dobrusin R. An osteopathic approach to conservative management of thoracic outlet syndromes. J Am Osteopath Assoc. 1989;89(8):1046-50. https://doi.org/10.1515/jom-1989-890814
  34. Patterson RM, Stegink Jansen CW, Hogan HA et al. Material properties of theraband tubing. Phys Ther. 2001;81(8):1437-45. https://doi.org/10.1093/ptj/81.8.1437
  35. Day ML, McGuigan MR, Brice G et al. Monitoring exercise intensity during resistance training using the session RPE scale. J Strength Cond. 2004;18(2): 353-8. https://doi.org/10.1519/00124278-200405000-00027
  36. Fatouros IG, Kambas A, Katrabasas I et al. Strength training and detraining effects on muscular strength, anaerobic power, and mobility of inactive older men are intensity dependent. Br J Sports Med. 2005;39(10):776-80. https://doi.org/10.1136/bjsm.2005.019117
  37. Lopez P, Radaelli R, Taaffe DR et al. Resistance training load effects on muscle hypertrophy and strength gain: systematic review and network meta-analysis. Med Sci Sports Exerc. 2021;53(6):1206.
  38. Dahlstrom KA, Olinger AB. Descriptive anatomy of the interscalene triangle and the costoclavicular space and their relationship to thoracic outlet syndrome: a study of 60 cadavers. J Manipulative Physiol Ther. 2012;35(5):396-401. https://doi.org/10.1016/j.jmpt.2012.04.017