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Effects of scapular upward rotation exercises on alignment of scapula and clavicle and strength of scapular upward rotators in subjects with scapular downward rotation syndrome
Affiliation:1. Department of Physical Therapy, College of Health Science, Sangji University, South Korea;2. Laboratory of Kinetic Ergocise based on Movement Analysis, Department of Physical Therapy, College of Health Science, Yonsei University, Wonju, South Korea;3. The Graduate School, Department of Physical Therapy, Yonsei University, Wonju, South Korea;4. Department of Physical Therapy, College of Tourism & Health, Joongbu University, Chungnam, South Korea;5. Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Gyeongsan, South Korea;1. Department of Physical Therapy, School of Health Science, Mae Fah Luang University, Chiang Rai, 57100, Thailand;2. The Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, 40002, Thailand;1. Applied Kinesiology and Ergonomic Technology Laboratory, Department of Physical Therapy, Graduate School, Yonsei University, Won-ju, Gangwon-do 220-710, Republic of South Korea;2. Department of Physical Therapy, Graduate School, Yonsei University, Won-ju, Republic of South Korea;1. Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University Hospital, Ghent, Belgium;2. Department of Physical Medicine and Orthopedic Surgery, University Hospital, Ghent, Belgium;1. VU University Medical Center, Department of Rehabilitation Medicine, PO Box 7057, 1007 MB Amsterdam, The Netherlands;2. MOVE Research Institute Amsterdam, The Netherlands;3. VU University Medical Center, Department of Orthopaedics, Amsterdam, The Netherlands;4. EMGO Institute for Health and Care Research, Amsterdam, The Netherlands;1. Translational Medicine Program, Department of Medicine, Federal University of Sao Paulo, Sao Paulo, SP, Brazil;2. Research Support, Center for Clinical Outcomes Studies, A.T. Still University, Mesa, AZ;3. School of Kinesiology, Marshall University, Huntington, WV;4. Department of Physical Therapy, Clinical Biomechanics, Orthopedic and Sports Outcomes Research Laboratory, Virginia Commonwealth University, Richmond, VA;5. Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA
Abstract:The purpose of this study was to investigate the effects of a 6-week scapular upward rotation exercise (SURE) on scapular and clavicular alignment and scapular upward rotators strength in subjects with scapular downward rotation syndrome (SDRS). Seventeen volunteer subjects with SDRS were recruited from university populations. The alignment of the scapula and clavicle was measured using radiographic analysis and compared in subjects before and after a 6-week self-SURE program. A hand-held dynamometer was used to measure the strength of the scapular upward rotators. The subjects were instructed how to perform the self-SURE program at home. The 6-week self-SURE program was divided into two sections (the first section with non-resistive SURE during weeks 1–3, and the second section with resistive SURE using thera-band during weeks 4–6). The significance of the difference between pre- and post-program was assessed using a paired t-test, with the level of statistical significance set at p < 0.05. Significant differences between pre- and post-program were found for scapular and clavicular alignment (p < 0.05). Additionally, the comparison between pre- and post-program measurements of the strength of the scapular upward rotators showed significant differences (p < 0.05). The results of this study showed that a 6-week self-SURE program is effective for improving scapular and clavicular alignment and increasing the strength of scapular upward rotator muscles in subjects with SDRS.
Keywords:Scapular upward rotation exercise  Scapular downward rotation syndrome
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