The association between scapular kinematics and subacromial impingement syndrome: A critical literature review.
Item
- Title
- The association between scapular kinematics and subacromial impingement syndrome: A critical literature review.
- Author(s)
- Konigsberg, Y
- Abstract
- The association between scapular kinematics and Subacromial Impingement Syndrome: A Critical Literature Review Introduction_Subacromial impingement syndrome (SIS) is a common cause of shoulder pathology with a high prevalence in the general population. The inherent complexity and multi-etiological nature of SIS requires that the treating clinician possesses a sound and up to date knowledge of effective evidence based management for resolution of patient's symptoms. As a distinct category in the etiological factors for SIS, aberrant scapular kinematics have received recent attention in the literature with conflicting reports as to their significance. In light of this, the main focus of this review will be to critically analyse the literature to determine the relevance of this etiological factor in the occurrence of subacromial impingement. Methods_Results Alterations in scapular kinematics have been found to decrease the width of the subacromial space. This decrease in width is not necessarily symptomatic amongst individuals. When symptomatic, subacromial space narrowing anifesting as SIS has been associated with scapular kinematic alterations in the motions of scapular elevation, either increasing or decreasing, scapular upward rotation, posterior tilting, and internal rotation. Similar kinematic alterations have been demonstrated in asymptomatic healthy individuals in association with increasing age, hyperkyphosis, and forward head and rounded shoulder posture. Discussion The vast methodological differences amongst studies investigating scapular kinematics in both asymptomatic and impingement populations makes generalization of results difficult. Nonetheless, scapular kinematic alterations have been found to Deem in subgroups of populations suffering from impingement. The inconsistency of findings, along with the presence of kinematic alterations in healthy asymptomatic individuals raises questions as to their clinical significance. Conclusion_Scapular kinematic alterations may be present in subgroups of impingement populations. Their occurrence, however, is inconsistent and varies amongst tudies. At this point in time it is not clear whether these alterations are compensatory or ~ contributory to the development of impingement. Scapular kinematic alterations can conversely exist in individuals asymptomatic of \ pain or impingement. The asymptomatic occurrence of scapular kinematic alterations is commonly associated with muscle weakness, postural changes, and age. Both manual and prescriptive rehabilitation programs aimed at addressing various risk factors of impingement have beneficial effects on pain, shoulder function, posture, and patient satisfaction.
- presented at
- European School of Osteopathy
- Date Accepted
- 2011
- Date Submitted
- 22.1.2013 16:23:35
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 15280
- Inst-Identifier
- 1229
- Keywords
- Scapular kinematics; Sub- acromial impingement syndrome.
- Recommended
- 0
- Item sets
- Thesis
Konigsberg, Y, “The association between scapular kinematics and subacromial impingement syndrome: A critical literature review.”, Osteopathic Research Web, accessed May 2, 2024, https://www.osteopathicresearch.com/s/orw/item/785