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Effectiveness of Therapeutical Interventions on the Scapulothoracic Complex in the Management of Patients with Subacromial Impingement and Frozen Shoulder: A Systematic Review

Shoulder pain is one the most common musculoskeletal complaints. The most common pathological causes of shoulder pain in the general population are subacromial impingement syndrome and adhesive capsulitis, commonly referred to as “frozen shoulder”. The purpose of this study was to evaluate the role...

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Autores principales: Ferlito, Rosario, Testa, Gianluca, McCracken, Kathryn Louise, Moscato, Salvatore, Zerbito, Giovanni Maria, Panvini, Flora Maria Chiara, Blatti, Chiara, Pavone, Vito, Sapienza, Marco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10123708/
https://www.ncbi.nlm.nih.gov/pubmed/37092370
http://dx.doi.org/10.3390/jfmk8020038
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author Ferlito, Rosario
Testa, Gianluca
McCracken, Kathryn Louise
Moscato, Salvatore
Zerbito, Giovanni Maria
Panvini, Flora Maria Chiara
Blatti, Chiara
Pavone, Vito
Sapienza, Marco
author_facet Ferlito, Rosario
Testa, Gianluca
McCracken, Kathryn Louise
Moscato, Salvatore
Zerbito, Giovanni Maria
Panvini, Flora Maria Chiara
Blatti, Chiara
Pavone, Vito
Sapienza, Marco
author_sort Ferlito, Rosario
collection PubMed
description Shoulder pain is one the most common musculoskeletal complaints. The most common pathological causes of shoulder pain in the general population are subacromial impingement syndrome and adhesive capsulitis, commonly referred to as “frozen shoulder”. The purpose of this study was to evaluate the role of the scapulo-thoracic complex, particularly in scapular kinematic functions, in rehabilitative interventions for shoulder pain in patients suffering from these two common conditions. This systematic review was performed using the scientific search engines PubMed, PEDro and Cochrane Library, considering only randomized controlled clinical trials. Selected articles were evaluated according to the level of evidence and methodological quality. Thirteen randomized clinical trials were selected. Interventions have been divided into three macro-categories: (1) manual therapy in patients with subacromial impingement, (2) therapeutic exercise programs including interventions on the scapulothoracic complex in patients with subacromial impingement syndrome, and (3) therapeutic exercise programs including interventions on the scapulothoracic complex in patients with frozen shoulder. Following this, a qualitative analysis was performed according to outcomes such as pain, shoulder function, and scapular kinematics. Physiotherapy exercise programs that included scapular motor control training and scapular mobilizations, in particular, those of the scapulo-thoracic complex in scapular kinematic function, represent valid alternatives in the management of patients with subacromial impingement syndrome.
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spelling pubmed-101237082023-04-25 Effectiveness of Therapeutical Interventions on the Scapulothoracic Complex in the Management of Patients with Subacromial Impingement and Frozen Shoulder: A Systematic Review Ferlito, Rosario Testa, Gianluca McCracken, Kathryn Louise Moscato, Salvatore Zerbito, Giovanni Maria Panvini, Flora Maria Chiara Blatti, Chiara Pavone, Vito Sapienza, Marco J Funct Morphol Kinesiol Review Shoulder pain is one the most common musculoskeletal complaints. The most common pathological causes of shoulder pain in the general population are subacromial impingement syndrome and adhesive capsulitis, commonly referred to as “frozen shoulder”. The purpose of this study was to evaluate the role of the scapulo-thoracic complex, particularly in scapular kinematic functions, in rehabilitative interventions for shoulder pain in patients suffering from these two common conditions. This systematic review was performed using the scientific search engines PubMed, PEDro and Cochrane Library, considering only randomized controlled clinical trials. Selected articles were evaluated according to the level of evidence and methodological quality. Thirteen randomized clinical trials were selected. Interventions have been divided into three macro-categories: (1) manual therapy in patients with subacromial impingement, (2) therapeutic exercise programs including interventions on the scapulothoracic complex in patients with subacromial impingement syndrome, and (3) therapeutic exercise programs including interventions on the scapulothoracic complex in patients with frozen shoulder. Following this, a qualitative analysis was performed according to outcomes such as pain, shoulder function, and scapular kinematics. Physiotherapy exercise programs that included scapular motor control training and scapular mobilizations, in particular, those of the scapulo-thoracic complex in scapular kinematic function, represent valid alternatives in the management of patients with subacromial impingement syndrome. MDPI 2023-03-27 /pmc/articles/PMC10123708/ /pubmed/37092370 http://dx.doi.org/10.3390/jfmk8020038 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Ferlito, Rosario
Testa, Gianluca
McCracken, Kathryn Louise
Moscato, Salvatore
Zerbito, Giovanni Maria
Panvini, Flora Maria Chiara
Blatti, Chiara
Pavone, Vito
Sapienza, Marco
Effectiveness of Therapeutical Interventions on the Scapulothoracic Complex in the Management of Patients with Subacromial Impingement and Frozen Shoulder: A Systematic Review
title Effectiveness of Therapeutical Interventions on the Scapulothoracic Complex in the Management of Patients with Subacromial Impingement and Frozen Shoulder: A Systematic Review
title_full Effectiveness of Therapeutical Interventions on the Scapulothoracic Complex in the Management of Patients with Subacromial Impingement and Frozen Shoulder: A Systematic Review
title_fullStr Effectiveness of Therapeutical Interventions on the Scapulothoracic Complex in the Management of Patients with Subacromial Impingement and Frozen Shoulder: A Systematic Review
title_full_unstemmed Effectiveness of Therapeutical Interventions on the Scapulothoracic Complex in the Management of Patients with Subacromial Impingement and Frozen Shoulder: A Systematic Review
title_short Effectiveness of Therapeutical Interventions on the Scapulothoracic Complex in the Management of Patients with Subacromial Impingement and Frozen Shoulder: A Systematic Review
title_sort effectiveness of therapeutical interventions on the scapulothoracic complex in the management of patients with subacromial impingement and frozen shoulder: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10123708/
https://www.ncbi.nlm.nih.gov/pubmed/37092370
http://dx.doi.org/10.3390/jfmk8020038
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