Cargando…

Effect of Scapular Fixation on Lateral Movement and Scapular Rotation during Glenohumeral Lateral Distraction Mobilisation

Background: Glenohumeral lateral distraction mobilisation (GLDM) is used in patients with shoulder mobility dysfunction. No one has examined the effect of scapular fixation during GLDM. The aim was to measure and compare the lateral movement of the humeral head and the rotational movement of the sca...

Descripción completa

Detalles Bibliográficos
Autores principales: López-de-Celis, Carlos, Caudevilla-Polo, Santos, Pérez-Bellmunt, Albert, González-Rueda, Vanessa, Bueno-Gracia, Elena, Estébanez-de-Miguel, Elena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10341311/
https://www.ncbi.nlm.nih.gov/pubmed/37444663
http://dx.doi.org/10.3390/healthcare11131829
_version_ 1785072232294252544
author López-de-Celis, Carlos
Caudevilla-Polo, Santos
Pérez-Bellmunt, Albert
González-Rueda, Vanessa
Bueno-Gracia, Elena
Estébanez-de-Miguel, Elena
author_facet López-de-Celis, Carlos
Caudevilla-Polo, Santos
Pérez-Bellmunt, Albert
González-Rueda, Vanessa
Bueno-Gracia, Elena
Estébanez-de-Miguel, Elena
author_sort López-de-Celis, Carlos
collection PubMed
description Background: Glenohumeral lateral distraction mobilisation (GLDM) is used in patients with shoulder mobility dysfunction. No one has examined the effect of scapular fixation during GLDM. The aim was to measure and compare the lateral movement of the humeral head and the rotational movement of the scapula when three different magnitudes of forces were applied during GLDM, with and without scapular fixation. Methods: Seventeen volunteers were recruited (n = 25 shoulders). Three magnitudes of GLDM force (low, medium, and high) were applied under fixation and non-fixation scapular conditions in the open-packed position. Lateral movement of the humeral head was assessed with ultrasound, and a universal goniometer assessed scapular rotation. Results: The most significant increase in the distance between the coracoid and the humeral head occurred in the scapular fixation condition at all three high-force magnitudes (3.72 mm; p < 0.001). More significant scapular rotation was observed in the non-scapular fixation condition (12.71°). A difference in scapula rotation (10.1°) was observed between scapular fixation and non-scapular fixation during high-force application. Conclusions: Scapular fixation resulted in more significant lateral movement of the humeral head than in the non-scapular fixation condition during three intensities of GLDM forces. The scapular position did not change during GLDM with the scapular fixation condition.
format Online
Article
Text
id pubmed-10341311
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-103413112023-07-14 Effect of Scapular Fixation on Lateral Movement and Scapular Rotation during Glenohumeral Lateral Distraction Mobilisation López-de-Celis, Carlos Caudevilla-Polo, Santos Pérez-Bellmunt, Albert González-Rueda, Vanessa Bueno-Gracia, Elena Estébanez-de-Miguel, Elena Healthcare (Basel) Article Background: Glenohumeral lateral distraction mobilisation (GLDM) is used in patients with shoulder mobility dysfunction. No one has examined the effect of scapular fixation during GLDM. The aim was to measure and compare the lateral movement of the humeral head and the rotational movement of the scapula when three different magnitudes of forces were applied during GLDM, with and without scapular fixation. Methods: Seventeen volunteers were recruited (n = 25 shoulders). Three magnitudes of GLDM force (low, medium, and high) were applied under fixation and non-fixation scapular conditions in the open-packed position. Lateral movement of the humeral head was assessed with ultrasound, and a universal goniometer assessed scapular rotation. Results: The most significant increase in the distance between the coracoid and the humeral head occurred in the scapular fixation condition at all three high-force magnitudes (3.72 mm; p < 0.001). More significant scapular rotation was observed in the non-scapular fixation condition (12.71°). A difference in scapula rotation (10.1°) was observed between scapular fixation and non-scapular fixation during high-force application. Conclusions: Scapular fixation resulted in more significant lateral movement of the humeral head than in the non-scapular fixation condition during three intensities of GLDM forces. The scapular position did not change during GLDM with the scapular fixation condition. MDPI 2023-06-22 /pmc/articles/PMC10341311/ /pubmed/37444663 http://dx.doi.org/10.3390/healthcare11131829 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 Article
López-de-Celis, Carlos
Caudevilla-Polo, Santos
Pérez-Bellmunt, Albert
González-Rueda, Vanessa
Bueno-Gracia, Elena
Estébanez-de-Miguel, Elena
Effect of Scapular Fixation on Lateral Movement and Scapular Rotation during Glenohumeral Lateral Distraction Mobilisation
title Effect of Scapular Fixation on Lateral Movement and Scapular Rotation during Glenohumeral Lateral Distraction Mobilisation
title_full Effect of Scapular Fixation on Lateral Movement and Scapular Rotation during Glenohumeral Lateral Distraction Mobilisation
title_fullStr Effect of Scapular Fixation on Lateral Movement and Scapular Rotation during Glenohumeral Lateral Distraction Mobilisation
title_full_unstemmed Effect of Scapular Fixation on Lateral Movement and Scapular Rotation during Glenohumeral Lateral Distraction Mobilisation
title_short Effect of Scapular Fixation on Lateral Movement and Scapular Rotation during Glenohumeral Lateral Distraction Mobilisation
title_sort effect of scapular fixation on lateral movement and scapular rotation during glenohumeral lateral distraction mobilisation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10341311/
https://www.ncbi.nlm.nih.gov/pubmed/37444663
http://dx.doi.org/10.3390/healthcare11131829
work_keys_str_mv AT lopezdeceliscarlos effectofscapularfixationonlateralmovementandscapularrotationduringglenohumerallateraldistractionmobilisation
AT caudevillapolosantos effectofscapularfixationonlateralmovementandscapularrotationduringglenohumerallateraldistractionmobilisation
AT perezbellmuntalbert effectofscapularfixationonlateralmovementandscapularrotationduringglenohumerallateraldistractionmobilisation
AT gonzalezruedavanessa effectofscapularfixationonlateralmovementandscapularrotationduringglenohumerallateraldistractionmobilisation
AT buenograciaelena effectofscapularfixationonlateralmovementandscapularrotationduringglenohumerallateraldistractionmobilisation
AT estebanezdemiguelelena effectofscapularfixationonlateralmovementandscapularrotationduringglenohumerallateraldistractionmobilisation