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Does Scapular Motion Regress with Aging and is It Restricted in Patients with Idiopathic Frozen Shoulder?

PURPOSES: It has been reported that the amount of posterior tilt and upward rotation in scapular motions decreases with aging. The purposes of the current study were to investigate age related scapular motion regression and scapular restriction in patients with idiopathic frozen shoulder (IFS). METH...

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Autores principales: Endo, Kazuhiro, Hamada, Junichiro, Suzuki, Kazuaki, Hagiwara, Yoshihiro, Muraki, Takayuki, Karasuno, Hiroshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bentham Open 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5043449/
https://www.ncbi.nlm.nih.gov/pubmed/27733880
http://dx.doi.org/10.2174/1874325001610010067
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author Endo, Kazuhiro
Hamada, Junichiro
Suzuki, Kazuaki
Hagiwara, Yoshihiro
Muraki, Takayuki
Karasuno, Hiroshi
author_facet Endo, Kazuhiro
Hamada, Junichiro
Suzuki, Kazuaki
Hagiwara, Yoshihiro
Muraki, Takayuki
Karasuno, Hiroshi
author_sort Endo, Kazuhiro
collection PubMed
description PURPOSES: It has been reported that the amount of posterior tilt and upward rotation in scapular motions decreases with aging. The purposes of the current study were to investigate age related scapular motion regression and scapular restriction in patients with idiopathic frozen shoulder (IFS). METHODS: The groups were recruited as follows: two groups of 50 asymptomatic subjects aged in their twenties and fifties, and 56 patients with IFS. We passively moved the scapula toward 8 directions: elevation/depression; upward/downward rotation; external/internal rotation; and anterior/posterior tilt. The grading of scapular motion was ranged from 0 to 3 (3, normal; and 0, severe restriction) and the score for each direction and the total aggregated score for all directions were calculated. RESULTS: Scapular restriction was present in 3 subjects (6%) in the normal 20s group, 10 (14%) in the 50s group, and 51 (91%) in the IFS group. The total score between the normal 20s and 50s groups did not show statistical difference; however, greater significance was present between the normal 50s group and the IFS group (p < 0.01). There was statistical significance in depression (p < 0.01), downward rotation (p < 0.01), and posterior tilt (p < 0.01) among the 3 groups. CONCLUSION: Depression, downward rotation, and posterior tilt substantially regress with aging. Scapular motions towards depression, downward rotation, external rotation, and posterior tilt are severely restricted in the IFS group.
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spelling pubmed-50434492016-10-12 Does Scapular Motion Regress with Aging and is It Restricted in Patients with Idiopathic Frozen Shoulder? Endo, Kazuhiro Hamada, Junichiro Suzuki, Kazuaki Hagiwara, Yoshihiro Muraki, Takayuki Karasuno, Hiroshi Open Orthop J Article PURPOSES: It has been reported that the amount of posterior tilt and upward rotation in scapular motions decreases with aging. The purposes of the current study were to investigate age related scapular motion regression and scapular restriction in patients with idiopathic frozen shoulder (IFS). METHODS: The groups were recruited as follows: two groups of 50 asymptomatic subjects aged in their twenties and fifties, and 56 patients with IFS. We passively moved the scapula toward 8 directions: elevation/depression; upward/downward rotation; external/internal rotation; and anterior/posterior tilt. The grading of scapular motion was ranged from 0 to 3 (3, normal; and 0, severe restriction) and the score for each direction and the total aggregated score for all directions were calculated. RESULTS: Scapular restriction was present in 3 subjects (6%) in the normal 20s group, 10 (14%) in the 50s group, and 51 (91%) in the IFS group. The total score between the normal 20s and 50s groups did not show statistical difference; however, greater significance was present between the normal 50s group and the IFS group (p < 0.01). There was statistical significance in depression (p < 0.01), downward rotation (p < 0.01), and posterior tilt (p < 0.01) among the 3 groups. CONCLUSION: Depression, downward rotation, and posterior tilt substantially regress with aging. Scapular motions towards depression, downward rotation, external rotation, and posterior tilt are severely restricted in the IFS group. Bentham Open 2016-04-06 /pmc/articles/PMC5043449/ /pubmed/27733880 http://dx.doi.org/10.2174/1874325001610010067 Text en © Endo et al.; Licensee Bentham Open. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
spellingShingle Article
Endo, Kazuhiro
Hamada, Junichiro
Suzuki, Kazuaki
Hagiwara, Yoshihiro
Muraki, Takayuki
Karasuno, Hiroshi
Does Scapular Motion Regress with Aging and is It Restricted in Patients with Idiopathic Frozen Shoulder?
title Does Scapular Motion Regress with Aging and is It Restricted in Patients with Idiopathic Frozen Shoulder?
title_full Does Scapular Motion Regress with Aging and is It Restricted in Patients with Idiopathic Frozen Shoulder?
title_fullStr Does Scapular Motion Regress with Aging and is It Restricted in Patients with Idiopathic Frozen Shoulder?
title_full_unstemmed Does Scapular Motion Regress with Aging and is It Restricted in Patients with Idiopathic Frozen Shoulder?
title_short Does Scapular Motion Regress with Aging and is It Restricted in Patients with Idiopathic Frozen Shoulder?
title_sort does scapular motion regress with aging and is it restricted in patients with idiopathic frozen shoulder?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5043449/
https://www.ncbi.nlm.nih.gov/pubmed/27733880
http://dx.doi.org/10.2174/1874325001610010067
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