Progressive Resistance Exercises plus Manual Therapy Is Effective in Improving Isometric Strength in Overhead Athletes with Shoulder Impingement Syndrome: A Randomized Controlled Trial
Reduction in isometric strength of the scapulohumeral muscles is a commonly seen impairment in overhead athletes afflicted with shoulder impingement syndrome (SIS). The purpose of this study was to compare the effects of two different treatment programs: progressive resistance exercises plus manual...
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| creator | Sharma, Saurabh Ghrouz, Amer K. Hussain, M. Ejaz Sharma, Shalini Aldabbas, Mosab Ansari, Sumbul |
| description | Reduction in isometric strength of the scapulohumeral muscles is a commonly seen impairment in overhead athletes afflicted with shoulder impingement syndrome (SIS). The purpose of this study was to compare the effects of two different treatment programs: progressive resistance exercises plus manual therapy (PRE plus MT) and motor control exercises (MCE), on isometric strength of upper trapezius (UT), middle trapezius (MTr), lower trapezius (LT), serratus anterior (SA), supraspinatus (Supr.), anterior deltoid (A.D), and latissimus dorsi (LD). 80 male university-level overhead athletes clinically diagnosed with SIS were randomly allocated into either of the two groups: PRE plus MT and MCE group. Athletes in the PRE plus MT group underwent graduated exercises with resistance elastic band, stretching exercises, and mobilization of the thoracic and shoulder joints. MCE group was submitted to motor control exercises in varied planar positions. Athletes in both groups underwent management 3 times a week for 8 weeks. Isometric strength of UT, MTr, LT, Supr, A.D, SA, and LD was measured at three-time points: baseline, 4th week, and 8th week. Relative to baseline, both interventions were found to be effective in increasing and optimizing the isometric strength of muscles (p0.05). However, athletes in PRE plus MT group presented a more pronounced increase in isometric strength than those in the MCE group. Between groups analysis found the largest isometric strength improvement in PRE plus MT group for A.D, followed by Supr. and UT muscles (p |
| doi_str_mv | 10.1155/2021/9945775 |
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Ejaz ; Sharma, Shalini ; Aldabbas, Mosab ; Ansari, Sumbul</creator><contributor>Kaya, Defne ; Defne Kaya</contributor><creatorcontrib>Sharma, Saurabh ; Ghrouz, Amer K. ; Hussain, M. Ejaz ; Sharma, Shalini ; Aldabbas, Mosab ; Ansari, Sumbul ; Kaya, Defne ; Defne Kaya</creatorcontrib><description>Reduction in isometric strength of the scapulohumeral muscles is a commonly seen impairment in overhead athletes afflicted with shoulder impingement syndrome (SIS). The purpose of this study was to compare the effects of two different treatment programs: progressive resistance exercises plus manual therapy (PRE plus MT) and motor control exercises (MCE), on isometric strength of upper trapezius (UT), middle trapezius (MTr), lower trapezius (LT), serratus anterior (SA), supraspinatus (Supr.), anterior deltoid (A.D), and latissimus dorsi (LD). 80 male university-level overhead athletes clinically diagnosed with SIS were randomly allocated into either of the two groups: PRE plus MT and MCE group. Athletes in the PRE plus MT group underwent graduated exercises with resistance elastic band, stretching exercises, and mobilization of the thoracic and shoulder joints. MCE group was submitted to motor control exercises in varied planar positions. Athletes in both groups underwent management 3 times a week for 8 weeks. Isometric strength of UT, MTr, LT, Supr, A.D, SA, and LD was measured at three-time points: baseline, 4th week, and 8th week. Relative to baseline, both interventions were found to be effective in increasing and optimizing the isometric strength of muscles (p<0.05) except for supraspinatus in the MCE group (p>0.05). However, athletes in PRE plus MT group presented a more pronounced increase in isometric strength than those in the MCE group. Between groups analysis found the largest isometric strength improvement in PRE plus MT group for A.D, followed by Supr. and UT muscles (p<0.05; effect size: 0.39 to 0.40). The study concluded that compared to MCE, PRE plus MT provides greater improvement in the isometric strength of scapulohumeral muscles.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2021/9945775</identifier><identifier>PMID: 34307681</identifier><language>eng</language><publisher>New York: Hindawi</publisher><subject>Athletes ; Care and treatment ; Clinical trials ; Diagnosis ; Ethics ; Health aspects ; Hypotheses ; Impingement ; Isometric ; Manipulative therapy ; Motor task performance ; Muscles ; Pain ; Patient outcomes ; Physical therapy ; Physiological aspects ; Range of motion ; Risk factors ; Shoulder ; Shoulder injuries ; Therapeutics, Physiological ; Thorax</subject><ispartof>BioMed research international, 2021, Vol.2021 (1), p.9945775-9945775</ispartof><rights>Copyright © 2021 Saurabh Sharma et al.</rights><rights>COPYRIGHT 2021 John Wiley & Sons, Inc.</rights><rights>Copyright © 2021 Saurabh Sharma et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2021 Saurabh Sharma et al. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c453t-982053b50cca6822a909433a8490e20641e998af329cc07af065fc84e522319b3</citedby><cites>FETCH-LOGICAL-c453t-982053b50cca6822a909433a8490e20641e998af329cc07af065fc84e522319b3</cites><orcidid>0000-0002-7091-118X ; 0000-0002-3426-3381 ; 0000-0001-9163-5471 ; 0000-0002-8716-9751 ; 0000-0002-9659-360X ; 0000-0002-0530-3671</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8266437/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8266437/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,4010,27900,27901,27902,53766,53768</link.rule.ids></links><search><contributor>Kaya, Defne</contributor><contributor>Defne Kaya</contributor><creatorcontrib>Sharma, Saurabh</creatorcontrib><creatorcontrib>Ghrouz, Amer K.</creatorcontrib><creatorcontrib>Hussain, M. Ejaz</creatorcontrib><creatorcontrib>Sharma, Shalini</creatorcontrib><creatorcontrib>Aldabbas, Mosab</creatorcontrib><creatorcontrib>Ansari, Sumbul</creatorcontrib><title>Progressive Resistance Exercises plus Manual Therapy Is Effective in Improving Isometric Strength in Overhead Athletes with Shoulder Impingement Syndrome: A Randomized Controlled Trial</title><title>BioMed research international</title><description>Reduction in isometric strength of the scapulohumeral muscles is a commonly seen impairment in overhead athletes afflicted with shoulder impingement syndrome (SIS). The purpose of this study was to compare the effects of two different treatment programs: progressive resistance exercises plus manual therapy (PRE plus MT) and motor control exercises (MCE), on isometric strength of upper trapezius (UT), middle trapezius (MTr), lower trapezius (LT), serratus anterior (SA), supraspinatus (Supr.), anterior deltoid (A.D), and latissimus dorsi (LD). 80 male university-level overhead athletes clinically diagnosed with SIS were randomly allocated into either of the two groups: PRE plus MT and MCE group. Athletes in the PRE plus MT group underwent graduated exercises with resistance elastic band, stretching exercises, and mobilization of the thoracic and shoulder joints. MCE group was submitted to motor control exercises in varied planar positions. Athletes in both groups underwent management 3 times a week for 8 weeks. Isometric strength of UT, MTr, LT, Supr, A.D, SA, and LD was measured at three-time points: baseline, 4th week, and 8th week. Relative to baseline, both interventions were found to be effective in increasing and optimizing the isometric strength of muscles (p<0.05) except for supraspinatus in the MCE group (p>0.05). However, athletes in PRE plus MT group presented a more pronounced increase in isometric strength than those in the MCE group. Between groups analysis found the largest isometric strength improvement in PRE plus MT group for A.D, followed by Supr. and UT muscles (p<0.05; effect size: 0.39 to 0.40). The study concluded that compared to MCE, PRE plus MT provides greater improvement in the isometric strength of scapulohumeral muscles.</description><subject>Athletes</subject><subject>Care and treatment</subject><subject>Clinical trials</subject><subject>Diagnosis</subject><subject>Ethics</subject><subject>Health aspects</subject><subject>Hypotheses</subject><subject>Impingement</subject><subject>Isometric</subject><subject>Manipulative therapy</subject><subject>Motor task performance</subject><subject>Muscles</subject><subject>Pain</subject><subject>Patient outcomes</subject><subject>Physical therapy</subject><subject>Physiological aspects</subject><subject>Range of motion</subject><subject>Risk factors</subject><subject>Shoulder</subject><subject>Shoulder injuries</subject><subject>Therapeutics, Physiological</subject><subject>Thorax</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>BENPR</sourceid><recordid>eNp9ktGKEzEUhgdR3GXdOx8g4I2gdZPJJDPxQiilamFlZVuvQzZzppMlk9Qk07U-mY9nhpYVvTA3OfB_5z9_wimKlwS_I4SxqxKX5EqIitU1e1Kcl5RUM04q8vSxpvSsuIzxHufTEI4Ff16c0YrimjfkvPj1NfhtgBjNHtAtRBOTchrQ8gcEbSJEtLNjRF-UG5VFmx6C2h3QKqJl14FOU5dxaDXsgt8bt82KHyAFo9E6BXDb1E_6zR5CD6pF89RbSNn1wWRl3fvRthCm_twMA7iE1gfXhmzyHs3RrXKtH8xPaNHCuxS8tbncBKPsi-JZp2yEy9N9UXz7uNwsPs-ubz6tFvPrma4YTTPRlJjRO4a1VrwpSyWwqChVTSUwlJhXBIRoVEdLoTWuVYc563RTASvzB4o7elF8OPruxrsBWp0jBmXlLphBhYP0ysi_FWd6ufV72ZScV7TOBq9PBsF_HyEmOZiowVrlwI9RlowxWom6aTL66h_03o_B5edNFCZ1TsT_UFtlQRrX-TxXT6ZyzgVv8mBBMvX2SOngYwzQPUYmWE67I6fdkafdyfibI94b16oH83_6N42Ww90</recordid><startdate>2021</startdate><enddate>2021</enddate><creator>Sharma, Saurabh</creator><creator>Ghrouz, Amer K.</creator><creator>Hussain, M. 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Ejaz</au><au>Sharma, Shalini</au><au>Aldabbas, Mosab</au><au>Ansari, Sumbul</au><au>Kaya, Defne</au><au>Defne Kaya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Progressive Resistance Exercises plus Manual Therapy Is Effective in Improving Isometric Strength in Overhead Athletes with Shoulder Impingement Syndrome: A Randomized Controlled Trial</atitle><jtitle>BioMed research international</jtitle><date>2021</date><risdate>2021</risdate><volume>2021</volume><issue>1</issue><spage>9945775</spage><epage>9945775</epage><pages>9945775-9945775</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>Reduction in isometric strength of the scapulohumeral muscles is a commonly seen impairment in overhead athletes afflicted with shoulder impingement syndrome (SIS). The purpose of this study was to compare the effects of two different treatment programs: progressive resistance exercises plus manual therapy (PRE plus MT) and motor control exercises (MCE), on isometric strength of upper trapezius (UT), middle trapezius (MTr), lower trapezius (LT), serratus anterior (SA), supraspinatus (Supr.), anterior deltoid (A.D), and latissimus dorsi (LD). 80 male university-level overhead athletes clinically diagnosed with SIS were randomly allocated into either of the two groups: PRE plus MT and MCE group. Athletes in the PRE plus MT group underwent graduated exercises with resistance elastic band, stretching exercises, and mobilization of the thoracic and shoulder joints. MCE group was submitted to motor control exercises in varied planar positions. Athletes in both groups underwent management 3 times a week for 8 weeks. Isometric strength of UT, MTr, LT, Supr, A.D, SA, and LD was measured at three-time points: baseline, 4th week, and 8th week. Relative to baseline, both interventions were found to be effective in increasing and optimizing the isometric strength of muscles (p<0.05) except for supraspinatus in the MCE group (p>0.05). However, athletes in PRE plus MT group presented a more pronounced increase in isometric strength than those in the MCE group. Between groups analysis found the largest isometric strength improvement in PRE plus MT group for A.D, followed by Supr. and UT muscles (p<0.05; effect size: 0.39 to 0.40). The study concluded that compared to MCE, PRE plus MT provides greater improvement in the isometric strength of scapulohumeral muscles.</abstract><cop>New York</cop><pub>Hindawi</pub><pmid>34307681</pmid><doi>10.1155/2021/9945775</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-7091-118X</orcidid><orcidid>https://orcid.org/0000-0002-3426-3381</orcidid><orcidid>https://orcid.org/0000-0001-9163-5471</orcidid><orcidid>https://orcid.org/0000-0002-8716-9751</orcidid><orcidid>https://orcid.org/0000-0002-9659-360X</orcidid><orcidid>https://orcid.org/0000-0002-0530-3671</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Wiley-Blackwell Open Access Collection; PubMed Central; Alma/SFX Local Collection; PubMed Central Open Access |
| subjects | Athletes Care and treatment Clinical trials Diagnosis Ethics Health aspects Hypotheses Impingement Isometric Manipulative therapy Motor task performance Muscles Pain Patient outcomes Physical therapy Physiological aspects Range of motion Risk factors Shoulder Shoulder injuries Therapeutics, Physiological Thorax |
| title | Progressive Resistance Exercises plus Manual Therapy Is Effective in Improving Isometric Strength in Overhead Athletes with Shoulder Impingement Syndrome: A Randomized Controlled Trial |
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