అనువాద వైద్యం
అందరికి ప్రవేశం

నైరూప్య

Effect of Scapular Stabilisation Exercises for Type 2 Scapular Dyskinesis in Subjects with Shoulder Impingement

Pradeep Shankar*, Prabhakaran Jayaprakasan, Renuka Devi

Background and Objective: Altered scapular motion and position have been termed Scapular Dyskinesis. In Type 2 Scapula Dyskinesis, visual prominence of entire medial border of scapula occurs due to weakness of the muscle serratus anterior and tightness of posterior capsule results in reductions in both glenohumeral flexion , abduction, resulting in decreased acromial elevation and Secondary impingement. Rehabilitation generally begins and focused on axio humeral and scapula humeral than axio scapula muscle. Early application of closed kinetic exercise approach on scapular stabilization and its effect of application on scapula dyskinesis type 2 is not know. The study was proposed to find the effect of scapula stabilization exercise for type 2 Scapula Dyskinesis in subjects with shoulder impingement.

Method: An Experimental study design, 7 male patients with mean age 37 years diagnosed with Shoulder impingement associated with Type 2 scapula dyskinesis were taken into the study. Protocol include closed kinematic chain exercise (scapula clock), Black burn exercise, Sleepers stretch, and theraband exercise aim to balance force couple of upper,lower trapezius and serratus anterior. Duration of intervention was 3 sessions per week for 2 weeks. Outcome measurements such as Lateral scapular slide test and SPADI were measured pre and post after 2 weeks of protocol.

Results: Analysis using Paired ‘t’ test as a parametric test found that there is statistically significant difference p<0.000 when pre to post interventions means were compared within the groups showing significant improvement in post SPADI and lateral scapular slide test.

Conclusion: It is concluded that Scapula stabilization exercise protocol found to be effective in Scapula type 2 Dyskinesis.