DOI QR코드

DOI QR Code

봉우리밑충돌증후군 환자의 날개 어깨뼈 평가에 대한 신뢰도 검사 및 날개 어깨뼈와 어깨뼈 안정성에 대한 상관성 연구

Reliability Test for Winged Scapula and Correlation between Winged Scapula and Scapular Stability in Patients with Subacromial Impingement Syndrome

  • 김영훈 (부경대학교 해양스포츠학과) ;
  • 김태규 (부경대학교 해양스포츠학과) ;
  • 김수용 (양산부산대학교병원 물리치료실)
  • Kim, Young-Hoon (Department of Marine Sports, Pukyong National University) ;
  • Kim, Tae-Gyu (Department of Marine Sports, Pukyong National University) ;
  • Kim, Soo-Yong (Department of Physical Therapy, Pusan National University Yangsan Hospital)
  • 투고 : 2022.11.05
  • 심사 : 2022.12.06
  • 발행 : 2022.12.31

초록

Purpose: This study investigated the differences in winged scapula between the symptomatic side and asymptomatic side, the reliability of the winged scapula test, and the correlation between winged scapula and the stability of the scapula in patients with subacromial impingement syndrome. Methods: Twenty-four patients with unilateral subacromial impingement syndrome participated in this study. Winged scapula was compared between the symptomatic and asymptomatic sides using a scapulometer. The reliability of the scapulometer was assessed by calculating the intraclass correlation coefficient (ICC), standard error of measurement (SEM), and minimal clinically important difference (MCID). The correlation between winged scapula and the results of the upper quarter Y-balance test were also obtained. Conclusion: Winged scapula was significantly greater on the symptomatic side compared with the asymptomatic side (p < 0.05). High to excellent ICCs were obtained for the winged scapula test, and SEM and MCID values were obtained for winged scapula (SEM: 0.2-0.3 cm, MCID: 0.6-0.8 cm); however, winged scapula and the results of the upper quarter Y-balance test were not correlated. Conclusion: The scapulometer is useful for measuring winged scapula in patients with subacromial impingement syndrome.

키워드

과제정보

This work was supported by a Research Grant from Pukyong National University (2021)

참고문헌

  1. An DI, Park JE, Lee CH, et al. Reliability of scapular upward rotation and anterior-posterior tilt measurements using a modified digital inclinometer in patients with subacromial impingement syndrome. Journal of Back and Musculoskeletal Rehabilitation. 2021;34:837-843. https://doi.org/10.3233/BMR-200080
  2. Borstad JD, Ludewig PM. The effect of long versus short pectoralis minor resting length on scapular kinematics in healthy individuals. Journal of Orthopaedic and Sports Physical Therapy. 2005;35(4):227-238. https://doi.org/10.2519/jospt.2005.35.4.227
  3. Cook G. Movement: functional movement system: screening, assessment, corrective strategies. Aptos. On Target Publication. 2010.
  4. Didesch JT, Tang P. Anatomy, etiology, and management of scapular winging. Journal of Hand Surgery. 2019;44(4):321-330. https://doi.org/10.1016/j.jhsa.2018.08.008
  5. DiMattia MA, Livengood AL, Uhl TL, et al. What are the validity of the single-leg-squat test and its relationship to hip-abduction strength. Journal of Sport Rehabilitation. 2005;14(2):108-123. https://doi.org/10.1123/jsr.14.2.108
  6. Edouard P, Samozino P, Julia M, et al.. Reliability of isokinetic assessment of shoulder-rotator strength: A Systematic review of the effect of position. Journal of Sport Rehabilitation. 2011;20(3):367-383. https://doi.org/10.1123/jsr.20.3.367
  7. Elders LA, Van der Meche FG, Burdorf A. Serratus anterior paralysis as an occupational injury in scaffolders: Two case reports. American Journal of Industrial Medicine. 2001;40(6):710-713. https://doi.org/10.1002/ajim.10021
  8. Gorman PP, Butler RJ, Plisky PJ, et al. Upper quarter Y balance test: reliability and performance comparison between genders in active adults. Journal of Strength & Conditioning Research. 2012;26(11):3043-3048. https://doi.org/10.1519/jsc.0b013e3182472fdb
  9. Impellizzeri FM, Bizzini M, Rampinini E et al. Reproducibility of isokinetic strength imbalance ratios measured using the Cybex NORM dynamometer. Clinical Physiology and Functional Imaging. 2008;28(2):113-119. https://doi.org/10.1111/j.1475-097X.2007.00786.x
  10. Kachingwe AF, Phillips B, Sletten E. et al. Comparison of manual therapy techniques with therapeutic exercise in the treatment of shoulder impingement: A randomized controlled pilot clinical trial. Journal of Manual & Manipulative Therapy. 2008;16(4):238-247. https://doi.org/10.1179/106698108790818314
  11. Lewis JS, Wright C, Green A. Subacromial impingement syndrome: the effect of changing posture on shoulder range of movement. Journal of Orthopaedic and Sports Physical Therapy. 2005;35(2):72-87. https://doi.org/10.2519/jospt.2005.35.2.72
  12. Lewis L, Green A, Reichard Z, et al. Scapular position: the validity of skin surface palpation. Manual Therapy. 2002;7(1):26-30. https://doi.org/10.1054/math.2001.0405
  13. Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Physical Therapy. 2000;80(3):276-291. https://doi.org/10.1093/ptj/80.3.276
  14. Lukasiewicz, PM, Cook TM, Michener L, et al. Comparison of three-dimensional scapula position and orientation between subjects with and without shoulder impingement. Journal of Orthopaedic and Sports Physical Therapy. 1999;29(10):574-586. https://doi.org/10.2519/jospt.1999.29.10.574
  15. Martin RM, Fish DE. Scapular winging: anatomical review, diagnosis, and treatments. Current Reviews in Musculoskeletal Medicine. 2008;1(1):1-11. https://doi.org/10.1007/s12178-007-9000-5
  16. Michener LA, McClure PW, Karduna AR. Anatomical and biomechanical mechanisms of subacromial impingement syndrome. Clinical Biomechanics (Bristol, Avon). 2003;18(5):369-379. https://doi.org/10.1016/S0268-0033(03)00047-0
  17. Munro BH, Visintainer MA, Page EB. Statistical methods for health care research. Philadelphia. JB Lippincott. 1986.
  18. Neer CS, Welsh RP : The shoulder in sports. Orthopedic Clinics of North America. 1977;8(3):583-591. https://doi.org/10.1016/S0030-5898(20)30678-7
  19. Noerdlinger MA, Cole BJ, Stewart M, et al. Results of pectoralis major transfer with fascia lata autograft augmentation for scapula winging. Journal of Shoulder and Elbow Surgery. 2002;11(4):345-350. https://doi.org/10.1067/mse.2002.124525
  20. Oakes MJ, Sherwood DL. An isolated long thoracic nerve injury in a Navy Airman. Military Medicine. 2004;169(9):713-715. https://doi.org/10.7205/MILMED.169.9.713
  21. Oh JS, Kang MH, Dvir Z. Reproducibility of isometric shoulder protraction and retraction strength measurements in normal subjects and individuals with winged scapula. Journal of Shoulder and Elbow Surgery. 2016;25(11):1816-1823. https://doi.org/10.1016/j.jse.2016.03.001
  22. Plafcan DM, Turczny PJ, Guenin BA, et al. An objective measurement technique for posterior scapula displacement. Journal of Orthopaedic and Sports Physical Therapy. 1997;25(5):336-341. https://doi.org/10.2519/jospt.1997.25.5.336
  23. Warner JJ, Micheli LJ, Arslanian LE, et al. Scapulothoracic motion in normal shoulders and shoulders with glenohumeral instability and impingement syndrome: A study using Moire topographic analysis. Clinical Orthopaedics and Related Research. 1992;285:191-199.
  24. Weon JH, Kwon OY, Cynn HS, et al: Real-time visual feedback can be used to activate scapula upward rotators in people with scapula wining: an experimental study. Journal of Physiotherapy. 2011;57(2):101-107. https://doi.org/10.1016/S1836-9553(11)70020-0