Effectiveness of motor control and strengthening exercise on pain, function and the range of motion in patients with shoulder impingement syndrome

Dhrolia Khadija Yakub and Bharath K H

Background: Shoulder impingement syndrome can result in pain, weakness and loss of movement at the shoulder. Shoulder pain, exacerbated by lifting the arm, occurs mainly due to reduction in the subacromial space resulting from inappropriate movement between glenohumeral and scapulothoracic joints (scapular dyskinesis) due to a decreased ability of muscles to control movement, muscle weakness and hypotonia5-9. A recent intervention based on the “Exercise control theory” is an exercise program that emphasizes to correct inappropriate movements at the scapulothoracic joint by correcting muscle imbalance using manual, visual or verbal feedback and strengthening weakened musculature11, 18.
Study Design: Pre and post, experimental and control group study design.
Objectives: The aim of the study was to evaluate the effect of shoulder control and strengthening exercises, on the shoulder function of persons with shoulder impingement.
Methodology: Both groups received conservative therapy for 5 sessions per
week for 3 weeks. The shoulder control and strengthening exercises group practiced additional motor control and strengthening exercises for 30 minutes. Values of the pain, function, and the range of motion were compared with those of the conservative therapy group.
Result: There were significant differences in the amount of change of the pain, function and range of motion between the two groups.
Conclusion: These results suggest that a motor control and strengthening
exercise program is feasible and suitable for individuals with shoulder impingement syndrome.

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DOI: http://dx.doi.org/10.24327/ijcar.2017.6112.0874
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