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Düzenli Egzersizin Omuz Ağrısı ve Skapular Endurans Üzerine Etkisi

Year 2025, Volume: 9 Issue: 2, 195 - 202, 08.08.2025
https://doi.org/10.46332/aemj.1433915

Abstract

Amaç: Serratus Anterior ve Trapezius kasları, skapulotorasik eklemin en önemli stabilizatörlerdir. Bu kasların yetersiz enduransı, nöromusküler performansta azalmaya neden olabilir. Bu çalışmanın amacı, genç bireylerde düzenli egzersizin skapular kas enduransı ve omuz ağrısı üzerindeki etkilerini incelemektir.
Araçlar ve Yöntem: Bu çalışma prospektif kontrollü bir çalışma olarak tasarlanmıştır. Katılımcıların klinik ve sosyodemografik özellikleri oluşturulan sosyodemografik veriler formuyla, skapular kas enduransı Skapular Kassal Endurans testi ile ve omuz ağrısı şiddeti Visual Analog Skalası ile değerlendirildi.
Bulgular: Çalışmaya düzenli egzersiz yapan 100 katılımcı (38 kadın, yaş ortalaması 21.37±0.23 yıl) ve sedanter yaşayan 100 katılımcı (55 kadın, yaş ortalaması 21.21±0.20 yıl) dahil edildi. Katılımcılar, ağrısı olan ve olmayan olarak gruplara ayrıldı. Skapular endurans değerleri, ağrısı olan ve olmayan sedanter grup ile düzenli egzersiz yapan grup arasında karşılaştırıldı. Tüm gruplarda Skapular kassal endurans değerleri, düzenli egzersiz yapan grupta anlamlı derecede yüksek bulundu (p<0.001). Ancak, omuz ağrısı skorları açısından gruplar arasında anlamlı bir farklılık saptanmadı (p>0.05).
Sonuç: Hem düzenli egzersiz yapmanın öneminin vurgulanması hem de ileri yaşlarda yaşanabilecek omuz problemlerinin önlenmesi açısından erken yaşlardan itibaren düzenli egzersiz farkındalığı arttırılmalıdır.

References

  • 1. Lim H. Comparison of Activity in Scapular Stabilizing Muscles during Knee Push-Up Plus and Modified Vojta’s 3-Point Support Exercises. Healthcare. 2021;9(12):1636.
  • 2. Hotta GH, Alaiti RK, Ribeiro DC, McQuade KJ, Oliveira AS. Causal mechanisms of a scapular stabilization intervention for patients with subacromial pain syndrome: a secondary analysis of a randomized controlled trial. Arch. Physiother. 2022;12(1):13.
  • 3. Horobeanu, C., Croisier, J. L., Forthomme, B., & Louis Croisier, J. Shoulder Muscular Fatigue: Application, Assessment and Clinical Implications. EpSBS. 2019;55:67-75.
  • 4. Antunes A, Carnide F, Matias R. Real-time kinematic biofeedback improves scapulothoracic control and performance during scapular-focused exercises:A single-blind randomized controlled laboratory study. Hum Mov Sci. 2016;48:44-53.
  • 5. Atta RM, Ata HK, Aneis M, Diab AA. Correlation between scapular muscle endurance and core muscle endurance in subject with chronic shoulder pain. J Adv Multidiscip Res. 2018;5(10):4157-4161.
  • 6. Yuksel, Ertugrul, and Sevgi Sevi Yesilyaprak. "Scapular stabilization exercise training improves treatment effectiveness on shoulder pain, scapular dyskinesis, muscle strength, and function in patients with subacromial pain syndrome: A randomized controlled trial." J Bodyw Mov Ther. 2024;37:101-108.
  • 7. Camargo PR, Neumann DA. Kinesiologic considerations for targeting activation of scapulothoracic muscles - part 2: trapezius. Braz J Phys Ther. 2019;23(6):467-475.
  • 8. Naidoo RN, Haq SA. Occupational use syndromes. Best Pract Res Clin Rheumatol. 2008;22(4):677-691.
  • 9. Sluka KA, O'Donnell JM, Danielson J, Rasmussen LA. Regular physical activity prevents development of chronic pain and activation of central neurons. J Appl Physiol. 2013;114(6):725-773.
  • 10. Barrett E, Hayes A, Kelleher M, et al. Exploring patient experiences of participating in a group exercise class for the management of nonspecific shoulder pain. Physiother Theory Pract. 2018;34(6):464-471.
  • 11. Boonstra AM, Schiphorst Preuper HR, Balk GA, Stewart RE. Cut-off points for mild, moderate, and severe pain on the visual analogue scale for pain in patients with chronic musculoskeletal pain. Pain. 2014;155(12):2545-2550.
  • 12. Lowe BD, Weir P, Andrews D. Observation-based posture assessment: A review of current practice and recommendations for improvement . National Institute for Occupational Safety and Health, DHHS (NIOSH) Publication. 2014.
  • 13. Konrad A. The ABC of EMG: A Practical Introduction to Kinesiological Electromyography. Version 1.0. Scottsdale, AZ: Noraxon INC. 2005.
  • 14. Hislop HJ, Montgomery J. Daniels and Worthingham’s Muscle Testing: Techniques of Manual Examination. 7th ed. Philadelphia: Elsevier; 2002.
  • 15. Edmondston SJ, Wallumrød ME, Macléid F, Kvamme LS, Joebges S, Brabham GC. Reliability of isometric muscle endurance tests in subjects with postural neck pain. J Manipulative Physiol Ther. 2008;31(5):348-354.
  • 16. Hernandez-Lucas P, Leirós-Rodríguez R, Lopez-Barreiro J, García-Soidán JL. Effects of exercise therapy using elastic bands on strength and pain in women with non-specific neck pain: A randomised controlled trial. Heliyon. 2023;9(11):22237.
  • 17. Pawar A, Solanki C. (2023). Effect of rhythmic stabilization exercises on pain, scapular muscle strength and scapular position in type 1 scapular dyskinesis among elite badminton players: An interventional study. Int. J. Phys. Educ. Sport. Health. 2023;10(2):417-425.
  • 18. Brown M, Evans R. Long-term benefits of consistent training in non-elite athletes. Int J Sports Sci. 2022;40(7): 845-860.
  • 19. Klich S, Kawczyński A, Pietraszewski, B, et al. Electromyographic evaluation of the shoulder muscle after a fatiguing isokinetic protocol in recreational overhead athletes. IJERPH. 2021;18(5):2516.
  • 20. Sozlu U, Basar S, Kanatli U. Scapular muscle endurance, shoulder pain, and functionality in patients with rotator-cuff-related shoulder pain: a matched, case-control study. Clin Shoulder Elb. 2024:27(1);52-58.
  • 21. Cavedon V, Milanese C, Laginestra FG, et al. Bone and skeletal muscle changes in oldest-old women: The role of physical inactivity. Aging Clin Exp Res. 2020;32:207-214.
  • 22. Souweine JS, Kuster N, Chenine L, et al. Physical inactivity and protein energy wasting play independent roles in muscle weakness in maintenance haemodialysis patients. PLoS One. 2018;13(8):0200061.
  • 23. Sluka, KA, O'Donnell JM, Danielson J, Rasmussen LA. Regular physical activity prevents development of chronic pain and activation of central neurons. J. Appl. Physiol. 2013;114(6):725-733.
  • 24. D'Onofrio G, Kirschner J, Prather H, Goldman D, Rozanski A. Musculoskeletal exercise: Its role in promoting health and longevity. Prog. Cardiovasc. Dis. 2023;77:25-36.
  • 25. Luo SL, Shih YF, Lin JJ, Lin YL. Scapula-Focused Exercises with or Without Biofeedback and Corticospinal Excitability in Recreational Overhead Athletes with Shoulder Impingement. J. Athl. Train. 2024;59(6):617-626.
  • 26. Dos Santos C, Jones MA, Matias R. Short-and long-term effects of a scapular-focused exercise protocol for patients with shoulder dysfunctions-a prospective cohort. Sensors. 2021;21(8):2888.
  • 27. Bourne DA, Choo AM, Regan WD, MacIntyre DL, Oxland TR. Three-dimensional rotation of the scapula during functional movements: an in vivo study in healthy volunteers. JSES. 2007;16(2):150-162.
  • 28. Cools AM, Geerooms E, Van den Berghe DF, Cambier DC, Witvrouw EE. Isokinetic scapular muscle performance in young elite gymnasts. J Athl Train. 2007;42(4): 458-463.
  • 29. Saini P, Singh DK, Reddy TO, Singh V. Effects of Various Gymnastic Exercises on Selected Motor Fitness Components of School Students. IJFMR. 2023;5(3):1-9.
  • 30. Karaağaç A, Arslan SA, Keskin ED. Assessment of pain, scapulothoracic muscle strength, endurance and scapular dyskinesis in individuals with and without nonspecific chronic neck pain: A cross-sectional study. J Bodyw Mov Ther. 2023;35:261-267.
  • 31. Lewis J, McCreesh K, Roy JS, Ginn K. Rotator Cuff Tendinopathy: Navigating the Diagnosis-Management Conundrum. J Orthop Sports Phys Ther. 2015;45(11):923-937.
  • 32. Longo UG, Risi Ambrogioni L, Berton A, et al. Scapular Dyskinesis: From Basic Science to Ultimate Treatment. Int J Environ Res Public Health. 2020;17(8):2974.
  • 33. Auvinen J, Tammelin T, Taimela S, Zitting P, Karppinen J. Neck and shoulder pains in relation to physical activity and sedentary activities in adolescence. Spine (Phila Pa 1976). 2007;32(9):1038-1044.
  • 34. Naugle KM, Riley JL 3rd. Self-reported physical activity predicts pain inhibitory and facilitatory function. Med Sci Sports Exerc. 2014;46(3):622-629.
  • 35. Tomporowski PD, Pesce C. Exercise, sports, and performance arts benefit cognition via a common process. Psychol Bull. 2019;145(9):929-951.
  • 36. Donald AN, Paula RC. Kinesiologic considerations for targeting activation of scapulothoracic muscles-part 1: serratus anterior. BJPT. 2019;23(6):459-466.
  • 37. Zacharakis AM, Zanelli LM, Watkins HR, et al. What is the evidence for the effectiveness of scapulothoracic strengthening exercises in individuals with neck pain: A systematic review. Internet J Allied Health Sci Pract. 2020;20(1):1-8.

The Effect of Regular Exercising on Shoulder Pain and Scapular Endurance

Year 2025, Volume: 9 Issue: 2, 195 - 202, 08.08.2025
https://doi.org/10.46332/aemj.1433915

Abstract

Purpose: Serratus Anterior and Trapezius muscles are the most important stabilizers of the scapulothoracic joint. Inadequate endurance of these muscles plays a crucial role in reduced neuromuscular performance. The aim of this study was to investigate the effects of regular exercise on scapular muscle endurance and shoulder pain in young individuals.
Methods: This study was designed as a prospective controlled study. Participants' clinical and socio-demographic characteristics were documented, the Scapular Muscular Endurance (SME) test was employed to evaluate scapular muscle endurance, and shoulder pain was assessed using the Visual Analogue Scale.
Results: One hundred participants exercising regularly (38 females, mean age 21.37±0.23 years) and 100 sedentary participants (55 females, mean age 21.21±0.20 years) were included. Participants were divided into two groups: those who had pain and those who did not. Scapular endurance of the regular exercising group and the sedentary group with pain and without pain was compared. In all groups, SME was found to be higher in favour of the regularly exercising group (p<0.001). The groups were not shown significant in terms of shoulder pain (p > 0.05).
Conclusions: Awareness of exercising regularly from the young ages should be raised for both to emphasize the importance of exercising regularly and to prevent shoulder problems that may occur in the following ages.

References

  • 1. Lim H. Comparison of Activity in Scapular Stabilizing Muscles during Knee Push-Up Plus and Modified Vojta’s 3-Point Support Exercises. Healthcare. 2021;9(12):1636.
  • 2. Hotta GH, Alaiti RK, Ribeiro DC, McQuade KJ, Oliveira AS. Causal mechanisms of a scapular stabilization intervention for patients with subacromial pain syndrome: a secondary analysis of a randomized controlled trial. Arch. Physiother. 2022;12(1):13.
  • 3. Horobeanu, C., Croisier, J. L., Forthomme, B., & Louis Croisier, J. Shoulder Muscular Fatigue: Application, Assessment and Clinical Implications. EpSBS. 2019;55:67-75.
  • 4. Antunes A, Carnide F, Matias R. Real-time kinematic biofeedback improves scapulothoracic control and performance during scapular-focused exercises:A single-blind randomized controlled laboratory study. Hum Mov Sci. 2016;48:44-53.
  • 5. Atta RM, Ata HK, Aneis M, Diab AA. Correlation between scapular muscle endurance and core muscle endurance in subject with chronic shoulder pain. J Adv Multidiscip Res. 2018;5(10):4157-4161.
  • 6. Yuksel, Ertugrul, and Sevgi Sevi Yesilyaprak. "Scapular stabilization exercise training improves treatment effectiveness on shoulder pain, scapular dyskinesis, muscle strength, and function in patients with subacromial pain syndrome: A randomized controlled trial." J Bodyw Mov Ther. 2024;37:101-108.
  • 7. Camargo PR, Neumann DA. Kinesiologic considerations for targeting activation of scapulothoracic muscles - part 2: trapezius. Braz J Phys Ther. 2019;23(6):467-475.
  • 8. Naidoo RN, Haq SA. Occupational use syndromes. Best Pract Res Clin Rheumatol. 2008;22(4):677-691.
  • 9. Sluka KA, O'Donnell JM, Danielson J, Rasmussen LA. Regular physical activity prevents development of chronic pain and activation of central neurons. J Appl Physiol. 2013;114(6):725-773.
  • 10. Barrett E, Hayes A, Kelleher M, et al. Exploring patient experiences of participating in a group exercise class for the management of nonspecific shoulder pain. Physiother Theory Pract. 2018;34(6):464-471.
  • 11. Boonstra AM, Schiphorst Preuper HR, Balk GA, Stewart RE. Cut-off points for mild, moderate, and severe pain on the visual analogue scale for pain in patients with chronic musculoskeletal pain. Pain. 2014;155(12):2545-2550.
  • 12. Lowe BD, Weir P, Andrews D. Observation-based posture assessment: A review of current practice and recommendations for improvement . National Institute for Occupational Safety and Health, DHHS (NIOSH) Publication. 2014.
  • 13. Konrad A. The ABC of EMG: A Practical Introduction to Kinesiological Electromyography. Version 1.0. Scottsdale, AZ: Noraxon INC. 2005.
  • 14. Hislop HJ, Montgomery J. Daniels and Worthingham’s Muscle Testing: Techniques of Manual Examination. 7th ed. Philadelphia: Elsevier; 2002.
  • 15. Edmondston SJ, Wallumrød ME, Macléid F, Kvamme LS, Joebges S, Brabham GC. Reliability of isometric muscle endurance tests in subjects with postural neck pain. J Manipulative Physiol Ther. 2008;31(5):348-354.
  • 16. Hernandez-Lucas P, Leirós-Rodríguez R, Lopez-Barreiro J, García-Soidán JL. Effects of exercise therapy using elastic bands on strength and pain in women with non-specific neck pain: A randomised controlled trial. Heliyon. 2023;9(11):22237.
  • 17. Pawar A, Solanki C. (2023). Effect of rhythmic stabilization exercises on pain, scapular muscle strength and scapular position in type 1 scapular dyskinesis among elite badminton players: An interventional study. Int. J. Phys. Educ. Sport. Health. 2023;10(2):417-425.
  • 18. Brown M, Evans R. Long-term benefits of consistent training in non-elite athletes. Int J Sports Sci. 2022;40(7): 845-860.
  • 19. Klich S, Kawczyński A, Pietraszewski, B, et al. Electromyographic evaluation of the shoulder muscle after a fatiguing isokinetic protocol in recreational overhead athletes. IJERPH. 2021;18(5):2516.
  • 20. Sozlu U, Basar S, Kanatli U. Scapular muscle endurance, shoulder pain, and functionality in patients with rotator-cuff-related shoulder pain: a matched, case-control study. Clin Shoulder Elb. 2024:27(1);52-58.
  • 21. Cavedon V, Milanese C, Laginestra FG, et al. Bone and skeletal muscle changes in oldest-old women: The role of physical inactivity. Aging Clin Exp Res. 2020;32:207-214.
  • 22. Souweine JS, Kuster N, Chenine L, et al. Physical inactivity and protein energy wasting play independent roles in muscle weakness in maintenance haemodialysis patients. PLoS One. 2018;13(8):0200061.
  • 23. Sluka, KA, O'Donnell JM, Danielson J, Rasmussen LA. Regular physical activity prevents development of chronic pain and activation of central neurons. J. Appl. Physiol. 2013;114(6):725-733.
  • 24. D'Onofrio G, Kirschner J, Prather H, Goldman D, Rozanski A. Musculoskeletal exercise: Its role in promoting health and longevity. Prog. Cardiovasc. Dis. 2023;77:25-36.
  • 25. Luo SL, Shih YF, Lin JJ, Lin YL. Scapula-Focused Exercises with or Without Biofeedback and Corticospinal Excitability in Recreational Overhead Athletes with Shoulder Impingement. J. Athl. Train. 2024;59(6):617-626.
  • 26. Dos Santos C, Jones MA, Matias R. Short-and long-term effects of a scapular-focused exercise protocol for patients with shoulder dysfunctions-a prospective cohort. Sensors. 2021;21(8):2888.
  • 27. Bourne DA, Choo AM, Regan WD, MacIntyre DL, Oxland TR. Three-dimensional rotation of the scapula during functional movements: an in vivo study in healthy volunteers. JSES. 2007;16(2):150-162.
  • 28. Cools AM, Geerooms E, Van den Berghe DF, Cambier DC, Witvrouw EE. Isokinetic scapular muscle performance in young elite gymnasts. J Athl Train. 2007;42(4): 458-463.
  • 29. Saini P, Singh DK, Reddy TO, Singh V. Effects of Various Gymnastic Exercises on Selected Motor Fitness Components of School Students. IJFMR. 2023;5(3):1-9.
  • 30. Karaağaç A, Arslan SA, Keskin ED. Assessment of pain, scapulothoracic muscle strength, endurance and scapular dyskinesis in individuals with and without nonspecific chronic neck pain: A cross-sectional study. J Bodyw Mov Ther. 2023;35:261-267.
  • 31. Lewis J, McCreesh K, Roy JS, Ginn K. Rotator Cuff Tendinopathy: Navigating the Diagnosis-Management Conundrum. J Orthop Sports Phys Ther. 2015;45(11):923-937.
  • 32. Longo UG, Risi Ambrogioni L, Berton A, et al. Scapular Dyskinesis: From Basic Science to Ultimate Treatment. Int J Environ Res Public Health. 2020;17(8):2974.
  • 33. Auvinen J, Tammelin T, Taimela S, Zitting P, Karppinen J. Neck and shoulder pains in relation to physical activity and sedentary activities in adolescence. Spine (Phila Pa 1976). 2007;32(9):1038-1044.
  • 34. Naugle KM, Riley JL 3rd. Self-reported physical activity predicts pain inhibitory and facilitatory function. Med Sci Sports Exerc. 2014;46(3):622-629.
  • 35. Tomporowski PD, Pesce C. Exercise, sports, and performance arts benefit cognition via a common process. Psychol Bull. 2019;145(9):929-951.
  • 36. Donald AN, Paula RC. Kinesiologic considerations for targeting activation of scapulothoracic muscles-part 1: serratus anterior. BJPT. 2019;23(6):459-466.
  • 37. Zacharakis AM, Zanelli LM, Watkins HR, et al. What is the evidence for the effectiveness of scapulothoracic strengthening exercises in individuals with neck pain: A systematic review. Internet J Allied Health Sci Pract. 2020;20(1):1-8.
There are 37 citations in total.

Details

Primary Language English
Subjects Pain, Sports Medicine
Journal Section Original Articles
Authors

Aziz Dengız 0000-0003-3492-7448

Nilufer Çetişli Korkmaz 0000-0003-3471-8240

Esra Doğru Hüzmeli 0000-0002-7025-8192

Early Pub Date August 1, 2025
Publication Date August 8, 2025
Submission Date February 8, 2024
Acceptance Date February 19, 2025
Published in Issue Year 2025 Volume: 9 Issue: 2

Cite

APA Dengız, A., Çetişli Korkmaz, N., & Doğru Hüzmeli, E. (2025). The Effect of Regular Exercising on Shoulder Pain and Scapular Endurance. Ahi Evran Medical Journal, 9(2), 195-202. https://doi.org/10.46332/aemj.1433915
AMA Dengız A, Çetişli Korkmaz N, Doğru Hüzmeli E. The Effect of Regular Exercising on Shoulder Pain and Scapular Endurance. Ahi Evran Med J. August 2025;9(2):195-202. doi:10.46332/aemj.1433915
Chicago Dengız, Aziz, Nilufer Çetişli Korkmaz, and Esra Doğru Hüzmeli. “The Effect of Regular Exercising on Shoulder Pain and Scapular Endurance”. Ahi Evran Medical Journal 9, no. 2 (August 2025): 195-202. https://doi.org/10.46332/aemj.1433915.
EndNote Dengız A, Çetişli Korkmaz N, Doğru Hüzmeli E (August 1, 2025) The Effect of Regular Exercising on Shoulder Pain and Scapular Endurance. Ahi Evran Medical Journal 9 2 195–202.
IEEE A. Dengız, N. Çetişli Korkmaz, and E. Doğru Hüzmeli, “The Effect of Regular Exercising on Shoulder Pain and Scapular Endurance”, Ahi Evran Med J, vol. 9, no. 2, pp. 195–202, 2025, doi: 10.46332/aemj.1433915.
ISNAD Dengız, Aziz et al. “The Effect of Regular Exercising on Shoulder Pain and Scapular Endurance”. Ahi Evran Medical Journal 9/2 (August2025), 195-202. https://doi.org/10.46332/aemj.1433915.
JAMA Dengız A, Çetişli Korkmaz N, Doğru Hüzmeli E. The Effect of Regular Exercising on Shoulder Pain and Scapular Endurance. Ahi Evran Med J. 2025;9:195–202.
MLA Dengız, Aziz et al. “The Effect of Regular Exercising on Shoulder Pain and Scapular Endurance”. Ahi Evran Medical Journal, vol. 9, no. 2, 2025, pp. 195-02, doi:10.46332/aemj.1433915.
Vancouver Dengız A, Çetişli Korkmaz N, Doğru Hüzmeli E. The Effect of Regular Exercising on Shoulder Pain and Scapular Endurance. Ahi Evran Med J. 2025;9(2):195-202.

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