EN
The relationship of muscle strength and pain in subacromial impingement syndrome
Abstract
Objective: We evaluated the relationship between muscle strength and pain in subacromial impingement syndrome (SIS).
Methods: 18 female, 2 male twenty patients (mean age 48.15±5.9 years; range 32 to 60 years) with Stage I and II SIS were enrolled in the study. Upper, middle and lower trapezius, serratus anterior, supraspinatus and anterior deltoid muscle strengths were assessed bilaterally by a handheld dynamometer. Each muscle was assessed 3 times and the mean value of strength was calculated. Pain and functional results were assessed with visual analog scale (VAS), and Constant scores. Modified Constant score was calculated, with the exclusion of pain parameters.
Results: Middle trapezius, serratus anterior, supraspinatus and anterior deltoid muscle strengths of the shoulder with positive impingement signs were significantly lower than healthy opposite side (p=0.01, p=0.04, p=0.01, p=0.003). The mean Constant score was 57.46 and the mean VAS 6.85, in shoulders with SIS. There was a significant correlation between VAS and Constant score, without pain assessment (p=0.016, rs= -0.44).
Conclusion: In this study we found a relationship between the middle trapezius, serratus anterior, supraspinatus and anterior deltoid muscle weaknesses and pain in SIS. This result indicates that these muscles should be evaluated and strengthened in required cases during the rehabilitation.
Methods: 18 female, 2 male twenty patients (mean age 48.15±5.9 years; range 32 to 60 years) with Stage I and II SIS were enrolled in the study. Upper, middle and lower trapezius, serratus anterior, supraspinatus and anterior deltoid muscle strengths were assessed bilaterally by a handheld dynamometer. Each muscle was assessed 3 times and the mean value of strength was calculated. Pain and functional results were assessed with visual analog scale (VAS), and Constant scores. Modified Constant score was calculated, with the exclusion of pain parameters.
Results: Middle trapezius, serratus anterior, supraspinatus and anterior deltoid muscle strengths of the shoulder with positive impingement signs were significantly lower than healthy opposite side (p=0.01, p=0.04, p=0.01, p=0.003). The mean Constant score was 57.46 and the mean VAS 6.85, in shoulders with SIS. There was a significant correlation between VAS and Constant score, without pain assessment (p=0.016, rs= -0.44).
Conclusion: In this study we found a relationship between the middle trapezius, serratus anterior, supraspinatus and anterior deltoid muscle weaknesses and pain in SIS. This result indicates that these muscles should be evaluated and strengthened in required cases during the rehabilitation.
Keywords
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Publication Date
May 3, 2011
Submission Date
March 11, 2014
Acceptance Date
-
Published in Issue
Year 2011 Volume: 45 Number: 2
APA
Celik, D., Sirmen, B., & Demirhan, M. (2011). The relationship of muscle strength and pain in subacromial impingement syndrome. Acta Orthopaedica et Traumatologica Turcica, 45(2), 79-84. https://izlik.org/JA42BE57SK
AMA
1.Celik D, Sirmen B, Demirhan M. The relationship of muscle strength and pain in subacromial impingement syndrome. Acta Orthopaedica et Traumatologica Turcica. 2011;45(2):79-84. https://izlik.org/JA42BE57SK
Chicago
Celik, Derya, Bilsen Sirmen, and Mehmet Demirhan. 2011. “The Relationship of Muscle Strength and Pain in Subacromial Impingement Syndrome”. Acta Orthopaedica et Traumatologica Turcica 45 (2): 79-84. https://izlik.org/JA42BE57SK.
EndNote
Celik D, Sirmen B, Demirhan M (May 1, 2011) The relationship of muscle strength and pain in subacromial impingement syndrome. Acta Orthopaedica et Traumatologica Turcica 45 2 79–84.
IEEE
[1]D. Celik, B. Sirmen, and M. Demirhan, “The relationship of muscle strength and pain in subacromial impingement syndrome”, Acta Orthopaedica et Traumatologica Turcica, vol. 45, no. 2, pp. 79–84, May 2011, [Online]. Available: https://izlik.org/JA42BE57SK
ISNAD
Celik, Derya - Sirmen, Bilsen - Demirhan, Mehmet. “The Relationship of Muscle Strength and Pain in Subacromial Impingement Syndrome”. Acta Orthopaedica et Traumatologica Turcica 45/2 (May 1, 2011): 79-84. https://izlik.org/JA42BE57SK.
JAMA
1.Celik D, Sirmen B, Demirhan M. The relationship of muscle strength and pain in subacromial impingement syndrome. Acta Orthopaedica et Traumatologica Turcica. 2011;45:79–84.
MLA
Celik, Derya, et al. “The Relationship of Muscle Strength and Pain in Subacromial Impingement Syndrome”. Acta Orthopaedica et Traumatologica Turcica, vol. 45, no. 2, May 2011, pp. 79-84, https://izlik.org/JA42BE57SK.
Vancouver
1.Derya Celik, Bilsen Sirmen, Mehmet Demirhan. The relationship of muscle strength and pain in subacromial impingement syndrome. Acta Orthopaedica et Traumatologica Turcica [Internet]. 2011 May 1;45(2):79-84. Available from: https://izlik.org/JA42BE57SK