The Association Between Scapular Dyskinesis in Asymptomatic Shoulders and Scapular Muscular Endurance, Lumbar, and Cervical Core Stability

Abstract

The idea that the body works as a whole while producing movement has led to the kinetic chain approach. According to the kinetic chain approach, the study, which was planned cross-sectionally to examine the assosiation between scapular dyskinesia and scapular endurance, cervical and lumbar core stability in asymptomatic individuals with asymptomatic shoulders, included 31 volunteer participants aged 18-60 years with asymptomatic shoulders and no shoulder problems in the last year. In the study, scapular dyskinesia was evaluated using the Observational Scapular Dyskinesia Test and the Lateral Scapular Slide Test. Lumbar core stability and cervical core stability assessments were performed using Pressure Biofeedback Unit. Lumbar and cervical disability assessments were performed using the Oswestry Disability Index and Neck Disability Index. Scapular endurance assessment was performed using the Scapular Endurance Test. Sociodemographic characteristics of the participants were recorded in the evaluation form. In the study, scapular dyskinesia was observed in 19 participants according to the Lateral Scapular Slide Test and in 27 participants according to the Observational Scapular Dyskinesia Test. There was a moderate (p=0.026, r=-0.399) negative correlation between the results of the Lateral Scapular Slide Test and lumbar core stabilization and a low (p=-0.275, r=0.030) negative correlation between the results of the Observational Scapular Dyskinesia Test and lumbar core stability. There was a positive correlation (p=0,007, r=0,476) between the results of the Lateral Scapular Slide Test and scapular endurance. The results of our study showed that scapular dyskinesia is associated with scapular muscular endurance, cervical and lumbar core stability.

Keywords

• kinetic chain
• upper extremity
• scapula
• sectional

Asemptomatik Omuzlarda Skapular Diskinezinin, Skapular Endurans, Lumbal ve Servikal Kor Stabilite ile İlişkisi

Abstract

Vücudun hareket ortaya çıkartırken bir bütün olarak çalıştığı düşüncesi kinetik zincir yaklaşımını ortaya çıkarmıştır. Kinetik zincir yaklaşımına göre omuzu asemptomatik bireylerde skapular diskinezi ile skapular endurans, servikal ve lumbal kor stabilite arasındaki ilişkiyi incelemek amacıyla kesitsel olarak planlanan çalışmaya, omuzları asemptomatik 18-60 yaş aralığında olan, son bir yıl içerisinde herhangi bir omuz problemi yaşamayan ve çalışmaya katılmaya gönüllü 31 katılımcı dahil edildi. Çalışma kapsamında skapular diskinezi değerlendirmesi Gözlemsel Skapular Diskinezi Testi ve Lateral Skapular Kayma Testi kullanılarak yapıldı. Lumbal kor stabilite ve servikal kor stabilite değerlendirmeleri Pressure Biofeedback Unit kullanılarak yapıldı. Bel ve boyun bölgesini ilgilendiren özür durumunu sorgulamaları Oswestry Dizabilite İndeksi ve Boyun Özürlülük İndeksi kullanılarak yapıldı. Skapular endurans değerlendirmesi Skapular Endurans Testi kullanılarak yapıldı. Katılımcıların sosyodemografik özellikleri değerlendirme formuna kaydedildi. Çalışmada Lateral Skapular Kayma Testine göre 19 katılımcıda, Gözlemsel Skapular Diskinezi Testine göre 27 katılımcıda skapular diskinezi görüldü. Lateral Skapular Kayma Testi sonuçları ile lumbal kor stabilizasyon arasında orta düzeyde (p=0,026, r=-0,399) ve Gözlemsel Skapular Diskinezi Testi sonuçları ile lumbal kor stabilite arasında düşük düzeyde (p=-0,275, r=0,030) negatif bir ilişki bulundu. Lateral Skapular Kayma Testi sonuçları ile skapular endurans sonuçları arasında pozitif yönlü (p=0,007, r=0,476) bir ilişki bulundu. Çalışmamız sonuçları skapular diskinezi ile skapular kassal endurans, servikal ve lumbal kor stabilitenin ilişkili olduğunu göstermiştir.

Keywords

• kinetik zincir
• üst ekstremite
• skapula
• kesitsel

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