EFFECTIVENESS OF MODIFIED POSTERIOR SHOULDER STRETCHING EXERCISES IN POSTERIOR SHOULDER TIGHTNESS AND GLENOHUMERAL INTERNAL ROTATION DEFICIT: A SYSTEMATIC REVIEW

Abstract

Purpose: Posterior shoulder tightness (PST) and Glenohumeral internal rotation deficit (GIRD) can impact shoulder biomechanics and damage shoulder function. Posterior shoulder stretching exercises (PSSEs) are often performed in traditional positions to improve posterior shoulder inflexibility. However, these traditional positions can cause inadequate control of the scapula and glenohumeral rotation. The modified PSSEs through scapular stabilization are preferred as current trends to effective management of the GIRD and PST. However, there is a lack of consensus regarding which type of modified PSSE is more effective on PST and GIRD improvement. Therefore, we aimed to describe the efficacy of modified PSSEs on PST and GIRD in symptomatic and asymptomatic populations to aid clinicians when making decisions for these populations. Methods:A literature search was conducted for a systematic review. Relevant studies were searched from appropriate electronic databases (CINAHL, Cochrane Review, Pubmed (MEDLINE), Web of Science as well as Google Scholar©), and selected the eligible studies for inclusion. Results: The present systematic literature search generated 127 relevant citations and 17 articles were included in the final review. As an outcome measure GIRD was assessed in all included studies, whereas PST was assessed in 10 studies.There was high evidence related to the positive effects of both modified cross-body and sleeper stretch to improve GIRD and PST. Conclusion: According to this systematic literature review, both modified cross-body and sleeper stretch are effective in the improvement of GIRD and PST. Future research should focus on other specific shoulder diseases and should also recruit specific participants to address the effectiveness of modified PSSEs on GIRD and PST.

Keywords

• Injuries
• Mobility
• Physical Therapy

MODİFİYE POSTERİOR OMUZ GERME EGZERSİZLERİNİN POSTERİOR OMUZ GERGİNLİĞİ VE GLENOHUMERAL İNTERNAL ROTASYON DEFİSİTİNDEKİ ETKİNLİĞİ: BİR SİSTEMATİK DERLEME

Öz

Amaç: Glenohumeral internal rotasyon defisiti (GİRD) ve posterior omuz gerginliği (POG), omuz biyomekaniğini etkileyebilir ve omuz fonksiyonuna zarar verebilir. GİRD ve POG tedavisinde posterior omuz germe egzersizleri (POGE) sıklıkla geleneksel pozisyonlarda uygulanmaktadır. Ancak bu geleneksel pozisyonlar skapulanın ve glenohumeral rotasyonun yetersiz kontrolüne neden olabilmektedir. GİRD ve POG’un etkin tedavisi için güncel yaklaşımlar olarak skapular stabilizasyon ile gerçekleştirilen modifiye POGE tercih edilmektedir. Ancak hangi modifiye germe egzersizinin GİRD ve POG’un iyileşmesinde daha etkili olduğuna dair bir fikir birliği bulunmamaktadır. Bu nedenle, klinisyenlere semptomatik ve asemptomatik popülasyonlar için karar vermede yardımcı olmak için modifiye POGE’nin bu popülasyonlarda POG ve GİRD üzerindeki etkinliğini tanımlamayı amaçladık. Yöntem: Sistematik bir literatür taraması gerçekleştirdik. İlgili çalışmalar dahil edilmek üzere değerlendirildi ve seçilen çalışmalar uygun elektronik veri tabanlarından (CINAHL, Cochrane Review, Pubmed (MEDLINE), Web of Science ve Google Scholar©) araştırıldı. Sonuçlar: Sistematik literatür araştırması 127 ilgili makale ile sonuçlandı ve final incelemeye 17 makale dahil edildi. Sonuç ölçümü olarak GİRD dahil edilen tüm çalışmalarda değerlendirilirken, POG 10 çalışmada değerlendirildi. Tartışma: Bu sistematik literatür derlemesine göre, hem modifiye cross-body germe hem de modifiye sleeper germe GİRD ve POG’u iyileştirmede etkilidir. Gelecekteki araştırmalar POGE’nin GİRD ve POG üzerindeki etkinliğini belirlemek için diğer spesifik omuz hastalıklarına da odaklanmalı ve ayrıca spesifik katılımcıları çalışmalara almalıdır.

Anahtar Kelimeler

• Yaralanmalar
• Mobilite
• Fizik Tedavi

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