Effects of A Progressive Rehabilitation Program on Shoulder Internal Rotation Range of Motion, Acromiohumeral Distance, And Pain in An Adolescent Female Swimmer with Subacromial Pain (Impingement) Syndrome

Sevgi Sevi Yesılyaprak; Halime Ezgi Türksan; Damla Karabay

doi:10.33438/ijdshs.1041097

EN

Effects of A Progressive Rehabilitation Program on Shoulder Internal Rotation Range of Motion, Acromiohumeral Distance, And Pain in An Adolescent Female Swimmer with Subacromial Pain (Impingement) Syndrome

Abstract

Shoulder injuries are common in competitive youth swimmers because of sport-specific changes in upper extremity physical characteristics and acromio-humeral distance (AHD). These physical alterations could cause abnormal scapular kinematics and positioning. Subacromial pain syndrome (SPS), scapular dyskinesis, and SLAP lesions require a multiphase approach. A 14-years-old female athlete who has been swimming for 7 years had SPS symptoms for 14 months. She also had scapular dyskinesis and suspected SLAP lesion. She received 15 treatment sessions. We conducted a progressive and comprehensive rehabilitation program consisting of electrotherapy, thermal agent, mobilization techniques, posterior shoulder stretching exercises, upper and lower extremity strengthening, proprioception, scapular stabilization, and core stabilization exercises, rhythmic stabilization exercises, plyometric exercises, and the advanced thrower’s 10 program. Internal rotation range of motion (IRROM) with bubble inclinometer, pain with Visual Analog Scale, and AHD with ultrasonographic imaging were assessed before treatment and at the end of the 9th and 15th treatment sessions. Before treatment, IRROM was 52°, AHD was 10.67 mm, and pain intensity at rest and during swimming was 0 and 3.1 cm, respectively. After 9 treatment sessions, IRROM was 55.6°, AHD was 11.62 mm, pain intensity at rest and during swimming was 3.7 cm and 5.1 cm, respectively. At the end of the treatment, IRROM was 58.33°, AHD was 12.02 mm, pain intensity at rest and during swimming was 0 cm. A progressive and challenging rehabilitation program may positively change the scapular and glenohumeral kinematic patterns leading to an increase in AHD and IRROM, therefore a decrease in pain.

Keywords

Subacromial Pain Syndrome , SLAP Lesion , Scapular Dyskinesis , Swimmer , Physical Therapy , Rehabilitation , Ultrasonography

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Details

Primary Language

English

Subjects

Sports Medicine

Journal Section

Case Report

Authors

Sevgi Sevi Yesılyaprak
0000-0002-4592-9812
Türkiye

Halime Ezgi Türksan ^*
0000-0003-0083-2387
Türkiye

Damla Karabay
0000-0003-4782-2549
Türkiye

Publication Date

June 20, 2022

Submission Date

December 23, 2021

Acceptance Date

March 25, 2022

Published in Issue

Year 2022 Volume: 5 Number: 1

DOI

https://doi.org/10.33438/ijdshs.1041097

IZ

https://izlik.org/JA58UG68KG

APA

Yesılyaprak, S. S., Türksan, H. E., & Karabay, D. (2022). Effects of A Progressive Rehabilitation Program on Shoulder Internal Rotation Range of Motion, Acromiohumeral Distance, And Pain in An Adolescent Female Swimmer with Subacromial Pain (Impingement) Syndrome. International Journal of Disabilities Sports and Health Sciences, 5(1), 56-65. https://doi.org/10.33438/ijdshs.1041097

AMA

1.Yesılyaprak SS, Türksan HE, Karabay D. Effects of A Progressive Rehabilitation Program on Shoulder Internal Rotation Range of Motion, Acromiohumeral Distance, And Pain in An Adolescent Female Swimmer with Subacromial Pain (Impingement) Syndrome. International Journal of Disabilities Sports &Health Sciences. 2022;5(1):56-65. doi:10.33438/ijdshs.1041097

Chicago

Yesılyaprak, Sevgi Sevi, Halime Ezgi Türksan, and Damla Karabay. 2022. “Effects of A Progressive Rehabilitation Program on Shoulder Internal Rotation Range of Motion, Acromiohumeral Distance, And Pain in An Adolescent Female Swimmer With Subacromial Pain (Impingement) Syndrome”. International Journal of Disabilities Sports and Health Sciences 5 (1): 56-65. https://doi.org/10.33438/ijdshs.1041097.

EndNote

Yesılyaprak SS, Türksan HE, Karabay D (June 1, 2022) Effects of A Progressive Rehabilitation Program on Shoulder Internal Rotation Range of Motion, Acromiohumeral Distance, And Pain in An Adolescent Female Swimmer with Subacromial Pain (Impingement) Syndrome. International Journal of Disabilities Sports and Health Sciences 5 1 56–65.

IEEE

[1]S. S. Yesılyaprak, H. E. Türksan, and D. Karabay, “Effects of A Progressive Rehabilitation Program on Shoulder Internal Rotation Range of Motion, Acromiohumeral Distance, And Pain in An Adolescent Female Swimmer with Subacromial Pain (Impingement) Syndrome”, International Journal of Disabilities Sports &Health Sciences, vol. 5, no. 1, pp. 56–65, June 2022, doi: 10.33438/ijdshs.1041097.

ISNAD

Yesılyaprak, Sevgi Sevi - Türksan, Halime Ezgi - Karabay, Damla. “Effects of A Progressive Rehabilitation Program on Shoulder Internal Rotation Range of Motion, Acromiohumeral Distance, And Pain in An Adolescent Female Swimmer With Subacromial Pain (Impingement) Syndrome”. International Journal of Disabilities Sports and Health Sciences 5/1 (June 1, 2022): 56-65. https://doi.org/10.33438/ijdshs.1041097.

JAMA

1.Yesılyaprak SS, Türksan HE, Karabay D. Effects of A Progressive Rehabilitation Program on Shoulder Internal Rotation Range of Motion, Acromiohumeral Distance, And Pain in An Adolescent Female Swimmer with Subacromial Pain (Impingement) Syndrome. International Journal of Disabilities Sports &Health Sciences. 2022;5:56–65.

MLA

Yesılyaprak, Sevgi Sevi, et al. “Effects of A Progressive Rehabilitation Program on Shoulder Internal Rotation Range of Motion, Acromiohumeral Distance, And Pain in An Adolescent Female Swimmer With Subacromial Pain (Impingement) Syndrome”. International Journal of Disabilities Sports and Health Sciences, vol. 5, no. 1, June 2022, pp. 56-65, doi:10.33438/ijdshs.1041097.

Vancouver

1.Sevgi Sevi Yesılyaprak, Halime Ezgi Türksan, Damla Karabay. Effects of A Progressive Rehabilitation Program on Shoulder Internal Rotation Range of Motion, Acromiohumeral Distance, And Pain in An Adolescent Female Swimmer with Subacromial Pain (Impingement) Syndrome. International Journal of Disabilities Sports &Health Sciences. 2022 Jun. 1;5(1):56-65. doi:10.33438/ijdshs.1041097

Cited By

Transforming Rehabilitation for Scapular Dyskinesia: The role of Modified Robbery Exercises in enhancing Muscle Function, reducing Disability, and improving Quality of Life

International Journal of Physical Therapy Research & Practice

https://doi.org/10.62464/ijoprp.v3i3.20

Effects of A Progressive Rehabilitation Program on Shoulder Internal Rotation Range of Motion, Acromiohumeral Distance, And Pain in An Adolescent Female Swimmer with Subacromial Pain (Impingement) Syndrome

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Transforming Rehabilitation for Scapular Dyskinesia: The role of Modified Robbery Exercises in enhancing Muscle Function, reducing Disability, and improving Quality of Life