Cervical spine mechanical deficits in patients with shoulder impingement syndrome: A case-control study

Authors

  • Fatma Eldesoqi Ramadan El-desoqi
  • Salwa Fadl Abdal Majeed
  • Ahmad Hamdy Azzam
  • Mohammed Ali Mohammed Sarhan
DOI: https://doi.org/10.6018/sportk.537611
Keywords: Shoulder Impingement Syndrome, Craniovertebral Angle, Proprioception

Abstract

The purpose of this case-control study was to investigate whether cervical mechanical deficits differ between patients with shoulder impingement syndrome (SIS) and control subjects. A total of 40 non-athletic males and females participated in this study. They were divided into two groups: group A, including 20 patients with SIS with a mean age of 36 years, and group B, including 20 control subjects with a mean age of 34 years. Each participant was assessed for pain and disability using shoulder pain and disability index (SPADI), active joint angular reproduction (AJAR) at 30o cervical flexion and extension using inclinometer, and craniovertebral angle (CVA) using photography. The results of the study showed that there was a statistically significant positive correlation between AJAR error at 30o cervical flexion and both shoulder pain and disability (r > 3, p = <0.05), and also a statically significant difference between groups at AJAR error in extension (t = 3.8, p = 0.000). In conclusion, cervical proprioception deficits showed a significant correlation with shoulder pain and disability in patients with SIS.

Downloads

Download data is not yet available.

References

Ahn, J. A., Kim, J. H., Bendik, A. L., & Shin, J. Y. (2015). Effects of stabilization exercises with a Swiss ball on neck- shoulder pain and mobility of adults with prolonged exposure to video display terminals. Journal of Physical Therapy, 27(4), 981-984. https://doi.org/10.1589/jpts.27.981

Bouet, V., & Gahery, Y. (2000). Muscular exercise improves knee position sense in humans. Neuroscience Letter, 289(2), 143-146. https://doi.org/10.1016/s0304-3940(00)01297-0

Cloke, D. J., Lynn, S. E, Watson, H., Steen, I. N., Purdy, S., & Williams, J. R. (2005). A comparison of functional, patient-based scores in subacromial impingement. Journal of Shoulder and Elbow Surgery, 14(4), 380-384. https://doi.org/10.1016/j.jse.2004.08.008

Dover, G., Kaminski, T. W., Meister, K., Powers, M. E., & Horodyski, M. (2003). Assessment of shoulder proprioception in the female softball athlete, American Journal of Sports Medicine, 31(3), 431-437. https://doi.org/10.1177%2F03635465030310031801

Edmondston, S. J., Waller, R., Vallin, P., Holthe, A., Noebauer, A., & King, E. (2011). Thoracic spine extension mobility in young adults: influence of subject position and spinal curvature. The Journal of Orthopaedic and Sports Physical Therapy, 41(4), 266-273. https://doi.org/10.2519/jospt.2011.3456

Elwardany, S. H., El-Sayed, W. H., & Ali, M. F. (2015). Reliability of Kinovea Computer Program in Measuring Cervical Range of Motion in Sagittal Plane. Open Access Library Journal, 2, 1916. http://dx.doi.org/10.4236/oalib.1101916

Falla, D., O’Leary, E. F., Fagan, A., & Jull, G. (2007). Recruitment of the deep cervical flexor muscles during a postural correction exercise performed in sitting. Manual Therapy, 12, 139–143.

Gadotti, I. C., & Biasotto-Gonzalez, D. A. (2010). Sensitivity of clinical assessments of sagittal head posture. Journal of Evaluation in Clinical Practtice, 16(1), 141-144.

Greenfield, B., Catlin, P. A., Coats, P. W., Green, E., McDonald, J. J., & North, C. (1995). Posture in patients with shoulder overuse injuries and healthy individuals. The Journal of Orthopaedic & Sports Physical Therapy, 21(5), 287-289.

Grimmer-Somers, K., Milanese, S., & Louw, Q. (2008). Measurement of cervical posture in the sagittal plane. Journal of Manipulative and Physiological Therapeutics, 31(7), 509-517.

Gumina, S., Carbone, S., Arceri, V., Rita, A., Vestri, A. R., & Postacchini, F. (2009). The relationship between chronic type III acromioclavicular joint dislocation and cervical spine pain. BMC Musculoskelet Disorders, 10, 157. https://doi.org/10.1186/1471-2474-10-157

Hanchard, N., Cummins, J., Jeffries, C., (2004). Evidence-based Clinical Guidelines for the Diagnosis, Assessment and Physiotherapy Management of Shoulder Impingement Syndrome. The Chartered Society of Physiotherapy.

Hanten, W. P., Olson, S. L., Russell, J. L., Lucio, R. M., & Campbell, A. H. (2000). Total head excursion and resting head posture: Normal and patient comparisons. Archives of Physical and Medical Rehabilitation, 81(1), 62–66. https://doi.org/10.1016/S0003-9993(00)90223-5

Janda, V. (1988). Muscles and cervicogenic pain syndromes. In Physical therapy of the cervical and thoracic spine. New York: Churchill Livingstone.

Katsuura, Y., Bruce, J., Taylor, S., Gullota, L., & Kim, H. (2019). Overlapping, masquerading, and causative cervical spine and shoulder pathology: A Systematic Review. Global Spine Journal, 10(2), 1-14. https://doi.org/10.1177/2192568218822536

Kebaetse, M., McClure, P., & Pratt, N. A. (1999). Thoracic position effect on shoulder range of motion, strength, and three-dimensional scapular kinematics. Archives of Physical Medicine and Rehabilitation, 80(8), 945-950. https://doi.org/10.1016/s0003-9993(99)90088-6

Kibler, W. B. (1998). The role of the scapula in athletic shoulder function. The American Journal of Sports Medicine, 26(2), 325-337. https://doi.org/10.1177/03635465980260022801

Land, H., Gordon, S., & Watt, K. (2017). Clinical assessment of subacromial shoulder impingement; Which factors differ from the asymptomatic population? Musculoskeletal Science and Practice, 27, 49-56.

Lee, S. T, Moon, J., Lee, S. H., Cho, K. H., Im, S. H., Kim, M. Y., & Min, K. (2016). Changes in activation of serratus anterior, trapezius and latissimus dorsi with slouched posture. Annals of Rehabilitation Medicine, 40(2), 318-325. https://dx.doi.org/10.5535%2Farm.2016.40.2.318

Lewis, J. S, Green, A. S., & Dekel, S. (2001). The aetiology of subacromial impingement syndrome. Physiotherapy, 87(9), 458-469. https://doi.org/10.1016/S0031-9406(05)60693-1

Lewis, J. S., Wright, C., & Green, A. (2005). Subacromial impingement syndrome: the effect of changing posture on shoulder range of movement. Journal of Orthopaedic and Sports Physical Therapy, 35, 72–87.

Ludewidg, P. M., & Reynolds, J. F. (2009). The association of scapular kinematics and glenohumeral joint pathologies. The Journal of Orthopaedic and sports physical therapy, 39(2), 90-104. https://doi.org/10.2519/jospt.2009.2808

Lukaseiwicz, A. C., McClure, P., Michener, L., Pratt, N., & Sennett, B. (1999). Comparison of 3-dimensional scapular position and orientation between subjects with and without shoulder impingement. The Journal of Orthopaedic and sports physical therapy, 29(10), 574-583. https://doi.org/10.2519/jospt.1999.29.10.574

MacDermid, J., Solomon, P., & Prkachin, K. (2006). The shoulder pain and disability index demonstrates factor, construct and longitudinal validity. BMC Musculoskeletal Disorders, 7,12. https://doi.org/10.1186/1471-2474-7-12

McLain, R. F. (1994). Mechanoreceptor endings in human cervical facet joints. Spine, 19(5), 495-501.

Meislin, R. J, Sperling, J. W., & Stitik, T. P. (2005). Persistent shoulder pain: epidemiology, pathophysiology, and diagnosis. American journal of orthopedics, 34(2), 5-9.

Mueller-Klaus, K., Oatis, C. A., Griegel-Morris, P., & Larson, K. (1992). Incidence of common postural abnormalities in the cervical, shoulder, and thoracic regions and their association with pain in two age groups of healthy subjects. Physical Therapy, 72(6), 425-431. https://doi.org/10.1093/ptj/72.6.425

Ogston, JB., & Ludewig, P. M. (2007). Differences in 3- dimensional shoulder kinematics between persons with multidirectional instability and asymptomatic controls. American Journal of Sports Medicine, 35(8), 1361–1370. https://doi.org/10.1177/0363546507300820

Pheasant, S. (2016). Cervical contribution to functional shoulder impingement: two case reports. The International Journal of Sports Physical Therapy, 11(6), 980-991.

Pincus, T., Bergman, M., Sokka, T., Roth, J., Swearingen, C., & Yazici, Y. (2008). Visual analog scales in formats other than a 10 centimeter horizontal line to assess pain and other clinical data. The Journal of rheumatology, 35(8), 1550–1558.

Rekola, K. E., Levoska, S., Takala, J., & Keinänen-Kiukaanniemi, S. (1997). Patients with neck and shoulder complaints and multisite musculoskeletal symptoms--a prospective study. The Journal of Rheumatology, 24(12), 2424-2428.

Riemann, B. L., & Lephart, S. M. (2002). The Sensorimotor System, Part I: The Physiologic Basis of Functional Joint Stability. Journal of Athletic Training, 37(1), 71-79.

Sahrmann, S. A. (2002). Diagnosis and Treatment of Movement Impairment Syndrome. London, UK: Mosby.

Shin, J. Y., Kim, H. W., & Kim, G. S. (2017). Correlations among visual analogue scale, neck disability index, shoulder joint range of motion, and muscle strength in young women with forward head posture. Journal of Exercise Rehabilitation, 13(4), 413-417. https://doi.org/10.12965/jer.1734956.478

Sjøgaard, G., Lundberg, U., & Kadefors, R. (2000). The role of muscle activity and mental load in the development of pain and degenerative processes on the muscle cellular level during computer work. European Journal of Applied Physiology, 83(2-3), 99-105. https://doi.org/10.1007/s004210000285

Sobel, J. S., Kremer, I., Winters, J. C., Arendzen, J. H., & de Jong, B. M. (1996). The influence of the mobility in the cervicothoracic spine and the upper ribs (shoulder girdle) on the mobility of the scapulohumeral joint. Journal of Manipulative and Physiological Therapeutics, 19(7), 469- 474.

Thigpen, C.A., Padua, D.A., Michener, L.A., Guskiewicz, K., Giuliani, C., & Keener, J.D., et al. (2010). Head and shoulder posture affect scapular mechanics and muscle activity in overhead tasks. Journal of Electromyography and Kinesiology, 20, 701–709. https://doi.org/10.1016/j.jelekin.2009.12.003.

Torres, R., Vasques, J., Duarte, J. A., & Cabri, J. M. (2010). Knee proprioception after exercise-induced muscle damage. International Journal of Sports Medicine, 31(6), 410-415.

Van der Windt, D. A., Koes, B. W., Boeke, A. J., Deville, W., de Jong, B. A., & Bouter, L. M. (1996). Shoulder disorders in general practice: prognostic indicators of outcome. The British Journal of General Practice, 46(410), 519–523.

Walker, T., Salt, E., Lynch, G., & Littlewood, C. (2018). Screening of the cervical spine in subacromial shoulder pain: A systematic review. Shoulder & Elbow, 11(4), 305-315. https://doi.org/10.1177%2F1758573218798023

Watson, D. H., & Trott, P. H. (1993). Cervical headache: an investigation of natural head posture and upper cervical flexor muscle performance. Cephalalgia, 13(4), 272-284.

Weon, J. H., Oh, J., Cynn, H., Kim, Y., Kwon, O., & Yi, C. (2010). Influence of forward head posture on scapular upward rotators during isometric shoulder flexion. Journal of Bodywork and Movement Therapies, 14(4), 367-374. https://doi.org/10.1016/j.jbmt.2009.06.006

Yong, S. M., Lee, Y. H., & Lee, Y. M. (2016). Correlation between head posture and proprioceptive function in the cervical region. Journal of Physical Therapy Science, 28(3), 857–860. https://doi.org/10.1589/jpts.28.857

Youssef, A. R. (2016). Photogrammetric quantification of forward head posture is side dependent in healthy participants and patients with mechanical neck pain. International Journal of Physiotherapy, 3(3), 326-331. http://dx.doi.org/10.15621/ijphy/2016/v3i3/100838.

Zhang, A. L., Theologis, A. A., Tay, B., & Feeley, B. T. (2015). The association between cervical spine pathology and rotator cuff dysfunction. Journal of Spinal Disorders and Techniques, 28(4), 206-211. https://doi.org/10.1097/BSD.0000000000000223

Published
01-09-2022
How to Cite
Ramadan El-desoqi, F. E. ., Abdal Majeed, S. F. ., Azzam, A. H. ., & Mohammed Sarhan, M. A. . (2022). Cervical spine mechanical deficits in patients with shoulder impingement syndrome: A case-control study. SPORT TK-EuroAmerican Journal of Sport Sciences, 11, 16. https://doi.org/10.6018/sportk.537611
Issue
Section
Articles