Effect of core endurance isokinetic strength training on subacromial impingement syndrome rehabilitation_West China Medical Journal

Authors：

LI Jianfeng ^1,2 , YAN Jinyu ¹ , ZHANG Shulian ¹ , ZHANG Caiyun ² , JIN Zhao ² , LI Jiayi ² , WANG Yujue ² , HU Jiaxin ² , DU Yali ² ,  QIN Xiaodong ¹

1. Rehabilitation Department, Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot, Inner Mongolia 010030, P. R. China;
2. Rehabilitation Department, Second Rehabilitation Hospital of Beijing, Beijing 100038, P. R. China;

Corresponding author：

QIN Xiaodong, Email: 415766357@qq.com

Keywords：

Subacromial impingement syndrome; Core endurance; Isokinetic strength training

DOI：

10.7507/1002-0179.202003054

Video：

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Objective To observe the effectiveness of core endurance isokinetic strength training on subacromial impingement syndrome (SAIS) rehabilitation.Methods SAIS patients were selected from the Rehabilitation Department, Second Affiliated Hospital of Inner Mongolia Medical University from January 2018 to June 2019. The patients were randomly divided into observed group and control group by random number table method. The patients in control group were treated by keritherapy, cold, standard physiotherapy (PT) and exercise. At the same time, the patients in observed group were treated by core endurance isokinetic strength training combined with keritherapy, cold and standard PT. Both two groups were treated for 8 weeks. The patients were scored with visual analogue scale (VAS), Shoulder Pain and Disability Index (SPADI), Short Form 36 Healthsurvey Questionnaire (SF-36), flexor peak torque (FPT) and extensor peak torque (EPT) in pre and post treatment.Results A total of 59 patients with SAIS were enrolled. No exfoliating cases. There were 31 cases in the observed group and 28 cases in the control group. Pre-treatment, there were no significant difference in FPT, EPF, VAS, SPADI and SF-36 between the two groups (P>0.05). Post-treatment, there were no significant difference in EPT and VAS between the two groups (P>0.05); FPT [(62.65±10.17) N·m], SPADI [(53.18±10.25) points] and SF-36 [(35.54±11.39) points] in the observed group were significantly improved compared with the control group [(56.28±9.55) N·m, (61.05±9.41) points, (42.65±10.74) points] (t=2.473, 3.061, 2.460; P=0.014, 0.003, 0.017); FPT in both groups, and EPT in the observed group were improved compared with that of the pre-treatment (P<0.05); the EPT of the control group was improved compared with that of the pre-treatment, but the difference was not statistically significant (P>0.05); VAS, SPADI and SF-36 in the two groups were improved compared with those of the pre-treatment (P<0.05).Conclusions Core endurance isokinetic strength training could improve the core stability of subacromial impingement syndrome patients. Satisfactory musculoskeletal dynamic chain plays a vital role in subacromial impingement syndrome rehabilitation.

Citation： LI Jianfeng, YAN Jinyu, ZHANG Shulian, ZHANG Caiyun, JIN Zhao, LI Jiayi, WANG Yujue, HU Jiaxin, DU Yali, QIN Xiaodong. Effect of core endurance isokinetic strength training on subacromial impingement syndrome rehabilitation. West China Medical Journal, 2020, 35(5): 574-578. doi: 10.7507/1002-0179.202003054 Copy

1.	Reilingh ML, Kuijpers T, Tanja-Harfterkamp AM, et al. Course and prognosis of shoulder symptoms in general practice. Rheumatology (Oxford), 2008, 47(5): 724-730.
2.	Joo H, Lee YJ, Shin JS, et al. Medical service use and usual care of common shoulder disorders in Korea: a cross-sectional study using the health insurance review and assessment service national patient sample. BMJ Open, 2017, 7(7): e015848.
3.	Vos T, Flaxman AD, Naghavi M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the global burden of disease study 2010. Lancet, 2012, 380(9859): 2163-2196.
4.	Lo YP, Hsu YC, Chan KM. Epidemiology of shoulder impingement in upper arm sports events. Br J Sports Med, 1990, 24(3): 173-177.
5.	Overbeek CL, Kolk A, de Groot JH, et al. Middle-aged adults cocontract with arm ADductors during arm ABduction, while young adults do not. Adaptations to preserve pain-free function?. J Electromyogr Kinesiol, 2019(49): 102351.
6.	McFarland EG, Maffulli N, Del Buono A, et al. Impingement is not impingement: the case for calling it “Rotator Cuff Disease”. Muscles Ligaments Tendons J, 2013, 3(3): 196-200.
7.	Nazari G, MacDermid JC, Bryant D, et al. The effectiveness of surgical vs conservative interventions on pain and function in patients with shoulder impingement syndrome. A systematic review and meta-analysis. PLoS One, 2019, 14(5): e0216961.
8.	Tahran Ö, Yeşilyaprak SS. Effects of modified posterior shoulder stretching exercises on shoulder mobility, pain, and dysfunction in patients with subacromial impingement syndrome. Sports Health, 2020, 12(2): 139-148.
9.	Juel NG, Natvig B. Shoulder diagnoses in secondary care, a one year cohort. BMC Musculoskelet Disord, 2014, 15: 89.
10.	Umer M, Qadir I, Azam M. Subacromial impingement syndrome. Orthop Rev (Pavia), 2012, 4(2): e18.
11.	Boyles RE, Ritland BM, Miracle BM, et al. The short-term effects of thoracic spine thrust manipulation on patients with shoulder impingement syndrome. Man Ther, 2009, 14(4): 375-380.
12.	Kang M, Bladon J, Sergio LE. Group format rehabilitation is equally effective as individual therapy in patients with surgically repaired rotator cuff tears. Physiother Res Int, 2020, 25(1): e1795.
13.	Christiansen DH, Andersen JH, Haahr JP. Cross-cultural adaption and measurement properties of the danish version of the shoulder pain and disability index. Clin Rehabil, 2013, 27(4): 355-360.
14.	Nascimento AT, Claudio GK, Rocha PB. Reverse shoulder arthroplasty: functional results in rotator cuff arthropathy. Rev Bras Ortop (Sao Paulo), 2020, 55(1): 106-111.
15.	Neer CS 2nd. Impingement lesions. Clin Orthop Relat Res, 1983(173): 70-77.
16.	van der Windt DA, Koes BW, de Jong BA, et al. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis, 1995, 54(12): 959-964.
17.	Watts AR, Williams B, Kim SW, et al. Shoulder impingement syndrome: a systematic review of clinical trial participant selection criteria. Shoulder Elbow, 2017, 9(1): 31-41.
18.	Chu SK, Jayabalan P, Kibler WB, et al. The kinetic chain revisited: new concepts on throwing mechanism and injury. PMR, 2016, 8(Suppl 3): S69-S77.
19.	Yörükoğlu AÇ, Şavkın R, Büker N, et al. Is there a relation between rotator cuff injury and core stability?. J Back Musculoskelet Rehabil, 2019, 32(3): 445-452.

1. Reilingh ML, Kuijpers T, Tanja-Harfterkamp AM, et al. Course and prognosis of shoulder symptoms in general practice. Rheumatology (Oxford), 2008, 47(5): 724-730.
2. Joo H, Lee YJ, Shin JS, et al. Medical service use and usual care of common shoulder disorders in Korea: a cross-sectional study using the health insurance review and assessment service national patient sample. BMJ Open, 2017, 7(7): e015848.
3. Vos T, Flaxman AD, Naghavi M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the global burden of disease study 2010. Lancet, 2012, 380(9859): 2163-2196.
4. Lo YP, Hsu YC, Chan KM. Epidemiology of shoulder impingement in upper arm sports events. Br J Sports Med, 1990, 24(3): 173-177.
5. Overbeek CL, Kolk A, de Groot JH, et al. Middle-aged adults cocontract with arm ADductors during arm ABduction, while young adults do not. Adaptations to preserve pain-free function?. J Electromyogr Kinesiol, 2019(49): 102351.
6. McFarland EG, Maffulli N, Del Buono A, et al. Impingement is not impingement: the case for calling it “Rotator Cuff Disease”. Muscles Ligaments Tendons J, 2013, 3(3): 196-200.
7. Nazari G, MacDermid JC, Bryant D, et al. The effectiveness of surgical vs conservative interventions on pain and function in patients with shoulder impingement syndrome. A systematic review and meta-analysis. PLoS One, 2019, 14(5): e0216961.
8. Tahran Ö, Yeşilyaprak SS. Effects of modified posterior shoulder stretching exercises on shoulder mobility, pain, and dysfunction in patients with subacromial impingement syndrome. Sports Health, 2020, 12(2): 139-148.
9. Juel NG, Natvig B. Shoulder diagnoses in secondary care, a one year cohort. BMC Musculoskelet Disord, 2014, 15: 89.
10. Umer M, Qadir I, Azam M. Subacromial impingement syndrome. Orthop Rev (Pavia), 2012, 4(2): e18.
11. Boyles RE, Ritland BM, Miracle BM, et al. The short-term effects of thoracic spine thrust manipulation on patients with shoulder impingement syndrome. Man Ther, 2009, 14(4): 375-380.
12. Kang M, Bladon J, Sergio LE. Group format rehabilitation is equally effective as individual therapy in patients with surgically repaired rotator cuff tears. Physiother Res Int, 2020, 25(1): e1795.
13. Christiansen DH, Andersen JH, Haahr JP. Cross-cultural adaption and measurement properties of the danish version of the shoulder pain and disability index. Clin Rehabil, 2013, 27(4): 355-360.
14. Nascimento AT, Claudio GK, Rocha PB. Reverse shoulder arthroplasty: functional results in rotator cuff arthropathy. Rev Bras Ortop (Sao Paulo), 2020, 55(1): 106-111.
15. Neer CS 2nd. Impingement lesions. Clin Orthop Relat Res, 1983(173): 70-77.
16. van der Windt DA, Koes BW, de Jong BA, et al. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis, 1995, 54(12): 959-964.
17. Watts AR, Williams B, Kim SW, et al. Shoulder impingement syndrome: a systematic review of clinical trial participant selection criteria. Shoulder Elbow, 2017, 9(1): 31-41.
18. Chu SK, Jayabalan P, Kibler WB, et al. The kinetic chain revisited: new concepts on throwing mechanism and injury. PMR, 2016, 8(Suppl 3): S69-S77.
19. Yörükoğlu AÇ, Şavkın R, Büker N, et al. Is there a relation between rotator cuff injury and core stability?. J Back Musculoskelet Rehabil, 2019, 32(3): 445-452.

West China Medical Journal

Effect of core endurance isokinetic strength training on subacromial impingement syndrome rehabilitation

Abstract Full text Figures/Tables Video References Cited by

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