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Original scientific paper

https://doi.org/10.26582/k.54.2.12

Shoulder abduction strength is correlated with acromiohumeral distance in patients with acute subacromial impingement syndrome symptoms but not with supraspinatus tendon thickness regardless of disease stage

Sevgi Sevi Yesilyaprak orcid id orcid.org/0000-0002-4592-9812 ; Faculty of Physical Therapy and Rehabilitation, Dokuz Eylul University, Izmir, Turkey
Damla Karabay orcid id orcid.org/0000-0003-4782-2549 ; Department of Physiotherapy and Rehabilitation, Health Sciences Faculty, Izmir Katip Celebi University, Izmir, Turkey
Halime Ezgi Turksan ; Faculty of Physical Therapy and Rehabilitation, Dokuz Eylul University, Izmir, Turkey; Institute of Health Sciences, Dokuz Eylul University, Izmir, Turkey
Mehmet Erduran ; Department of Orthopaedics and Traumatology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey


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Abstract

We aimed to investigate the relationships of isometric and eccentric shoulder abduction strength with acromiohumeral distance and supraspinatus tendon thickness based on the disease stage in patients with subacromial impingement syndrome. Eighty-two patients with subacromial impingement syndrome were assessed. Acromiohumeral distance and supraspinatus tendon thickness were measured using ultrasonography. Isometric and eccentric shoulder abduction strength were measured with a hand-held dynamometer. Spearman’s correlation coefficients were calculated. Isometric (rho = 0.428, p=.021) and eccentric (rho = 0.487, p=.007) shoulder abduction strength showed moderate correlations with acromiohumeral distance in patients with acute symptoms (n = 29). There was no relationship between acromiohumeral distance and abduction strength in patients with chronic symptoms (n = 53) (p>.050). Supraspinatus tendon thickness showed no significant correlation with abduction strength (p>.050). These findings suggest that the relationship between acromiohumeral distance and abduction strength differs according to disease stage. However, supraspinatus tendon thickness was not correlated with abduction strength regardless of disease stage. In patients with acute subacromial impingement syndrome symptoms increasing shoulder abduction strength may be a potential strategy to improve acromiohumeral distance.

Keywords

muscle strength; rotator cuff; rehabilitation; ultrasonography

Hrčak ID:

286037

URI

https://hrcak.srce.hr/286037

Publication date:

31.12.2022.

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