Effect of glenohumeral stabilization exercises combined with scapular stabilization on shoulder function in patients with shoulder pain: A randomized controlled experimenter-blinded study

J Back Musculoskelet Rehabil. 2018;31(2):259-265. doi: 10.3233/BMR-169612.

Abstract

Background: Shoulder stabilization exercises consisted of a glenohumeral stabilization and scapular stabilization. No studies have been assessed the superiority of shoulder stabilization until now.

Objective: To compare the effect of a glenohumeral stabilization exercise (GSE) combined with a scapular stabilization exercise (SSE) on changes in shoulder function in patients with shoulder painMETHODS: Shoulder stability, scapular alignment, pain, muscle power, and range of motion (ROM) were measured before and after the intervention in both groups.

Results: Forty subjects with shoulder pain were randomly assigned to an experimental or control group. GSE in the experimental group (n= 20) resulted in significantly better shoulder stability (P= 0.020, from 9.00 ± 6.90 score to 14.25 ± 8.58) and pain intensity (P= 0.042, 7.40 ± 2.44 score to 4.60 ± 2.06) compared to SSE in the controls (n= 20). However, no significant effects were observed for scapular symmetric alignment including the angles of inferior scapular distance (P= 0.555) and inferior scapular height difference (P= 0.770), muscle power including shoulder flexion (P= 0.942) and shoulder abduction (P= 0.551), or ROM including shoulder flexion (P= 0.852) and shoulder abduction (P= 0.622).

Conclusion: This study suggests that GSE positively affects shoulder stability and pain control in patients with shoulder pain, probably through a centralization effect on the shoulder mechanism.

Keywords: Glenohumeral stabilization exercise; scapular stabilization exercise; shoulder pain; shoulder stabilization.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Exercise Therapy / methods*
  • Female
  • Humans
  • Joint Instability / physiopathology
  • Joint Instability / therapy*
  • Male
  • Middle Aged
  • Muscle Strength / physiology
  • Range of Motion, Articular / physiology
  • Shoulder Joint / physiopathology*
  • Shoulder Pain / physiopathology
  • Shoulder Pain / therapy*
  • Single-Blind Method