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Effect of the Scapula Reposition Test on shoulder impingement symptoms and elevation strength in overhead athletes.

Effect of the Scapula Reposition Test on shoulder impingement symptoms and elevation strength in overhead athletes. Research Abstract Details 

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  • Effect of the Scapula Reposition Test on shoulder impingement symptoms and elevation strength in overhead athletes. Abstract Text:

    angela r tateAngela R Tate,philip w mcclurePhilip W McClure,stephen karehaStephen Kareha,dominic irwinDominic Irwin,

    STUDY DESIGN: Two group, repeated measures design. OBJECTIVES: To determine whether manually repositioning the scapula using the Scapula Reposition Test (SRT) reduces pain and increases shoulder elevation strength in athletes with and without positive signs of shoulder impingement. BACKGROUND: Symptom alteration tests may be useful in determining a subset of those with shoulder pathology who may benefit from interventions aimed at improving scapular motion abnormalities. METHODS AND MEASURES: One hundred forty-two college athletes underwent testing for clinical signs of shoulder impingement. Tests provoking symptoms were repeated with the scapula manually repositioned into greater retraction and posterior tilt. A numeric rating scale was used to measure symptom intensity under both conditions. Isometric shoulder elevation strength was measured using a mounted dynamometer with the scapula in its natural position and with manual repositioning. A paired t test was used to compare the strength between positions. The frequency of a significant increase in strength with scapular repositioning, defined as the minimal detectable change (90% confidence interval), was also assessed. RESULTS: Of the 98 athletes with a positive impingement test, 46 had reduced pain with scapular repositioning. Although repositioning produced an increase in strength in both the impingement (P=.001) and non-impingement groups (P=.012), a significant increase in strength was found with repositioning in only 26% of athletes with, and 29% of athletes without positive signs for shoulder impingement. CONCLUSION: The SRT is a simple clinical test that may potentially be useful in an impairment based classification approach to shoulder problems.

    Effect of the Scapula Reposition Test on shoulder impingement symptoms and elevation strength in overhead athletes. Publishing Authors By Initials

    ar tateAR Tate,pw mcclurePW McClure,s karehaS Kareha,d irwinD Irwin,

    For similar health occupations: medicine: sports medicine research abstracts see: health occupations: medicine: sports medicine research

    PUBMED ID PMID:

    MEDLINE DATE:

    Effect of the Scapula Reposition Test on shoulder impingement symptoms and elevation strength in overhead athletes. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: The Journal of orthopaedic and sports physical the

    VOLUME: 38

    Page Numbers: 4-11

    Journal Abbreviation:

    ISSN: 0190-6011

    DAY: 11

    MONTH: Jan

    YEAR: 2008

    Effect of the Scapula Reposition Test on shoulder impingement symptoms and elevation strength in overhead athletes. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 7908150

    Effect of the Scapula Reposition Test on shoulder impingement symptoms and elevation strength in overhead athletes. Keywords Mesh Terms:

    KEYWORDS: Sports Medicine

    MESH TERMS: prevention & control

    Chemical & Substance for Abstract: Effect of the Scapula Reposition Test on shoulder impingement symptoms and elevation strength in overhead athletes. Information

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    Grant and Affiliation Information for Effect of the Scapula Reposition Test on shoulder impingement symptoms and elevation strength in overhead athletes.

    AFFILIATION: H/S Therapy Associates, Inc, Lower Gwynedd, PA, USA.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: J Orthop Sports Phys Ther

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