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Does scapular positioning predict shoulder pain in recreational overhead athletes?

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Abstract
The objective of this prospective study is to investigate possible scapular related risk factors for developing shoulder pain. Therefore, a 2-year follow-up study in a general community sports centre setting was conducted. A sample of convenience of 113 recreational overhead athletes (59 women and 54 men) with a mean age of 34 (17-64; SD 12) years were recruited. At baseline, visual observation for scapular dyskinesis, measured scapular protraction, upward scapular rotation and dynamic scapular control were evaluated. 22% (n=25) of all athletes developed shoulder pain during the 24 months following baseline assessment. The Mean Shoulder Disability Questionnaire (SDQ) score for the painful shoulders was 34.8 (6.3-62.5; SD 17.4). None of the scapular characteristics predicted the development of shoulder pain. However, the athletes that developed shoulder pain demonstrated significantly less upward scapular rotation at 45 degrees (p=0.010) and 90 degrees (p=0.016) of shoulder abduction in the frontal plane at baseline in comparison to the athletes that remained pain-free. In conclusion, although these scapular characteristics are not of predictive value for the development of shoulder pain, this study increases our understanding of the importance of a scapular upward rotation assessment among recreational overhead athletes.
Keywords
scapula, shoulder, pain, clinical, IMPINGEMENT SYNDROME, CLINICAL-ASSESSMENT, DISABILITY QUESTIONNAIRE, KINEMATICS, MOTION, ORIENTATION, RELIABILITY, INSTABILITY, DYSKINESIS, ROTATION

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Chicago
Struyf, Filip, Jo Nijs, Mira Meeus, Nathalie A Roussel, Sarah Mottram, Steven Truijen, and Romain Meeusen. 2014. “Does Scapular Positioning Predict Shoulder Pain in Recreational Overhead Athletes?” International Journal of Sports Medicine 35 (1): 75–82.
APA
Struyf, F., Nijs, J., Meeus, M., Roussel, N. A., Mottram, S., Truijen, S., & Meeusen, R. (2014). Does scapular positioning predict shoulder pain in recreational overhead athletes? INTERNATIONAL JOURNAL OF SPORTS MEDICINE, 35(1), 75–82.
Vancouver
1.
Struyf F, Nijs J, Meeus M, Roussel NA, Mottram S, Truijen S, et al. Does scapular positioning predict shoulder pain in recreational overhead athletes? INTERNATIONAL JOURNAL OF SPORTS MEDICINE. 2014;35(1):75–82.
MLA
Struyf, Filip, Jo Nijs, Mira Meeus, et al. “Does Scapular Positioning Predict Shoulder Pain in Recreational Overhead Athletes?” INTERNATIONAL JOURNAL OF SPORTS MEDICINE 35.1 (2014): 75–82. Print.
@article{4235124,
  abstract     = {The objective of this prospective study is to investigate possible scapular related risk factors for developing shoulder pain. Therefore, a 2-year follow-up study in a general community sports centre setting was conducted. A sample of convenience of 113 recreational overhead athletes (59 women and 54 men) with a mean age of 34 (17-64; SD 12) years were recruited. At baseline, visual observation for scapular dyskinesis, measured scapular protraction, upward scapular rotation and dynamic scapular control were evaluated. 22\% (n=25) of all athletes developed shoulder pain during the 24 months following baseline assessment. The Mean Shoulder Disability Questionnaire (SDQ) score for the painful shoulders was 34.8 (6.3-62.5; SD 17.4). None of the scapular characteristics predicted the development of shoulder pain. However, the athletes that developed shoulder pain demonstrated significantly less upward scapular rotation at 45 degrees (p=0.010) and 90 degrees (p=0.016) of shoulder abduction in the frontal plane at baseline in comparison to the athletes that remained pain-free. In conclusion, although these scapular characteristics are not of predictive value for the development of shoulder pain, this study increases our understanding of the importance of a scapular upward rotation assessment among recreational overhead athletes.},
  author       = {Struyf, Filip and Nijs, Jo and Meeus, Mira and Roussel, Nathalie A and Mottram, Sarah and Truijen, Steven and Meeusen, Romain},
  issn         = {0172-4622},
  journal      = {INTERNATIONAL JOURNAL OF SPORTS MEDICINE},
  keyword      = {scapula,shoulder,pain,clinical,IMPINGEMENT SYNDROME,CLINICAL-ASSESSMENT,DISABILITY QUESTIONNAIRE,KINEMATICS,MOTION,ORIENTATION,RELIABILITY,INSTABILITY,DYSKINESIS,ROTATION},
  language     = {eng},
  number       = {1},
  pages        = {75--82},
  title        = {Does scapular positioning predict shoulder pain in recreational overhead athletes?},
  url          = {http://dx.doi.org/10.1055/s-0033-1343409},
  volume       = {35},
  year         = {2014},
}

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