Publication
Shoulder and scapular function before and after a scapular therapeutic exercise program for chronic shoulder pain and scapular dyskinesis: A preāpost single-group study
| dc.contributor.author | Melo, Ana S. C. | |
| dc.contributor.author | Soares, Ana L. | |
| dc.contributor.author | Castro, Catarina | |
| dc.contributor.author | Matias, Ricardo | |
| dc.contributor.author | Cruz, Eduardo B. | |
| dc.contributor.author | Vilas-Boas, J. Paulo | |
| dc.contributor.author | Sousa, Andreia S. P. | |
| dc.contributor.author | Pinheiro de Sousa, Andreia Sofia | |
| dc.date.accessioned | 2025-11-03T14:35:47Z | |
| dc.date.available | 2025-11-03T14:35:47Z | |
| dc.date.issued | 2025-07-02 | |
| dc.description.abstract | Scapular adaptations have been associated with shoulder pain. However, conflicting findings have been reported after scapular-focused interventions. The present study aims to evaluate scapula-related outcomes before and after a scapular therapeutic exercise program. Eighteen adult volunteers with chronic shoulder pain participated in an 8-week scapular therapeutic exercise program that was personalized according to their pain condition and the presence of scapular dyskinesis. This program included preparation and warm-up, scapular neuromotor control, and strengthening and stretching exercises. Both self-reported (shoulder pain and function, psychosocial factors, and self-impression of change) and performance-based outcomes (scapular muscular stiffness and activity level, tridimensional motion, rhythm, and movement quality, measured while participants drank a bottle of water) were used for analysis. After the intervention, participants presented reduced shoulder pain (p < 0.0001) and pain catastrophizing (p = 0.004) and increased shoulder function (p < 0.0001). Additionally, the participants presented changes in scapular winging (p < 0.0001 to p = 0.043), increased scapular downward rotation (p < 0.0001) and depression (p = 0.038), and decreased global movement smoothness (p = 0.003). These were associated with changes in serratus anterior activity (p = 0.016 to p = 0.035), decreased middle (p < 0.0001 to p = 0.002) and lower trapezius (p < 0.0001) and levator scapulae (p = 0.048) activity levels, and decreased middle trapezius muscle stiffness (p = 0.014). Patientsā self-perception of change was rated favorably. After a scapular therapeutic exercise program, changes were observed in both self-reported and performance-based outcomes. These results need to be confirmed by a randomized controlled trial. | por |
| dc.identifier.citation | Melo, A. S. C., Soares, A. L., Castro, C., Matias, R., Cruz, E. B., Vilas-Boas, J. P., & Sousa, A. S. P. (2025). Shoulder and Scapular Function Before and After a Scapular Therapeutic Exercise Program for Chronic Shoulder Pain and Scapular Dyskinesis: A PreāPost Single-Group Study. Journal of Personalized Medicine, 15(7), 285. https://doi.org/10.3390/jpm15070285 | |
| dc.identifier.doi | 10.3390/jpm15070285 | |
| dc.identifier.eissn | 2075-4426 | |
| dc.identifier.uri | http://hdl.handle.net/10400.22/30721 | |
| dc.language.iso | eng | |
| dc.peerreviewed | yes | |
| dc.publisher | MDPI | |
| dc.relation.hasversion | https://www.mdpi.com/2075-4426/15/7/285 | |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
| dc.subject | Biomechanical phenomena | |
| dc.subject | Pain | |
| dc.subject | Rehabilitation | |
| dc.subject | Scapula | |
| dc.subject | Superficial back muscles | |
| dc.title | Shoulder and scapular function before and after a scapular therapeutic exercise program for chronic shoulder pain and scapular dyskinesis: A preāpost single-group study | por |
| dc.type | research article | |
| dspace.entity.type | Publication | |
| oaire.citation.issue | 7 | |
| oaire.citation.title | Journal of Personalized Medicine | |
| oaire.citation.volume | 15 | |
| oaire.version | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |
| person.familyName | Pinheiro de Sousa | |
| person.givenName | Andreia Sofia | |
| person.identifier | 1070119 | |
| person.identifier.ciencia-id | 2216-9200-7EF6 | |
| person.identifier.orcid | 0000-0001-9528-1463 | |
| person.identifier.rid | C-7138-2019 | |
| person.identifier.scopus-author-id | 55950021600 | |
| relation.isAuthorOfPublication | aeecfe02-e80d-49ab-9033-a1ade15658f2 | |
| relation.isAuthorOfPublication.latestForDiscovery | aeecfe02-e80d-49ab-9033-a1ade15658f2 |