title: Functional thoracic hyperkyphosis model for chronic subacromial impingement syndrome: an insight on evidence based "treat the cause" concept--a case study and literature review.
abstract: Recent evidences suggest functional thoracic hyperkyphosis (FTH) could be a different approach in the management of subacromial impingement syndrome (SIS). This case study aims firstly with the development of evidence informed FTH model for SIS. Secondly this study aimed to develop well defined multimodal physical therapy intervention for FTH and its related mechanical consequences in elderly patient with chronic SIS. As a result, Level IV positive evidence was found in both the short and long-term pain and disability of chronic SIS, using FTH model with 26 months of follow-up.
authors.affiliation: Faculty of Health and Life Sciences, INTI International University, Laureate International Universities, Nilai, Malaysia.
authors.forename: M
authors.initials: M
authors.lastname: Nagarajan
authors.forename: P
authors.initials: P
authors.lastname: Vijayakumar
mesh_terms: D015928:Cognitive Behavioral Therapy; D005260:Female; D006801:Humans; D007738:Kyphosis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010147:Pain Measurement; D010808:Physical Examination; D026741:Physical Therapy Modalities; D011859:Radiography; D019534:Shoulder Impingement Syndrome / Q000150:complications / Q000473:pathology / Q000628:therapy*; D012785:Shoulder Joint / Q000473:pathology; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging