title: Effects of scapular upward rotation exercises on alignment of scapula and clavicle and strength of scapular upward rotators in subjects with scapular downward rotation syndrome.
abstract: The purpose of this study was to investigate the effects of a 6-week scapular upward rotation exercise (SURE) on scapular and clavicular alignment and scapular upward rotators strength in subjects with scapular downward rotation syndrome (SDRS). Seventeen volunteer subjects with SDRS were recruited from university populations. The alignment of the scapula and clavicle was measured using radiographic analysis and compared in subjects before and after a 6-week self-SURE program. A hand-held dynamometer was used to measure the strength of the scapular upward rotators. The subjects were instructed how to perform the self-SURE program at home. The 6-week self-SURE program was divided into two sections (the first section with non-resistive SURE during weeks 1-3, and the second section with resistive SURE using thera-band during weeks 4-6). The significance of the difference between pre- and post-program was assessed using a paired t-test, with the level of statistical significance set at p<0.05. Significant differences between pre- and post-program were found for scapular and clavicular alignment (p<0.05). Additionally, the comparison between pre- and post-program measurements of the strength of the scapular upward rotators showed significant differences (p<0.05). The results of this study showed that a 6-week self-SURE program is effective for improving scapular and clavicular alignment and increasing the strength of scapular upward rotator muscles in subjects with SDRS.
authors.affiliation: Department of Physical Therapy, College of Health Science, Sangji University, South Korea.
authors.forename: Sung-min
authors.initials: SM
authors.lastname: Ha
authors.affiliation: Laboratory of Kinetic Ergocise based on Movement Analysis, Department of Physical Therapy, College of Health Science, Yonsei University, Wonju, South Korea. Electronic address: kwonoy@yonsei.ac.kr.
authors.forename: Oh-yun
authors.initials: OY
authors.lastname: Kwon
authors.affiliation: The Graduate School, Department of Physical Therapy, Yonsei University, Wonju, South Korea.
authors.forename: Chung-hwi
authors.initials: CH
authors.lastname: Yi
authors.affiliation: The Graduate School, Department of Physical Therapy, Yonsei University, Wonju, South Korea.
authors.forename: Heon-seock
authors.initials: HS
authors.lastname: Cynn
authors.affiliation: Department of Physical Therapy, College of Tourism & Health, Joongbu University, Chungnam, South Korea.
authors.forename: Jong-hyuck
authors.initials: JH
authors.lastname: Weon
authors.affiliation: Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Gyeongsan, South Korea.
authors.forename: Tae-ho
authors.initials: TH
authors.lastname: Kim
mesh_terms: D000328:Adult; D002968:Clavicle / Q000000981:diagnostic imaging / Q000502:physiology*; D005081:Exercise Therapy / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D053580:Muscle Strength / Q000502:physiology*; D018482:Muscle, Skeletal / Q000000981:diagnostic imaging / Q000502:physiology; D011859:Radiography; D055070:Resistance Training / Q000379:methods*; D012399:Rotation; D012540:Scapula / Q000000981:diagnostic imaging / Q000502:physiology*; D012782:Shoulder / Q000000981:diagnostic imaging / Q000502:physiology; D012785:Shoulder Joint / Q000000981:diagnostic imaging / Q000502:physiology; D020069:Shoulder Pain / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000534:rehabilitation*; D016896:Treatment Outcome; D055815:Young Adult
keywords: Scapular downward rotation syndrome; Scapular upward rotation exercise