Omuz Sıkışma Sendromunda Iki Farklı Egzersiz Programının 3-Boyutlu Skapular Kinematik, Fonksiyonel Aktivite Düzeyi ve Ağrı Üzerine Etkinliğinin Karşılaştırılması

The aim of this study was to investigate the effect of traditional stretching-strengthening exercises and kinetic chain scapula-based exercises on pain intensity, functional activity level and scapular kinematics. Thirty-six patients diagnosed with subacromial impingement syndrome were included to the study and separated into 2 different exercise programs (control group versus kinetic chain group) during 12 weeks. Pain intensity during rest, activity and night were assessed by visual analog scale, functional activity level was assessed with Shoulder Pain and Disability Index, 3- dimensional scapular kinematics was analyzed with electromagnetic tracking system at baseline, 6th and 12th weeks after training. Kinematic recording of scapular internal-external rotation, upward-downward rotation and anterior-posterior tilt were assessed during abduction, flexion and scapular plane 30°, 60°, 90° and 120° elevation and lowering. 2*3 repeated measures ANOVA was used for statistical comparisons. All groups were showed decreased activity pain intensity at 6th (p.05), but kinetic chain exercises resulted in incresed external rotation, upward rotation and posterior tilt depend on shoulder movement planes and humerothoracic elevation levels (p.05), ancak kinetik zincir egzersizleri hareket düzlemeleri ve humerotorasik elevasyonun farklı seviyelerinde skapular eksternal rotasyon, yukarı doğru rotasyon ve posterior tiltte artışa neden oldu (p<.05). Sonuç olarak bu çalışma omuz sıkışma sendromunda egzersiz eğitiminin ağrı ve özür seviyesini azalttığını, ancak skapular kinematiğin yalnızca kinetik zincir egzersiz eğitimi ile değişebileceğini gösterdi. Dolayısıyla, klinikte skapular diskinezinin eşlik ettiği omuz sıkışma sendromunda kinetik zincir egzersiz eğitiminin kullanılması önerilmelidir