Physiotherapy Rehabilitation in Subjects Diagnosed with Subacromial Impingement Syndrome Does Not Normalize Periscapular and Rotator Cuff Muscle Onset Time of Activation

Silvia Ortega-Cebrián, Monserrat Girabent-Farrés, Rodney Whiteley and Caritat Bagur-Calafat
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Silvia Ortega-Cebrián: Physiotherapy Department, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Spain
Monserrat Girabent-Farrés: Department of Physiotherapy, School of Health Sciences, TecnoCampus-Pompeu Fabra University, 08302 Mataró, Spain
Rodney Whiteley: Rehabilitation Department, Aspetar Qatar Sports Medicine Hospital, Sport City Street, Doha 29222, Qatar
Caritat Bagur-Calafat: Physiotherapy Department, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Spain

IJERPH, 2021, vol. 18, issue 17, 1-17

Abstract: Clinicians suggest that rehabilitation of Subacromial Impingement Syndrome (SIS) should target improving movement patterns to ensure better clinical outcomes. Understanding changes in onset time of activation patterns and associated changes in clinical outcomes could improve our understanding of rehabilitation strategies. In this prospective longitudinal study, we examined neuromuscular firing patterns and clinical features before and after a standardized physiotherapy program in subjects diagnosed with SIS. Electromyography (EMG) recordings of eleven shoulder muscles were taken at the initial and discharge consultation in 34 male volunteers diagnosed with SIS. EMG recording was performed during flexion, scaption, and abduction at slow, medium, and fast speeds with a loaded (3 kg) and unloaded arm, as well as rotational motion, rotational strength, pain, and shoulder function. Completion of standardized shoulder physiotherapy program for SIS resulted in improvements in clinical outcomes. Resulted showed inconsistent differences of onset time of activation mainly in some of the periscapular muscles for all movements. No differences were seen on the EMG recordings for rotator cuff muscles. Differences in range of motion, strength and function were shown. Despite some changes in onset time of activation, this study was not able to demonstrate consistent changes of onset time of activation of the periscapular and rotator cuff muscles.

Keywords: onset time of activation; subacromial impingement; rehabilitation; electromyography (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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