COMPARISON OF THE SCAPULAR STABILIZATION AND CONSCIOUS CONTROL TRAINING ON SELECTED KINEMATIC OF SCAPULAR IN SUBJECTS WITH SCAPULAR DYSKINESIS

Mohamamd Golipour Agdam, G and Hadadnezhad, M and Letafatkar, A (2018) COMPARISON OF THE SCAPULAR STABILIZATION AND CONSCIOUS CONTROL TRAINING ON SELECTED KINEMATIC OF SCAPULAR IN SUBJECTS WITH SCAPULAR DYSKINESIS. The Journal of Urmia University of Medical Sciences, 29 (1). pp. 74-84.

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Abstract

Scapular orientation and movements can affect the function of the shoulder. Changes in scapular alignment or movement in shoulder regions has the potential to alter the kinetic chain of the body. This study aims at comparing scapular stabilization and conscious control training on selected kinematic of scapular in subjects with scapular dyskinesias. Materials & Methods: A cross-sectional study was conducted with forty four female subjects having scapula dyskinesis (inferior angle & medial border pattern). The subjects were selected and randomly assigned into 3 groups: 1. Stabilization (n=15), 2. Control conscious (n=15), 3. Control (n=14). All the subjects were tested for investigating the degree of disorder in the scapular kinematic (using motion analysis machine). Then the subjects in scapular stabilization and conscious control were trained three days a week for six weeks (45 minutes for each session). In order to analyze the data, a dependent t-test for examining the intergroup difference and a covariance for examining across group difference was applied. Results: The results of the study showed that participating in six weeks of the interventions may result in decreased anterior tilt, internal rotation and improved upward rotation. Significant differences were observed between intervention groups and the control group (p<0.05). There were no changes in the control group before and after the interventions in all dependent variables (p>0.05). Also, concerning all dependent variables significant differences between the experimental groups and the better efficiency of the conscious control training were observed. Conclusion: With reliance on the findings of the research, the use of scapular stabilization program and conscious control program along with other exercise-therapy protocols of shoulder complex is suggested to improving scapular orientation and movements in people with scapular dyskinesias.

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