Scapular muscle endurance, shoulder pain, and functionality in patients with rotator-cuff-related shoulder pain: a matched, case-control study.

IF 1.8 Q2 ORTHOPEDICS Clinics in Shoulder and Elbow Pub Date : 2024-03-01 Epub Date: 2024-01-29 DOI:10.5397/cise.2023.00675

Uğur Sözlü, Selda Başar, Ulunay Kanatlı

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Abstract

Background: Deficiency in scapular muscle endurance (SME) is a risk factor for rotator-cuff-related shoulder pain (RCRSP). However, the exact relationship among SME, pain, and functionality remains unclear. This study aims to compare SME, pain, and functionality in RCRSP patients to those in age-sex-matched healthy controls.

Methods: Twenty-three patients with RCRSP and 23 age-sex matched healthy controls were included in the study. SME was measured using a 1-kg dynamometer. Self-reported pain level was assessed using a visual analog scale. The Functional Impairment Test-Hand, Neck, Shoulder, and Arm (FIT-HaNSA) was also used to assess functional impairment.

Results: The control group had higher SME and total FIT-HaNSA scores than the patient group (P<0.05). There was a statistically significant and positive correlation between SME and FIT-HaNSA scores in both groups (P<0.05).

Conclusions: SME was affected by RCRSP. Pain and functional impairment were correlated with low SME. Level of evidence: IV.

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肩袖相关肩痛患者的肩胛肌耐力、肩痛和功能：一项配对病例对照研究。

背景：肩胛肌耐力（SME）不足是肩袖相关性肩痛（RCRSP）的一个危险因素。然而，SME、疼痛和功能之间的确切关系仍不清楚。本研究旨在将 RCRSP 患者的 SME、疼痛和功能性与年龄性别匹配的健康对照组进行比较：研究纳入了 23 名 RCRSP 患者和 23 名年龄性别匹配的健康对照者。使用 1 千克测力计测量 SME。使用视觉模拟量表评估自我报告的疼痛程度。手、颈、肩和手臂功能障碍测试（FIT-HaNSA）也用于评估功能障碍：结果：对照组的 SME 和 FIT-HaNSA 总分均高于患者组：SME受到RCRSP的影响。疼痛和功能障碍与低 SME 相关。证据等级：IV级。

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