Felipe Augusto da Silva Oliveira, L. Calixtre, Laís Regina de Holanda Santos, A. Pitangui, R. C. D. Araújo
BACKGROUND: Daily activities that involve upper limb movements require muscle activation from different body parts by transferring forces and energy along the functional kinetic chain. The scapulae connect and transfer forces between the trunk and the upper limbs, so scapular dyskinesis may compromise the performance of the kinetic chain. OBJECTIVE: To assess the relationship between core muscle performance and shoulder pain and function in individuals with shoulder pain, with and without scapular dyskinesis. METHODS: Data was collected from 77 non-athlete adults aged between 18 and 50 years with shoulder pain, 45 had scapular dyskinesis. Core muscle performance was measured using the prone bridging test (PBT). Shoulder pain and disability were measured by the Shoulder Pain and Disability Index (SPADI), and the upper limbs’ stability was assessed by the Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST). The peak torque of shoulder external and internal rotators was measured using an isokinetic dynamometer. Multiple linear regression models evaluated the relationship between the PBT and CKCUEST, SPADI, and shoulder rotator strength. RESULTS: Significant correlations were found between the PBT and the SPADI total score (r = – 0.522), pain domain (r = – 0.513), and disability domain (r = – 0.501); normalized score (r = 0.593), and the power (r = 0.624) of the CKCUEST; and peak torque for external (r = 0.256) and internal (r = 0.292) rotations. Scapular dyskinesis did not influence the magnitude of the correlations and predictive values. CONCLUSION: The PBT was correlated with shoulder pain and function, but scapular dyskinesis did not affect the magnitude of these relationships.
{"title":"Is the correlation of the core muscle performance with shoulder pain and function altered by scapular dyskinesis in subjects with shoulder pain?","authors":"Felipe Augusto da Silva Oliveira, L. Calixtre, Laís Regina de Holanda Santos, A. Pitangui, R. C. D. Araújo","doi":"10.3233/ppr-230840","DOIUrl":"https://doi.org/10.3233/ppr-230840","url":null,"abstract":"BACKGROUND: Daily activities that involve upper limb movements require muscle activation from different body parts by transferring forces and energy along the functional kinetic chain. The scapulae connect and transfer forces between the trunk and the upper limbs, so scapular dyskinesis may compromise the performance of the kinetic chain. OBJECTIVE: To assess the relationship between core muscle performance and shoulder pain and function in individuals with shoulder pain, with and without scapular dyskinesis. METHODS: Data was collected from 77 non-athlete adults aged between 18 and 50 years with shoulder pain, 45 had scapular dyskinesis. Core muscle performance was measured using the prone bridging test (PBT). Shoulder pain and disability were measured by the Shoulder Pain and Disability Index (SPADI), and the upper limbs’ stability was assessed by the Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST). The peak torque of shoulder external and internal rotators was measured using an isokinetic dynamometer. Multiple linear regression models evaluated the relationship between the PBT and CKCUEST, SPADI, and shoulder rotator strength. RESULTS: Significant correlations were found between the PBT and the SPADI total score (r = – 0.522), pain domain (r = – 0.513), and disability domain (r = – 0.501); normalized score (r = 0.593), and the power (r = 0.624) of the CKCUEST; and peak torque for external (r = 0.256) and internal (r = 0.292) rotations. Scapular dyskinesis did not influence the magnitude of the correlations and predictive values. CONCLUSION: The PBT was correlated with shoulder pain and function, but scapular dyskinesis did not affect the magnitude of these relationships.","PeriodicalId":506101,"journal":{"name":"Physiotherapy Practice and Research","volume":"121 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140378856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND: The term sarcopenia, referring to declining function with age, has no universally agreed definition. Sarcopenia develops from multifactorial interactions, resulting in health problems such as frailty and increased falls risk; and for which screening may enable timely intervention. As sarcopenia screening equipment recommended by The European Working Group on Sarcopenia in Older People (EWGSOP2) is not always available in primary care, alternate screening strategies are needed. OBJECTIVE: To investigate the efficacy of the SARC-CalF questionnaire for sarcopenia screening in primary care and agreement between SARC-CalF and SARC-F questionnaires, with EWGSOP2 cut-off values. METHODS: Fifty community-dwelling adults aged 65yrs and over completed the SARC-CalF and EWGSOP2 strength and physical performance outcome measures. Calculations for probability of sarcopenia and skeletal muscle mass were completed. Agreement between operational definitions and outcome measures were assessed to establish screening accuracy. RESULTS: Prevalence of probable sarcopenia ranged from 10–48% depending on outcome measure; SARC-CalF increased prevalence by 55% compared to SARC-F. Questionnaires agreed more strongly with probable sarcopenia as measured by leg than grip strength. Gait speed agreed significantly with strength and physical performance measures. CONCLUSIONS: In community-dwelling adults aged 65yrs and over, outcome measure used influenced rates of probable sarcopenia. Within primary care, equations may enable assessment of muscle mass, while formulae may enable assessment of the probability of sarcopenia. Gait speed is recommended for quantification of sarcopenia severity.
{"title":"Sarcopenia screening of community-dwelling individuals aged 65 and over within the primary care setting","authors":"Doreen Moore, Jackie Gallagher","doi":"10.3233/ppr-230764","DOIUrl":"https://doi.org/10.3233/ppr-230764","url":null,"abstract":"BACKGROUND: The term sarcopenia, referring to declining function with age, has no universally agreed definition. Sarcopenia develops from multifactorial interactions, resulting in health problems such as frailty and increased falls risk; and for which screening may enable timely intervention. As sarcopenia screening equipment recommended by The European Working Group on Sarcopenia in Older People (EWGSOP2) is not always available in primary care, alternate screening strategies are needed. OBJECTIVE: To investigate the efficacy of the SARC-CalF questionnaire for sarcopenia screening in primary care and agreement between SARC-CalF and SARC-F questionnaires, with EWGSOP2 cut-off values. METHODS: Fifty community-dwelling adults aged 65yrs and over completed the SARC-CalF and EWGSOP2 strength and physical performance outcome measures. Calculations for probability of sarcopenia and skeletal muscle mass were completed. Agreement between operational definitions and outcome measures were assessed to establish screening accuracy. RESULTS: Prevalence of probable sarcopenia ranged from 10–48% depending on outcome measure; SARC-CalF increased prevalence by 55% compared to SARC-F. Questionnaires agreed more strongly with probable sarcopenia as measured by leg than grip strength. Gait speed agreed significantly with strength and physical performance measures. CONCLUSIONS: In community-dwelling adults aged 65yrs and over, outcome measure used influenced rates of probable sarcopenia. Within primary care, equations may enable assessment of muscle mass, while formulae may enable assessment of the probability of sarcopenia. Gait speed is recommended for quantification of sarcopenia severity.","PeriodicalId":506101,"journal":{"name":"Physiotherapy Practice and Research","volume":"8 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140437602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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