Comparison of the length of shoulder girdle’s muscles, neck and shoulder range of motion in patients with chronic neck - shoulder pain and healthy subjects

Moezy , A; Gharamaninia , Sh; Gharamaninia , A; Rezaei Hemami , M

[Home ] [Archive]

[ فارسی ]

Journal of Gorgan University of Medical Sciences

Main Menu

Home

Journal Information

Indexing Sources

Editorial Board

Executive Members

Articles Archive

Instruction to Authors

Peer-Review

Contact Us

Site Facilities

Search in website

Receive site information

Volume 19, Issue 2 (7-2017)

J Gorgan Univ Med Sci 2017, 19(2): 51-58

Back to browse issues page

Comparison of the length of shoulder girdle’s muscles, neck and shoulder range of motion in patients with chronic neck - shoulder pain and healthy subjects

A Moezy

¹, Sh Gharamaninia²

, A Gharamaninia³

, M Rezaei Hemami⁴

1- Associate Professor, Department of Sports Medicine, Iran University of Medical Sciences, Tehran, Iran , moezy.a@iums.ac.ir
2- General Physician, Iran University of Medical Sciences, Tehran, Iran
3- Sports Medicine Specialist, Iran University of Medical Sciences, Tehran, Iran
4- Assistant Professor, Department of Social Medicine, Iran University of Medical Sciences, Tehran, Iran

Abstract: (6412 Views)

Background and Objective: One of the most common musculoskeletal injuries in modern societies is neck and shoulder pains which often lead to postural disorders and soft tissue shortenings. This study was done to compare the length of shoulder girdle’s muscles in healthy subjects and patients with shoulder and neck pain.

Methods: This case-control study was done on16 patients with chronic neck- shoulder pain as cases and 15 healthy subjects as control group. Length of upper trapezius, pectoralis major and minor muscles was evaluated with functional tests. Also, the range of shoulder abduction and external rotation and cervical flexion and lateral flexion were measured by goniometer.

Results: Significant differences between patient and control groups were found in pectoralis major and minor muscles length in involved side (P<0.05) and also in neck active range of lateral flexion (P<0.05). Furthermore, there were significant differences between shoulder active range of abduction and external rotation (P<0.05) in the groups.

Conclusion: This study confirmed a significant reduction in range of motion in the neck and shoulder and also a remarkably shortening in the muscles of in the involved side.

Keywords: Muscle Length, Trapezius, Pectoral, Chronic Pain, Shoulder, Neck

Full-Text [PDF 286 kb] [English Abstract] (13321 Downloads) | | Abstract (HTML) (1265 Views)

Type of Study: Original Articles | Subject: Exercise Physiology

References

1. Ostergren P, Hanson B, Balogh I, Ektor-Andersen J, Isacsson A, Orbaek P, et al. Incidence of shoulder and neck pain in a working population: effect modification between mechanical and psychosocial exposures at work? Results from a one year follow up of the Malmö shoulder and neck study cohort. J Epidemiol Community Health. 2005 Sep; 59(9): 721-8. doi:10.1136/jech.2005.034801

2. Hogg-Johnson S, van der Velde G, Carroll LJ, Holm LW, Cassidy JD, Guzman J, et al. The burden and determinants of neck pain in the general population: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine (Phila Pa 1976). 2008 Feb; 33(4 Suppl): S39-51. doi:10.1097/BRS.0b013e31816454c8

3. Côté P, Cassidy JD, Carroll L. The factors associated with neck pain and its related disability in the Saskatchewan population. Spine (Phila Pa 1976). 2000 May; 25(9): 1109-17.

4. Falla D, Jull G, Russell T, Vicenzino B, Hodges P. Effect of neck exercise on sitting posture in patients with chronic neck pain. Phys Ther. 2007 Apr; 87(4): 408-17.

5. McClure PW, Michener LA, Karduna AR. Shoulder function and 3-dimensional scapular kinematics in people with and without shoulder impingement syndrome. Phys Ther. 2006 Aug; 86(8): 1075-90.

6. Nejati P, Lotfian S, Moezy A, Nejati M. The relationship of forward head posture and rounded shoulders with neck pain in Iranian office workers. Med J Islam Repub Iran. 2014; 28: 26.

7. Nejati P, Lotfian S, Moezy A, Nejati M. The study of correlation between forward head posture and neck pain in Iranian office workers. Int J Occup Med Environ Health. 2015; 28(2): 295-303. doi:10.13075/ijomeh.1896.00352

8. Myers JB, Laudner KG, Pasquale MR, Bradley JP, Lephart SM. Glenohumeral range of motion deficits and posterior shoulder tightness in throwers with pathologic internal impingement. Am J Sports Med. 2006 Mar; 34(3): 385-91.

9. Yip CH, Chiu TT, Poon AT. The relationship between head posture and severity and disability of patients with neck pain. Man Ther. 2008 May; 13(2): 148-54.

10. Borstad JD. Resting position variables at the shoulder: evidence to support a posture-impairment association. Phys Ther. 2006 Apr; 86(4): 549-57.

11. Page P, Frank C, Lardner R. Assessment and treatment of muscle imbalance: the Janda approach. 1st ed. Champaign: Human Kinetics. 2009; pp: 175-90.

12. Moezy A, Sepehrifar S, Dodaran MS. The effects of scapular stabilization based exercise therapy on pain, posture, flexibility and shoulder mobility in patients with shoulder impingement syndrome: a controlled randomized clinical trial. Med J Islam Repub Iran. 2014; 28: 87.

13. Moore MK. Upper crossed syndrome and its relationship to cervicogenic headache. J Manipulative Physiol Ther. 2004 Jul-Aug; 27(6): 414-20.

14. Page P. Shoulder muscle imbalance and subacromial impingement syndrome in overhead athletes. Int J Sports Phys Ther. 2011 Mar; 6(1): 51-58.

15. Lin JJ, Wu YT, Wang SF, Chen SY. Trapezius muscle imbalance in individuals suffering from frozen shoulder syndrome. Clin Rheumatol. 2005 Nov; 24(6): 569-75.

16. Edmondston SJ, Chan HY, Ngai GC, Warren ML, Williams JM, Glennon S, et al. Postural neck pain: an investigation of habitual sitting posture, perception of 'good' posture and cervicothoracic kinaesthesia. Man Ther. 2007 Nov; 12(4): 363-71.

17. Fernández-de-Las-Peñas C, Cuadrado ML, Pareja JA. Myofascial trigger points, neck mobility, and forward head posture in episodic tension-type headache. Headache. 2007 May; 47(5): 662-72.

18. Ming Z, Närhi M, Siivola J. Neck and shoulder pain related to computer use. Pathophysiology. 2004 Jul; 11(1): 51-56.

19. Sharma SP, Bærheim A, Kvåle A. Passive range of motion in patients with adhesive shoulder capsulitis, an intertester reliability study over eight weeks. BMC Musculoskelet Disord. 2015 Feb; 16:37. doi:10.1186/s12891-015-0495-4

20. Borstad JD. Measurement of pectoralis minor muscle length: validation and clinical application. J Orthop Sports Phys Ther. 2008 Apr; 38(4): 169-74. doi:10.2519/jospt.2008.2723

21. Yesilyaprak SS, Yüksel E, Kalkan S. Influence of Pectoralis Minor Muscle and Upper Trapez Muscle Tightness in Scapular Dyskinesis. Orthop J Sports Med. 2014 Nov; 2(3 Suppl): 2325967114S00149. doi:10.1177/2325967114S00149

22. Chaves T, Nagamine H, Belli J, de Hannai M, Bevilaqua-Grossi D, De Oliveira A. Reliability of fleximetry and goniometry for assessing cervical range of motion among children. Brazilian Journal of Physical Therapy. 2008; 12(4): 283-9. http://dx.doi.org/10.1590/S1413-35552008000400006

23. Williams MA, McCarthy CJ, Chorti A, Cooke MW, Gates S. A systematic review of reliability and validity studies of methods for measuring active and passive cervical range of motion. J Manipulative Physiol Ther. 2010 Feb; 33(2): 138-55. doi:10.1016/j.jmpt.2009.12.009

24. Norkin CC, White DJ. Measurement of joint motion: a guide to goniometry: FA Davis. 2009.

25. Kendall FP, McCreary EK, Provance PG, Rodgers MM, Romani WA. Muscles: testing and function with posture and pain. 5th ed. Philadlphia: Lippincott Willams and Wilkins; 2005; pp: 295-337.

26. Tate A, Turner GN, Knab SE, Jorgensen C, Strittmatter A, Michener LA. Risk factors associated with shoulder pain and disability across the lifespan of competitive swimmers. J Athl Train. 2012 Mar-Apr; 47(2): 149-58.

27. Griegel-Morris P, Larson K, Mueller-Klaus K, Oatis CA. Incidence of common postural abnormalities in the cervical, shoulder, and thoracic regions and their association with pain in two age groups of healthy subjects. Phys Ther. 1992 Jun; 72(6): 425-31.

28. Greenfield B, Catlin PA, Coats PW, Green E, McDonald JJ, North C. Posture in patients with shoulder overuse injuries and healthy individuals. J Orthop Sports Phys Ther. 1995 May; 21(5): 287-95.

29. Lee H, Nicholson LL, Adams RD. Neck muscle endurance, self-report, and range of motion data from subjects with treated and untreated neck pain. Journal of manipulative and physiological Therapeutics. 2005; 28(1): 25-32. http://doi.org/10.1016/j.jmpt.2004.12.005

30. Ballinger DA, Rintala DH, Hart KA. The relation of shoulder pain and range-of-motion problems to functional limitations, disability, and perceived health of men with spinal cord injury: a multifaceted longitudinal study. Arch Phys Med Rehabil. 2000 Dec; 81(12): 1575-81.

31. Bullock MP, Foster NE, Wright CC. Shoulder impingement: the effect of sitting posture on shoulder pain and range of motion. Man Ther. 2005 Feb; 10(1): 28-37.

32. Brox JI. Regional musculoskeletal conditions: shoulder pain. Best Pract Res Clin Rheumatol. 2003 Feb; 17(1): 33-56.

Send email to the article author

Mendeley

Zotero

RefWorks

Moezy A, Gharamaninia S, Gharamaninia A, Rezaei Hemami M. Comparison of the length of shoulder girdle’s muscles, neck and shoulder range of motion in patients with chronic neck - shoulder pain and healthy subjects. J Gorgan Univ Med Sci 2017; 19 (2) :51-58
URL: http://goums.ac.ir/journal/article-1-3077-en.html

Rights and permissions
	This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Volume 19, Issue 2 (7-2017)

Back to browse issues page

Persian site map - English site map - Created in 0.05 seconds with 36 queries by YEKTAWEB 4645