Comparison of scapular kinematics and muscle strength between those with a positive and a negative Scapular Assistance Test

Author(s)

Ribeiro, Larissa Pechincha ^[1] ; Goncalves Barreto, Rodrigo Py ^[1] ; Pereira, Natalia Duarte ^[1] ; Camargo, Paula Rezende ^[1]

Affiliation

^[1] Univ Fed Sao Carlos, Dept Phys Therapy, Lab Anal & Intervent Shoulder Complex, Sao Carlos, SP - Brazil

• Document type: Journal article
• Source: CLINICAL BIOMECHANICS; v. 73, p. 166-171, MAR 2020.
• Web of Science Citations: 0

Abstract

Background: The Scapular Assistance Test was suggested to directly assess the influence of scapular motion on pain and indirectly measure the function of the scapular rotators. However, it is still not clear if individuals with a positive Scapular Assistance Test actually present changes in scapular motion and muscle strength. This study compared scapular kinematics and muscle strength between those with a positive Scapular Assistance Test and those with a negative Scapular Assistance Test. Methods: Fifty individuals with shoulder pain were randomly allocated to: positive (n = 25) or negative Scapular Assistance Test (n = 25) group. Scapular kinematics was measured during elevation and lowering of the arm. Strength of the serratus anterior and lower trapezius was also measured. Two-way analysis of variance was used to compare kinematics between groups. Unpaired Student's t-test and Mann-Whitney test were used to compare strength of serratus anterior and lower trapezius, respectively. Findings: There were no differences (P > 0.05) in scapular internal rotation and upward rotation between both groups. For scapular tilt, there was group main effect (P < 0.05) during elevation and lowering of the arm, whereas the positive Scapular Assistance Test group presented greater scapular anterior tilt. There was no difference (P > 0.05) in strength between groups. Interpretation: Individuals with a positive Scapular Assistance Test are more likely to present decreased scapular posterior tilt in those with shoulder pain. Strength of the scapular muscles seems to be same in those with a positive and a negative Scapular Assistance Test. (AU)

• FAPESP's process: 16/21813-8 - Do individuals with positive scapular assistance test present alterations in scapular kinematics and muscle strength?
• Grantee: Larissa Pechincha Ribeiro
• Support Opportunities: Scholarships in Brazil - Master