Shoulder Impingement: Biomechanical Considerations in Rehabilitation

Details

• Alternative Title:
  Man Ther
• Personal Author:
  Ludewig, Paula M. ; Braman, Jonathan P
• Description:
  Shoulder impingement is a common condition presumed to contribute to rotator cuff disease. Impingement can occur externally with the coracoacromial arch or internally with the glenoid rim. Normal scapulothoracic motions that occur during arm elevation include upward rotation, posterior tilting, and either internal or external rotation. These scapulothoracic motions and positions are the result of coupled interactions between sternoclavicular and acromioclavicular joints. The sternoclavicular and acromioclavicular joints both contribute to scapulothoracic upward rotation. Posterior tilting is primarily an acromioclavicular joint motion. The sternoclavicular and acromioclavicular joint motions offset one another regarding final scapulothoracic internal/external rotation position. This manuscript discusses these coupled interactions in relation to shoulder muscle function. Two case examples are presented to demonstrate application of understanding these interactions and potential mechanisms of movement abnormalities in targeting treatment interventions for movement based subgroups of impingement patients.
• Subjects:
  Biomechanical Phenomena Clavicle Exercise Therapy Humans Muscle, Skeletal Scapula Shoulder Impingement Syndrome Shoulder Joint
• Keywords:
  Exercise Human Movement System Physical Therapy Rotator Cuff Disease
• Source:
  Man Ther. 2010; 16(1):33-39
• Pubmed ID:
  20888284
• Pubmed Central ID:
  PMC3010321
• Document Type:
  Journal Article
• Funding:
  R03ND053399/ND/ONDIEH CDC HHSUnited States/ ; K01 HD042491-05/HD/NICHD NIH HHSUnited States/ ; R03 HD053399-02/HD/NICHD NIH HHSUnited States/ ; K01HD042491/HD/NICHD NIH HHSUnited States/ ; R03 HD053399-01A1/HD/NICHD NIH HHSUnited States/ ; K01 HD042491-04/HD/NICHD NIH HHSUnited States/ ; K01 HD042491/HD/NICHD NIH HHSUnited States/ ; K01 HD042491-03/HD/NICHD NIH HHSUnited States/ ; K01 HD042491-01A1/HD/NICHD NIH HHSUnited States/ ; R03 HD053399/HD/NICHD NIH HHSUnited States/ ; K01 HD042491-02/HD/NICHD NIH HHSUnited States/
• Volume:
  16
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:cdc05130d8e7f6c11d17ae932858b903d9ac089db07872b6c8d2bff271571259
• Download URL:
  https://stacks.cdc.gov/view/cdc/33180/cdc_33180_DS1.pdf
• File Type:
  [PDF - 521.72 KB ]