ArticleBMC musculoskeletal disorders2017
Glenohumeral and scapulothoracic strength impairments exists in patients with subacromial impingement, but these are not reflected in the shoulder pain and disability index.
Article in BMC musculoskeletal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Effect of scapular stabilization exercises on subacromial pain (impingement) syndrome: a systematic review and meta-analysis of randomized controlled trials.Frontiers in neurology · 2024Pooled it
- Handball-specific loading acutely reduces the acromiohumeral distance in experienced handball players and in non-handball experienced athletes.Frontiers in sports and active living · 2022Pooled it
- No relationship between the acromiohumeral distance and pain in adults with subacromial pain syndrome: a systematic review and meta-analysis.Scientific reports · 2020Pooled it
- Association Between Changes in Shoulder Strength and Self-Reported Shoulder Symptoms in Patients With Hypermobility Following 16-Weeks of High-Load or Low-Load Exercise: A Secondary Analysis of an RCT.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026Trial
- Kinesiophobia could affect shoulder function after repair of rotator cuff tears.BMC musculoskeletal disorders · 2022Trial
- Effectiveness of Adding a Large Dose of Shoulder Strengthening to Current Nonoperative Care for Subacromial Impingement: A Pragmatic, Double-Blind Randomized Controlled Trial (SExSI Trial).The American journal of sports medicine · 2021Trial
- Progressive Resistance Exercises plus Manual Therapy Is Effective in Improving Isometric Strength in Overhead Athletes with Shoulder Impingement Syndrome: A Randomized Controlled Trial.BioMed research international · 2021Trial
- Association between acromial morphology, scapular control, ultrasonographic impingement and non-surgical treatment outcome in patients with isolated subacromial pain syndrome.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Making Sense of Shoulder Exercise: Measuring the Accuracy of an Artificial Intelligence Model to Classify Shoulder Exercise via Wearable Sensors Among People With and Without Rotator Cuff Tendinopathy.European journal of sport science · 2026Article
- Association Between Postoperative Subacromial Impingement Syndrome and Functional Recovery After Arthroscopic Rotator Cuff Repair in Elderly Patients: A Single-Center Retrospective Study.Clinical interventions in aging · 2026Article
- Relationship between changes in neuromuscular factors and disability outcomes following a resistance exercise intervention in rotator cuff tendinopathy.Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology · 2025Article
- The Challenge of Diagnosing Patients Presenting With Signs and Symptoms of Subacromial Pain Syndrome: A Descriptive Study of 741 Patients Seen in a Secondary Care Setting.Orthopaedic journal of sports medicine · 2025Article
- What are the predictors of response to physiotherapy in patients with massive irreparable rotator cuff tears? Gaining expert consensus using an international e-Delphi study.BMC musculoskeletal disorders · 2024Article
- Influence of acromioclavicular joint arthritis on outcomes after reverse total shoulder.JSES international · 2024Article
- Clinician's Commentary on Biasini et al.Physiotherapy Canada. Physiotherapie Canada · 2023Article
- The relationship of range of motion and muscle strength to patients' perspectives in pain, disability, and health-related quality of life in patients with rotator cuff disease.Irish journal of medical science · 2021Article
- Pain-related beliefs are associated with arm function in persons with frozen shoulder.Shoulder & elbow · 2020Article
- Biopsychosocial Aspects in Individuals with Acute and Chronic Rotator Cuff Related Shoulder Pain: Classification Based on a Decision Tree Analysis.Diagnostics (Basel, Switzerland) · 2020Article
- Rasch validation of the Danish version of the shoulder pain and disability index (SPADI) in patients with rotator cuff-related disorders.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019Article
- Patients who are candidates for subacromial decompression have more pronounced range of motion deficits, but do not differ in self-reported shoulder function, strength or pain compared to non-candidates.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPain and loss of function are cardinal symptoms associated with Subacromial impingement syndrome (SIS), while the presence and magnitude of deficits in strength and range of motion (ROM) are largely undescribed in non-athletic patients with SIS. Moreover, the relevance of impairments in strength and ROM to patient-reported shoulder function is not well described, even though testing of strength is recommended in clinical guidelines. The purpose of this study was, first, to investigate impairments in glenohumeral and scapulothoracic strength and in abduction and internal rotation ROM in patients with SIS. Secondly, to investigate the influence of these impairments on patient-reported shoulder function.
methodsCross-sectional study based on a consecutive cohort of 157 patients referred to specialist examination and diagnosed with shoulder impingement (SIS) using predefined validated diagnostic criteria. Prior to specialist examination, questionnaires regarding shoulder function (Shoulder Pain And Disability Index, SPADI) demographics and kinesiophobia (TSK-11) were collected, and shoulder strength and ROM was measured by trained testers, with the patient reporting pain levels during testing and for the last week. Impairments in strength (abduction, external-rotation, (protraction and horizontal-extension) and ROM (abduction and internal rotation) were investigated in patients with unilateral shoulder pain, using one-sample t-tests. SPADI total score (SPADI) and SPADI function score (SPADI-F), were chosen as dependent variables in multiple regressions to investigate the influence of impairments on patient-reported shoulder function. Independent variables of interest were; strength in abduction and external rotation, abduction ROM, pain-during-tests, pain-last-week and kinesiophobia.
resultsSignificant impairments were found for all impairment tests, but most pronounced for glenohumeral strength and abduction ROM (29-33% deficits), and less for scapulothoracic strength and internal rotation ROM (8-18% deficits). Pain variables influenced SPADI and SPADI-F score to a high degree (R
conclusionSubstantial strength and ROM impairments were found in patients with SIS. Only pain significantly influenced patient-reported function, while impairments did not. As SPADI score does not reflect the substantial strength and ROM impairments in external rotation and abduction observed in patients with SIS, supplemental assessment of these impairments seems important.
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