Evidence map›Paper›PMID 30658048›Full record

ArticleThe Journal of orthopaedic and sports physical therapy2019

The Impact of Decreased Scapulothoracic Upward Rotation on Subacromial Proximities.

Rebekah L Lawrence, Jonathan P Braman, Paula M Ludewig

Abstract read
In one paragraph

Article in The Journal of orthopaedic and sports physical therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Article
  2. Article
  3. Shoulder muscle activity magnitude and timing in individuals with specific scapular movement patterns.Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Investigating the multifactorial etiology of supraspinatus tendon tears.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2024
    Article
  12. Article
  13. In vivo evaluation of rotator cuff internal impingement during scapular plane abduction in asymptomatic individuals.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2023
    Article
  14. Article
  15. Comparison of glenohumeral joint kinematics between manual wheelchair tasks and implications on the subacromial space: A biplane fluoroscopy study.Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology · 2022
    Article
  16. Article
  17. Risk Factors for Shoulder Injuries in Water Polo: a Cohort Study.International journal of sports physical therapy · 2021
    Article
  18. Observational
  19. Fatigue-Induced Scapular Dyskinesis in Healthy Overhead Athletes.Frontiers in bioengineering and biotechnology · 2020
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Rebekah L Lawrence
Jonathan P Braman
Paula M Ludewig

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR002494 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, WEISDORF, DANIEL J · 2018 to 2022
$34.9M
NMR Imaging and SpectroscopyP41EB015894 · NIBIB · UNIVERSITY OF MINNESOTA · PI UGURBIL, KAMIL · 2012 to 2017
$8.4M
Musculoskeletal Training GrantT32AR050938 · NIAMS · UNIVERSITY OF MINNESOTA TWIN CITIES · PI CLOHISY, DENIS R · 2004 to 2020
$3.0M
Movement-related pathogenesis of rotator cuff disease in persons with shoulder painF31HD087069 · NICHD · UNIVERSITY OF MINNESOTA · PI LAWRENCE, REBEKAH L · 2016 to 2017
$86k
NCATS NIH HHS UL1 TR002494NIAMS NIH HHS T32 AR050938NIBIB NIH HHS P41 EB015894NICHD NIH HHS F31 HD087069NICHD NIH HHS L30 HD089226
6 · The paper itself

Abstract

backgroundDecreased scapulothoracic upward rotation has been theorized to increase an individual's risk for rotator cuff compression by reducing the clearance for the tendons in the subacromial space (ie, subacromial proximities). However, the impact of decreased scapulothoracic upward rotation on subacromial proximities has not been tested during dynamic in vivo shoulder motion.

objectiveTo determine the impact of decreased scapulothoracic upward rotation on subacromial proximities.

methodsShoulder kinematics were quantified in 40 participants, classified as having high or low scapulothoracic upward rotation, during scapular plane abduction using single-plane fluoroscopy and 2-D/3-D shape-matching. Subacromial proximities were calculated as (1) the normalized minimum distance between the coracoacromial arch and humeral rotator cuff insertion, and (2) the surface area of the humeral rotator cuff insertion in immediate proximity to the coracoacromial arch. The effect of decreased scapulothoracic upward rotation on subacromial proximities was assessed using 2-factor mixed-model analyses of variance. The prevalence of contact between the coracoacromial arch and rotator cuff was also quantified.

resultsSubacromial distances were generally smallest below 70° of humerothoracic elevation. With the arm at the side, the normalized minimum distance for participants in the low scapulothoracic upward rotation group was 34.8% smaller compared to those in the high upward rotation group (P = .049). Contact between the coracoacromial arch and rotator cuff tendon occurred in 45% of participants.

conclusionDecreased scapulothoracic upward rotation shifts the range of risk for subacromial rotator cuff compression to lower angles. However, the low prevalence of contact suggests that subacromial rotator cuff compression may be less common than traditionally presumed. J Orthop Sports Phys Ther 2019;49(3):180-191. Epub 18 Jan 2019. doi:10.2519/jospt.2019.8590.

Indexed as

AcromionAdultArmBiomechanical PhenomenaFemaleHumansMaleMovementRotationRotator CuffScapulaThoraximpingementkinematicsrotator cuffshoulder

Identifiers

PMID30658048
PMCPMC7112160

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.