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Does pectoralis minor stretching provide additional benefit over an exercise program in participants with subacromial pain syndrome? A randomized controlled trial
dc.contributor.author | Gutiérrez-Espinoza H. | |
dc.contributor.author | Araya-Quintanilla F. | |
dc.contributor.author | Gutiérrez-Monclus R. | |
dc.contributor.author | Ríos-Riquelme M. | |
dc.contributor.author | Álvarez-Bueno C. | |
dc.contributor.author | Martínez-Vizcaino V. | |
dc.contributor.author | Cavero-Redondo I. | |
dc.date.accessioned | 2020-09-02T22:19:59Z | |
dc.date.available | 2020-09-02T22:19:59Z | |
dc.date.issued | 2019 | |
dc.identifier | 10.1016/j.msksp.2019.102052 | |
dc.identifier.citation | 44, , - | |
dc.identifier.issn | 24688630 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12728/4837 | |
dc.description | Background: Adaptive shortening of the pectoralis minor is one of the biomechanical mechanisms associated with subacromial pain syndrome (SPS). Objective: To compare the effects of an exercise program alone with an exercise program in combination with pectoralis minor stretching in participants with SPS. Design: Randomized controlled trial. Methods: Eighty adult participants with SPS were randomly allocated to two groups. The control group (n = 40) received a 12-week specific exercise program and the intervention group (n = 40) received the same program plus stretching exercises of the pectoralis minor muscle. The primary outcome measure was shoulder function assessed by a Constant−Murley questionnaire, and the secondary outcomes were the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, visual analog scale (VAS), and pectoralis minor resting length. Results: The present study shows no difference between the two interventions according to the Constant−Murley questionnaire (1.5 points; p = 0.58), VAS at rest (0.2 cm; p = 0.11), VAS at movement (0.5 cm; p = 0.08), and pectoralis minor resting length (0.3 cm; p = 0.06). The DASH questionnaire showed greater functional improvement in the control group (5.4 points; p = 0.02). Finally, only pectoralis minor length index showed difference statistical significant in favor of intervention group (0.3%; p = 0.04). Conclusion: In the short-term, the addition of a program of stretching exercises of the pectoralis minor does not provide significant clinical benefit with respect to functional improvement or pain reduction in participants with SPS. Trial registration: Brazilian registry of clinical trials UTN number U1111-1210-3555. Registered 5 March 2018. © 2019 Elsevier Ltd | |
dc.language.iso | en | |
dc.publisher | Elsevier Ltd | |
dc.subject | Exercise therapy | |
dc.subject | Muscle stretching exercises | |
dc.subject | Randomized clinical trial | |
dc.subject | Subacromial pain syndrome | |
dc.subject | adult | |
dc.subject | analgesia | |
dc.subject | Article | |
dc.subject | clinical outcome | |
dc.subject | Constant Murley (score) | |
dc.subject | controlled study | |
dc.subject | Disabilities of the Arm, Shoulder and Hand (score) | |
dc.subject | disease duration | |
dc.subject | female | |
dc.subject | human | |
dc.subject | kinesiotherapy | |
dc.subject | major clinical study | |
dc.subject | male | |
dc.subject | middle aged | |
dc.subject | muscle length | |
dc.subject | musculoskeletal function | |
dc.subject | outcome assessment | |
dc.subject | parallel design | |
dc.subject | pectoral muscle | |
dc.subject | priority journal | |
dc.subject | program effectiveness | |
dc.subject | randomized controlled trial | |
dc.subject | shoulder | |
dc.subject | shoulder impingement syndrome | |
dc.subject | single blind procedure | |
dc.subject | stretching exercise | |
dc.subject | visual analog scale | |
dc.subject | Chile | |
dc.subject | disability | |
dc.subject | kinesiotherapy | |
dc.subject | pain measurement | |
dc.subject | pathophysiology | |
dc.subject | shoulder pain | |
dc.subject | Adult | |
dc.subject | Chile | |
dc.subject | Disability Evaluation | |
dc.subject | Exercise Therapy | |
dc.subject | Female | |
dc.subject | Humans | |
dc.subject | Male | |
dc.subject | Middle Aged | |
dc.subject | Muscle Stretching Exercises | |
dc.subject | Pain Measurement | |
dc.subject | Shoulder Pain | |
dc.subject | Single-Blind Method | |
dc.title | Does pectoralis minor stretching provide additional benefit over an exercise program in participants with subacromial pain syndrome? A randomized controlled trial | |
dc.type | Article |