Do Core Stabilization Exercises Have an Impact on Pain, Posture, and Disability in Shoulder Impingement Syndrome?


Abstract views: 77 / PDF downloads: 19

Authors

  • Orkun MENEK
  • Ayca AKLAR
  • Nuray ALACA Acıbadem Mehmet Ali Aydınlar University
  • Feryal SUBASI

DOI:

https://doi.org/10.5281/zenodo.14994579

Keywords:

Core Stabilization Exercise, Disability, Muscle Strength, Pain, Posture, Shoulder Impingement Syndrome

Abstract

The objective of this retrospective study was look into the effects of core stabilization exercises applied in conjunction conservative treatment on pain, muscle strength, disability, and posture in shoulder impingement syndrome (SIS). 92 patients diagnosed with SIS enrolled in the study. The study was completed with 50 patients who met the inclusion criteria and whose analyzes were fully completed. There were two groups in our study (Group 1: conservative treatment, Group 2: core stabilization in addition to conservative treatment, n=25 each groups, 3 days per week for 6 weeks). Pain, joint range of motion, muscle and core strength, core endurance, posture and disability were assessed pre and post treatment in both groups. Both groups showed that there were significant improvements in pain, shoulder and neck joint range of motion, core endurance, disability (all p<0.001), upper body region muscle strength (p<0.001 for Group 1, p=0.011-<0.001 for Group 2) and core strength (p=0.043-0.045 for Group 1, p<0.001 for Group 2) after treatment. Posture score compared with the pre-treatment there was no difference in the Group 1 (p=0,953), while there was a significant increase in the Group 2 (p<0.001). The Group 2 also showed a significant increase in the core strength and endurance score compared with the Group 1, (p<0.001). We observed both groups showed improvement in on pain level, range of motion, upper body region muscle strength, disability, core strength and endurance. It was found that the Group 2 provided superiority in core muscle strength and endurance compared to the Group 1 and posture improved significantly. These findings suggest that core stabilization exercises should be integrated into treatment plans, particularly for SIS patients with postural deficiencies.

Author Biographies

Orkun MENEK

 

 

Ayca AKLAR

 

 

Nuray ALACA, Acıbadem Mehmet Ali Aydınlar University

 

 

Feryal SUBASI

 

 

References

Al Dajah, S. B. (2014). Soft tissue mobilization and PNF improve range of motion and minimize pain level in shoulder impingement. J Phys Ther Sci, 26(11), 1803–1805.

Aggarwal, A., Kumar, S., Madan, R., & Kumar, R. (2011). Relationship among different tests of evaluating low back core stability. J Musculoskelet Res, 14(2), 1250004.

Akuthota, V., & Nadler, S. F. (2004). Core strengthening. Arch Phys Med Rehabil, 85, S86–S92.

Ayhan, C., Unal, E., & Yakut, Y. (2014). Core stabilisation reduces compensatory movement patterns in patients with injury to the arm: A randomized controlled trial. Clin Rehabil, 28(1), 36–47.

Biering-Sørensen, F. (1984). Physical measurements as risk indicators for low-back trouble over a one-year period. Spine (Phila Pa 1976), 9(2), 106–119.

Borghuis, J., Hof, A. L., & Lemmink, K. A. (2008). The importance of sensory-motor control in providing core stability. Sports Med, 38(11), 893–916.

Bumin, G., Tüzün, E. H., & Tonga, E. (2008). The Shoulder Pain and Disability Index (SPADI): Cross-cultural adaptation, reliability, and validity of the Turkish version. J Back Musculoskelet Rehabil, 21(1), 57–62.

Çakmak, A. (2003). Conservative treatment in subacromial impingement syndrome. Acta Orthop Traumatol Turc, 37(1), 112–118.

Çitaker, S., Taşkiran, H., Akdur, H., Arabaci, Ü. Ö., & Ekici, G. (2005). Comparison of the mobilization and proprioceptive neuromuscular facilitation methods in the treatment of shoulder impingement syndrome. Pain Clin, 17(2), 197–202.

Chan, E. W. M., Hamid, M. S. A., Nadzalan, A. M., & Hafiz, E. (2020). Abdominal muscle activation: An EMG study of the Sahrmann five-level core stability test. Hong Kong Physiother J, 40(2), 89–97.

Cohen, J. (1977). Statistical power analysis for the behavioral sciences. Acad Press.

Godges, J. J., Mattson-Bell, M., Thorpe, D., & Shah, D. (2003). The immediate effects of soft tissue mobilization with proprioceptive neuromuscular facilitation on glenohumeral external rotation and overhead reach. J Orthop Sports Phys Ther, 33(12), 713–718.

Granacher, U., Lacroix, A., Muehlbauer, T., Roettger, K., & Gollhofer, A. (2013). Effects of core instability strength training on trunk muscle strength, spinal mobility, dynamic balance, and functional mobility in older adults. Gerontology, 59(2), 105–113.

Haas, R., Gorelik, A., Busija, L., O'Connor, D., Pearce, C., Mazza, D., & Buchbinder, R. (2023). Prevalence and characteristics of musculoskeletal complaints in primary care: An analysis from the POLAR database. BMC Prim Care, 24(1), 40.

Harrington, S., Meisel, C., & Tate, A. (2014). A cross-sectional study examining shoulder pain and disability in Division I female swimmers. J Sport Rehabil, 23(1), 65–75.

Hodges, P. W., & Richardson, C. A. (1997). Feed forward contraction of transversus abdominis is not influenced by the direction of arm movement. Exp Brain Res, 114(2), 362–370.

Hodges, P. W., & Richardson, C. A. (1997). Relationship between limb movement speed and associated contraction of the trunk muscles. Ergonomics, 40(11), 1220–1230.

Hodges, P. W. (2004). Lumbopelvic stability: a functional model of the biomechanics and motor control. In: Richardson, C. A., Hodges, P. W., & Hides, J. A., editors. Therapeutic exercise for Lumbopelvic stabilization. 2nd ed. Edinburgh: Churchill Livingstone; p. 13–28.

Hodgetts, C. J., Leboeuf-Yde, C., Beynon, A., & Walker, B. F. (2021). Shoulder pain prevalence by age and within occupational groups: a systematic review. Arch Physiother, 11(1), 24. doi: 10.1186/s40945-021-00119-w

Hazar, Z., Ulug, N., & Yuksel, I. (2014). Is there a relation between shoulder dysfunction and core instability? Open J Sports Med, 2(11 Suppl 3), 2325967114S00173.

Kahle, N. L., & Gribble, P. A. (2009). Core stability training in dynamic balance testing among young, healthy adults. Athl Train Sports Health Care, 1(2), 65–73.

Kendall, F. P. (2005). Muscles: Testing and function with posture and pain. Lippincott Williams & Wilkins.

Kibler, W. B., Press, J., & Sciascia, A. (2006). The role of core stability in athletic function. Sports Med, 36(3), 189–198.

Lucas, J., van Doorn, P., Hegedus, E., Lewis, J., & van der Windt, D. (2022). A systematic review of the global prevalence and incidence of shoulder pain. BMC Musculoskelet Disord, 23(1), 1073.

Lewis, J. S., Green, A., & Wright, C. (2005). Subacromial impingement syndrome: the role of posture and muscle imbalance. J Shoulder Elbow Surg, 14(4), 385–392.

Lust, K. R., Sandrey, M. A., Bulger, S. M., & Wilder, N. (2009). The effects of 6-week training programs on throwing accuracy, proprioception, and core endurance in baseball. J Sport Rehabil, 18(3), 407–426.

MacDermid, J. C., Solomon, P., & Prkachin, K. (2006). The Shoulder Pain and Disability Index demonstrates factor, construct, and longitudinal validity. BMC Musculoskelet Disord, 7, 12.

Matsen, F. A., Arntz, C. T., & Lippitt, S. B. (1998). Rotator cuff. In: Rockwood, C. A., editor. The Shoulder. Vol. 2. 2nd ed. Philadelphia: W.B. Saunders; p. 755–839.

McRoberts, L. B., Cloud, R. M., & Black, C. M. (2013). Evaluation of the New York Posture Rating Chart for assessing changes in postural alignment in a garment study. Clothing Textiles Res J, 31(2), 81–96.

Mısırlıoğlu, T. Ö., Eren, İ., Canbulat, N., Çobanoğlu, E., Günerbüyük, C., & Demirhan, M. (2018). Does a core stabilization exercise program have a role on shoulder rehabilitation? A comparative study in young females. Turk J Phys Med Rehabil, 64(4), 328–336.

Zhong, Z., Zang, W., Tang, Z., Pan, Q., Yang, Z., & Chen, B. (2024). Effect of scapular stabilization exercises on subacromial pain (impingement) syndrome: A systematic review and meta-analysis of randomized controlled trials. Front Neurol, 15, 1357763.

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Published

2025-03-09

How to Cite

MENEK , O., AKLAR, A., ALACA, N., & SUBASI , F. (2025). Do Core Stabilization Exercises Have an Impact on Pain, Posture, and Disability in Shoulder Impingement Syndrome? : . GEVHER NESIBE JOURNAL OF MEDICAL AND HEALTH SCIENCES, 10(1), 69–81. https://doi.org/10.5281/zenodo.14994579

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