The relationship between scapular dyskinesia, pain, range of motion, and flexibility in patients with neck and shoulder problems/ Boyun ve omuz agrili olgularda skapular diskinezi, agri, eklem hareket acikligi ve esneklik arasindaki iliski

• Published in: Aǧrı 2014-07, Vol.26 (3), p.119
• Main Authors: Ozunlu Pekyavas, Nihan, Kunduracilar, Zuhal, Ersin, Aybuke, Ergunes, Cengiz, Tonga, Eda, Karatas, Metin
• Format: Article
• Language: Turkish
• ISSN: 1300-0012
• DOI: 10.5505/agri.2014.55486

Objectives: To investigate the relationship between scapular dyskinesia, pain, and flexibility in patients with neck, shoulder, or both injuries. Methods: A total of 160 patients who came to Baskent University Hospital, Department of Physical Medicine and Rehabilitation with pathology and pain in the neck and shoulder regions were included to our study. Patients were divided into three groups; Neck group, shoulder group and neck+shoulder group. Visual Analog Scale (VAS) for pain intensity, goniometer for range of motion, and tape measurement for evaluation of flexibility was used. Lateral Scapular Slide Test (LSST) and Scapular Retraction Test (SRT) vs Skapular Assisstance Test (SAT) were used for evaluation of scapular dyskinesia. Results: SRT (r=0.617, p = 0.000) and SAT (r=0.565, p=0.000) positivity was found to be correlated with dominant and nondominant sides in patients with neck pathology. Pain at night and during rest were found to correlate with pain during activity in patients with neck+shoulder pathology (r=0.572, p = 0.002). No significant correlation was found between pain intensity and scapular dyskinesia in all groups. LSST values were found under 1.5 cm and therefore, scapular mobilization was considered as normal (LSST1=0.76 ± 0.74; LSST2=0.68 ± 0.81; LSST3=0.75 ± 0.75). Conclusion: In addition to joint limitations and flexibility, scapular dyskinesia should also be evaluated in order to solve problems related to pain in patients with neck, shoulder and neck+shoulder pathology. In future studies, the classification of groups according to pathology may help to understand the impact of scapular dyskinesia on the pathology of shoulder and neck pain. Key words: Pain; neck; flexibility; range of motion; shoulder; scapular dyskinesia. Amac: Boyun, omuz ve boyun-omuz agrili olgularda, skapular diskinezi, agri ve esneklik arasindaki iliskilerin arastirilmasi. Gerec ve Yontem: Calismamiza Baskent Universitesi Hastanesi Fiziksel Tip ve Rehabilitasyon Anabilim Dali'na boyun ve omuz agrisi sikayeti ile basvurmus, patolojik tani almis 160 olgu alindi. Hastalar boyun (n=80, yas ort=48.78 ± 15.97, VKI ort=27.14 ± 4.62), omuz (n=54, yas ort=54.01 ± 14.64, VKI ort=26.28 ± 3.43) ve boyun+omuz (n=27 yas ort=51.48 ± 15.25, VKI ort=26.13 ± 4.53) agrisi gruplari olmak uzere uc gruba ayrildi. Boyun ve omuz agri siddetinin degerlendirilmesi amaciyla Gorsel Analog Skalasi (GAS), eklem hareket acikliklarinin olculmesi amaciyla gonyometre, omuz internal ve eksternal