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      Four weeks of exercise regimen for sedentary workers with rounded shoulder posture: a randomized controlled study

      research-article
      I , II , III
      São Paulo Medical Journal
      Associação Paulista de Medicina - APM
      Posture, Shoulder, Exercise, Photogrammetry, Taping, Scapular correction, Stiffness, Elastography

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          ABSTRACT

          BACKGROUND:

          Rounded shoulder (RS) posture causes neck and shoulder pathologies. Mechanical correction taping (MCT) is often incorporated into postural corrective therapies; however, its effects on muscle stiffness are unclear.

          OBJECTIVE:

          We investigated the effect of MCT with different tape fabrics, along with exercise, on upper trapezius and pectoralis minor muscle stiffness and the posture of sedentary workers.

          DESIGN AND SETTING:

          A randomized controlled study was performed at Aydın Adnan Menderes University, Aydın, Turkey.

          METHODS:

          The study included 39 workers with RS posture. Two intervention groups (performance tape: PT and classic tape: CT) were taped twice a week and administered a home exercise program for 4 weeks. The control (C) group performed only home exercises. RS was measured using an acromion-testing table (AT), stiffness using shear wave elastography ultrasound, and shoulder angle (SA) using a smartphone application at baseline and 4 weeks. Time and group interactions were determined using 3 × 2 mixed analysis of variance.

          RESULTS:

          Intragroup analyses revealed a significant main effect of time on AT distance (η 2 = 0.445) and SA (η 2 = 0.325) in the PT and C groups (P < 0.05) and left upper trapezius stiffness (η 2 = 0.287) in the CT and C groups (P < 0.05). In the post hoc analyses, no difference was noted between the groups from baseline to 4 weeks (P > 0.05).

          CONCLUSION:

          Scapular MCT added to postural exercises did not show any difference between the intervention groups and controls in terms of muscle stiffness and posture in sedentary workers.

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          Most cited references43

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          A power primer

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            Shoulder disorders in general practice: incidence, patient characteristics, and management.

            To study the incidence and management of intrinsic shoulder disorders in Dutch general practice, and to evaluate which patient characteristics are associated with specific diagnostic categories. In 11 general practices (35,150 registered patients) all consultations concerning shoulder complaints were registered during a period of one year. Patients with an intrinsic shoulder disorder who had not consulted their general practitioner for the complaint during the preceding year (incident cases) were asked to participate in an observational study. Participants completed a questionnaire regarding the nature and severity of their complaints. The general practitioners recorded data on diagnosis and therapy. The cumulative incidence of shoulder complaints in general practice was estimated to be 11.2/1000 patients/year (95% confidence limits 10.1 to 12.3). Rotator cuff tendinitis was the most frequently recorded disorder (29%). There were 349 incident cases enrolled in the observational study. Patient characteristics showed small variations between different diagnostic categories. Age, duration of symptoms, precipitating cause and restriction of movement seemed to be discriminating factors. Twenty two percent of all participants received injections during the first consultation; most (85%) were diagnosed as having bursitis. The majority of patients with tendinitis (53%) were referred for physiotherapy. With respect to diagnosis and treatment, the practitioners generally appeared to follow the guidelines issued by the Dutch College of General Practitioners. Although the patient characteristics of specific disorders showed some similarities with the clinical pictures described in the literature, further research is required to demonstrate whether the proposed syndromes indeed constitute separate disorders with a different underlying pathology, requiring different treatment strategies.
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              The disabled throwing shoulder: spectrum of pathology part III: the SICK scapula, scapular dyskinesis, the kinetic chain, and rehabilitation

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                Author and article information

                Journal
                Sao Paulo Med J
                Sao Paulo Med J
                spmj
                São Paulo Medical Journal
                Associação Paulista de Medicina - APM
                1516-3180
                1806-9460
                12 September 2022
                2023
                : 141
                : 3
                : e2022257
                Affiliations
                [I ]PhD, PT. Assistant Professor, Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Aydın Adnan Menderes University, Aydın, Turkey.
                [II ]MD. Associate Professor, Department of Radiology, Faculty of Medicine, Aydın Adnan Menderes University, Aydın, Turkey.
                [III ]PhD, PT. Assistant Professor, Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Aydın Adnan Menderes University, Aydın, Turkey.
                Author notes
                Address for correspondence: Ozge Ece Gunaydin Faculty of Health Sciences, Department of Physical Therapy and Rehabilitation, Aydın Adnan Menderes University Efeler 09010 Aydın, Turkey Tel. +90 505 822 32 94 — Fax. + 90 256 212 42 19 E-mail: oegunaydin@ 123456adu.edu.tr

                Authors’ contributions: Gunaydin OE: conceptualization (lead), formal analysis (equal), funding acquisition (lead), investigation (lead), methodology (lead), resources (lead), supervision (lead), writing-original draft (lead), writing-review and editing (lead); Ertekin E: conceptualization (equal), funding acquisition (equal), investigation (equal), methodology (equal), resources (equal), supervision (equal), writing-original draft (equal), and writing-review and editing (equal); and Gunaydin G: conceptualization (equal), formal analysis (lead), funding acquisition (equal), investigation (equal), methodology (equal), resources (equal), supervision (equal), writing-original draft (equal), and writing-review and editing (equal). All authors contributed actively to the discussion of the study results and reviewed and approved the final version of the manuscript

                Conflicts of interest: None

                Author information
                http://orcid.org/0000-0001-8652-2122
                http://orcid.org/0000-0001-7182-0725
                http://orcid.org/0000-0003-3432-6431
                Article
                00206
                10.1590/1516-3180.2022.0257.R1.06072022
                10065112
                36102464
                1c40881a-dc18-4ff1-be7f-c6dec6fe70b1

                This is an open-access article distributed under the terms of the Creative Commons Attribution License

                History
                : 20 April 2022
                : 09 June 2022
                : 06 July 2022
                Page count
                Figures: 3, Tables: 3, References: 41
                Categories
                Original Article

                posture,shoulder,exercise,photogrammetry,taping,scapular correction,stiffness,elastography

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