Differences in scapular orientation, subacromial space and shoulder pain between the full can and empty can tests

Differences in scapular orientation, subacromial space and shoulder pain between the full can and empty can tests

Author Timmons, Mark K. Google Scholar
Lopes-Albers, Andrea Diniz Autor UNIFESP Google Scholar
Borgsmiller, Lindsey Google Scholar
Zirker, Catherine Google Scholar
Ericksen, Jeff Google Scholar
Michener, Lori A. Google Scholar
Institution Hunter Holmes McGuire VA Med Ctr
Virginia Commonwealth Univ
Universidade Federal de São Paulo (UNIFESP)
Craig Hosp
Abstract Background: the empty and full can arm positions are used as diagnostic tests and in therapeutic exercise programs for patients with subacromial impingement syndrome. the adverse effects of these arm positions on the rotator cuff have not been fully described. the purpose of this investigation was to compare the acromio-humeral distance, three-dimensional scapular position, and shoulder pain during maximum isometric contractions in the empty and full can arm positions.Methods: Subjects with subacromial impingement syndrome (n = 28) and a matched control group without shoulder pain (n = 28) participated. Acromio-humeral distance, scapular/clavicular positions and shoulder pain were measured during maximal isometric contractions in each position.Findings: No difference was found in acromio-humeral distance (P=0314) between the arm positions or between the groups (P = 0.598). the empty can position resulted in greater scapular upward rotation (P<0.001, difference = 4.9 degrees), clavicular elevation (P<0.001, difference = 2.7 degrees), clavicular protraction (P = 0.001, difference = 2.5 degrees) and less posterior tilt (P<0.001, difference = 3.8 degrees) than the full can position. No differences in the scapular positions were found between the groups. Positive correlations were seen between the scapular positions in the control and not in the subacromial impingement group.Interpretation: Our results did not show a difference in acromio-humeral distance between the arm positions or groups, indicating that the kinematic differences between the positions are not associated with altered acromio-humeral distance. the increased pain in the EC position might be due to the lack of an association amongst the scapular positions rather than the deficiency of a single scapular motion. Published by Elsevier B.V.
Keywords Scapular orientation
Acromio-humeral distance
Jobe Test
Subacromial impingement syndrome
Language English
Date 2013-04-01
Published in Clinical Biomechanics. Oxford: Elsevier B.V., v. 28, n. 4, p. 395-401, 2013.
ISSN 0268-0033 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 395-401
Origin http://dx.doi.org/10.1016/j.clinbiomech.2013.01.015
Access rights Closed access
Type Article
Web of Science ID WOS:000320826300006
URI http://repositorio.unifesp.br/handle/11600/36157

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