Methods of assessment of scapular movements during upper limb elevations: literature review
DOI:
https://doi.org/10.11606/issn.2317-0190.v14i1a102777Keywords:
Diagnostic Techniques and Procedures, Biomechanical, Upper Extremity, Shoulder, ScapulaAbstract
Objective: To carry out a literature review on methods to assess scapular movements during upper limb elevation and point out their advantages, disadvantages, and limitations. Methods: The search was performed assessing MEDLINE, SCIELO, LILACS e PEDro databases with key words related to the subject. To be included, the studies would have to be published in Portuguese/English/Spanish/ French until the last day of 2005 and have assessed scapular movement during upper limb elevation. The exclusion criterion included assessments in the decubitus position. Results: one hundred eighty-one different studies were found and after the verification of the established criteria, 29 were selected for the analysis, which were divided into four groups: bidimensional static, bidimensional dynamic, three-dimensional static and three-dimensional dynamic assessment methods. Despite the variety of assessment techniques, a method that shows clinical applicability and is able to carry out measurements related to the functional movements of the scapula is yet to be developed. Another problem found was the lack of standardization of the terminology regarding movements, planes and axes. Furthermore, the three-dimensional methods applicable to scientific studies showed important limitations, such as high cost, need for specialized human resources, and measurement errors, which could be significant when determining changes in scapular kinematics. Conclusion: It is essential to standardize the terminology used to describe scapular movements, planes and axes and to develop complete functional assessment methods with clinical applicability, reliability and validity.
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References
Bagg SD, Forrest WJ. A biomechanical analysis of scapular rotation during arm abduction in the scapular plane. Am J Phys Med Rehabil. 1988;67(6):238-45.
McQuade KJ, Smidt GL. Dynamic scapulohumeral rhythm: the effects of external resistance during elevation of the arm in the scapular plane. J Orthop Sports Phys Ther. 1998;27(2):125-33.
Hamill J, Knutzen KM. Membros superiores. In: Hamill J, Knutzen KM, editor. Bases biomecânicas do movimento humano. Sao Paulo: Manole; 1999.
McQuade KJ, Dawson J, Smidt GL. Scapulothoracic muscle fatigue associated with alterations in scapulohumeral rhythm kinematics during maximum resistive shoulder elevation. J Orthop Sports Phys Ther. 1998;28(2):74-80.
Sahrmann SA. Movement impairment syndromes of the hip. In: Sahrmann SA, editor. Diagnosis and treatment impairment syndromes. St. Louis: Mosby; 2002.
Doukas WC, Speer KP. Anatomy, pathophysiology, and biomechanics of shoulder instability. 1: Orthop Clin North Am. 2001;32(3):381-91, vii.
MacDermid JC, Ramos J, Drosdowech D, Faber K, Patterson S. The impact of rotator cuff pathology on isometric and isokinetic strength, function, and quality of life. J Shoulder Elbow Surg. 2004;13(6):593-8.
Borstad JD, Ludewig PM. Comparison of scapular kinematics between elevation and lowering of the arm in the scapular plane. Clin Biomech (Bristol, Avon). 2002;17(9- 10):650-9.
Ebaugh DD, McClure PW, Karduna AR. Three-dimensional scapulothoracic motion during active and passive arm elevation. Clin Biomech (Bristol, Avon). 2005;20(7):700-9.
Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther. 2000;80(3):276-91.
Lukasiewicz AC, McClure P, Michener L, Pratt N, Sennett B. Comparison of 3-dimensional scapular position and orientation between subjects with and without shoulder impingement. J Orthop Sports Phys Ther. 1999;29(10):574-86.
McClure PW, Michener LA, Sennett BJ, Karduna AR. Direct 3-dimensional measurement of scapular kinematics during dynamic movements in vivo. J Shoulder Elbow Surg. 2001;10(3):269-77.
Talkhani IS, Kelly CP. Movement analysis of asymptomatic normal shoulders: a preliminary study. J Shoulder Elbow Surg. 2001;10(6):580-4.
Endo K, Ikata T, Katoh S, Takeda Y. Radiographic assessment of scapular rotational tilt in chronic shoulder impingement syndrome. J Orthop Sci. 2001;6(1):3-10.
Johnson MP, McClure PW, Karduna AR. New method to assess scapular upward rotation in subjects with shoulder pathology.J Orthop Sports Phys Ther. 2001;31(2):81- 9.
Mandalidis DG, Mc Glone BS, Quigley RF, McInerney D, O'Brien M. Digital fluoroscopic assessment of the scapulohumeral rhythm. Surg Radiol Anat. 1999;21(4):241-6.
Doody SG, Freedman L, Waterland JC. Shoulder movements during abduction in the scapular plane. Arch Phys Med Rehabil. 1970;51(10):595-604.
T'Jonck L, Lysens R, Grasse G. Measurements of scapular position and rotation: a reliability study. Physiother Res Int. 1996;1(3):148-58.
Michiels I, Grevenstein J. Kinematics of shoulder abduction in the scapular plane. On the influence of abduction velocity and external load. Clin Biomech (Bristol, Avon). 1995;10(3):137-43.
Warner JJ, Micheli LJ, Arslanian LE, Kennedy J, Kennedy R. Scapulothoracic motion in normal shoulders and shoulders with glenohumeral instability and impingement syndrome. A study using Moire topographic analysis. Clin Orthop Relat Res. 1992;(285):191-9.
Ludewig PM, Cook TM, Nawoczenski DA. Three-dimensional scapular orientation and muscle activity at selected positions of humeral elevation. J Orthop Sports Phys Ther. 1996;24(2):57-65.
Barnett ND, Duncan RD, Johnson GR. The measurement of three dimensional scapulohumeral kinematics: a study of reliability. Clin Biomech (Bristol, Avon). 1999;14(4):287-90.
Kebaetse M, McClure P, Pratt NA. Thoracic position effect on shoulder range of motion, strength, and three-dimensional scapular kinematics. Arch Phys Med Rehabil. 1999;80(8):945-50.
Meskers CG, Fraterman H, van der Helm FC, Vermeulen HM, Rozing PM. Calibration of the "Flock of Birds" electromagnetic tracking device and its application in shoulder motion studies. J Biomech. 1999;32(6):629-33.
Wang CH, McClure P, Pratt NE, Nobilini R. Stretching and strengthening exercises: their effect on three-dimensional scapular kinematics. Arch Phys Med Rehabil. 1999;80(8):923-9.
Price CI, Franklin P, Rodgers H, Curless RH, Johnson GR. Active and passive scapulohumeral movement in healthy persons: a comparison. Arch Phys Med Rehabil. 2000;81(1):28-31.
Hebert LJ, Moffet H, McFadyen BJ, St-Vincent G. A method of measuring threedimensional scapular attitudes using the optotrak probing system. Clin Biomech (Bristol, Avon). 2000;15(1):1-8.
de Groot JH, Brand R. A three-dimensional regression model of the shoulder rhythm. Clin Biomech (Bristol, Avon). 2001;16(9):735-43.
Price CI, Rodgers H, Franklin P, Curless RH, Johnson GR. Glenohumeral subluxation, scapula resting position, and scapula rotation after stroke: a noninvasive evaluation. Arch Phys Med Rehabil. 2001;82(7):955-60.
Moffet H, McFadyen BJ, Dionne CE. Scapular behavior in shoulder impingement syndrome. Arch Phys Med Rehabil. 2002;83(1):60-9.
Vermeulen HM, Stokdijk M, Eilers PH, Meskers CG, Rozing PM, Vliet Vlieland TP. Measurement of three dimensional shoulder movement patterns with an electromagnetic tracking device in patients with a frozen shoulder. Ann Rheum Dis. 2002;61(2):115-20.
Karduna AR, McClure PW, Michener LA. Scapular kinematics: effects of altering the Euler angle sequence of rotations. J Biomech. 2000;33(9):1063-8.
McClure PW, Bialker J, Neff N, Williams G, Karduna A. Shoulder function and 3-dimensional kinematics in people with shoulder impingement syndrome before and after a 6-week exercise program. Phys Ther. 2004;84(9):832-48.
Borstad JD, Ludewig PM. The effect of long versus short pectoralis minor resting length on scapular kinematics in healthy individuals. J Orthop Sports Phys Ther. 2005;35(4):227-38.
Balmer S, Brosseau L. Intratester and intertester reliability of the parallelogram goniometer in the measurement of hip abduction among patients: a pilot study. Physiother. Can. 1998;50:123-26.
Faria CDCM, Lima FFP, Teixeira-Salmela LF. Testes de Ober e Ober modificado: um estudo comparativo e de confiabilidade. Fisioter mov. 2005;18(3);31-8.
Melchione WE, Sullivan MS. Reliability of measurements obtained by use of an instrument designed to indirectly measure iliotibial band length. J Orthop Sports Phys Ther. 1993;18(3):511-5.
Karduna AR, McClure PW, Michener LA, Sennett B. Dynamic measurements of three-dimensional scapular kinematics: a validation study. J Biomech Eng. 2001;123(2):184-90.
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