Patterns of scapula stabilization exercises for improving upper extremity function and scapular alignment in patients with stroke:A systematic review

Authors

  • Dr. Prachi Bhagat ( PT) DVVPFS COLLEGE OF PHYSIOTHERAPY
  • Dr. Maheshwari Harishchandre( PT)
  • Dr. Suvarna Ganvir( PT)

DOI:

https://doi.org/10.46858/VIMSJPT.4116

Abstract

Background - Scapula stabilizing exercises used for improving shoulder function in patients with stroke has been reported in literature. However there is diversity in pattern of these exercises which makes it difficult to choose specific exercise and its impact on upper extremity function and scapular malalignment cannot be estimated appropriately. Hence it was aimed to explore different patterns of Scapular Stabilizing Exercises and its effect on scapular malalignment and upper limb function. Methods- Four databases (PubMed, Google Scholar, Cochrane, Science Direct) were searched to identify eligible studies using the keywords Scapula stabilizing exercise, Stroke. Only Randomized controlled trial studies published in last 10 years (2010-2020) were included in this review. Results- Thorough search identified six studies conducted on patients with sub-acute and chronic stroke. Scapular stabilising exercises were described in different positions supine lying, sitting with different movements being performed patients. Its effect on upper extremity function is measured with specific outcome measures. However, its effect on scapular malalignment is not measured.  Conclusion – There is diversity in the description of exercises though a common terminology as ‘Scapular Stabilizing Exercise’ is used in all research studies. In addition, the effect of these exercises on scapular malalignment is not assessed in any of the studies included in the current review

Author Biography

Dr. Prachi Bhagat ( PT), DVVPFS COLLEGE OF PHYSIOTHERAPY

Post Graduate Student

Keywords:

Scapula Stabilizing Exercises, Stroke, Scapula Malalignment

References

Feigin VL, Lawes CM, Bennett DA, Barker-Collo SL, Parag V. Worldwide stroke incidence and early case fatality reported in 56 population-based studies: a systematic review. The Lancet Neurology. 2009 Apr 1;8(4):355-69.

Mahmoud LS, Aly SM. The effect of scapular dyskinesia on the scapular balance angle and upper extremity sensorimotor function in stroke patients with spasticity. Bulletin of Faculty of Physical Therapy. 2020 Dec;25(1):1-8.

Park SE, Kim YR, Kim YY. Immediate effects of scapular stabilizing exercise in chronic stroke patient with winging and elevated scapula: a case study. Journal of physical therapy science. 2018;30(1):190-3.

Oujamaa L, Relave I, Froger J, Mottet D, Pelissier JY. Rehabilitation of arm function after stroke. Literature review. Annals of physical and rehabilitation medicine. 2009 Apr 1;52(3):269-93.

Kim MK, Lee JC, Yoo KT. The effects of shoulder stabilization exercises and pectoralis minor stretching on balance and maximal shoulder muscle strength of healthy young adults with round shoulder posture. Journal of physical therapy science. 2018;30(3):373-80.

Jang JH, Lee HO, Koo BO. Treatment approach for the movement dysfunction of the shoulder girdle. The Journal of Korean Physical Therapy. 2003;15(4):412-30.

Cools AM, Declercq GA, Cambier DC, Mahieu NN, Witvrouw EE. Trapezius activity and intramuscular balance during isokinetic exercise in overhead athletes with impingement symptoms. Scandinavian journal of medicine & science in sports. 2007 Feb;17(1):25-33.

Sirtori V, Corbetta D, Moja L, Gatti R. Constraint?induced movement therapy for upper extremities in stroke patients. Cochrane Database of Systematic Reviews. 2009(4).

Masiero S, Celia A, Rosati G, Armani M. Robotic-assisted rehabilitation of the upper limb after acute stroke. Archives of physical medicine and rehabilitation. 2007 Feb 1;88(2):142-9.

De Kroon JR, IJzerman MJ. Electrical stimulation of the upper extremity in stroke: cyclic versus EMG-triggered stimulation. Clinical rehabilitation. 2008 Aug;22(8):690-7.

Rakholiya, Shweta.“To compare the effect of scapular stability exercise versus scapular proprioceptive neuromuscular facilitation on function of paretic upper extremity of stroke patients”, International Journal of Current Research.2019;11(06):4878-4880

You YY, Her JG, Woo JH, Ko T, Chung SH. The effects of stretching and stabilization exercise on the improvement of spastic shoulder function in hemiplegic patients. Journal of physical therapy science. 2014;26(4):491-5.

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. Physical therapy. 2004 Sep 1;84(9):832-48.

Larissa Dhar, TrishnaSaikiaBaruah, AbhijitDutta, Dr. S. Anita Devi (PT) , To Study the effects of the PNF Stretching and Stabilization Exercises on the improvement of Pain and Spastic Shoulder in Hemiplegic Patients: A Comparative Study.Int.J.Life Sci. Pharma Res.2019;11(3): 61-70

Yang DJ, Uhm YH, Kim JH. The biofeedback scapular stabilization exercise in stroke patients effect of muscle activity and function of the upper extremity. The Journal of Korean Physical Therapy 2015;27(5):325-31.

Awad A, Shaker H, Shendy W, Fahmy M. Effect of shoulder girdle strengthening on trunk alignment in patients with stroke. Journal of physical therapy science. 2015;27(7):2195-200.

Ba?kurt Z, Ba?kurt F, Gelecek N, Özkan MH. The effectiveness of scapular stabilization exercise in the patients with subacromial impingement syndrome. Journal of back and musculoskeletal rehabilitation. 2011 Jan 1;24(3):173-9.

Seo JM, Park KA, Kim JJ, Oh MH. Effects of Augmented Reality Games on the Upper Extremity Function and Stress of Stroke Patients. International Journal of Multimedia and Ubiquitous Engineering. 2016 Jul;11(7):271-8.

Jung YJ, Jung KM. The effect of scapula setting intervention on the function of upper extremity and walking in the patients with stroke. J Korean SocNeurTher. 2013;17(1):39-44.

Russ Paine, PT1 and Michael L. Voight, the role of the scapula ,Int J Sports PhysTher. 2013 Oct; 8(5): 617–629

Nicholson GG. The effects of passive joint mobilization on pain and hypomobility associated with adhesive capsulitis of the shoulder. Journal of Orthopaedic& Sports Physical Therapy. 1985 Feb;6(4):238-46.

Song CS. Effects of scapular stabilization exercise on function of paretic upper extremity of chronic stroke patients. Journal of Physical Therapy Science. 2013 Apr 25;25(4):403-5.

Kim J, Lee J, Lee BH. Effect of scapular stabilization exercise during standing on upper limb function and gait ability of stroke patients. J Neurosci Rural Pract 2017;8:540-4.

Pozzo T, Berthoz A, Lefort L, Vitte E. Head stabilization during various locomotor tasks in humans. Experimental brain research. 1991 May;85(1):208-17.

Ma SR, Yang BI. The Effects of Scapula Setting Intervention on the ADL and gait in the Stroke Patients. Brain injury. 2018 Jul 31;7:46-7.

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Published

2022-08-13

Issue

Section

Review Article

How to Cite

Bhagat ( PT), D. P., Harishchandre( PT), D. M. ., & Ganvir( PT), D. S. . (2022). Patterns of scapula stabilization exercises for improving upper extremity function and scapular alignment in patients with stroke:A systematic review. VIMS JOURNAL OF PHYSICAL THERAPY, 4(1), 70-79. https://doi.org/10.46858/VIMSJPT.4116