Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20180009
Brazilian Journal of Pain
Original Article

Scapular dyskinesis was not associated with pain and function in male adolescent athletes

Discinese escapular não está associada à dor e função no ombro dos adolescentes atletas

Valéria Mayaly Alves de Oliveira; Hitalo Andrade da Silva; Ana Carolina Rodarti Pitangui; Muana Hiandra Pereira dos Passos; Rodrigo Cappato de Araújo

http://dx.doi.org/10.5935/2595-0118.20180009 BrJP, vol.1, n1, p.40-45, 2018
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Abstract

BACKGROUND AND OBJECTIVES: Scapular dyskinesis has been associated to shoulder injuries and pain. However, this relationship with adolescent athletes is not well established. The objective of this study was to evaluate scapular dyskinesis in young athletes and its association with pain or shoulder function.

METHODS: 178 male adolescent athletes (14.58±2.16 years) were evaluated. The subjects completed the Quick Disability Arm Shoulder Hand questionnaire. Body mass, height, shoulder internal rotation and Closed Kinetic Chain Upper Extremity Stability test were measured. A dynamic visual method was applied to assess dyskinesis. Binary logistic regression was applied to analyze the association between dyskinesis and other variables. The comparison between groups with and without dyskinesis was made by the Mann-Whitney andt-test, accepting a statistical significance of p<0.05.

RESULTS: The dyskinesis prevalence was 56.7% and this condition was not associated with shoulder pain. Younger athletes are 159% more likely to have dyskinesis, while those who practice more than one hour a day for three times a week are 77% more likely to have the same outcome. No difference in shoulder function was found.

CONCLUSION: Scapular dyskinesis is not associated with pain and does not affect shoulder function in adolescent athletes. Sports modality, age and training volume seem to induce changes in scapula movement.

Keywords

Adolescents, Athletes, Athletic performance, Pain, Shoulder

Resumo

JUSTIFICATIVA E OBJETIVOS: A discinese escapular tem sido associada a lesões e dor no ombro, no entanto essa relação em adolescentes atletas ainda não é bem definida. O objetivo deste estudo foi avaliar a prevalência de discinese escapular em adolescentes atletas amadores e sua associação com a dor e medidas de função no ombro.

MÉTODOS: 178 adolescentes do sexo masculino (14,58±2,16 anos) participaram do estudo. Os sujeitos responderam ao questionário Quick Disability Arm Shoulder Hand. Também foram avaliados massa corporal, estatura, rotação interna do ombro e Closed Kinetic Chain Upper Extremity Stability. Para avaliação da discinese escapular, utilizou-se o método visual dinâmico. A regressão logística binária foi utilizada para analisar a associação entre discinese e as demais variáveis. A comparação entre os grupos com e sem discinese foi feita pelo teste te Mann-Whitney, sendo aceito significância estatística quando p<0,05.

RESULTADOS: A prevalência de discinese foi de 56,7% e essa condição não teve associação com dor no ombro. Atletas mais jovens têm 159% mais chances de apresentar discinese, enquanto aqueles que treinam mais de uma hora por dia, durante três vezes por semana, têm 77% mais chances de ter o mesmo desfecho. Nenhuma diferença na função do ombro foi encontrada.

CONCLUSÃO: A discinese escapular não está associada à dor e não altera medidas de função no ombro em adolescentes atletas. Modalidade, idade e volume de treinamento parecem induzir mudanças na movimentação escapular.

Palavras-chave

Adolescente, Atletas, Desempenho atlético, Dor, Ombro

References

Beckett M, Hannon M, Ropiak C, Gerona C, Mohr K, Limpisvasti O. Clinical assessment of scapula and hip joint function in preadolescent and adolescent baseball players. Am J Sports Med. 2014;42(10):2502-9.

Kibler WB, Sciascia A, Wilkes T. Scapular dyskinesis and its relation to shoulder injury. J Am Acad Orthop Surg. 2012;20(6):364-72.

Astolfi MM, Struminger AH, Royer TD, Kaminski TW, Swanik CB. Adaptations of the shoulder to overhead throwing in youth athletes. J Athl Train. 2015;50(7):726-32.

Cools AM, Johansson FR, Borms D, Maenhout A. Prevention of shoulder injuries in overhead athletes: a science-based approach. Braz J Phys Ther. 2015;19(5):331-9.

Guney H, Harput G, Colakoglu F, Baltaci G. The effect of glenohumeral internal-rotation deficit on functional rotator-strength ratio in adolescent overhead athletes. J Sport Rehabil. 2016;25(1):52-7.

Struyf F, Nijs J, De Graeve J, Mottram S, Meeusen R. Scapular positioning in overhead athletes with and without shoulder pain: a case-control study. Scand J Med Sci Sports. 2011;21(6):809-18.

Kibler WB, Ludewig PM, McClure PW, Michener LA, Bak K, Sciascia AD. Clinical implications of scapular dyskinesis in shoulder injury: the 2013 consensus statement from the "Scapular Summit". Br J Sports Med. 2013;47(14):877-85.

Kibler WB, McMullen J. Scapular dyskinesis and its relation to shoulder pain. J Am Acad Orthop Surg. 2003;11(2):142-51.

Ludewig PM, Reynolds JF. The association of scapular kinematics and glenohumeral joint pathologies. J Orthop Sports Phys Ther. 2009;39(2):90-104.

Clarsen B, Bahr R, Andersson SH, Munk R, Myklebust G. Reduced glenohumeral rotation, external rotation weakness and scapular dyskinesis are risk factors for shoulder injuries among elite male handball players: a prospective cohort study. Br J Sports Med. 2014;48(17):1327-33.

Timmons MK, Thigpen CA, Seitz AL, Karduna AR, Arnold BL, Michener LA. Scapular kinematics and subacromial-impingement syndrome: a meta-analysis. J Sport Rehabil. 2012;21(4):354-70.

Oyama S, Myers JB, Wassinger CA, Daniel Ricci R, Lephart SM. Asymmetric resting scapular posture in healthy overhead athletes. J Athl Train. 2008;43(6):565-70.

Uhl TL, Kibler Ben W, Gecewich B, Tripp BL. Evaluation of clinical assessment methods for scapular dyskinesis. Arthroscopy. 2009;25(11):1240-8.

Struyf F, Nijs J, Meeus M, Roussel NA, Mottram S, Truijen S. Does scapular positioning predict shoulder pain in recreational overhead athletes. Int J Sports Med. 2014;35(1):75-82.

Madsen PH, Bak K, Jensen S, Welter U. Training induces scapular dyskinesis in pain-free competitive swimmers: a reliability and observational study. Clin J Sport Med. 2011;21(2):109-13.

Myers JB, Oyama S, Hibberd EE. Scapular dysfunction in high school baseball players sustaining throwing-related upper extremity injury: a prospective study. J Shoulder Elbow Surg. 2013;22(9):1154-9.

Dayanidhi S, Orlin M, Kozin S, Duff S, Karduna A. Scapular kinematics during humeral elevation in adults and children. Clin Biomech. 2005;20(6):600-6.

Struyf F, Nijs J, Horsten S, Mottram S, Truijen S, Meeusen R. Scapular positioning and motor control in children and adults: a laboratory study using clinical measures. Man Ther. 2011;16(2):155-60.

Corlett EN, Manenica I. The effects and measurement of working postures. Appl Ergon. 1980;11(1):7-16.

Quatman-Yates CC, Gupta R, Paterno MV, Schmitt LC, Quatman CE, Ittenbach RF. Internal consistency and validity of the Quick DASH instrument for upper extremity injuries in older children. J Pediatr Orthop. 2013;33(8):838-42.

Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320(7244):1240-3.

Wilk KE, Obma P, Simpson CD, Cain EL, Dugas JR, Andrews JR. Shoulder injuries in the overhead athlete. J Orthop Sports Phys Ther. 2009;39(2):38-54.

Myklebust G, Hasslan L, Bahr R, Steffen K. High prevalence of shoulder pain among elite Norwegian female handball players. Scand J Med Sci Sports. 2011;23(3):288-94.

Wilk KE, Macrina LC, Fleisig GS, Porterfield R, Simpson 2nd CD, Harker P. Correlation of glenohumeral internal rotation deficit and total rotational motion to shoulder injuries in professional baseball pitchers. Am J Sports Med. 2011;39(2):329-35.

Kibler WB, Sciascia A. Current concepts: scapular dyskinesis. Br J Sports Med. 2010;44(5):300-5.

Kibler WB, Uhl TL, Maddux JW, Brooks PV, Zeller B, McMullen J. Qualitative clinical evaluation of scapular dysfunction: a reliability study. J Shoulder Elbow Surg. 2002;11(6):550-6.

Tucci HT, Martins J, Sposito Gde C, Camarini PM, de Oliveira AS. Closed kinetic chain upper extremity stability test (CKCUES test): a reliability study in persons with and without shoulder impingement syndrome. BMC Musculoskelet Disord. 2014;15:1.

Oliveira VM, Batista LD, Pitangui AC, Araújo RC. Effectiveness of Kinesio Taping in pain and scapular dyskinesis in athletes with shoulder impingement syndrome. Rev Dor. 2013;14(1):27-30.

Endo K, Yukata K, Yasui N. Influence of age on scapulo-thoracic orientation. Clin Biomech. 2004;19(10):1009-13.

Submitted date:
09/03/2017

Accepted date:
01/22/2018

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