Volume 21, Issue 26 (12-2023)                   RSMT 2023, 21(26): 56-76 | Back to browse issues page

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Ghanizadeh hesar N, Moradi B, Musa Gholizadeh Fallah M. The Effect Of Corrective Exercises Focused On Chain Reactions, On Scapular Position, Proprioception And Shoulder Functional Stability Of Female Students With Upper-Crossed Syndrome. RSMT 2023; 21 (26) :56-76
URL: http://jsmt.khu.ac.ir/article-1-553-en.html
Associate Professor, Department of Exercise Physiology and Corrective Exercises, Faculty of Sport Sciences, Urmia University, Iran , n_hesar@yahoo.com
Abstract:   (2389 Views)

 Upper-crossed syndrome is one of the most common disorders of the upper body, which is associated with 45-65% of shoulder pain. This study has been conducted to investigate the effect of corrective exercises focused on chain reactions, on scapular position, proprioception and shoulder functional stability of female students with UCS. 30 female students between 14 and 18 years of age in Urmia city who had the mentioned disorder were selected using the purposive sampling method and were randomly divided into two experimental groups (15 people) and control (15 people). A tape measure was used to evaluate the distance between the median of the sternum to the coracoid ridge and the posterior-lateral distance of the acromion to the thoracic vertebra (scapular position), the Layton flexometer to measure proprioception, the Y Balance Test to evaluate the function of the upper limb, and the goniometer, tape measure and flexible ruler, respectively were used to measure head and shoulder forward angle and kyphosis. Independent and dependent t-tests were used to compare inter-group and intra-group means, respectively. The present study showed that the effect of corrective exercises on scapular position, proprioception and shoulder functional stability of female students with UCS was significant.
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Type of Study: Applicable | Subject: آسیب شناسی و حرکات اصلاحی
Received: 2022/11/25 | Accepted: 2023/09/20 | Published: 2023/12/31

References
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10. Rajabi R, Mobarakabadi L, Alizadhen H, Hendrick P. Thoracic kyphosis comparisons in adolescent female competitive field hockey players and untrained controls. The Journal of sports medicine and physical fitness. 2012;52(5):545-50.
11. Masoumi AS, Akoochakian M. The effect of duration of smartphone use on head and shoulders posture of young adults aged 20-35 years. Iranian Journal of Ergonomics. 2019;7(2):62-71.
12. Manske R, Ellenbecker T. Current concepts in shoulder examination of the overhead athlete. International journal of sports physical therapy. 2013;8(5):554.
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14. Gorman PP, Butler RJ, Plisky PJ, Kiesel KB. Upper Quarter Y Balance Test: reliability and performance comparison between genders in active adults. The Journal of Strength & Conditioning Research. 2012;26(11):3043-8. [DOI:10.1519/JSC.0b013e3182472fdb]
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19. Daneshmandi H, Majalan AS, Babakhani M. The comparison of head and neck alignment in children with visual and hearing impairments and its relation with anthropometrical dimensions. Physiotherapy-specialized journal of physiotherapy.2014;4(2):69-76.
20. Norasteh AA, Bayati R. Evaluating Prevalence of Postural Changes in Freestyle and Greco-Roman Wrestlers: A Review of Literature. Journal of Sport Biomechanics. 2021;7(3):172-87. [DOI:10.32598/biomechanics.7.3.196.2]
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22. Salahzadeh Z, Maroufi N, Ahmadi A, Behtash H, Razmjoo A, Gohari M, et al. Assessment of forward head posture in females: observational and photogrammetry methods. Journal of back and musculoskeletal rehabilitation. 2014;27(2):131-9. [DOI:10.3233/BMR-130426]
23. Sahrmann S. Movement system impairment syndromes of the extremities, cervical and thoracic spines: Elsevier Health Sciences; 2010.
24. Mulroy SJ, Thompson L, Kemp B, Hatchett PP, Newsam CJ, Lupold DG, et al. Strengthening and optimal movements for painful shoulders (STOMPS) in chronic spinal cord injury: a randomized controlled trial. Physical therapy. 2011;91(3):305-24. [DOI:10.2522/ptj.20100182]
25. Claus AP, Hides JA, Moseley GL, Hodges PW. Thoracic and lumbar posture behaviour in sitting tasks and standing: Progressing the biomechanics from observations to measurements. Applied ergonomics. 2016;53:161-8. [DOI:10.1016/j.apergo.2015.09.006]
26. Ebrahimi Ghrehghoyonloo M, Sahebozamani M, Beyranvand R, Karimi Afshar F. The effect of corrective exercises on shoulder pain and joint position sense in females with functional impingement syndrome. Daneshvar Medicine. 2020;25(4):17-24.
27. Hasanvand B, Bahrami F, Darvishi A, Karimi K. Effect of corrective exercise on musclo skeletal abnormality of Khoram Abad city school girl. Persian Lorestan Med J. 2011;1(13):79-85.
28. Herrington L, Horsley I, Rolf C. Evaluation of shoulder joint position sense in both asymptomatic and rehabilitated professional rugby players and matched controls. Physical Therapy in Sport. 2010;11(1):18-22. [DOI:10.1016/j.ptsp.2009.10.001]
29. Sole G, Osborne H, Wassinger C. The effect of experimentally-induced subacromial pain on proprioception. Manual therapy. 2015;20(1):166-70. [DOI:10.1016/j.math.2014.08.009]
30. Björklund M, Djupsjöbacka M, Crenshaw AG. Acute muscle stretching and shoulder position sense. Journal of athletic training. 2006;41(3):270.
31. Alfaya FF, Reddy RS, Alkhamis BA, Kandakurti PK, Mukherjee D. Shoulder Proprioception and Its Correlation with Pain Intensity and Functional Disability in Individuals with Subacromial Impingement Syndrome-A Cross-Sectional Study. Diagnostics. 2023;13(12):2099. [DOI:10.3390/diagnostics13122099]
32. Eftekhari F, Shehni RA. Effect of Core Stabilization Trainings on Function and Proprioception of Upper Extremity on Physically Active Women with Predisposition to Injury.
33. Thomas J, Patil S. Effectiveness of Active Release Technique Versus Corrective Exercises in the Management of Upper Cross Syndrome. Journal of Coastal Life Medicine. 2023;11:1145-9.
34. Firouzjah MH, Firouzjah EMAN, Ebrahimi Z. The effect of a course of selected corrective exercises on posture, scapula-humeral rhythm and performance of adolescent volleyball players with upper cross syndrome. BMC Musculoskeletal Disorders. 2023;24(1):1-9. [DOI:10.1186/s12891-023-06592-7]
35. Yoo W-G, Park S-Y. Effects of posture-related auditory cueing (PAC) program on muscles activities and kinematics of the neck and trunk during computer work. Work. 2015;50(2):187-91. [DOI:10.3233/WOR-131738]
36. Barrett E, O'Keeffe M, O'Sullivan K, Lewis J, McCreesh K. Is thoracic spine posture associated with shoulder pain, range of motion and function? A systematic review. Manual therapy. 2016;26:38-46. [DOI:10.1016/j.math.2016.07.008]
37. Page P. Shoulder muscle imbalance and subacromial impingement syndrome in overhead athletes. International journal of sports physical therapy. 2011;6(1):51.
38. Page P, Frank CC, Lardner R. Assessment and treatment of muscle imbalance. (No Title). 2010. [DOI:10.5040/9781718211445]
39. Salles JI, Velasques B, Cossich V, Nicoliche E, Ribeiro P, Amaral MV, et al. Strength training and shoulder proprioception. Journal of athletic training. 2015;50(3):277-80. [DOI:10.4085/1062-6050-49.3.84]
40. Diab AA, Moustafa IM. The efficacy of forward head correction on nerve root function and pain in cervical spondylotic radiculopathy: a randomized trial. Clinical rehabilitation. 2012;26(4):351-61. [DOI:10.1177/0269215511419536]
41. Hajihosseini E, Norasteh A, Shamsi A, Daneshmandi H. The effects of strengthening, stretching and comprehensive exercises on forward shoulder posture correction. Physical Treatments-Specific Physical Therapy Journal. 2014;4(3):123-32.
42. Abdolahzadeh M, Daneshmandi H. The effect of an 8-week NASM corrective exercise program on upper crossed syndrome. Journal of Sport Biomechanics. 2019;5(3):156-67. [DOI:10.32598/biomechanics.5.3.3]
43. Rahnama N, Bambaeichi E, Taghian F, Nazarian AB, Abdollahi M. Effect of 8 weeks regular corrective exercise on spinal columns deformities in girl students. Journal of Isfahan Medical School. 2009;27(101):676-86.
44. Rajabi R, Mobarakabadi L, Alizadhen H, Hendrick P. Thoracic kyphosis comparisons in adolescent female competitive field hockey players and untrained controls. The Journal of sports medicine and physical fitness. 2012;52(5):545-50.
45. Masoumi AS, Akoochakian M. The effect of duration of smartphone use on head and shoulders posture of young adults aged 20-35 years. Iranian Journal of Ergonomics. 2019;7(2):62-71.
46. Manske R, Ellenbecker T. Current concepts in shoulder examination of the overhead athlete. International journal of sports physical therapy. 2013;8(5):554.
47. Saadatian A, Sahebozamani M, Karimi M, Sadegi M, Amiri Khorasani M. The effect of 8-week total body resistant suspension exercises on shoulder joint proprioception in overhead athletes with impingement syndrome: A randomized clinical trial study. Journal of Rafsanjan University of Medical Sciences. 2019;17(12):1095-106.
48. Gorman PP, Butler RJ, Plisky PJ, Kiesel KB. Upper Quarter Y Balance Test: reliability and performance comparison between genders in active adults. The Journal of Strength & Conditioning Research. 2012;26(11):3043-8. [DOI:10.1519/JSC.0b013e3182472fdb]
49. Bayattork M, Sköld MB, Sundstrup E, Andersen LL. Exercise interventions to improve postural malalignments in head, neck, and trunk among adolescents, adults, and older people: systematic review of randomized controlled trials. Journal of exercise rehabilitation. 2020;16(1):36. [DOI:10.12965/jer.2040034.017]
50. Seidi F, Rajabi R, Ebrahimi I, Alizadeh MH, Minoonejad H. The efficiency of corrective exercise interventions on thoracic hyper-kyphosis angle. Journal of back and musculoskeletal rehabilitation. 2014;27(1):7-16. [DOI:10.3233/BMR-130411]
51. Bae W-S, Lee H-O, Shin J-W, Lee K-C. The effect of middle and lower trapezius strength exercises and levator scapulae and upper trapezius stretching exercises in upper crossed syndrome. Journal of physical therapy science. 2016;28(5):1636-9. [DOI:10.1589/jpts.28.1636]
52. Goulet C, Rogowski I. Sling-based exercise for external rotator muscles: effects on shoulder profile in young recreational tennis players. Journal of sport rehabilitation. 2018;27(1):30-6. [DOI:10.1123/jsr.2015-0209]
53. Daneshmandi H, Majalan AS, Babakhani M. The comparison of head and neck alignment in children with visual and hearing impairments and its relation with anthropometrical dimensions. Physiotherapy-specialized journal of physiotherapy.2014;4(2):69-76.
54. Norasteh AA, Bayati R. Evaluating Prevalence of Postural Changes in Freestyle and Greco-Roman Wrestlers: A Review of Literature. Journal of Sport Biomechanics. 2021;7(3):172-87. [DOI:10.32598/biomechanics.7.3.196.2]
55. Ruivo RM, Pezarat-Correia P, Carita AI. Cervical and shoulder postural assessment of adolescents between 15 and 17 years old and association with upper quadrant pain. Brazilian journal of physical therapy. 2014;18:364-71. [DOI:10.1590/bjpt-rbf.2014.0027]
56. Salahzadeh Z, Maroufi N, Ahmadi A, Behtash H, Razmjoo A, Gohari M, et al. Assessment of forward head posture in females: observational and photogrammetry methods. Journal of back and musculoskeletal rehabilitation. 2014;27(2):131-9. [DOI:10.3233/BMR-130426]
57. Sahrmann S. Movement system impairment syndromes of the extremities, cervical and thoracic spines: Elsevier Health Sciences; 2010.
58. Mulroy SJ, Thompson L, Kemp B, Hatchett PP, Newsam CJ, Lupold DG, et al. Strengthening and optimal movements for painful shoulders (STOMPS) in chronic spinal cord injury: a randomized controlled trial. Physical therapy. 2011;91(3):305-24. [DOI:10.2522/ptj.20100182]
59. Claus AP, Hides JA, Moseley GL, Hodges PW. Thoracic and lumbar posture behaviour in sitting tasks and standing: Progressing the biomechanics from observations to measurements. Applied ergonomics. 2016;53:161-8. [DOI:10.1016/j.apergo.2015.09.006]
60. Ebrahimi Ghrehghoyonloo M, Sahebozamani M, Beyranvand R, Karimi Afshar F. The effect of corrective exercises on shoulder pain and joint position sense in females with functional impingement syndrome. Daneshvar Medicine. 2020;25(4):17-24.
61. Hasanvand B, Bahrami F, Darvishi A, Karimi K. Effect of corrective exercise on musclo skeletal abnormality of Khoram Abad city school girl. Persian Lorestan Med J. 2011;1(13):79-85.
62. Herrington L, Horsley I, Rolf C. Evaluation of shoulder joint position sense in both asymptomatic and rehabilitated professional rugby players and matched controls. Physical Therapy in Sport. 2010;11(1):18-22. [DOI:10.1016/j.ptsp.2009.10.001]
63. Sole G, Osborne H, Wassinger C. The effect of experimentally-induced subacromial pain on proprioception. Manual therapy. 2015;20(1):166-70. [DOI:10.1016/j.math.2014.08.009]
64. Björklund M, Djupsjöbacka M, Crenshaw AG. Acute muscle stretching and shoulder position sense. Journal of athletic training. 2006;41(3):270.
65. Alfaya FF, Reddy RS, Alkhamis BA, Kandakurti PK, Mukherjee D. Shoulder Proprioception and Its Correlation with Pain Intensity and Functional Disability in Individuals with Subacromial Impingement Syndrome-A Cross-Sectional Study. Diagnostics. 2023;13(12):2099. [DOI:10.3390/diagnostics13122099]
66. Eftekhari F, Shehni RA. Effect of Core Stabilization Trainings on Function and Proprioception of Upper Extremity on Physically Active Women with Predisposition to Injury.
67. Thomas J, Patil S. Effectiveness of Active Release Technique Versus Corrective Exercises in the Management of Upper Cross Syndrome. Journal of Coastal Life Medicine. 2023;11:1145-9.
68. Firouzjah MH, Firouzjah EMAN, Ebrahimi Z. The effect of a course of selected corrective exercises on posture, scapula-humeral rhythm and performance of adolescent volleyball players with upper cross syndrome. BMC Musculoskeletal Disorders. 2023;24(1):1-9. [DOI:10.1186/s12891-023-06592-7]

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