Title: Effect of Exercise Program on Acromiohumeral Distance in Subacromial Impingement Syndrome
Authors: Lilian Albert Zaky, Nagy Ahmed Zaki Mostafa Sabet, Maha Mostafa Mohamed, Ahmed Elhamy Mosad
DOI: http://dx.doi.org/10.18535/jmscr/v4i5.30
Among painful shoulder conditions, Shoulder Subacromial impingement syndrome is the most common cause, Acromiohumeral distance changes commonly reported in shoulder impingements. Objective: of this study was to evaluate the association between Acromio Humeral distance (AHD) changes and pain and upper limb function before and after physiotherapy rehabilitation program in patients with Subacromial impingement (SIS) using ultrasonographic imaging. Methods: Fifteen patients suffered from shoulder impingement were recruited for this study. Their age ranged from 25-45 years. Acromiohumeral distance was examined by using the Ultrasonography at three abduction angles (0,45,60) Pain level was assessed by Visual analog scale and Upper extremity function was assessed using Disability of the arm shoulder and hand questioner. Patients were assessed before the study and an exercise rehabilitation program that lasted for four weeks then reassessed again. Design: prospective single group pre-post design Results: showed significant changes in all measured variables as a result of the therapeutic exercise program. The results proved that Exercise not only improved AcromioHumeral distance at all abduction angles. Conclusion: Therapeutic exercise programs have a positive effect on the size of the Subacromial space confirming the external mechanism of shoulder impingement. Keywords: Shoulder Subacromial impingement, Ultrasonography, Acromiohumeral distance, Therapeutic exercises, Shoulder imaging.
Abstract
