Summary of - Upper-crossed syndrome and disability in shoulder adhesive capsulitis

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Article

Abstract

Study Background: Adhesive capsulitis (AC) is a common shoulder condition resulting in painful limitation of shoulder movements. The study was conducted to understand postural manifestations and contractile tissue involvement in AC Research Goals and Hypotheses: Altered movement patterns and postural deviations resembling Upper Crossed Syndrome (UCS) have not been explored in AC. Also, there is a lack of literature defining a profile of contractile tissue involvement in the form of muscle strength and length discrepancies that might exist in individuals with AC. The study aimed to evaluate postural deviations resembling a UCS pattern of involvement in AC and its possible effects on pain and disability outcomes. It also aimed to generate a profile of muscular imbalance in this population. Methodological Approach: Sixty-five individuals with AC were assessed for the presence of UCS. Scapular muscle strength and length alterations, forward head posture (FHP), and disability were assessed and compared between those with and without UCS. Data was analyzed to compare the data between the two groups and correlation was done to find any associations of the patients’ characteristics. Results and Conclusions: 43.1% of the study population demonstrated UCS and 80% FHP. A significant correlation was seen between the FHP and the chronicity of AC. Individuals with AC demonstrated significantly decreased scapular muscle strength and pectoralis minor length on the affected side. No differences were seen between groups with and without UCS. Between the groups, a more significant level of perceived pain and disability was seen in individuals with UCS. This study showed that individuals with AC demonstrated alterations in movement patterns and posture like UCS which was seen to contribute towards the existing disability in AC. Publication Date: 2023 Recommended Citation: Jaideep A, Eapen C, Prabhakar AJ, Patel V. Upper-crossed syndrome and disability in shoulder adhesive capsulitis. J Bodyw Mov Ther. 2023 Oct;36:282-290. doi: 10.1016/j.jbmt.2023.05.016. Epub 2023 Aug 25. PMID: 37949573.

Publication Date

2023

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