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Scientific Programme

Sports and Exercise Medicine and Health

OP-MH20 - Physiotherapy III

Date: 03.07.2024, Time: 14:45 - 16:00, Lecture room: M2+M3

Description

Chair TBA

Chair

TBA
TBA
TBA

ECSS Paris 2023: OP-MH20

Speaker A rui xi

Speaker A

rui xi
China institute of sport science, 1. Sports Rehabilitation Research Center
China
"The effect of scapular stabilization exercises on shoulder symptoms and scapular position in patients with subacromial impingement syndrome "

INTRODUCTION: Scapular focused exercise interventions are frequently used to treat individuals with shoulder pain. However, evidence for changes in scapular position after intervention is limited. The purpose of this study is to explore the effect of 8-week scapular stabilization exercises on shoulder joint function and scapular position in patients with subacromial impingement syndrome. METHODS: Methods:45 patients with subacromial impingement syndrome were randomly divided into intervention group (n = 22) and control group (n = 23). The intervention group received scapular stabilization exercises and two health education courses for 8 weeks (three times a week), while the control group received two health education courses. All outcomes were measured preintervention and postintervention at 8 weeks. Outcome measures were Visual Analogue Score(VAS),Shoulder Pain and Disability Index(SPADI), Coracoid upward shift distance (CUSD), length of the scapular spine line (LSS), and scapular upward rotation angle (SURA) which were measured on the radiographs. RESULTS: The intervention group showed significant improvement (p< 0.05) in VAS and SPADI compared to the control group. Significant changes were found in SURA and CUSD in the intervention group after 8weeks(p< 0.05). CONCLUSION: This study indicated that scapular stabilization exercise can improve symptoms and alter the position of the scapula in subacromial impingement syndrome patients.The results provide biomechanical support for the clinical rationale for indicating therapeutic exercises focused on the scapular muscles to improve scapular dynamics and shoulder function.

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ECSS Paris 2023: OP-MH20

Speaker B Ander Espin

Speaker B

Ander Espin
University of the Basque Country (UPV-EHU), Physiology
Spain
"Effects of videoconference-supervised group exercise on low back pain: short and long-term results from the ReViEEW randomised controlled trial"

INTRODUCTION: Although benefits of exercise on low back pain (LBP) have been demonstrated, most evidence is limited to short-term effects, and videoconference-supervised interventions are lacking. Therefore, our primary aim was to assess the effects of videoconference-supervised exercise on the LBP of eldercare workers, a population with high prevalence of this disorder. We also included additional pain sites, psycho-affective parameters, muscle performance and sick leave as secondary outcomes. METHODS: 130 eldercare workers were randomised to a control (CG, n=65) or experimental (EG, n=65) group. Both groups participated in workplace prevention programs, and the EG received an additional 12-week exercise intervention, consisting of progressive moderate-intensity resistance exercises. The intervention was followed by advice to continue exercising until a 48-week follow-up. Assessments were done at baseline, 12 and 48 weeks. Primary outcome was LBP, measured by a 0-10 scale. Secondary outcomes included: neck, shoulder and hand/wrist pain (0-10 scale), pain medication (days), happiness (Lyubomirsky’s scale), anxiety and depression (Goldberg’s scale), quality of life (EuroQol-5D), sleep quality (single-item scale), hypnotic/anxiolytic medication (days), lower-limb (5-repetition sit-to-stand), upper-limb (kneeling push-up) and trunk (Shirado-Ito flexor) muscle performance, and sick leave (days). Group-by-time ANCOVA was used to assess intervention effects, and both intention-to-treat (ITT) and per-protocol (PP, adherence ≥50%) analyses were done. Significance was set at p<0.05. RESULTS: At 12 weeks, ITT showed a beneficial effect on LBP (p=0.034), as well as on hand/wrist pain (p=0.023) and upper-limb muscle performance (p=0.040). PP demonstrated additional benefits in depression (p=0.021), quality of life (p=0.002), hypnotic/anxiolytic medication (p=0.011) and lower-limb (p=0.026) and trunk (p=0.030) muscle performance. At 48 weeks, ITT showed a loss of the beneficial effect on LBP, as well as on hand/wrist pain and upper-limb muscle performance. However, a reduction in hypnotic/anxiolytic medication was observed (p=0.006). Moreover, PP demonstrated additional benefits on depression (p=0.033), trunk muscle performance (p=0.049) and sick leave (p=0.013). CONCLUSION: The intervention reduced the LBP of eldercare workers at short-term. However, despite the advice to continue exercising, this improvement was not maintained at long-term. Additional benefits were observed in hand/wrist pain and upper limb muscle performance at short-term, as well as in hypnotic/anxiolytic medication use at long-term. Moreover, workers with higher adherence to the intervention had additional benefits in psycho-affective parameters and sick leave. This study provides new evidence on an alternative, feasible and effective exercise modality to reduce LBP in eldercare workers. However, advice to continue exercising was not able to maintain most of the benefits obtained.

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ECSS Paris 2023: OP-MH20

Speaker C Tian Huang

Speaker C

Tian Huang
Beijing Sport University, China Institute of Sport and Health Science
China
"Effects of Active-Motor-Control myofascial release on chronic shoulder pain in overhead athletes"

INTRODUCTION: Chronic shoulder pain (CSP) affects 50%–91% of overhead athletes, severely impacting their training and competition [1]. Although scapular stabilization exercise (SSE) is a first-line treatment, it has a limited and slow effect on pain relief [2]. This study introduces an integrated approach combining active motor control with myofascial release (AMC-MR), aiming to enhance pain relief and functional recovery in overhead athletes with CSP [3]. METHODS: Twenty-four overhead athletes with CSP were randomized into AMC-MR and SSE groups for a 6-week intervention. The AMC-MR group received treatment weekly, while the SSE group had sessions three times weekly. Primary outcomes were pain intensity assessed by the Numeric Rating Scale (NRS, 0-10 scale), including present, average, and most severe pain intensity. Secondary outcomes included Kerlan-Jobe Orthopaedic Clinic Shoulder and Elbow Score (KJOC) for patient-reported outcomes, active range of motion (AROM), and maximum isometric muscle strength (MIMS). Average and most severe pain intensity and KJOC were assessed at baseline and 6 weeks. Present pain intensity, AROM, and MIMS were assessed at baseline, after the first session, and at 6 weeks. RESULTS: All participants completed the study without dropouts. For primary outcomes, present pain intensity was 4.00±1.21 in the AMC-MR group and 4.16±1.53 in the SSE group at baseline. The AMC-MR group showed a significant reduction in present pain intensity after the first session (1.08±1.38) and at 6 weeks (0.75±0.97), surpassing the SSE group significantly after the first session (P=0.02), with the SSE group also noting significant present pain relief at 6 weeks (1.83±1.89). Both groups showed considerable improvements in average and most severe pain intensity at 6 weeks. Secondary outcomes revealed significant improvements in both groups for KJOC, and shoulder abduction and flexion at 6 weeks, with the AMC-MR group showing superior improvement in KJOC (P=0.02). The AMC-MR group also notably enhanced AROM including external rotation, internal rotation, abduction, and flexion after the first session, with external rotation improvements outperforming the SSE group (P=0.01). No significant changes were observed in MIMS for the serratus anterior and trapezius in either group. CONCLUSION: AMC-MR has shown clear advantages in both rapid pain relief and improved function, as well as duration of efficacy. References: 1. Kibler WB, Sciascia AD, Hrsg. Disorders of the Scapula and Their Role in Shoulder Injury: A Clinical Guide to Evaluation and Management. Cham: Springer International Publishing; 2017. 2. Nodehi Moghadam A, Rahnama L, Noorizadeh Dehkordi S, et al. Exercise therapy may affect scapular position and motion in individuals with scapular dyskinesis: a systematic review of clinical trials. J Shoulder Elbow Surg 2020; 29: e29–e36. 3. Schleip R. FASCIA AS A SENSORY ORGAN: Clinical Applications. Terra Rosa E-Mag 2017; 20: 2–7.

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ECSS Paris 2023: OP-MH20