000117431 001__ 117431
000117431 005__ 20240319080957.0
000117431 0247_ $$2doi$$a10.3390/medicina58030454
000117431 0248_ $$2sideral$$a128680
000117431 037__ $$aART-2022-128680
000117431 041__ $$aeng
000117431 100__ $$aLopez-de-Celis, Carlos
000117431 245__ $$aThe Effect of Scapular Fixation on Scapular and Humeral Head Movements during Glenohumeral Axial Distraction Mobilization
000117431 260__ $$c2022
000117431 5060_ $$aAccess copy available to the general public$$fUnrestricted
000117431 5203_ $$aBackground and Objectives: Glenohumeral axial distraction mobilization (GADM) is a usual mobilization technique for patients with shoulder dysfunctions. The effect of scapular fixation on the movement of the scapula and the humeral head during GADM is unknown. To analyze the caudal movement of the humeral head and the rotatory movement of the scapula when applying three different intensities of GADM force with or without scapular fixation. Materials and Methods: Fifteen healthy subjects (mean age 28 +/- 9 years; 73.3% male) participated in the study (twenty-eight upper limbs). Low-, medium- and high-force GADM in open-packed position were applied in scapular fixation and non-fixation conditions. The caudal movement of humeral head was evaluated by ultrasound measurements. The scapular rotatory movement was assessed with a universal goniometer. The magnitude of force applied during GADM and the region (glenohumeral joint, shoulder girdle, neck or nowhere) where subjects felt the effect of GADM mobilization were also recorded. Results: A greater caudal movement of the humeral head was observed in the non-scapular fixation condition at the three grades of GADM (p < 0.008). The rotatory movement of the scapula in the scapular fixation condition was practically insignificant (0.05-0.75 degrees). The high-force GADM rotated scapula 18.6 degrees in non-scapular fixation condition. Subjects reported a greater feeling of effect of the techniques in the glenohumeral joint with scapular fixation compared with non-scapular fixation. Conclusions: The caudal movement of the humeral head and the scapular movement were significantly greater in non-scapular fixation condition than in scapular fixation condition for the three magnitudes of GADM force.
000117431 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000117431 590__ $$a2.6$$b2022
000117431 592__ $$a0.59$$b2022
000117431 591__ $$aMEDICINE, GENERAL & INTERNAL$$b89 / 169 = 0.527$$c2022$$dQ3$$eT2
000117431 593__ $$aMedicine (miscellaneous)$$c2022$$dQ2
000117431 594__ $$a3.6$$b2022
000117431 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000117431 700__ $$0(orcid)0000-0002-5161-7479$$aEstebanez-de-Miguel, Elena$$uUniversidad de Zaragoza
000117431 700__ $$aPerez-Bellmunt, Albert
000117431 700__ $$0(orcid)0000-0003-0328-2309$$aCaudevilla-Polo, Santos$$uUniversidad de Zaragoza
000117431 700__ $$aGonzalez-Rueda, Vanessa
000117431 700__ $$0(orcid)0000-0002-0026-9224$$aBueno-Gracia, Elena$$uUniversidad de Zaragoza
000117431 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000117431 773__ $$g58, 3 (2022), 454 [10 pp]$$pMedicina-LithuaniaMedicina (Kaunas)$$tMedicina (Lithuania)$$x1010-660X
000117431 8564_ $$s838366$$uhttps://zaguan.unizar.es/record/117431/files/texto_completo.pdf$$yVersión publicada
000117431 8564_ $$s2606635$$uhttps://zaguan.unizar.es/record/117431/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000117431 909CO $$ooai:zaguan.unizar.es:117431$$particulos$$pdriver
000117431 951__ $$a2024-03-18-13:44:59
000117431 980__ $$aARTICLE