Are craniocervical flexion test and the pectoralis minor index useful tests for patients with subacromial pain syndrome?

Bruno Senos Queiroz Gomes, Leticia Amaral Corrêa, Juliana Valentim Bittencourt, Ney Armando Meziat Filho, Julio Guilherme Silva, Leandro Alberto Calazans Nogueira

Research output: Contribution to journalArticlepeer-review

Abstract

Cervical disorders and the shortening of the pectoralis minor are advocated to play an important role in patients with subacromial pain syndrome, despite the absence of evidence. This study aimed to compare the deep cervical flexor muscle function and the shortening of the pectoralis minor between patients with subacromial pain syndrome and controls. Secondarily, this study aimed to analyze the relationship of clinical tests with pain and disability among patients. This is a case-control study with 32 patients with subacromial pain syndrome [mean age: 33 ± 6.9 years; sex: 22 (65.6%) men; right dominance: 31 (96.9%)] and 32 controls matched for age, sex, handedness, and affected side. Participants filled the Numerical Pain Rating Scale, the Shoulder Pain and Disability Index; and performed the clinical tests which were compared between patients and controls. Pectoralis minor length of the patient’s group (median = 9.0) was similar to the controls (median = 9.7) (U = 421.5; p = 0.22). The deep neck muscle function presented no statistical difference between patients and controls (χ2 = 4.319; p = 0.504). There was no statistically significant correlation between clinical tests and patient self-reported measures. Therefore, deep cervical flexor muscle and the pectoralis minor muscle were not impaired in patients with subacromial pain syndrome and did not show a relationship
with self-reported measures.
Original languageEnglish
Number of pages16
JournalBrazilian Journal of Science and Movement
Volume30
Issue number1
DOIs
Publication statusPublished - 18 Apr 2022
Externally publishedYes

Keywords

  • shoulder pain
  • neck pain
  • disability evaluation
  • diagnosis

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