Functional Massage of the Teres Major Muscle in Patients with Subacromial Impingement Syndrome. A Randomized Controlled Case Series Study

Martín Barra-López,María Lucha-López,Carlos López-De-Celis,Edurne Villar-Mateo,Vanessa González-Rueda,Sara Castillo-Tomás,Ana Domínguez-Cobo

doi:10.9734/ijmpcr/2016/29294

Abstract

Functional Massage of the Teres Major Muscle in Patients with Subacromial Impingement Syndrome. A Randomized Controlled Case Series Study

Highlights

The prevalence of shoulder pathology ranges between 16% in the general population [1] and 21% in the population over 70 years old [2]
subacromial impingement syndrome (SIS) is characterized by pain emanating from subacromial space structures that increases with upper extremity elevation, and restriction of mobility causing functional limitation affecting the patients quality of life [5]
Most studies of muscle coordination have been based on the model of Inman et al [7] which focuses on the role of the infraspinatus, teres minor and subscapularis muscles opposing the deltoid muscle in order to minimize the impact of the humeral head against the coracoacromial arch during elevation

Summary

Introduction

The prevalence of shoulder pathology ranges between 16% in the general population [1] and 21% in the population over 70 years old [2]. The incidence has been estimated at 11.2 per 1,000 patients/year, with a majority of cases (41%) diagnosed with subacromial impingement syndrome (SIS) [4]. SIS is characterized by pain emanating from subacromial space structures that increases with upper extremity elevation, and restriction of mobility causing functional limitation affecting the patients quality of life [5]. A biomechanical cause that can cause the impingement of the subacromial structures is the lack of coordination of muscle activation during extremity elevation [6]. Most studies of muscle coordination have been based on the model of Inman et al [7] which focuses on the role of the infraspinatus, teres minor and subscapularis muscles opposing the deltoid muscle in order to minimize the impact of the humeral head against the coracoacromial arch during elevation. A recent study has included the evaluation of other adductor muscles, considering the classic concept of normal function of the shoulder obtained by a balance between the deltoid and rotator cuff muscles as inadequate [8]

Methods

Results

Conclusion