Targeted Scapular and Core Stabilization Exercises for Exercise-Induced Transient Abdominal Pain (ETAP): A Case Report

Abstract

Background Exercise-induced transient abdominal pain (ETAP) is a common yet poorly understood musculoskeletal disorder prevalent in physically active individuals. Proposed etiology includes diaphragm ischemia, visceral ligament strain, hypertonic beverage intake, abdominal muscle spasms, and excessive abdominal peritoneum movement during exercise. Case Presentation A 42-year-old woman presented with insidious onset of intermittent abdominal pain that was associated with ipsilateral scapulohumeral and cervical pain. Twelve 45-minute physical therapy sessions were completed, consisting of targeted scapular stabilization exercises and integrated abdominal muscle activation and strengthening techniques. Outcome and Follow-Up All regional pain symptoms resolved and maintained at 6-week follow-up. At discharge, scores on the Neck Disability Index and the Disabilities of the Arm, Shoulder and Hand questionnaire showed 68% and 46% improvement in function, respectively. Discussion Targeted scapular and abdominal stabilization exercises appeared to fully resolve the complex symptomatology and functional limitations associated with ETAP. JOSPT Cases 2022;2(1):26–31. doi:10.2519/josptcases.2022.10497