Peculiarities of physical rehabilitation of persons with impingement-syndrome of the shoulder joint

Oleksandr Zviriaka, Anna Rudenko


The impingement syndrome of the shoulder joint is a common problem, which may lead to more serious pathology and disability. The main causes of impingement syndrome development are the shoulder joint injury or the features of professional and sports activities. The process of physical rehabilitation of individuals with impingement syndrome is a multi-stage approach aimed at returning to the previous level of functioning. Purpose. Determine the features of physical rehabilitation of individuals with impingement syndrome of the shoulder joint. Materials and methods of research: analysis, synthesis and generalization of scientific and methodical literature. Results. Functional constraints in impingement syndrome are characterized by loss of subacromial space due to changes in the humeral biomechanics of the shoulder joint, instability of the shoulder joint and / or muscular imbalance. According to age-related changes there are three stages of this pathology, every of which has certain structural and functional changes. The effectiveness of the process of physical rehabilitation is based on the identification of the etiological factor with the subsequent creation of an individual recovery program. Physical rehabilitation consists of three stages with gradual increase and complication of exercises. Conclusions. Physical rehab can effectively return the usual level of activity of everyday life of patients with impingement syndrome due to elimination of such manifestations as pain, reduced muscle strength, reduced amplitude of movements.


physical rehabilitation, shoulder joint, impingement syndrome, functional state

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Bey MJ, Brock SK, Beierwaltes WN, Zauel R, Kolowich PA, Lock TR (2007) In vivo measurement of subacromial space width during shoulder elevation: technique and preliminary results in patients following unilateral rotator cuff repair. Clin Biomech, 22:767–773.

Bosco C, Komi PV. (2009) Potentiation of the mechanical behavior of the human skeletal muscle through prestretching. Acta Physiol Scand,106(4):467–472.

Cavagna GA, Dusman B, Margaria R. (2008) Positive work done by a previously stretched muscle. J Appl Physiol, 24(1):21–32.

Chopp JN, Dickerson CR (2012) Resolving the importance of the role of fatigue-related scapular dyskinesis as a causal factor for subacromial impingement: a simulation analysis. In: Proceedings of the IXth conference of the international shoulder group. Aberystwyth University, Wales, UK, pp 93–94.

Dickens VA, Williams JL, Bhamra MS. (2005) Role of physiotherapy in the treatment of subacromial impingement syndrome: a prospective study. Physiotherapy, 91(3):159–164.

Faber E, Kuiper JI, Burdorf A, Miedema HS, Verhaar JA. (2006) Treatment of impingement syndrome: a systematic review of the effects on functional limitations and return to work. J Occup Rehabil, 16(1):7–25.

Flatow EL, Soslowsky LJ, Ticker JB, et al. (2014) Excursion of the rotator cuff under the acromion. Patterns of subacromial contact. Am J Sports Med, 22(6):779–788.

Fortun CM, Davies GJ, Kernozck TW. (2018) The effects of plyometric training on the shoulder internal rotators. Phys Ther, 78(51):S87.

Grygus I., Romanyshyn M. Clinical review of physical therapy intervention for ataxia. Journal of Health Sciences. 2013; 3 (10): 203-232.

Khan Y, Nagy MT, Malal J, Waseem M. (2013) The painful shoulder: shoulder impingement syndrome. Open Orthop J, 7:347–351.

Neer CS., (2000) 2nd Impingement lesions. Clin Orthop Relat Res, (173):70–77.

Noyes FR, Mangine RE, Barber S. (2017) Early knee motion after open and arthroscopic anterior cruciate ligament reconstruction. Am J Sports Med, 15(2):149–160.

Stackhouse SK, Eisennagel A, Eisennagel J, Lenker H, Sweitzer BA, McClure PW. (2013) Experimental pain inhibits infraspinatus activation during isometric external rotation. J Shoulder Elbow Surg, 22(4):478–484.

Stangle L. (2015) The value of cryotherapy and thermotherapy in the relief of pain. Physiotherapy (Canada), 27:135–139.

Struyf F, Nijs J, Baeyens JP, Mottram S, Meeusen R. (2011) Scapular positioning and movement in unimpaired shoulders, shoulder impingement syndrome, and glenohumeral instability. Scand J Med Sci Sports, 21(3):352–358.

Swanik KA, Lephart SM, Swanik CB, Lephart SP, Stone DA, Fu FH. (2012) The effects of shoulder plyometric training on proprioception and selected muscle performance characteristics. J Shoulder Elbow Surg, 11(6):579–586.

Wilk KE, Andrews JR. (2013) Rehabilitation following arthroscopic subacromial decompression. Orthopedics, 16(3):349–358.

Wilk KE, Hooks TR, Macrina LC. (2013) The modified sleeper stretch and modified cross-body stretch to increase shoulder internal rotation range of motion in the overhead throwing athlete. J orthop Sports Phys Ther, 43(12):891–894.

Adelʹ M.A. Marayta. Osoblyvosti fizychnoyi reabilitatsiyi pry poshkodzhennyakh rotatoriv manzhetky plecha / Adelʹ M.A. Marayta, YU.A. Popadyukha // Naukovyy chasopys NPU imeni M.P. Drahomanova. Naukovo-pedahohichni problemy fizychnoyi kulʹtury (fizychna kulʹtura i sport): zb. nauk. pr. – K.: Vyd-vo NPU im. M.P. Drahomanova, 2012. – Vyp. 21. – S. 4 – 8.

Grygus I. Suchasni uyavlennya shhodo zastosuvannya zasobiv fizy`chnoyi reabilitaciyi u sportsmeniv z poshkodzhennyam zv'yazkovogo aparatu kolinnogo sugloba / I. Grygus // Molodizhny`j naukovy`j visny`k Sxidnoyevropejs`kogo nacional`nogo universy`tetu imeni Lesi Ukrayinky`. Fizy`chne vy`xovannya i sport : zhurnal / uklad. A. V. Cz`os`, A. I. Al`oshy`na. – Lucz`k : Sxidnoyevrop. nacz. un-t im. Lesi Ukrayinky`, 2015. − Vy`p. 19. – C. 124-129.

Kifa A. Fizy`chna reabilitaciya pry` konservaty`vnomu likuvanni xvory`x z poshkodzhennyam rotatornoyi manzhety` plecha / Andrij Kifa // Moloda sporty`vna nauka Ukrayiny`: zb. nauk. pr. z. galuzi fiz. kul`tury` ta sportu. – L. : Ukr. texnologiyi, 2006. – Vy`p. 8. – T. 4. – S. 74–79.

Popadyuxa Yu.A. Uprazhneny`ya na nestaby`l`nyh sferax kak sredstvo ukrepleny`ya myshcz plecha / Yu.A. Popadyuxa, O.K. Marchenko, A.I. Al`oshy`na // Fizy`chne vy`xovannya, sport i kul`tura zdorov'ya u suchasnomu suspil`stvi: zb. nauk. pr. Voly`n. nacz. un-tu im. Lesi Ukrayinky`. – Lucz`k, 2012. 1 (17). – S. 90 – 99.

Popadyuxa Yu. Osobennosty` vosstanovleny`ya sportsmenov pry` povrezhdeny`yah rotatornoj manzhety plecha / Yu. Popadyuxa, Adel` M. A. Marajta, A. Alёshy`n // Molodizhny`j naukovy`j visny`k Sxidnoyevropejs`kogo nacional`nogo universy`tetu imeni Lesi Ukrayinky`. Fizy`chne vy`xovannya i sport. - 2014. - Vy`p. 14. - S. 91-96.



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