Ultrasound evaluation of the subacromial space in healthy subjects performing three different positions of shoulder abduction in both loaded and unloaded conditions

Stefano Longo, Alberto Corradi, Giovanni Michielon, Francesco Sardanelli, Luca Maria Sconfienza

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background Subacromial space (SS) narrowing may result in unsafe contact of rotator cuff tendons and bursa with the acromion, possibly promoting rotator cuff pathologies and pain. We measured SS in asymptomatic subjects after three movements employed for shoulder muscles’ training. Participants and main outcome measures Twenty-five males (age 24±5years; stature 175±8 cm; body mass 74±12 kg) underwent SS ultrasound evaluation while executing with (WL) and without (NL) 4-kg load: 90° shoulder abduction (SA) without humerus rotation (90°neutral); 90° SA maximal humeral external rotation (90°er); maximum SA (above 90°) during upright row (UR). For inter-operator reliability analysis, a subset of 12 subjects was assessed by two operators. Results Intra/inter-operator reliability coefficients were high (ICC>0.87; standard error of measurement range: 0.23–0.51 mm; minimum detectable change range: 0.61–1.79 mm). ANOVA revealed significant differences between loads (p = 0.003, η2 = 0.37) and angles (p < 0.001, η2 = 0.72), and interaction (p = 0.004, η2 = 0.45). Normalized SS values WL were higher at 90°er vs. 90°neutral and UR (p < 0.001 for both). Differences in NL were found between 90°neutral and both 90°er (p = 0.002) and UR (p = 0.009). Conclusions When holding a 4-kg load, SS is larger at 90°er than at 90°neutral and UR shoulder abduction positions. In unloaded condition, SS at 90°neutral is reduced compared to 90°er and UR.

Original languageEnglish
Pages (from-to)105-112
Number of pages8
JournalPhysical Therapy in Sport
Volume23
DOIs
Publication statusPublished - Jan 1 2017

Fingerprint

Healthy Volunteers
Rotator Cuff
Acromion
Humerus
Tendons
Analysis of Variance
Outcome Assessment (Health Care)
Pathology
Pain
Muscles

Keywords

  • Lateral rise
  • Subacromial space
  • Ultrasound
  • Upright row

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

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title = "Ultrasound evaluation of the subacromial space in healthy subjects performing three different positions of shoulder abduction in both loaded and unloaded conditions",
abstract = "Background Subacromial space (SS) narrowing may result in unsafe contact of rotator cuff tendons and bursa with the acromion, possibly promoting rotator cuff pathologies and pain. We measured SS in asymptomatic subjects after three movements employed for shoulder muscles’ training. Participants and main outcome measures Twenty-five males (age 24±5years; stature 175±8 cm; body mass 74±12 kg) underwent SS ultrasound evaluation while executing with (WL) and without (NL) 4-kg load: 90° shoulder abduction (SA) without humerus rotation (90°neutral); 90° SA maximal humeral external rotation (90°er); maximum SA (above 90°) during upright row (UR). For inter-operator reliability analysis, a subset of 12 subjects was assessed by two operators. Results Intra/inter-operator reliability coefficients were high (ICC>0.87; standard error of measurement range: 0.23–0.51 mm; minimum detectable change range: 0.61–1.79 mm). ANOVA revealed significant differences between loads (p = 0.003, η2 = 0.37) and angles (p < 0.001, η2 = 0.72), and interaction (p = 0.004, η2 = 0.45). Normalized SS values WL were higher at 90°er vs. 90°neutral and UR (p < 0.001 for both). Differences in NL were found between 90°neutral and both 90°er (p = 0.002) and UR (p = 0.009). Conclusions When holding a 4-kg load, SS is larger at 90°er than at 90°neutral and UR shoulder abduction positions. In unloaded condition, SS at 90°neutral is reduced compared to 90°er and UR.",
keywords = "Lateral rise, Subacromial space, Ultrasound, Upright row",
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T1 - Ultrasound evaluation of the subacromial space in healthy subjects performing three different positions of shoulder abduction in both loaded and unloaded conditions

AU - Longo, Stefano

AU - Corradi, Alberto

AU - Michielon, Giovanni

AU - Sardanelli, Francesco

AU - Sconfienza, Luca Maria

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N2 - Background Subacromial space (SS) narrowing may result in unsafe contact of rotator cuff tendons and bursa with the acromion, possibly promoting rotator cuff pathologies and pain. We measured SS in asymptomatic subjects after three movements employed for shoulder muscles’ training. Participants and main outcome measures Twenty-five males (age 24±5years; stature 175±8 cm; body mass 74±12 kg) underwent SS ultrasound evaluation while executing with (WL) and without (NL) 4-kg load: 90° shoulder abduction (SA) without humerus rotation (90°neutral); 90° SA maximal humeral external rotation (90°er); maximum SA (above 90°) during upright row (UR). For inter-operator reliability analysis, a subset of 12 subjects was assessed by two operators. Results Intra/inter-operator reliability coefficients were high (ICC>0.87; standard error of measurement range: 0.23–0.51 mm; minimum detectable change range: 0.61–1.79 mm). ANOVA revealed significant differences between loads (p = 0.003, η2 = 0.37) and angles (p < 0.001, η2 = 0.72), and interaction (p = 0.004, η2 = 0.45). Normalized SS values WL were higher at 90°er vs. 90°neutral and UR (p < 0.001 for both). Differences in NL were found between 90°neutral and both 90°er (p = 0.002) and UR (p = 0.009). Conclusions When holding a 4-kg load, SS is larger at 90°er than at 90°neutral and UR shoulder abduction positions. In unloaded condition, SS at 90°neutral is reduced compared to 90°er and UR.

AB - Background Subacromial space (SS) narrowing may result in unsafe contact of rotator cuff tendons and bursa with the acromion, possibly promoting rotator cuff pathologies and pain. We measured SS in asymptomatic subjects after three movements employed for shoulder muscles’ training. Participants and main outcome measures Twenty-five males (age 24±5years; stature 175±8 cm; body mass 74±12 kg) underwent SS ultrasound evaluation while executing with (WL) and without (NL) 4-kg load: 90° shoulder abduction (SA) without humerus rotation (90°neutral); 90° SA maximal humeral external rotation (90°er); maximum SA (above 90°) during upright row (UR). For inter-operator reliability analysis, a subset of 12 subjects was assessed by two operators. Results Intra/inter-operator reliability coefficients were high (ICC>0.87; standard error of measurement range: 0.23–0.51 mm; minimum detectable change range: 0.61–1.79 mm). ANOVA revealed significant differences between loads (p = 0.003, η2 = 0.37) and angles (p < 0.001, η2 = 0.72), and interaction (p = 0.004, η2 = 0.45). Normalized SS values WL were higher at 90°er vs. 90°neutral and UR (p < 0.001 for both). Differences in NL were found between 90°neutral and both 90°er (p = 0.002) and UR (p = 0.009). Conclusions When holding a 4-kg load, SS is larger at 90°er than at 90°neutral and UR shoulder abduction positions. In unloaded condition, SS at 90°neutral is reduced compared to 90°er and UR.

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