Rotator Kılıf Patolojilerinde Postür, Skapular Biyomekani ve Yaşam Kalitesinin İncelenmesi.

Abstract

This study was planned to examine in posture, scapula biomechanics and quality of life in rotator cuff pathologies. Thirty individuals between the ages of 28-57 with rotator cuff pathology and 25 healthy individuals were included in the study. To evaluate posture New York Posture İndex, thoracic kyphosis and lumbar lordosis angle measurements with flexi ruler, shoulder protraction, head protrusion evaluation with photographic measurement; Observational Scapular Dyskinesia, Scapula Assist Test, Scapula Retraction Test, Lateral Scapular Slide Test, scapular upward rotation angle measurements by inclinometer for scapular dyskinesia; Shoulder Pain Disability İndex (SPADI) and Quality of Life İndex (SF-36) were used to evaluate quality of life. Comparison of groups with Mann-Whitney U Test; categorical variables were analyzed with the Chi-square test. According to the comparison results, it was observed that thoracic kyphosis increased in individuals with rotator cuff pathology (p<0.05), but there was no difference in the lumbar lordosis angle (p>0.05). While the prevalence of shoulder protrusion increased (p<0.05), no difference was found in head protrusion (p<0.05). While the number of individuals with scapular dyskinesia was higher in individuals with rotator cuff pathology than in healthy individuals (p<0.05); it was found that the amount of lateral slide the scapula and the number of individuals with positive Lateral Scapular Slide Test especially at 90° elevation were higher (p<0.05). However, while 90° shoulder abduction angle decreased the scapula upward rotation angle on the dominant and non-dominant sides (p<0.05); there was no difference in 0°, 45°, 135° and final abduction angles (p<0.05). It was found that all findings increased the shoulder disability score by affecting the pain and function (p<0.05) and affected the quality of life in all aspects when we consider it in terms of physical function, physical role difficulty, pain, general health, energy, social functionality, and emotional role parameters (p<0.05). Rotator cuff pathologies seem to have an impact on posture, scapular biomechanics and quality of life. Exercises for thoracic kyphosis and shoulder protraction, as well as increasing scapula upward rotation should be included in the rehabilitation program of individuals with rotator cuff pathology.