Progressive Resistance Exercises plus Manual Therapy Is Effective in Improving Isometric Strength in Overhead Athletes with Shoulder Impingement Syndrome: A Randomized Controlled Trial
Table 1
Positioning of athletes for isometric strength measurement of muscles.
Muscle
Procedure
UT
With the subject in high sitting, the dynamometer was pushed down over the suprascapular fossa and the subject was told to perform shoulder elevation
MTr.
After placing the dynamometer on the mid-way point of the spine of the scapula and acromion, the dynamometer was pushed laterally while the subject was asked to keep the arm in an abducted externally rotated position while the subject lay prone.
LT
After placing the dynamometer on the mid-point of the acromion and medial root spine of the scapula, the dynamometer was pushed in superolateral direction while the subject was prone with arm in 140° of flexion.
Supr.
The subject was in high sitting and the shoulder is put in 30 degrees of abduction and in 90 degrees of flexion and counterforce was given just proximal to the elbow.
S.A
After placing the dynamometer on the forearm ulnar border while the shoulder and elbow were flexed to 90°, the subjects were asked to lift the point of the elbow towards the ceiling for which the counterforce was applied.
A.D.
After placing the dynamometer just proximal to the elbow, the subject in high sitting was asked to counter the downward force applied by the examiner while the shoulder was in 90° of flexion.
L.D
After placing the dynamometer on the posterior aspect of the elbow, the subject in the seated position was asked to counter the anterior direction while the shoulder was in 30° extension and 90°elbow flexion.
