O fortalecimento dos músculos da cintura escapular traz benefícios para pacientes com síndrome do impacto?: revisão de literatura

Abstract

The Impingement Syndrome is one of the most common orthopedics diseases. This syndrome produces pain and functional limitation, specially when the limb is positioned above the head. Some authors report that a conservative approach in patients with shoulder impingement syndrome is described as being of great therapeutic value. The coordinated activity of shoulder muscles is essential for smoother motion of the scapula on the thorax and therefore a good alignment of the humeral head in the glenoid fossa, maximizing joint congruity and providing a stable base for arm movement. The stabilization is provided by the muscles of the shoulder girdle. The aim of this study was to investigate, through a literature review, be there are benefits through strengthening the muscles of the shoulder girdle in patients with impingement. A systematic literature search was performed in the databases Medline/PubMed, Lilacs and Scielo, five studies were selected to answer the following clinical question: The strengthening the muscles of the shoulder girdle brings benefits for patients with impingement syndrome. The studies suggest that strengthening the muscles of the shoulder girdle associated with other therapies are beneficial to increase muscular strength, range of motion of the shoulder complex, decrease pain, improve function related to the domains of activity and participation of the International Classification of Functioning, Disability and Health (ICF), quality of life and reduce the need for surgical intervention. Not were found significant effects of the strengthening scapular about the shoulder kinematics.