Efficacy of Muscle Energy Technique Versus Movement with Mobilisation in Recreational Swimmers with Scapular Dyskinesis: A Comparative Study
Abstract
Introduction: Recreational swimming is a popular all-around exercise that is particularly helpful in therapy and as an exercise for people. In recreational swimming, repetitive arm revolutions put a significant amount of musculoskeletal strain on the shoulder complex, which might affect the shoulder’s kinematics. Loss of control over the typical scapular mechanics, physiology, and motion is known as dyskinesis. This can cause pain while resting, as well as during activities, and is the most commonly noted location of orthopaedic injury in swimmers.
Objective of the study: The objective of the current research was to assess the efficiency of MET vs MWM in recreational swimmers with SD.
Method: It was a randomised comparative trial. When the subjects were split into 2 groups, Group MET (n = 16) received MET and scapular kinematic exercise and Group MWM (n = 19) received MWM and scapular kinematic exercise. Both groups received therapy for four weeks. The outcome measures were evaluated through LSST and DASH score Dash Sports Module.
Result: Pre and post values of LSST, DASH score, and DASH sports module decreased in both groups (p value < 0.05).
Conclusion: The research concluded that both MWM and MET showed efficiency in correcting SD. However, MET with exercise was found to be more effective in improving SD in swimmers.
How to cite this article:
Sangma K, Das L. Efficacy of Muscle Energy Technique Versus Movement with Mobilisation in Recreational Swimmers with Scapular Dyskinesis: A Comparative Study. Chettinad Health City Med J. 2024;13(3):47-54.
DOI: https://doi.org/10.24321/2278.2044.202444
References
Feijen S, Tate A, Kuppens K, Claes A, Struyf F. Swimtraining volume and shoulder pain across the life span of the competitive swimmer: a systematic review. J Athl Train [Internet]. 2020 [cited 2024 Jan 28];55(1):32-41. Available from: http://dx.doi.org/10.4085/1062-6050-439-18 [PubMed] [Google Scholar]
Heinlein SA, Cosgarea AJ. Biomechanical considerations in the competitive swimmer’s shoulder. Sports Health [Internet]. 2010 [cited 2024 Jan 25];2(6):519-25. Available from: http://dx.doi.org/10.1177/1941738110377611 [PubMed] [Google Scholar]
Blache Y, Gillet B, Selin J, Sevrez V, Rogowski I. Scapular kinematics during scaption in competitive swimmers. Eur J Sport Sci [Internet]. 2018 [cited 2024 Jan 18];18(5):659-66. Available from: http://dx.doi.org/10.1080/17461391.2018.1449893 [PubMed] [Google Scholar]
Hibberd EE, Oyama S, Spang JT, Prentice W, Myers JB. Effect of a 6-week strengthening program on shoulder and scapular-stabilizer strength and scapular kinematics in division I collegiate swimmers. J Sport Rehabil [Internet]. 2012 [cited 2024 Jan 21];21(3):253-5. Available from: http://dx.doi.org/10.1123/jsr.21.3.253 [PubMed] [Google Scholar]
De Martino I, Rodeo SA. The swimmer’s shoulder: multi-directional instability. Curr Rev Musculoskelet Med [Internet]. 2018 [cited 2024 Jan 28];11(2):167-71. Available from: http://dx.doi.org/10.1007/s12178-018-9485-0 [PubMed] [Google Scholar]
Maor MB, Ronin T, Kalichman L. Scapular dyskinesis among competitive swimmers. J Bodyw Mov Ther [Internet]. 2017 [cited 2024 Jan 22];21(3):633-6. Available from: http://dx.doi.org/10.1016/j.jbmt.2016.11.011 [PubMed] [Google Scholar]
Panagiotopoulos AC, Crowther IM. Scapular dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate. SICOT J [Internet]. 2019 [cited 2024 Jan 22];5:29. Available from: http://dx.doi.org/10.1051/sicotj/2019029 [PubMed] [Google Scholar]
Longo UG, Ambrogioni LR, Berton A, Candela V, Massaroni C, Carnevale A, Stelitano G, Schena E, Nazarian A, DeAngelis J, Denaro V. Scapular dyskinesis: from basic science to ultimate treatment. Int J Environ Res Public Health [Internet]. 2020 [cited 2024 Jan 28];17(8):2974. Available from: http://dx.doi.org/10.3390/ijerph17082974 [PubMed] [Google Scholar]
Curtis T, Roush JR. The lateral scapular slide test: a reliability study of males with and without shoulder pathology. N Am J Sports Phys Ther. 2006;1(3):140-6. [PubMed] [Google Scholar]
Gummesson C, Atroshi I, Ekdahl C. The disabilities of the arm, shoulder and hand (DASH) outcome questionnaire: longitudinal construct validity and measuring self-rated health change after surgery. BMC Musculoskelet Disord [Internet]. 2003 [cited 2024 Jan 23];4:11. Available from: http://dx.doi.org/10.1186/1471-2474-4-11 [PubMed] [Google Scholar]
Fryer G. Muscle energy technique: an evidence-informed approach. Int J Osteopath Med
Internet]. 2011 [cited 2024 Jan 18];14(1):3-9. Available from: http://dx.doi.org/10.1016/j.ijosm.2010.04.004 [Google Scholar]
Vicenzino B, Paungmali A, Teys P. Mulligan’s mobilization-with-movement, positional faults and pain relief: current concepts from a critical review of literature. Man Ther [Internet]. 2007 [cited 2024 Jan 24];12(2):98-108. Available from: http://dx.doi.org/10.1016/j.math.2006.07.012 [PubMed] [Google Scholar]
Zaman BA, Basumatary B, Borah C. Scapular asymmetry among elite swimmers of Jorhat district using lateral scapular slide test. Indian J Physiother Occup Ther [Internet]. 2021 [cited 2024 Jan 25];15(1):1-8. Available from: http://dx.doi.org/10.37506/ijpot.v15i1.13334 [Google Scholar]
Siddiqui M, Akhter S, Baig AA. Effects of autogenic and reciprocal inhibition techniques with conventional therapy in mechanical neck pain - a randomized control trial. BMC Musculoskelet Disord [Internet]. 2022 [cited 2024 Jan 28];23(1):704. Available from: http://dx.doi.org/10.1186/s12891-022-05668-0 [PubMed] [Google Scholar]
Jawed M, Woo MJ, Bordoni B. Osteopathic manipulative treatment: muscle energy procedure - exhaled ribs. StatPearls Publishing; 2021. p. 1-5. [Google Scholar]
Alshami AM, AlSadiq AI. Outcomes of scapulothoracic mobilisation in patients with neck pain and scapular dyskinesis: a randomised clinical trial. J Taibah Univ Med Sci [Internet]. 2021 [cited 2024 Jan 22];16(4):540-9. Available from: http://dx.doi.org/10.1016/j.jtumed.2021.03.006 [PubMed] [Google Scholar]
Selkow NM, Grindstaff TL, Cross KM, Pugh K, Hertel J, Saliba S. Short-term effect of muscle energy technique on pain in individuals with non-specific lumbopelvic pain: a pilot study. J Man Manip Ther. 2009;17(1):14-8. [PubMed] [Google Scholar]
Sharma D, Sen S. Effects of muscle energy technique on pain and disability in subjects with SI joint dysfunction. Int J Physiother Res. 2014;2(1):305-11. [Google Scholar]
Hing W, Hall T, Mulligan B. The Mulligan Concept of Manual Therapy. Elsevier Health Sciences; 2019.
