Subacromial Impingement Syndrome (SIS)
A guide to understanding, treatment options, and new research insights
What is Subacromial Impingement Syndrome (SIS)?
Subacromial Impingement Syndrome, also known as Subacromial Pain Syndrome (SAPS), is a common cause of shoulder pain. It occurs when the tendons or bursa in the shoulder become compressed during arm elevation, leading to pain and restricted movement. This
condition can impact your ability to perform daily activities or participate in sports.
Treatment Approaches: What Works Best?
Exercise Programs
General vs. Specific Exercises: Research compares the effectiveness of general shoulder exercises with targeted, specific routines focusing on scapular stabilization. While both approaches help reduce pain and improve function, there is no conclusive evidence that one is significantly better. However, tailored, specific exercises may provide some added benefits in improving shoulder mechanics (BioMed Central)(BMJ Open Science).
Supervised vs. Home-based Training: A study from 2024 showed that supervised exercise programs (heavy, structured training) led to better short-term outcomes compared to home-based programs. Supervised exercises restored shoulder mobility and strength more effectively, though home-based regimens remain beneficial and cost-effective in the long term (BioMed Central)(BioMed Central).
Manual Therapies
Combining myofascial release (MFR) with exercise therapy has been shown to reduce pain and improve shoulder mobility better than exercise alone. MFR involves hands-on techniques that release tension in the fascia surrounding the muscles (BioMed Central).
Psychological Factors in SIS
Recent research highlights the role of psychological factors like kinesiophobia (fear of movement) and anxiety in influencing the perception of pain. While these factors don’t directly predict recovery outcomes, addressing them during rehabilitation can help reduce pain intensity and improve function (BMJ Open Science).
New Insights from Recent Studies (2024)
Supervised Exercise Programs: Structured exercises focusing on mobility, rotator cuff, and scapular muscle strengthening have been found effective in restoring shoulder function (BioMed Central).
Myofascial Release: Manual therapy techniques such as MFR, when combined with exercise, offer superior pain relief and greater improvement in shoulder range of motion compared to exercises alone (BioMed Central).
Psychological Impact: Addressing mental health factors such as anxiety and fear of movement is essential in reducing chronic pain and facilitating recovery (BMJ Open Science).
Recommendations for Managing SIS
Start with a tailored exercise program: A physical therapist can guide you through exercises specific to your needs.
Consider supervised training if possible, for better short-term results.
Incorporate manual therapies such as myofascial release to enhance the effectiveness of exercises.
Address psychological factors like fear and anxiety to improve your overall recovery.
For More Information:
Visit the following resources for full studies:
Feel free to consult a healthcare professional for personalized advice and treatment options!
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