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Shoulder and scapular function before and after a scapular therapeutic exercise...

Melo, Ana S. C.; Soares, Ana L.; Castro, Catarina; Matias, Ricardo; Cruz, Eduardo B.; Vilas-Boas, J. Paulo; Sousa, Andreia S. P.

Scapular adaptations have been associated with shoulder pain. However, conflicting findings have been reported after scapular-focused interventions. The present study aims to evaluate scapula-related outcomes before and after a scapular therapeutic exercise program. Eighteen adult volunteers with chronic shoulder pain participated in an 8-week scapular therapeutic exercise program that was personalized accordin...


Effectiveness of specific scapular therapeutic exercises in patients with shoul...

Melo, Ana; Moreira, Juliana; Afreixo, Vera; Gonçalves, Daniel Moreira; Donato, Helena; Cruz, Eduardo B.; Vilas-Boas, J. Paulo; Sousa, Andreia

Therapeutic exercise has been considered a useful tool to rehabilitate shoulder pain, namely through its influence on scapular dynamics. Accordingly, the effectiveness of scapular therapeutic exercise needs to be explored. The present study aims to evaluate the effectiveness of scapular therapeutic exercises in shoulder pain and to identify the most effective exercise type (focal or multijoint) and ways of deli...


Scapular motor control and upper limb movement quality in subjects with and wit...

Melo, Ana; C. Guedes, Diana; Matias, Ricardo; Cruz, Eduardo B.; Vilas-Boas, J. Paulo; Sousa, Andreia

Despite the existence of several studies about the scapula’s position and motion, in shoulder pain conditions, there are still conflicting findings regarding scapular adaptations and reduced research about the scapula’s role during functional tasks. The present study aimed to compare scapular-related kinematic and electromyographic outcomes during different shoulder movements (with and without load) and the dri...


Scapular muscle dynamic stiffness of asymptomatic subjects and subjects with ch...

Melo, Ana S. C.; Pinheiro de Sousa, Andreia Sofia; Montóia, Bárbara; Cruz, Eduardo B.; Vilas-Boas, J. Paulo; Sousa, Andreia S. P.

Muscle stiffness had a crucial role in joint stability, particularly, at the shoulder complex. Although changes in upper trapezius muscle stiffness have been described for shoulder pain, contradictory findings have been obtained. Also, existing data regarding scapular muscles are, majorly, about trapezius. Myotonometry is a method used to assess stiffness; however, the reliability values of scapular muscle stif...


The influence of shoulder position during multi-joint exercises in the relative...

Carneiro, Ana Sofia; Vilas-Boas, J. Paulo; Cruz, Eduardo B.; Macedo, Rui; Ferreira, Sílvia B. e; Sousa, Andreia

Scapular muscles changes, as increased upper trapezius activity and decreased middle and lower trapezius and serratus anterior muscle activity, have been demonstrated in shoulder pain specific or non-specific conditions. Shoulder external rotation exercises have been recommended to improve scapular activity in shoulder pain. To evaluate the relative scapular muscles activity during multi-joint exercises combini...


Differences in trapezius muscle h-reflex between asymptomatic subjects and symp...

Melo, Ana; Taylor, Janet L.; Ferreira, Ricardo; CUNHA, BRUNO; Ascenção, Manuel; Sousa, Vítor; Cruz, Eduardo B.; Vilas-Boas, J. Paulo

In chronic shoulder pain, adaptations in the nervous system such as in motoneuron excitability, could contribute to impairments in scapular muscles, perpetuation and recurrence of pain and reduced improvements during rehabilitation. The present cross-sectional study aims to compare trapezius neural excitability between symptomatic and asymptomatic subjects. In 12 participants with chronic shoulder pain (symptom...


Models of care for low back pain patients in primary healthcare: a scoping revi...

Duarte, Susana Tinoco; Nunes, Carla; Costa, Daniela; Donato, Helena; Cruz, Eduardo B.

Introduction Low back pain (LBP) is the most prevalent musculoskeletal condition worldwide and it is responsible for high healthcare costs and resources consumption. It represents a challenge for primary care services that struggle to implement evidence-based practice. Models of care (MoCs) are arising as effective solutions to overcome this problem, leading to better health outcomes. Although there is growing ...


Scapular dynamic muscular stiffness assessed through myotonometry: a narrative ...

Melo, Ana S. C.; Cruz, Eduardo B.; Vilas-Boas, João Paulo; Sousa, Andreia S. P.

Several tools have been used to assess muscular stiffness. Myotonometry stands out as an accessible, handheld, and easy to use tool. The purpose of this review was to summarize the psychometric properties and methodological considerations of myotonometry and its applicability in assessing scapular muscles. Myotonometry seems to be a reliable method to assess several muscles stiffness, as trapezius. This method ...


Validação para a população adolescente portuguesa com dor lombar do Modified Ha...

Robalo, Lina; Cruz, Eduardo B.; Nunes, Carla

RESUMO - A dor lombar é uma condição de saúde comum em idades precoces, desconhecendo-se, no entanto, o seu impacto a nível funcional. Na ausência de instrumentos adaptados e validados para a população adolescente portuguesa, que permitam avaliar o impacto funcional da dor lombar, desenvolveu-se um estudo metodológico com o objetivo de realizar a tradução e adaptação da versão modificada do Hanover Functional A...


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