Functional thoracic hyperkyphosis model for chronic subacromial impingement syndrome: An insight on evidence based “Treat the Cause” concept – A case study and literature review

Article type: Case Report

Authors: Nagarajan, M.^{a; *} | Vijayakumar, P.^b

Affiliations: [a] Faculty of Health and Life Sciences, INTI International University, Laureate International Universities, Nilai, Malaysia | [b] Faculty of Allied Health Sciences, National University of Malaysia, Bangi Selangor, Malaysia

Correspondence: [*] Corresponding author: M. Nagarajan, MPT, Department of Physiotherapy, MAHSA University College, Level 1 – Block C, Jalan University Campus, Jalan Elmu Off, Jalan University, Kuala Lumpur 59100, Malaysia. Tel.: +603 7965 2539; Fax: +603 7960 7995; E-mail: nagupt@gmail.com

Abstract: Recent evidences suggest functional thoracic hyperkyphosis (FTH) could be a different approach in the management of subacromial impingement syndrome (SIS). This case study aims firstly with the development of evidence informed FTH model for SIS. Secondly this study aimed to develop well defined multimodal physical therapy intervention for FTH and its related mechanical consequences in elderly patient with chronic SIS. As a result, Level IV positive evidence was found in both the short and long-term pain and disability of chronic SIS, using FTH model with 26 months of follow-up.

Keywords: Subacromial impingement, functional thoracic hyperkyphosis, pain

DOI: 10.3233/BMR-130373

Journal: Journal of Back and Musculoskeletal Rehabilitation, vol. 26, no. 3, pp. 227-242, 2013