Efficacy of biceps brachii muscle strengthening exercises on shoulder impingement syndrome / Mohamed Hemied Nasser Ali ; Supervised Salwa Fadl Abdelmajeed , Mohamed Ali Sarhan , Ahmed Foud Mohamed Seif Eldeen

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Musculoskeletal Disorders

Background: Shoulder impingement syndrome one of the most common diseases of the musculoskeletal system. There is lack of literature about the effect of biceps brachii muscle strengthening exercises on shoulder impingement syndrome. Purpose: To investigate the effect of biceps brachii muscle strengthening exercises in treatment shoulder impingement syndrome. Objective: This study was to investigate the effect of biceps brachii strengthening exercises on shoulder pain and disability index, isometric strength of shoulder abductors, internal and external rotators, posterior capsule tightness, and acromiohumeral distance at shoulder abduction and adduction with unilateral shoulder impingement syndrome. Methods: This study consisted of twenty five patients (two groups). Group A; consisted of fourteen patients, with mean age of 32 years, treated with scapular muscles exercises, rotator cuff exercises, posterior capsular stretch and biceps brachii exercises. Group B; consisted of eleven patients, with mean age of 34 years, treated with as group A but without biceps brachii exercises. Each patient was assessed for pain and disability using shoulder pain and disability index (SPADI), isometric strength using hand held dynamometer, acromiohumeral distance (AHD) using ultrasonography and posterior capsule tightness using tape measurementss only within biceps groups

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