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Soleimanifar M, Sarabzadeh M, Pakdel M, Asadi Z. Neuromuscular Effects of an 8-Week Aquatic Training Program on Pain, Range of Motion and Electromyography in Patients with Shoulder Impingement Syndrome: A Randomized Controlled Study. PTJ 2026; 16 (S1)
URL: http://ptj.uswr.ac.ir/article-1-717-en.html
1- Lifestyle Medicine Department, Medical Laser Research Center, ACECR, Tehran, Iran.
2- National Elites Foundation, Tehran, Iran
3- MSc of physiotherapy, Tehran, Iran.
4- Department of Community Medicine. School of Medicine, AJA University of Medical Sciences, Tehran, Iran.
Abstract:   (1645 Views)
Purpose: Shoulder impingement syndrome (SIS) is the most prevalent issue among shoulder disorders. Given the promising outcomes of aquatic physiotherapy in rehabilitation, this study aimed to evaluate the impact of an 8-week aquatic training program on pain, range of motion, and electrical activity in the shoulder of pre-elderly patients suffering from SIS.
Methods: 30 men of military retirees aged 60 years and older, were voluntarily recruited and then randomly assigned into experimental and control groups. The experimental group participated in an eight-week program of aquatic training. Pain, range of motion, and shoulder muscle activity were investigated using a Visual Analog Scale (VAS), electrogoniometer, and electromyography, respectively—twice as pre and post-test.
Results: Results showed significant differences between groups in pain scale, shoulder external and internal rotation (P < 0.001), shoulder abduction (P = 0.002) and muscle electrical activity of serratus anterior (P < 0.001), but not in shoulder flexion (P = 0.082) and muscle activity of upper trapezius (P = 0.075).
Conclusions: Our aquatic training program may profoundly impact regaining shoulder range of motion and recovery from shoulder pain in patients with SIS. Further research is warranted to assess a different and more specialized aquatic program to properly affect shoulder flexion and trapezius muscle function, which were not improved by the present intervention.
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Type of Study: Research | Subject: Sport injury and corrective exercises
Received: 2024/12/26 | Accepted: 2025/05/31 | Published: 2026/06/23

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