Differences in scapular orientation, subacromial space and shoulder pain between the full can and empty can tests

Abstract

Background: the empty and full can arm positions are used as diagnostic tests and in therapeutic exercise programs for patients with subacromial impingement syndrome. the adverse effects of these arm positions on the rotator cuff have not been fully described. the purpose of this investigation was to compare the acromio-humeral distance, three-dimensional scapular position, and shoulder pain during maximum isometric contractions in the empty and full can arm positions.Methods: Subjects with subacromial impingement syndrome (n = 28) and a matched control group without shoulder pain (n = 28) participated. Acromio-humeral distance, scapular/clavicular positions and shoulder pain were measured during maximal isometric contractions in each position.Findings: No difference was found in acromio-humeral distance (P=0314) between the arm positions or between the groups (P = 0.598). the empty can position resulted in greater scapular upward rotation (P<0.001, difference = 4.9 degrees), clavicular elevation (P<0.001, difference = 2.7 degrees), clavicular protraction (P = 0.001, difference = 2.5 degrees) and less posterior tilt (P<0.001, difference = 3.8 degrees) than the full can position. No differences in the scapular positions were found between the groups. Positive correlations were seen between the scapular positions in the control and not in the subacromial impingement group.Interpretation: Our results did not show a difference in acromio-humeral distance between the arm positions or groups, indicating that the kinematic differences between the positions are not associated with altered acromio-humeral distance. the increased pain in the EC position might be due to the lack of an association amongst the scapular positions rather than the deficiency of a single scapular motion. Published by Elsevier B.V.Hunter Holmes McGuire VA Med Ctr, Dept Vet Affairs, Richmond, VA 23249 USAVirginia Commonwealth Univ, Dept Phys Therapy, Richmond, VA 23298 USAUniversidade Federal de São Paulo, Dept Med, São Paulo, BrazilCraig Hosp, Englewood, CO 80113 USAHunter Holmes McGuire VA Med Ctr, Dept Vet Affairs, Phys Med & Rehabil Sect, Richmond, VA 23249 USAUniversidade Federal de São Paulo, Dept Med, São Paulo, BrazilWeb of Scienc