Manual Therapy, Posturology & Rehabilitation Journal
Manual Therapy, Posturology & Rehabilitation Journal
Research Article

Association between the increased thoracic curvature and the prevalence of pain in the shoulder complex on roping practitioners

Santos, Analícia Bracho; Dhein, William; Torre, Marcelo La

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Background: The roping practice is a sporting the practitioner aims to throw a type of rope with a loop over the head or around the horns of the steer during the horse riding. The movement of looping is performed by repeated rotations of the shoulder above the shoulder girdle line, and this action, associated with changes in the thoracic spine, can overwhelm the structures of the shoulder complex and the muscles. Objective: Analyze the association between changes in increased thoracic curvature and the prevalence of pain in the shoulder complex in roping practitioners. Methods: The sample was intentionally with 20 male roping practitioners who were submitted to assessment of shoulder pain using the shoulder pain and disability index (spadi), three shouder’s orthopedic test, the jobe’s test, the yergason’s test, the neer’s test, and also the measurement of the thoracic curvature angle through the flexicurve method. The statistical data were processed using the SPSS version 20.0, and the Chi-Squared test was applied to evaluate the association between the variables. The level of significance adopted was 5%. Results: 70% of the sample presented pain in the shoulder joint complex and 45% of the practitioners presented hyperkyphosis. There is a moderate association between the variables (p = 0.008 / contingency coefficient = 0.510). Conclusion: The results showed a moderate association between the prevalence of pain in the shoulder complex and the increase of the thoracic curvature angle.


Thoracic Curvature, Pain, Shoulder Complex, Posture, Roping Practitioners


1. Freitas LFR, Silveira RMH. A figura do gaúcho e a identidade cultural latino-americana. Educação. 2004;27(2).
<br /><br />2. Becker ELS, Lorensi DCT, Batista NL. Paisagem, Simbolos e Representação da Identidade Cultural Sul-Rio Grandense no Território de Santa Maria RS- Brasil Seminário Internacional sobre Desenvolvimento Regional. 2015.
<br /><br />3. Chester R, Smith TO, Hooper L, Dixon J. The impact of subacromial impingement syndrome on muscle activity patterns of the shoulder complex: a systematic review of electromyographic studies. BMC musculoskeletal disorders. 2010;11(1):45.
<br /><br />4. Metzker CAB. Tratamento conservador na síndrome do impacto no ombro. Fisioter Mov. 2010;23(1):141-51.
<br /><br />5. Ludewig PM, Reynolds JF. The association of scapular kinematics and glenohumeral joint pathologies. J Orthop Sports Phys Ther. 2009;39(2):90-104.
<br /><br />6. Thigpen CA, Padua DA, Michener LA, Guskiewicz K, Giuliani C, Keener JD, et al. Head and shoulder posture affect scapular mechanics and muscle activity in overhead tasks. J Electromyogr Kinesiol. 2010;20(4):701-9.
<br /><br />7. Paine R, Voight ML. The role of the scapula. Int J Sports Phys Ther. 2013;8(5):617.
<br /><br />8. Miana AN, Schor B, Castropil W, Bitar AC, Duarte M. Discinesia escapular: avaliação clínica e análise cinemática tridimensional. RBM. 2009;66:17-24.
<br /><br />9. Ellenbecker TS, Cools A. Rehabilitation of shoulder impingement syndrome and rotator cuff injuries: an evidence-based review. Br J Sports Med. 2010;44(5):319-27.
<br /><br />10. Bley AS, Lucarelli PRG, Marchetti PH. Discinese Escapular: revisão sobre implicações clínicas, aspectos biomecânicos, avaliação e reabilitação. CPAQV. 2016;8(2):10.
<br /><br />11. Fa T, GA C. Confiabilidade e validade das medidas da cifose torácica através do método flexicurva. Rev Bras Fisioter 2007;11(3):199-204.
<br /><br />12. Reis JG, Costa GdCd, Trevisan DC, Vasconcelos FM, Matos MdS, Abreu DCCd. Evaluation of the thoracic curvature and the presence of pain in women of different age groups. Coluna/Columna. 2009;8(1):27-31.
<br /><br />13. Bandeira FM, Delfino FC, Carvalho GA, Valduga R. Comparação entre a cifose torácica de idosos sedentários e praticantes de atividade física pelo método flexicurva. Rev. bras. cineantropom. desempenho hum. 2010;12(5):381-6.
<br /><br />14. Oliveira VMAd, Batista LdSP, Pitangui ACR, Araújo RCd. Efeito do Kinesio Taping na dor e discinesia escapular em atletas com síndrome do impacto do ombro. Rev. dor. 2013;14:27-30.
<br /><br />15. Kelly SM, Wrightson PA, Meads CA. Clinical outcomes of exercise in the management of subacromial impingement syndrome: a systematic review. Clin Rehabil. 2010;24(2):99-109.
<br /><br />16. Martins J, Napoles BV, Hoffman CB, Oliveira AS. Versão brasileira do Shoulder Pain and Disability Index: tradução, adaptação cultural e confiabilidade. Rev. bras. fisioter. 2010;14(6):527-36.
<br /><br />17. Oliveira TS, Candotti CT, La Torre M, Pelinson PPT, Furlanetto TS, Kutchak FM, et al. Validity and reproducibility of the measurements obtained using the flexicurve instrument to evaluate the angles of thoracic and lumbar curvatures of the spine in the sagittal plane. Rehabil Res Pract. 2012;2012.
<br /><br />18. Barbetta PA. Estatística aplicada às ciências sociais: Ed. UFSC; 2008.
<br /><br />19. Pires LMT, Bini IC, Fernandes WVB, Setti JAP. Lesões no ombro e sua relação com a prática do voleibol-Revisão da Literatura. InterSciencePlace. 2015;1(10).
<br /><br />20. Struyf F, Nijs J, Mollekens S, Jeurissen I, Truijen S, Mottram S, et al. Scapular-focused treatment in patients with shoulder impingement syndrome: a randomized clinical trial. Clin Rheumatol. 2013;32(1):73-85.
<br /><br />21. Huisstede BM, Gebremariam L, van der Sande R, Hay EM, Koes BW. Evidence for effectiveness of Extracorporal Shock-Wave Therapy (ESWT) to treat calcific and non-calcific rotator cuff tendinosis–a systematic review. Man. ther. 2011;16(5):419-33.
<br /><br />22. Brudvig TJ, Kulkarni H, Shah S. The effect of therapeutic exercise and mobilization on patients with shoulder dysfunction: a systematic review with meta-analysis. J Orthop Sports Phys Ther. 2011;41(10):734-48.
<br /><br />23. Wilk KE, Meister K, Andrews JR. Current concepts in the rehabilitation of the overhead throwing athlete. Am J Sports Med. 2002;30(1):136-51.
<br /><br />24. Lana FS, Amorim IP, Leite RD, de Oliveira Castro H, de Oliveira Pires F. Prevalência de lesões musculo esqueléticas do complexo articular do ombro em nadadores. Educação Física em Revista. 2016;9(2).
<br /><br />25. Santana EP, Ferreirar BC, Ribeiro G. Associação entre discinesia escapular e dor no ombro de praticantes de natação. Rev Bras Med Esporte. 2009;15(5):342-6.
<br /><br />26. Mansoldo AC, Nobre DPA. Avaliação postural em nadadores federados praticantes do nado borboleta nas provas de 100 e 200 metros. Mundo saúde. 2007;31(4):511-20.
<br /><br />27. de Oliveira SM, Deprá PP. Análise postural: um estudo em atletas juvenis. J. Phys. Educ. 2008;16(2).
<br /><br />28. Yamamoto A, Takagishi K, Kobayashi T, Shitara H, Ichinose T, Takasawa E, et al. The impact of faulty posture on rotator cuff tears with and without symptoms. J Shoulder Elbow Surg. 2015;24(3):446-52.
<br /><br />29. Otoshi K, Takegami M, Sekiguchi M, Onishi Y, Yamazaki S, Otani K, et al. Association between kyphosis and subacromial impingement syndrome: LOHAS study. J Shoulder Elbow Surg. 2014;23(12):e300-e7.
<br /><br />30. Singla D, Veqar Z. Association Between Forward Head, Rounded Shoulders, and Increased Thoracic Kyphosis: A Review of the Literature. J Chiropr Med. 2017.
<br /><br />31. Kebaetse M, McClure P, Pratt NA. Thoracic position effect on shoulder range of motion, strength, and three-dimensional scapular kinematics. Arch Phys Med Rehabil. 1999;80(8):945-50.
<br /><br />32. Boyles RE, Ritland BM, Miracle BM, Barclay DM, Faul MS, Moore JH, et al. The short-term effects of thoracic spine thrust manipulation on patients with shoulder impingement syndrome. Man. Ther. 2009;14(4):375-80.
<br /><br />33. Punnett L, Fine LJ, Keyserling WM, Herrin GD, Chaffin DB. Shoulder disorders and postural stress in automobile assembly work. Scand J Work Environ Health. 2000:283-91.
<br /><br />34. Barrett E, O’Keeffe M, O’Sullivan K, Lewis J, McCreesh K. Is thoracic spine posture associated with shoulder pain, range of motion and function? A systematic review. Man. Ther. 2016;26:38-46.
<br /><br />35. RA VS. Avaliação do equilíbrio estático em indivíduos amputados de membros inferiores através da biofotogrametria computadorizada. Rev Bras Fisioter. 2006;10(1):83-90.
<br /><br />36. Siqueira CM, Pelegrini FRMM, Fontana MF, Greve JMD. Isokinetic dynamometry of knee flexors and extensors: comparative study among non-athletes, jumper athletes and runner athletes. Rev. Hosp. Clin. Fac. Med. Univ. São Paulo. 2002;57(1):19-24.

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