The evaluation of the postural variables between patients with neck pain and the diagnosis of shoulder impingement by spinal mouse

The aim of this study was to evaluate the postural variables diagnosed with spinal mouse and to compare the results between patients with neck pain and shoulder impingement. The study was conducted between May-October 2018 on 25 volunteers with neck pain (neck pain group), and 25 volunteers with shoulder impingement (shoulder impingement diagnostics group), aged between 23-65. Visual Analogue Scale (VAS) was used to evaluate the pain; Short Form Healt Survey (SF-36) was used to evaluate quality of life of patients; DASH was used to evaluate symptoms of the upper extremity disease; Spinal Mouse (SM) was used to determine the total curvatures of the spine, the shape of the spine and the angles of motion in the sagittal plane. In addition, participants were questioned about their sociodemographic characteristics. All measurements were performed and evaluated by physiotherapist. When the groups were compared in terms of demographic evaluations, there is a statistically significant difference in body mass indexes between the two groups (p=0,03). There is no statistically significant difference in torasic inclination between the two groups (p>0,05). There are statistically significant differences in terms of thoracic mobility values (p=0,02). There are statistically significant correlations between toracic inclination and SF-36 physical function, emotional, vitality, social function parameters in shoulder group (p<0,05). The normal value of thoracic kyphosis angle was accepted within the range of 20˚-40. The average angle of toracic kyphosis evaluated with spinal Mouse in shoulder group was 45˚±8.8˚; the average angle of toracic kyphosis evaluated with spinal Mouse in shoulder group was 44,32˚±9,5˚. As a result; we think that the high degree of thoracic kyphosis may cause pain in the neck and shoulder region and may negatively affect the quality of life of the person. Keywords: neck pain, spine, shoulder impingement syndrome, Spinal Mouse, toracic posture