{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T10:14:31Z","timestamp":1790158471604,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Purpose<\/jats:title>\n                    <jats:p>Scapular stabilization exercises are commonly used in the rehabilitation of athletes with subacromial pain syndrome (SAPS) and scapular dyskinesis. Whether supplementing scapular stabilization with kinetic\u2010chain exercises provides greater short\u2010term benefits remains uncertain. This study compared the short\u2010term effects of a scapular stabilization program alone with those of the same program supplemented with additional kinetic\u2010chain exercises.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010four overhead athletes with SAPS and scapular dyskinesis were randomly assigned to a scapular stabilization group (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a012) or a kinetic\u2010chain\u2010supplemented group (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a012). Both groups performed the same standardized scapular stabilization program; the latter also performed additional trunk, lower\u2010extremity, balance, and multisegment exercises, resulting in a greater overall exercise stimulus. Outcomes were assessed before and after 4\u00a0weeks. The prespecified primary outcome was scapular upward rotation at 90\u00b0 shoulder elevation. Between\u2010group differences were analyzed using two\u2010way mixed repeated\u2010measures ANOVA, with the group\u00a0\u00d7\u00a0time interaction as the principal test, and reported with 95% confidence intervals. Holm\u2013Bonferroni adjustment and baseline\u2010adjusted ANCOVA were conducted as sensitivity analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      For the prespecified primary outcome, scapular upward rotation at 90\u00b0, the group\u00a0\u00d7\u00a0time interaction was not statistically significant (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.052;\n                      <jats:italic>\u03b7p<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0=\u00a00.161), with a between\u2010group difference in change of \u22124.38\u00b0 (95% CI, \u22128.80\u00b0 to 0.03\u00b0). After Holm\u2013Bonferroni adjustment for the 15 group\u00a0\u00d7\u00a0time comparisons, the primary outcome remained nonsignificant (adjusted\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.723). The baseline\u2010adjusted ANCOVA also showed no statistically significant between\u2010group difference (\u22123.51\u00b0, 95% CI, \u22127.33\u00b0 to 0.31\u00b0;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.070); however, the significant group\u00a0\u00d7\u00a0baseline interaction (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.002) indicated that the homogeneity\u2010of\u2010regression\u2010slopes assumption was not met. An unadjusted significant group\u00a0\u00d7\u00a0time interaction was observed for scapular upward rotation at 45\u00b0 (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.028), but this finding did not remain significant after Holm\u2013Bonferroni adjustment (adjusted\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.426). No other group\u00a0\u00d7\u00a0time interaction remained statistically significant after adjustment for multiple comparisons.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both rehabilitation programs were associated with short\u2010term improvements in patient\u2010reported outcomes. However, adding kinetic\u2010chain exercises did not result in a clear additional short\u2010term benefit compared with scapular stabilization alone. Because the kinetic\u2010chain group also completed more exercises overall, the specific contribution of the kinetic\u2010chain component cannot be determined. Given the small sample size and uncertainty surrounding the primary outcome, smaller but potentially meaningful differences between the programs cannot be excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>IRCT20240614062130N1, registered July 20, 2024<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pri.70346","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T09:58:53Z","timestamp":1790157533000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Short\u2010Term Clinical Comparison of Scapular Stabilization With and Without Added Kinetic\u2010Chain Exercises on Pain, Scapular Kinematics, and Upper\u2010Extremity Function in Overhead Athletes With Subacromial Pain Syndrome: A Randomized Controlled Trial"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-6330-6524","authenticated-orcid":false,"given":"Seyede Sayeh Moosavi","family":"Chavoshi","sequence":"first","affiliation":[{"name":"Physiotherapy Department, School of Rehabilitation Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0801-2597","authenticated-orcid":false,"given":"Kazem","family":"Malmir","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, School of Rehabilitation Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9441-3655","authenticated-orcid":false,"given":"Khadijah","family":"Otadi","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, School of Rehabilitation Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azadeh","family":"Shadmehr","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, School of Rehabilitation Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khosro Khademi","family":"Kalantari","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, School of Rehabilitation Shahid Beheshti University of Medical Sciences  Tehran 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