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Writer's pictureMick van Eeuwijk

Subacromial Pain Syndrome

Definition

Subacromial Pain Syndrome (SAPS) is a bulk term for unspecified shoulder pains.

Cause

  • Muscles are not working well together

  • Change of the bone structure (acromion)

Indications

  • Patients are usually 40 years end older; peak is 60

  • Persistent pain

  • Pain started gradually coming up without a clear moment of injuring

  • Moving arms above shoulder level is painful

  • Laying down on painful shoulder increases the pain

Tests

  • Hawkins-Kennedy test

  • Painful arc: when lifting up your arms from your sides till above head, patients perceive pain between 40º and 120º

  • External rotation resistance test


  • Stability exercises

  • Exerises to increase the range of motion in shoulder

  • Strength exercises

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