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Subacromial impingment

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https://www.readbyqxmd.com/read/28801032/physiotherapy-for-patients-with-shoulder-pain-in-primary-care-a-descriptive-study-of-diagnostic-and-therapeutic-management
#1
Y H J M Karel, G G M Scholten-Peeters, M Thoomes-de Graaf, E Duijn, J B van Broekhoven, B W Koes, A P Verhagen
BACKGROUND: Shoulder pain is one of the three main musculoskeletal complaints and more than 50% of the patients have symptoms longer than 6 months. Until now, limited data exist about the content of physiotherapy for patients with shoulder pain in primary care. OBJECTIVE: Describe current physiotherapeutic diagnostic- and therapeutic management, including the use of diagnostic ultrasound, in patients with shoulder pain in primary care. DESIGN AND SETTING: A prospective cohort study in primary care physiotherapy with a 12 week follow-up...
November 28, 2016: Physiotherapy
https://www.readbyqxmd.com/read/28780211/the-use-of-osteopathic-manual-therapy-and-rehabilitation-for-subacromial-impingement-syndrome-a-case-report
#2
Sam Bennett, Chris Macfarlane, Brett Vaughan
Rotator cuff dysfunction is common in athletes involved with overhead sports. Secondary subacromial impingement is a common cause of pain for patients with rotator cuff dysfunction. Exercise rehabilitation and manual therapy can be used in the treatment of subacromial impingement to decrease pain, increase functionality and support a return to activity. The current case report describes a 24-year-old patient with supraspinatus tendinosis and secondary subacromial impingement who was experiencing pain when playing tennis, and during daily activities involving overhead movements...
July 11, 2017: Explore: the Journal of Science and Healing
https://www.readbyqxmd.com/read/28750990/a-comparison-of-scapulothoracic-muscle-electromyographic-activity-in-subjects-with-and-without-subacromial-impingement-syndrome-during-a-functional-task
#3
Kh Ayatollahi, F Okhovatian, K K Kalantari, A Akbarzade Baghban
Shoulder impingement syndrome (SIS) is the common cause of shoulder pain and disability and the individuals suffering from it are usually in different levels of physical activity covering an extensive age range. In spite of limited scientific evidence for an altered motor pattern in the shoulder muscles of patients with SIS, they are frequently referred to physiotherapists in an attempt to optimize coordination and strength of the affected muscles. The aim of this study was to compare scapular muscle activity in a general population of subjects with and without SIS during an arm elevation task executed at different speeds in two load conditions...
July 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/28735412/variability-in-attachment-of-the-coracoacromial-ligament-in-relation-with-its-morphology
#4
Abdulrahman Alraddadi, Abduelmenem Alashkham, Clare Lamb, Roger Soames
PURPOSE: The coracoacromial ligament (CAL) presents with variable morphology and plays a significant role in the development of subacromial impingement syndrome. Sectioning the CAL has been suggested to relieve impingement of the rotator cuff. The aim of the current study was to investigate the CAL attachment in relation with ligament morphology. MATERIALS AND METHODS: The CAL was investigated in 220 cadaveric shoulders from 58 males and 59 females, with a median age of 82 years (range 53-102 years)...
July 22, 2017: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/28716019/glenohumeral-and-scapulothoracic-strength-impairments-exists-in-patients-with-subacromial-impingement-but-these-are-not-reflected-in-the-shoulder-pain-and-disability-index
#5
M B Clausen, A Witten, K Holm, K B Christensen, M L Attrup, P Hölmich, K Thorborg
BACKGROUND: Pain and loss of function are cardinal symptoms associated with Subacromial impingement syndrome (SIS), while the presence and magnitude of deficits in strength and range of motion (ROM) are largely undescribed in non-athletic patients with SIS. Moreover, the relevance of impairments in strength and ROM to patient-reported shoulder function is not well described, even though testing of strength is recommended in clinical guidelines. The purpose of this study was, first, to investigate impairments in glenohumeral and scapulothoracic strength and in abduction and internal rotation ROM in patients with SIS...
July 17, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28702502/characteristics-and-clinical-outcomes-in-overhead-sports-athletes-after-rotator-cuff-repair
#6
Tomoyuki Muto, Hiroaki Inui, Hiroki Ninomiya, Hiroshi Tanaka, Katsuya Nobuhara
Rotator cuff tears in young overhead sports athletes are rare. The pathomechanism causing rotator cuff tears in young overhead athletes is different from that in aged patients. The purpose of this study was to investigate rotator cuff tear characteristics in young overhead sports athletes to reveal the pathomechanism causing these injuries. This study included 25 overhead sports athletes less than 30 years old with atraumatic rotator cuff tears necessitating repair. Rotator cuff tear characteristics were evaluated intraoperatively, including rotator cuff tear shape and injured rotator cuff tendon...
2017: Journal of Sports Medicine (Hindawi Publishing Corporation)
https://www.readbyqxmd.com/read/28688937/acromioplasty-in-patients-selected-for-operation-by-national-guidelines
#7
Jón Rói Jacobsen, Carsten M Jensen, Søren R Deutch
BACKGROUND: Shoulder impingement syndrome is the most common shoulder disorder. Even though conservative treatment is the primary treatment of choice, surgery has increased substantially in several countries during the last 20 years. This has resulted in recommended clinical guidelines for treatment of shoulder impingement syndrome in countries such as The Netherlands and Denmark during recent years. The aim of this study was to investigate the effectiveness of an arthroscopic subacromial decompression in 244 patients selected for surgery according to national clinical guidelines...
July 5, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28652066/effects-of-scapular-stabilization-exercise-training-on-scapular-kinematics-disability-and-pain-in-subacromial-impingement-a-randomized-controlled-trial
#8
Elif Turgut, Irem Duzgun, Gul Baltaci
OBJECTIVE: To investigate the effects of two different exercise programs on three-dimensional scapular kinematics, disability, and pain in participants with subacromial impingement syndrome (SIS). DESIGN: Randomized controlled trial. SETTING: Outpatient clinic and research laboratory. PARTICIPANTS: Thirty participants who were diagnosed with SIS and who also exhibited scapular dyskinesis. INTERVENTIONS: The participants were randomized in two different exercise groups: 1) shoulder girdle stretching and strengthening with additional scapular stabilization exercises based on a kinetic chain approach (intervention group), and 2) shoulder girdle stretching and strengthening exercises only (control group)...
June 23, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28638243/subacromial-anesthetics-increase-proprioceptive-deficit-in-the-shoulder-and-elbow-in-patients-with-subacromial-impingement-syndrome
#9
Lucas R Ettinger, Matthew Shapiro, Andrew Karduna
Shoulder proprioception gives information regarding arm joint position and movement direction. Several studies have investigated shoulder proprioceptive acuity in patients with subacromial impingement syndrome (SIS); however, differences in protocols and between-subjects designs have limited scientific inferences regarding proprioception and SIS. We aimed to determine within-subject differences in shoulder and elbow proprioceptive acuity in 17 patients with stage 2 SIS following treatment of a local anesthetic injection...
2017: Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28637601/clinical-assessment-of-subacromial-shoulder-impingement-which-factors-differ-from-the-asymptomatic-population
#10
Helen Land, Susan Gordon, Kerrianne Watt
BACKGROUND: To date, the significance of factors purported to be associated with subacromial shoulder impingement (SSI) and what differences, if any, are present in those with SSI compared to a matched asymptomatic population has not been identified. Gaining information about differences between people with SSI and asymptomatic people may direct clinicians towards treatments that impact upon these differences. OBJECTIVE: Compare the assessment findings of factors suggested to be associated with SSI; passive posterior shoulder range, passive internal rotation range, resting cervical and thoracic postures, active thoracic range in standing and scapula positioning between cases experiencing SSI and a matched asymptomatic group (controls)...
February 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/28637599/isokinetic-clinical-assessment-of-rotator-cuff-strength-in-subacromial-shoulder-impingement
#11
Helen Land, Susan Gordon, Kerrianne Watt
BACKGROUND: Current conservative management of subacromial shoulder impingement (SSI) includes generic strengthening exercises, especially for internal (IR) and external (ER) shoulder rotators. However, there is no evidence that the strength or the ratio of strength between these muscle groups is different between those with SSI (cases) and an asymptomatic population (controls). OBJECTIVE: To identify if isokinetic rotator cuff strength or the ratio of strength is significantly different between cases and controls...
February 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/28625096/surgical-technique-and-early-outcomes-of-intramedullary-nailing-of-displaced-proximal-humeral-fractures-in-an-asian-population-using-a-contemporary-straight-nail-design
#12
Toon Dong Hao, Andy Wee Teck Huat
BACKGROUND: Despite being a common orthopedic injury, the optimal management of proximal humeral fractures remains a topic of debate. Although intramedullary nails have been used to treat these fractures, several complications have been reported with older nail devices. We describe our surgical technique and aim to evaluate the early functional and radiological outcomes of displaced Neer's two- to four-part proximal humeral fractures undergoing fixation with a contemporary straight intramedullary nail...
May 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28588109/finnish-subacromial-impingement-arthroscopy-controlled-trial-fimpact-a-protocol-for-a-randomised-trial-comparing-arthroscopic-subacromial-decompression-and-diagnostic-arthroscopy-placebo-control-with-an-exercise-therapy-control-in-the-treatment-of-shoulder
#13
Mika Paavola, Antti Malmivaara, Simo Taimela, Kari Kanto, Teppo Ln Järvinen
INTRODUCTION: Arthroscopic subacromial decompression (ASD) is the most commonly performed surgical intervention for shoulder pain, yet evidence on its efficacy is limited. The rationale for the surgery rests on the tenet that symptom relief is achieved through decompression of the rotator cuff tendon passage. The primary objective of this superiority trial is to compare the efficacy of ASD versus diagnostic arthroscopy (DA) in patients with shoulder impingement syndrome (SIS), where DA differs only by the lack of subacromial decompression...
June 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/28585076/redefining-anterior-shoulder-impingement-a-literature-review
#14
REVIEW
Gregory Cunningham, Alexandre Lädermann
Many different types of impingements have been described in the shoulder. Inasmuch as the term 'shoulder impingement' usually refers to subacromial impingement, anterior impingement usually refers to subcoracoid impingement. However, there are many different subtypes of anterior impingements in the shoulder, and awareness of their existence is critical as they vary in their nature and treatment. Recent advances in biomechanical research and arthroscopic exploration of the anterior structures of the shoulder have brought new insights on the various potential impingements, warranting a revision and update of the current definitions of anterior shoulder impingement...
June 6, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28571725/the-scapular-dyskinesis-test-reliability-agreement-and-predictive-value-in-patients-with-subacromial-impingement-syndrome
#15
David Høyrup Christiansen, Anders Damgaard Møller, Jesper Medom Vestergaard, Søren Mose, Thomas Maribo
STUDY DESIGN: Prospective cohort. INTRODUCTION: Assessment of scapular dysfunction is considered important in the clinical evaluation and treatment of patients with symptoms of subacromial impingement. However, sparse research has been conducted into the reliability and predictive value of clinical tests with which to identify scapular dyskinesis. PURPOSE OF THE STUDY: To evaluate intrarater and interrater reliability and predictive value of the Scapular Dyskinesis Test (SDT) in patients with subacromial impingement syndrome...
April 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28567426/treatment-of-subacromial-impingement-syndrome-platelet-rich-plasma-or-exercise-therapy-a-randomized-controlled-trial
#16
Parisa Nejati, Armita Ghahremaninia, Farrokh Naderi, Safoora Gharibzadeh, Ali Mazaherinezhad
BACKGROUND: Subacromial impingement syndrome (SAIS) is the most common disorder of the shoulder. The evidence for the effectiveness of treatment options is inconclusive and limited. Therefore, there is a need for more evidence in this regard, particularly for long-term outcomes. HYPOTHESIS: Platelet-rich plasma (PRP) would be an effective method in treating subacromial impingement. STUDY DESIGN: Randomized controlled trial; Level of evidence, 1...
May 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28559748/a-preliminary-randomized-clinical-trial-on-the-effect-of-cervicothoracic-manipulation-plus-supervised-exercises-vs-a-home-exercise-program-for-the-treatment-of-shoulder-impingement
#17
Sergio Vinuesa-Montoya, María Encarnación Aguilar-Ferrándiz, Guillermo A Matarán-Peñarrocha, Manuel Fernández-Sánchez, Elena María Fernández-Espinar, Adelaida María Castro-Sánchez
OBJECTIVE: The purpose of this study was to investigate changes in pain, disability, and range of movement after cervicothoracic manipulation plus exercise therapy in individuals with unilateral shoulder impingement syndrome. METHODS: Forty-one patients (30 men, 11 women; aged 47 ± 9) diagnosed with unilateral shoulder impingement syndrome attended 10 sessions for 5 weeks (2 sessions/wk). Eligible patients were randomly allocated to 2 study groups: cervicothoracic manipulation plus exercise therapy (n = 21) or home exercise program (n = 20)...
June 2017: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/28534226/the-diagnostic-value-of-a-modified-neer-test-in-identifying-subacromial-impingement-syndrome
#18
Yu Guosheng, Ren Chongxi, Cui Guoqing, Xu Junling, Ji Hailong
BACKGROUND: Subacromial impingement syndrome (SAIS) is characterized by pain experienced through an arc of elevation as the shoulder abducts and diagnosed commonly by Neer test (NT). However, the diagnostic accuracy of NT for SAIS is still limited. Here, a modified Neer test (MNT) was introduced to improve the accuracy of the clinical examination in diagnosing SAIS and differentiating it from frozen shoulder. The aim of this study was to investigate the diagnostic values of MNT in diagnosing SAIS and differentiating it from frozen shoulder...
May 22, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28490661/surgery-for-subacromial-impingement-syndrome-in-relation-to-occupational-exposures-lifestyle-factors-and-diabetes-mellitus-a-nationwide-nested-case-control-study
#19
Annett Dalbøge, Poul Frost, Johan Hviid Andersen, Susanne Wulff Svendsen
OBJECTIVES: To estimate the risk of surgery for subacromial impingement syndrome (SIS) in relation to occupational exposures, lifestyle factors and diabetes mellitus. METHODS: We conducted a case-control study nested in a register-based cohort study of the Danish working population. For each of 3000 first-time cases of surgery for SIS, two age-matched and sex-matched controls were drawn. Cases and controls received a questionnaire on job history and other factors...
May 10, 2017: Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28481725/intra-rater-and-inter-rater-reliability-of-the-standardized-ultrasound-protocol-for-assessing-subacromial-structures
#20
Birgitte Hougs Kjær, Karen Ellegaard, Ina Wieland, Susan Warming, Birgit Juul-Kristensen
BACKGROUND: US-examinations related to shoulder impingement (SI) often vary due to methodological differences, examiner positions, transducers, and recording parameters. Reliable US protocols for examination of different structures related to shoulder impingement are therefore needed. OBJECTIVES: To investigate the intra- and inter-rater reliability of the existing ultrasound (US) examinations of the subacromial space, the subacromial-subdeltoid bursa, and the supraspinatus tendon...
May 2017: Physiotherapy Theory and Practice
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