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Shoulder AND physical therapy

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https://www.readbyqxmd.com/read/29350647/rotator-cuff-calcific-tendinopathy-from-diagnosis-to-treatment
#1
Vito Chianca, Domenico Albano, Carmelo Messina, Federico Midiri, Giovanni Mauri, Alberto Aliprandi, Michele Catapano, Lorenzo Carlo Pescatori, Cristian Giuseppe Monaco, Salvatore Gitto, Anna Pisani Mainini, Angelo Corazza, Santi Rapisarda, Grazia Pozzi, Antonio Barile, Carlo Masciocchi, Luca Maria Sconfienza
Rotator cuff calcific tendinopathy (RCCT) is a very common condition caused by the presence of calcific deposits in the rotator cuff (RC) or in the subacromial-subdeltoid (SASD) bursa when calcification spreads around the tendons. The pathogenetic mechanism of RCCT is still unclear. It seems to be related to cell-mediated disease in which metaplastic transformation of tenocytes into chondrocytes induces calcification inside the tendon of the RC. RCCT is a frequent finding in the RC that may cause significant shoulder pain and disability...
January 19, 2018: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/29338639/is-continuous-passive-motion-effective-in-patients-with-lymphedema-a-randomized-controlled-trial
#2
Ramazan Kizil, Banu Dilek, Ebru Şahin, Onur Engin, Ali Can Soylu, Elif Akalin, Serap Alper
BACKGROUND: In this randomized controlled study, we aimed to evaluate the effect of shoulder flexion exercise using continuous passive motion (CPM) on lymphedema during the treatment of breast cancer-related lymphedema (BCRL). METHODS: Thirty patients with BCRL were enrolled and completed the study. Fourteen patients were treated with complete decongestive therapy (CDT) and CPM in the intervention group, and 16 patients were treated with CDT alone (control group) for 15 sessions...
January 17, 2018: Lymphatic Research and Biology
https://www.readbyqxmd.com/read/29298132/physical-therapy-protocols-for-arthroscopic-bankart-repair
#3
Steven F DeFroda, Nabil Mehta, Brett D Owens
BACKGROUND: Outcomes after arthroscopic Bankart repair can be highly dependent on compliance and participation in physical therapy. Additionally, there are many variations in physician-recommended physical therapy protocols. HYPOTHESIS: The rehabilitation protocols of academic orthopaedic surgery departments vary widely despite the presence of consensus protocols. STUDY DESIGN: Descriptive epidemiology study. LEVEL OF EVIDENCE: Level 3...
January 1, 2018: Sports Health
https://www.readbyqxmd.com/read/29291284/little-league-shoulder-in-a-15-year-old-male-baseball-pitcher
#4
Mark C Zipser, Jonathan C Sum, Alison G Wilcox
A 15-year-old baseball pitcher presented to physical therapy with a 1-week history of acute right shoulder pain experienced during the acceleration phase of throwing. The week after physical therapy evaluation, the patient returned with radiographs and magnetic resonance imaging results that revealed lateral physeal widening with adjacent edema. Additionally, a nondisplaced labral tear was noted. In this case, imaging was necessary for an accurate diagnosis of lateral physeal widening, commonly referred to as "Little League shoulder...
January 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29290218/shoulder-replacement-for-osteoarthritis-a-review-of-surgical-management
#5
REVIEW
Jay Pandya, Tamara Johnson, Adrian K Low
Osteoarthritis of the shoulder is caused by progressive cartilage wear of the glenohumeral joint. Its prevalence is increasing due to our ageing population and it may affect up to one-third of people over 60 years of age. Patients usually complain of pain with restricted shoulder movement and function. Initial treatment should be non-operative, such as activity modification, oral analgesics (e.g. non-steroidal anti-inflammatories) and possibly physical therapy or corticosteroid injections. Patients with ongoing severe pain and functional restriction despite non-operative treatment would be candidates for surgery, usually a shoulder replacement...
February 2018: Maturitas
https://www.readbyqxmd.com/read/29274905/quadrilateral-space-syndrome-a-review
#6
REVIEW
Lindsay S Flynn, Thomas W Wright, Joseph J King
Quadrilateral space (QS) syndrome (QSS) is a relatively rare condition in which the axillary nerve and the posterior humeral circumflex artery are compressed within the QS. Fibrous bands are most commonly implicated as the cause, with true space-occupying lesions being less common. QSS is characterized by poorly localized shoulder pain and paresthesia over the lateral aspect of the shoulder and arm in a nondermatomal pattern. These symptoms are aggravated by shoulder abduction and external rotation. Point tenderness is typically present over the QS; however, diagnosis on physical examination can be difficult...
December 20, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29245218/bilateral-anterior-shoulder-dislocation-as-a-result-of-manipulation-a-case-report
#7
Kuan-Lin Chen, Sen-Yung Liu, Ta-Sen Wei
RATIONALE: Bilateral anterior shoulder dislocation is clinically rare and has been reported to be related to high-speed sports. PATIENT CONCERNS: A 76-year-old woman presented with bilateral shoulders pain after traditional Chinese manipulation. DIAGNOSES: She was diagnosed with bilateral anterior dislocations, and a closed reduction was immediately performed. INTERVENTION: The patient was referred for rehabilitation 3 days later, and bilateral rotator cuff injuries were identified from musculoskeletal ultrasound...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29242941/physical-therapy-in-the-management-of-frozen-shoulder
#8
Hui Bin Yvonne Chan, Pek Ying Pua, Choon How How
Frozen shoulder, also known as adhesive capsulitis, is a common presentation in the primary care setting and can be significantly painful and disabling. The condition progresses in three stages: freezing (painful), frozen (adhesive) and thawing, and is often self-limiting. Common conservative treatments include nonsteroidal anti-inflammatory drugs, oral glucocorticoids, intra-articular glucocorticoid injections and/or physical therapy. However, many physicians may find themselves limited to prescribing medications for treatment...
December 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/29214618/the-influence-of-smoking-on-recovery-from-subacromial-pain-syndrome-a-cohort-from-the-military-health-system
#9
Daniel I Rhon, John S Magel
BACKGROUND: Smoking rates are higher in the military population than in the civilian sector. Smoking is associated with poor prognosis for many musculoskeletal injuries. The purpose of this study was to investigate the effects of smoking on recovery from a shoulder injury in a prospective cohort seeking care at a military treatment facility. METHODS: Secondary analysis of 98 patients referred to physical therapy for unilateral shoulder pain. Patients received a corticosteroid injection or 6 sessions of physical therapy...
October 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/29212528/effectiveness-of-robot-assisted-training-added-to-conventional-rehabilitation-in-patients-with-humeral-fracture-early-after-surgical-treatment-protocol-of-a-randomised-controlled-multicentre-trial
#10
Corinna Nerz, Lars Schwickert, Clemens Becker, Stefan Studier-Fischer, Janina Anna Müßig, Peter Augat
BACKGROUND: The incidence of proximal humeral fractures increases with age. The functional recovery of the upper arm after such fractures is slow, and results are often disappointing. Treatment is associated with long immobilisation periods. Evidence-based exercise guidelines are missing. Loss of muscle mass as well as reduced range of motion and motor performance are common consequences. These losses could be partly counteracted by training interventions using robot-assisted arm support of the affected arm derived from neurorehabilitation...
December 6, 2017: Trials
https://www.readbyqxmd.com/read/29193943/-cost-effectiveness-of-local-steroid-combined-with-therapeutic-exercise-in-subacromial-impingement-syndrome
#11
Julio Ramírez-Ortiz, José Dolores Mendoza-Eufracio, María Ricarda García-Viveros, Félix Guillermo Márquez-Celedonio
BACKGROUND: The most common cause of injury is shoulder impingement syndrome. Management includes physical therapy, analgesics, steroids and surgery. The aim of the study was to determine the cost-effectiveness of using steroids combined with therapeutic exercise at home in the chronic impingement syndrome. METHODS: Clinical trial randomized in 30 people with subacromial impingement syndrome underwent two treatments: steroid and at home rehabilitation booklet evaluated at the first and fourth week through UCLA Shoulder rating scale...
September 2017: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/29181262/exercise-manual-therapy-and-postural-re-education-for-uncontrolled-ear-twitching-and-related-impairments-after-whiplash-injury-a-case-report
#12
Kelsey Flanders, Heather Feldner
Background and Purpose: Whiplash Associated Disorders and the interventions used to remediate them are well documented in physical therapy literature. However, specific interventions for spasms of the neck musculature that also involve constant ear twitching have yet to be addressed. The purpose of this case report is twofold. First, to describe comprehensive physical therapy management and outcomes for a subject with uncontrolled ear twitching and related musculoskeletal impairments, and second, to discuss the physical therapist's approach to evidence-based care when faced with a paucity of literature addressing physical therapy interventions for subjects with uncontrolled ear twitching...
October 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29166890/continuous-passive-motion-and-physical-therapy-cpm-versus-physical-therapy-pt-versus-delayed-physical-therapy-dpt-after-surgical-release-for-elbow-contractures-a-study-protocol-for-a-prospective-randomized-controlled-trial
#13
Jetske Viveen, Job N Doornberg, Izaak F Kodde, Pjotr Goossens, Koen L M Koenraadt, Bertram The, Denise Eygendaal
BACKGROUND: The elbow is prone to stiffness after trauma. To regain functional elbow motion several conservative- and surgical treatment options are available. Conservative treatment includes physical therapy, intra-articular injections with corticosteroids and a static progressive or dynamic splinting program. If conservative treatment fails, an operative release of the posttraumatic stiff elbow is often performed. The best Evidence-Based rehabilitation protocol for patients after an operative release is unknown to date and differs per surgeon, hospital and country...
November 22, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29158955/correlation-of-self-reported-outcome-measures-and-the-selective-functional-movement-assessment-sfma-an-exploration-of-validity
#14
Mark Riebel, Michael Crowell, Jeffrey Dolbeer, Eliza Szymanek, Don Goss
Background/Purpose: The Selective Functional Movement Assessment (SFMA) is a clinical model used to assist diagnosis and treatment of musculoskeletal disorders by identifying dysfunctions in movement patterns. Based on the premise that addressing movement dysfunction is associated with an improvement in patient outcomes, the validity of the SFMA would be strengthened by observed improvement in self-reported function being associated with change in movement patterns. The purpose of this study was to explore the validity of the SFMA by determining if a correlation exists between a change in self-reported outcome measures and attributes of the assessment...
November 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29158950/changing-our-diagnostic-paradigm-movement-system-diagnostic-classification
#15
Paula M Ludewig, Danilo H Kamonseki, Justin L Staker, Rebekah L Lawrence, Paula R Camargo, Jonathan P Braman
Proper diagnosis is a first step in applying best available treatments, and prognosticating outcomes for clients. Currently, the majority of musculoskeletal diagnoses are classified according to pathoanatomy. However, the majority of physical therapy treatments are applied toward movement system impairments or pain. While advocated within the physical therapy profession for over thirty years, diagnostic classification within a movement system framework has not been uniformly developed or adopted. We propose a basic framework and rationale for application of a movement system diagnostic classification for atraumatic shoulder pain conditions, as a case for the broader development of movement system diagnostic labels...
November 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29103741/the-effect-of-home-based-program-and-outpatient-physical-therapy-in-patients-with-head-and-neck-cancer-a-randomized-controlled-trial
#16
Tsui-Ling Su, An-Ni Chen, Chau-Peng Leong, Yu-Chi Huang, Chia-Wei Chiang, I-Hsuan Chen, Yan-Yuh Lee
OBJECTIVES: Physical therapy improves outcomes for patients with head and neck cancer (HNC) but home-based program (HBP) has not yet been investigated thoroughly. This study compared a HBP with outpatient physical therapy (OPT). METHODS: This trial categorized patients with primary HNC into OPT and HBP groups. The patients in the HBP group received home-based therapy once a day for 5 days per week. By contrast, the OPT group received various physical therapies, including aerobic, anaerobic, and stretching therapies, twice per week, plus a thrice-weekly home-based therapy that similarly consisted of aerobic, anaerobic, and stretching exercises...
November 2017: Oral Oncology
https://www.readbyqxmd.com/read/29080932/treatment-of-drug-resistant-fibromyalgia-symptoms-using-high-intensity-laser-therapy-a-case-based-review
#17
REVIEW
Paul F White, Jason Zafereo, Ofelia Loani Elvir-Lazo, Hector Hernandez
Fibromyalgia is a chronic musculoskeletal condition characterized by widespread pain in the body and is associated with tender points at the shoulder, back and hip regions. A wide variety of pharmacologic drugs and dietary supplements have been used with limited success in treating the musculoskeletal pain. Early clinical studies with low level laser therapy (LLLT) alone or in combination with drugs commonly used to treat fibromyalgia suggested that LLLT may be effective in reducing musculoskeletal pain and stiffness, as well as the number of tender locations...
October 28, 2017: Rheumatology International
https://www.readbyqxmd.com/read/28979595/multidirectional-shoulder-instability-treatment
#18
Miguel Angel Ruiz Ibán, Jorge Díaz Heredia, Miguel García Navlet, Francisco Serrano, María Santos Oliete
BACKGROUND: The treatment of multidirectional instability of the shoulder is complex. The surgeon should have a clear understanding of the role of hiperlaxity, anatomical variations, muscle misbalance and possible traumatic incidents in each patient. METHODS: A review of the relevant literature was performed including indexed journals in English and Spanish. The review was focused in both surgical and conservative management of multidirectional shoulder instability...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28953086/survivorship-of-hemiarthroplasty-with-concentric-glenoid-reaming-for-glenohumeral-arthritis-in-young-active-patients-with-a-biconcave-glenoid
#19
Charles L Getz, Kenneth A Kearns, Eric M Padegimas, Peter S Johnston, Mark D Lazarus, Gerald R Williams
INTRODUCTION: Hemiarthroplasty with concentric glenoid reaming (known as "ream and run") may be an option for treating glenohumeral arthritis in younger patients with a biconcave glenoid. The goal of this study was to evaluate early results of this technique. METHODS: Two senior, fellowship-trained shoulder surgeons (G.R.W. and M.D.L.) performed a retrospective review of 23 patients (24 shoulders) with a biconcave glenoid and end-stage degenerative glenohumeral arthritis treated with hemiarthroplasty with concentric glenoid reaming...
October 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/28948058/reverse-total-shoulder-arthroplasty-as-treatment-for-rotator-cuff-tear-arthropathy-and-shoulder-dislocations-in-an-elderly-male-with-parkinson-s-disease
#20
John G Skedros, James S Smith, Tanner D Langston, Micheal G Adondakis
We report the case of a 70-year-old male with Parkinson's disease (PD) and recurrent traumatic left shoulder dislocations. This case is rare because (1) he had a massive irreparable rotator cuff tear and end-stage arthritis (i.e., rotator cuff-tear arthropathy) of the same shoulder and (2) his shoulder was ultimately reconstructed with a reverse total shoulder arthroplasty (RTSA). His first dislocation occurred after a fall. Recurrent shoulder dislocations occurred despite successful closed reduction and physical therapy...
2017: Case Reports in Orthopedics
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