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instability shoulder rehabilitation

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https://www.readbyqxmd.com/read/29679207/the-swimmer-s-shoulder-multi-directional-instability
#1
REVIEW
Ivan De Martino, Scott A Rodeo
PURPOSE OF REVIEW: Swimmer's shoulder is the term used to describe the problem of shoulder pain in swimmers. Originally described as supraspinatus tendon impingement under the coracoacromial arch, it is now understood that several different pathologies can cause shoulder pain in competitive swimmers, including subacromial impingement syndrome, overuse and subsequent muscle fatigue, scapular dyskinesis, and laxity and instability. RECENT FINDINGS: Swimmers may develop increased shoulder laxity over time due to repetitive use...
April 20, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29678396/time-to-peak-torque-and-acceleration-time-are-altered-in-male-patients-following-traumatic-shoulder-instability
#2
Jin Hyuck Lee, Ji Soon Park, Hyun Jung Hwang, Woong Kyo Jeong
BACKGROUND: Numerous authors have evaluated the strength of the rotator cuff muscles in patients with shoulder instability. However, only limited data are available with regard to neuromuscular control in patients with traumatic anterior shoulder instability, in particular at 90° of abduction. This study was designed to assess muscle strength and neuromuscular control ability using time to peak torque and acceleration time in nonathletic patients with traumatic anterior shoulder instability...
April 17, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29590445/atlantoaxial-instability-in-a-patient-with-neck-pain-and-ankylosing-spondylitis
#3
Christian Lyons, Michael Ross, Ryan Elliott, Michael Tall
The purpose of this report is to describe the evaluation and treatment of a patient with neck pain and ankylosing spondylitis who had underlying atlantoaxial instability. The patient was a 31-yr-old man diagnosed with ankylosing spondylitis 1 yr prior who was referred to a physical therapist for the treatment of chronic, worsening low back and hip pain. He also had secondary complaints of neck, upper back, and shoulder pain. The patient worked as a military pilot. As part of the patient's physical examination, a Sharp-Purser test was performed, which was positive for excessive motion...
March 26, 2018: Military Medicine
https://www.readbyqxmd.com/read/29525021/shoulder-instability-common-problems-and-solutions
#4
REVIEW
William N Levine, Julian J Sonnenfeld, Brian Shiu
Operative treatment of the unstable shoulder historically has a high success rate. However, the complication rate has risen. This article reviews the pearls and pitfalls to attempt to elucidate the etiology for these complications and failures. Preoperative assessment of the unstable shoulder ultimately is critical to avoid complications, including history, physical examination, and key radiographic features. Intraoperative techniques include appropriate soft tissue mobilization, multiple points of fixation, avoidance of hardware-related problems, and appropriate management of the capsule and bone defects...
April 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29502706/editorial-commentary-reviewing-the-science-of-our-unscientific-criteria-for-return-to-sports-after-shoulder-stabilization
#5
EDITORIAL
Riley J Williams
In contrast to anterior cruciate ligament reconstruction, there is a paucity of primary studies that address the issue of return to play after anterior shoulder stabilization for glenohumeral instability. Most studies focused on clinical outcomes after anterior shoulder stabilization provide little detail on the authors' assessment protocols used in determining return to sport readiness. In fact, many issues germane to the postoperative rehabilitation process (biologic healing, motion recovery, strength recovery, and sport-specific considerations) remain poorly defined, and are not typically addressed using validated shoulder outcomes instruments...
March 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29458397/human-arm-joints-reconstruction-algorithm-in-rehabilitation-therapies-assisted-by-end-effector-robotic-devices
#6
Arturo Bertomeu-Motos, Andrea Blanco, Francisco J Badesa, Juan A Barios, Loredana Zollo, Nicolas Garcia-Aracil
BACKGROUND: End-effector robots are commonly used in robot-assisted neuro-rehabilitation therapies for upper limbs where the patient's hand can be easily attached to a splint. Nevertheless, they are not able to estimate and control the kinematic configuration of the upper limb during the therapy. However, the Range of Motion (ROM) together with the clinical assessment scales offers a comprehensive assessment to the therapist. Our aim is to present a robust and stable kinematic reconstruction algorithm to accurately measure the upper limb joints using only an accelerometer placed onto the upper arm...
February 20, 2018: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29435624/arthroscopic-soft-tissue-reconstruction-in-anterior-shoulder-instability
#7
REVIEW
R M Frank, A A Romeo
Anterior glenohumeral instability remains a difficult problem in the athletic and working patient populations. Treatment strategies are variable and range from nonoperative approaches incorporating immobilization and rehabilitation to surgical management. Surgical decision-making can be challenging, especially with a high-level patient who wishes to return to high-demand activities. Operative options range from open soft tissue stabilization to arthroscopic soft tissue stabilization, with both open and arthroscopic options for bony reconstruction in the setting of clinically significant anterior glenoid bone loss...
February 2018: Der Orthopäde
https://www.readbyqxmd.com/read/29354405/arthroscopic-pancapsular-shift-with-labral-repair-for-multidirectional-instability-of-the-shoulder
#8
Salvatore J Frangiamore, Sandeep Mannava, Jonathan A Godin, Jack Anavian, Erik M Fritz, Peter J Millett
Initial treatment of shoulder multidirectional instability (MDI) consists of nonoperative modalities of physical therapy and rehabilitation; if this fails, surgical treatment can become necessary. MDI of the shoulder can be challenging to manage in individuals who fail conservative management. Historically, surgical treatment for MDI has been open capsular plication; however, arthroscopic capsular plication has now become the standard of care, with outcomes similar to the open procedure. The purpose of this article and Video 1 is to describe our arthroscopic technique for pancapsular shift with labral repair...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29234651/dorsal-capsulodesis-associated-with-arthoscopy-assisted-scapholunate-ligament-reconstruction-using-a-palmaris-longus-tendon-graft
#9
Victor Bignatto Carvalho, Carlos Henrique Vieira Ferreira, Andresa Ramires Hoshino, Viviane Alves Bernardo, Gustavo Mantovani Ruggiero, Márcio Aurélio Aita
Objectives: To measure the quality of life, the time to work return, and clinical, functional, and radiographic parameters of patients treated with dorsal capsulodesis associated with scapholunate (SL) reconstruction, assisted by arthroscopy. Methods: From January 2015 to September 2016, 14 adult patients with SL dissociation underwent surgical treatment with the SL reconstruction procedure assisted by arthroscopy, using the new technique proposed in this study...
November 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29135565/pediatric-and-adolescent-anterior-shoulder-instability-clinical-management-of-first-time-dislocators
#10
Kenneth M Lin, Evan W James, Elad Spitzer, Peter D Fabricant
PURPOSE OF REVIEW: The purpose of this review is to discuss the epidemiology, pathoanatomy, diagnosis, and clinical management of pediatric and adolescent patients following a first-time shoulder dislocation. RECENT FINDINGS: Shoulder instability is becoming increasingly common as pediatric and adolescent patients engage in earlier organized sports competition. Recommended treatment following a first-time glenohumeral dislocation event in adolescents depends on several factors, but surgical stabilization is becoming more frequently performed...
February 2018: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/29125820/rafting-technique-without-bone-grafting-in-reverse-hill-sachs-lesions
#11
Meriç Çırpar, Birhan Oktaş, Bülent Dağlar
In this article, we report a case of bilateral posterior shoulder instability, having reverse Hill-Sachs lesions of 25 to 50% of the articular surface on the right side, and of 50% on the left side. The defects were anatomically reconstructed after tuberculum minus osteotomy by elevation of the articular surface and buttressing with raft screws without graft usage. Early rehabilitation with pendulum shoulder exercises was started at third postoperative day. At postoperative sixth week, patient had full range of motion without instability and pain...
December 2017: Eklem Hastalıkları Ve Cerrahisi, Joint Diseases & related Surgery
https://www.readbyqxmd.com/read/29048942/comparison-of-2-exercise-rehabilitation-programs-for-multidirectional-instability-of-the-glenohumeral-joint-a-randomized-controlled-trial
#12
Sarah A Warby, Jon J Ford, Andrew J Hahne, Lyn Watson, Simon Balster, Ross Lenssen, Tania Pizzari
BACKGROUND: The recommended initial treatment for multidirectional instability (MDI) of the shoulder is a rehabilitation program, yet there is very low-quality evidence to support this approach. Purpose/Hypothesis: The purpose was to compare the Watson MDI program and Rockwood Instability program among patients with nontraumatic, nonstructural MDI. The hypothesis was that the Watson MDI program would produce clinically and statistically superior outcomes over the Rockwood Instability program...
January 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29038953/current-concepts-in-rehabilitation-for-traumatic-anterior-shoulder-instability
#13
REVIEW
Richard Ma, Olubusola A Brimmo, Xinning Li, Lindsey Colbert
PURPOSE OF REVIEW: The objectives of this review are to evaluate the current evidence-based literature and concepts surrounding rehabilitation in patients with anterior shoulder instability injuries and surgical repair. RECENT FINDINGS: The current literature evidence for shoulder rehabilitation for anterior shoulder instability and labral repair is limited. As a result, there are variations among surgeons and physical therapists in rehabilitation protocols after anterior shoulder instability injuries and repair...
December 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28987866/kinematic-patterns-in-normal-and-degenerative-shoulders-part-ii-review-of-3-d-scapular-kinematic-patterns-in-patients-with-shoulder-pain-and-clinical-implications
#14
REVIEW
Marie-Martine Lefèvre-Colau, Christelle Nguyen, Clemence Palazzo, Frederic Srour, Guillaume Paris, Valerie Vuillemin, Serge Poiraudeau, Agnes Roby-Brami, Alexandra Roren
BACKGROUND: The global range of motion of the arm is the result of a coordinated motion of the shoulder complex including glenohumeral (GH), scapulothoracic, sternoclavicular and acromioclavicular joints. METHODS: This study is a non-systematic review of kinematic patterns in degenerated shoulders. It is a based on our own research on the kinematics of the shoulder complex and clinical experience. RESULTS: For patients with subacromial impingement syndrome without rotator-cuff tears, most kinematic studies showed a small superior humeral translation relative to the glenoid and decreased scapular lateral rotation and posterior tilt...
January 2018: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28979601/rehabilitation-for-shoulder-instability-current-approaches
#15
Anju Jaggi, Susan Alexander
BACKGROUND: The shoulder relies predominantly on dynamic muscular control to provide stability. Successful treatment is highly dependent upon the correct clinical diagnosis, identification of anatomical structural defects and abnormal movement patterns so that rehabilitation programs can be designed accordingly and individualised to the patient. METHOD: A systematic outline is provided to guide the clinician on how to identify muscular insufficiencies both local to the shoulder joint and global muscles that can influence shoulder instability...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28979597/controversies-in-the-surgical-management-of-shoulder-instability-open-vs-arthroscopic-procedures
#16
Alejandro Huerta, Gustavo Rincón, Lluis Peidro, Andreu Combalia, Sergi Sastre
BACKGROUND: Traumatic anterior instability of the shoulder is a common condition associated with a high recurrence rate in young adults. Operative treatment reduces the risk of recurrence. Several studies have compared arthroscopic and open shoulder instability repair. The purpose of this paper is to perform a review of the literature where both techniques are compared in the repair of the anterior shoulder instability without bone loss. METHODS: Prior to arthroscopy, recurrent dislocations were managed by open repair...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28979596/treatment-of-the-posterior-unstable-shoulder
#17
Eduardo Sánchez Alepuz, Jaime Alonso Pérez-Barquero, Nadia Jover Jorge, Francisco Lucas García, Vicente Carratalá Baixauli
BACKGROUND: It is estimated that approximately 5% of glenohumeral instabilities are posterior. There are a number of controversies regarding therapeutic approaches for these patients. METHODS: We analyse the main surgery alternatives for the treatment of the posterior shoulder instability. We did a research of the publications related with posterior glenohumeral instability. RESULTS: There are conservative and surgical treatment options. Conservative treatment has positive results in most patients, with around 65 to 80% of cases showing recurrent posterior dislocation...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28947382/the-effects-of-a-conservative-rehabilitation-program-for-multidirectional-instability-of-the-shoulder
#18
Lyn Watson, Simon Balster, Ross Lenssen, Greg Hoy, Tania Pizzari
BACKGROUND: Conservative management is commonly recommended as the first-line treatment for multidirectional instability (MDI) of the shoulder. Despite this, the evidence for efficacy of treatment is limited, and until recently, guidance for clinicians on conservative rehabilitation programs has been inadequate. This study evaluated the effectiveness of a physiotherapy-led exercise program for participants with MDI. METHODS: In a single-group study design, 43 participants (16 male, 27 female; mean age, 19...
January 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28946834/open-bankart-repair-plus-inferior-capsular-shift-versus-arthroscopic-bankart-repair-without-augmentations-for-traumatic-anterior-shoulder-instability-a-prospective-study
#19
Yoshiyasu Uchiyama, Akiyoshi Handa, Eiji Shimpuku, Hiroko Omi, Hiroyuki Hashimoto, Takeshi Imai, Masahiko Watanabe
PURPOSE: Arthroscopic treatment of shoulder instability has some advantages (including short surgical time, less morbidity, less postoperative pain, reduced hospitalization time, and decreased risk of complications) compared with open procedures. We performed a prospective study comparing open repair with arthroscopic repair for recurrent anterior shoulder instability. The aim was to clarify the relative effectiveness of open Bankart repair plus inferior capsular shift (OBRICS) and arthroscopic Bankart (AB) repair without augmentations with approximately 5 years of follow-up...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28873349/posterior-shoulder-instability-prospective-non-randomised-comparison-of-operative-and-non-operative-treatment-in-51-patients
#20
E Cruz-Ferreira, P Abadie, A Godenèche, P Mansat, P Clavert, P Flurin
BACKGROUND: The management of posterior shoulder instability remains controversial. Consequently, for a symposium on this topic, the French Arthroscopy Society (SFA) conducted a prospective multicentre study comparing outcomes of operative and non-operative treatment. OBJECTIVE: To compare outcomes after operative versus non-operative treatment of posterior shoulder instability. HYPOTHESIS: The surgical treatment of posterior shoulder instability may achieve better clinical outcomes than non-operative treatment in selected patients...
December 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
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