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Proprioception and shoulder

Roberto Colombo, Alessandra Mazzone, Carmen Delconte, Fabrizio Pisano
Proprioception plays a fundamental role in maintaining posture and executing movement, and the quantitative evaluation of proprioceptive deficits in poststroke patients is important. But currently it is not widely performed due to the complexity of the evaluation tools required for a reliable assessment. The aims of this pilot study were to (a) develop a system architecture for upper limb evaluation and training of proximal and distal sense of position in the horizontal plane and (b) test the system in healthy and pathological subjects...
2018: Computational Intelligence and Neuroscience
Katya Trousset, David Phillips, Andrew Karduna
Proprioception is assessed more often through joint position sense and kinesthesia than force sense. The purpose of this study is to investigate force sense at the shoulder. A total of 12 subjects were recruited. An ipsilateral force reproduction protocol at the shoulder at 50°, 70°, and 90° and 120%, 140%, and 160% baseline torque. Dependent variables were constant error (CE) and root mean square error. An effect was found for load on absolute (p = .001) and normalized CE (p < .001). CE decreased with increased load...
March 9, 2018: Motor Control
Jonas Verbrugghe, Els Knippenberg, Steven Palmaers, Thomas Matheve, Wout Smeets, Peter Feys, Annemie Spooren, Annick Timmermans
INTRODUCTION: Musculoskeletal disorders (MSDs) are a burden on the healthcare system. Exercise therapy is an important part of MSD rehabilitation. Motion detection systems are developed to support exercise therapy settings. This systematic review aims 1) to investigate which types of motion detection systems have been used as a technological support for exercise therapy, 2) to investigate the characteristics of motion detection supported exercise therapy in relation to its clinical indications, and 3) to evaluate the effectiveness of motion detection supported exercise therapy, in MSD rehabilitation...
March 7, 2018: European Journal of Physical and Rehabilitation Medicine
Muhammad Uzair Lodhi, Aaron R Kuzel, Intekhab Askari Syed, Mustafa Rahim
Syringomyelia classically presents as a bilateral sensory loss of the dissociated type which includes the loss of pain and temperature with the preservation of fine touch, vibratory sensation, and proprioception in the shoulder, arm, and hand. Eventually, weakness of the legs, muscle wasting, and ataxia can also be seen due to the involvement of the corticospinal tracts and the posterior columns of the spinal cord. We present the case of a 64-year-old patient with an atypical presentation of post-traumatic syringomyelia...
November 16, 2017: Curēus
Yi-Fen Shih, Ya-Fang Lee, Wen-Yin Chen
CONTEXT: Scapular proprioception is a key concern in managing shoulder impingement syndrome (SIS). However, no study has examined the effect of elastic taping on scapular proprioception performance. OBJECTIVE: To investigate the immediate effect of kinesiology taping on scapular reposition accuracy, kinematics and muscle activation in individuals with shoulder impingement syndrome. DESIGN: Randomized controlled study. SETTING: Musculoskeletal laboratory, National Yang-Ming University, Taiwan...
January 24, 2018: Journal of Sport Rehabilitation
Kyung-Jin Ha, Sang-Yeol Lee, Hojun Lee, Seung-Jun Choi
Purpose: Manual lymphatic drainage (MLD) and proprioceptive neuromuscular facilitation (PNF) are potential therapeutic strategies to reduce mastectomy-induced edema. The purpose of this study was to investigate whether the combination of these therapies would induce synergistic effects to treat lymphedema-related complications and to analyze a possible physiological mechanism involved in the observed effects. Methods: A total of 55 patients diagnosed with mastectomy-induced lymphedema were recruited and randomized into three experimental groups: PNF group ( n = 17), MLD group ( n = 20), and PNF + MLD group ( n = 18)...
2017: Frontiers in Physiology
Michael C Ciccotti, Usman Syed, Ryan Hoffman, Joseph A Abboud, Michael G Ciccotti, Kevin B Freedman
PURPOSE: To identify and describe in the existing literature any criteria used for return to play following surgical stabilization for traumatic, anterior shoulder instability. METHODS: We performed a systematic review evaluating surgical stabilization for primary traumatic anterior shoulder instability in skeletally mature patients with a minimum of 1-year follow-up using Level I to IV studies in PubMed and EMBASE from January 1994 to January 2017. RESULTS: Fifty-eight studies with at least 1 explicitly stated criterion for return to play were identified from a review of more than 5,100 published articles...
November 13, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
Burcu Dilek, Cigdem Ayhan, Gozde Yagci, Yavuz Yakut
STUDY DESIGN: Single-blinded randomized controlled trial. INTRODUCTION: Pain management is essential in the early stages of the rehabilitation of distal radius fractures (DRFx). Pain intensity at the acute stage is considered important for determining the individual recovery process, given that higher pain intensity and persistent pain duration negatively affect the function and cortical activity of pain response. Graded motor imagery (GMI) and its components are recent pain management strategies, established on a neuroscience basis...
November 6, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
Matthew J Attwood, Simon P Roberts, Grant Trewartha, Mike E England, Keith A Stokes
BACKGROUND: Exercise programmes aimed at reducing injury have been shown to be efficacious for some non-collision sports, but evidence in adult men's collision sports such as rugby union is lacking. OBJECTIVE: To evaluate the efficacy of a movement control injury prevention exercise programme for reducing match injuries in adult men's community rugby union players. METHODS: 856 clubs were invited to participate in this prospective cluster randomised (single-blind) controlled trial where clubs were the unit of randomisation...
October 21, 2017: British Journal of Sports Medicine
Pit Hetto, Matthias Bülhoff, Boris Sowa, Matthias C Klotz, Michael W Maier
BACKGROUND: Reverse total shoulder arthroplasty (RSA) can improve function in cuff tear arthropathy (CTA) shoulders, but limited data are available on the effect of RSA on proprioception. The purpose of this study was the evaluation of the proprioception after RSA. METHOD: This study included fifteen consecutive patients (n = 15) who received an RSA. We measured an active angle reproduction (AAR) by a novel 3D motion analysis using the Heidelberg upper extremity model (HUX)...
December 2017: Journal of Orthopaedics
Lindsey E Fraser, Laurence R Harris
In the absence of visual feedback, the perceived orientation of the fingers is systematically biased. In right-handers these biases are asymmetrical between the left and right hands in the horizontal plane and may reflect common functional postures for the two hands. Here we compared finger orientation perception in right- and left-handed participants for both hands, across various hand positions in the horizontal plane. Participants rotated a white line on a screen optically superimposed over their hand to indicate the perceived position of the finger that was rotated to one of seven orientations with the hand either aligned with the body midline, aligned with the shoulder, or displaced by twice the shoulder-to-midline distance from the midline...
December 2017: Experimental Brain Research. Experimentelle Hirnforschung. Expérimentation Cérébrale
Andrea H Miller, Kerrie Evans, Roger Adams, Gordon Waddington, Jeremy Witchalls
OBJECTIVES: Water polo is a popular water-based contact sport that involves swimming, throwing and defending. Cumulatively, these repetitive overhead activities are thought to increase the risk of shoulder injury and, subsequently to affect players' physical conditioning as well as team performance. The purpose of this review was to examine available evidence relating to shoulder injury rates and risk factors for shoulder injury in water polo. DESIGN: Systematic review METHODS: CINAHL, AUSPORT, Pubmed, Pedro and SPORTDiscus databases were searched for original research papers using the predefined terms ("water polo") AND (shoulder OR glenohumeral* OR arm OR "upper limb")...
August 31, 2017: Journal of Science and Medicine in Sport
Alexandre Almeida, Samuel Millán Menegotto, Nayvaldo Couto de Almeida, Ana Paula Agostini, Letícia Agostini de Almeida
OBJECTIVE: Analyze the postoperative follow-up of patients undergoing shoulder arthroscopy for treatment of anterior instability and correlate with the prevalence of recurrence. METHODS: A six-question survey was applied by phone and mail to 65 patients, seeking information on the current result of the surgical procedure. All patients were treated arthroscopically for anterior shoulder instability, with at least 12 months of postoperative time. Patients with associated posterior labial lesions and revision surgeries were not included...
June 2017: Revista Brasileira de Ortopedia
David Phillips, Andrew Karduna
In practice, a single test is used to quantify an individual's proprioception. Previous studies have not found a correlation between joint position sense (JPS) and force sense (FS), which are submodalities of proprioception. The purpose of the present study is to determine if root mean square (RMS) error in JPS and FS are related at the shoulder, controlling for external load and elevation angle. Active shoulder angle and force reproduction protocols were performed. No correlation was found between JPS and FS (r = -...
August 22, 2017: Journal of Motor Behavior
Nora M Y Cho, Hedda P Giorgi, Karen P Y Liu, Young-Hyeon Bae, Louisa M Y Chung, Kitchana Kaewkaen, Shirley S M Fong
This study compared the full-body flexibility and joint proprioception (on land and underwater) of (a) 20 elite female synchronized swimmers (mean age ± standard deviation = 18.5 ± 1.9 years) and (b) 20 college female swim team members with no training in synchronized swimming (control participants; mean age ± standard deviation = 20.6 ± 1.3 years). Flexibility of the trunk and upper and lower limbs was measured using plastic tape and a goniometer, respectively. Joint proprioception (joint position sense) of the upper and lower limbs on land and underwater was measured by an active joint angle repositioning test...
January 1, 2017: Perceptual and Motor Skills
G Mesplié, V Grelet, O Léger, S Lemoine, D Ricarrère, C Geoffroy
Distal radioulnar joint (DRUJ) instabilities are common and often combined with other injuries of the interosseous membrane and/or the proximal radioulnar joint. Once they are diagnosed and the treatment is chosen, physiotherapists have limited choices due to the lack of validated protocols. The benefits of proprioception and neuromuscular rehabilitation have been brought to light for the shoulder, knee and ankle joints, among others. However, no program has been described for the DRUJ. The purpose of this article is to study the muscular elements responsible for active DRUJ stability, and to propose a proprioceptive rehabilitation program suited to this condition...
October 2017: Hand Surgery and Rehabilitation
Marco Pintucci, Marcel Simis, Marta Imamura, Elisa Pratelli, Antonio Stecco, Levent Ozcakar, Linamara Rizzo Battistella
Rotator cuff tear is a common disease affecting patients after stroke. It's a cause of pain and dysfunction that may compromise normal stroke rehabilitation. For many cases there is still controversy between whether to use surgical or conservative intervention. Treatment for cuff tears range from physical therapy to surgery. This paper describes for the first time the effect of Fascial Manipulation® (FM®) on rotator cuff tear in a post stroke patient. A 69 year old female stroke patient with full absence of distal components of the tendons of the rotator cuff, functional limitations on active movement of shoulder flexion and abduction of the left arm and perceived pain scored 10/10 on the Visual Analogic Scale, was assessed and treat with one session of FM® A basic theory that explains the healing results of FM® is that mechanoreceptors, such as spindle cells and other receptors, are located in the deep fascia and activated when movement are performed...
July 2017: Journal of Bodywork and Movement Therapies
Tomoko Shiratani, Mitsuo Arai, Hironobu Kuruma, Kazue Masumoto
The objective of this study was to explore the neurophysiological remote after-effects of resistive static contraction (SC) of the muscles of the upper extremity, considering the resistant direction on the ipsilateral (right) soleus H-reflex. The participants included 12 normal subjects with a mean (SD) age of 23.8 (2.8) years. The subjects were asked to maintain their upper extremity against the traction force, at a level of resistance that was 50% of the maximal SC strength. A 20-s SC of the muscles of the upper extremity utilizing contraction of the upper extremity muscles using a diagonal flexion (shoulder flexion-adduction-external rotation) or extension (shoulder extension-abduction-internal rotation), a proprioceptive neuromuscular facilitation (PNF) pattern was induced...
July 2017: Journal of Bodywork and Movement Therapies
Amanda L Ager, Jean-Sébastien Roy, Marianne Roos, Amélie Fournier Belley, Ann Cools, Luc J Hébert
STUDY DESIGN: Systematic review. INTRODUCTION: Constituents of proprioception include our awareness of the position (joint position sense [JPS]) and motion (kinesthesia) of our limbs in space. Proprioceptive deficits are associated with musculoskeletal disorders but remain a challenge to quantify, particularly at the shoulder. PURPOSE OF THE STUDY: To report the psychometric values of validity, reliability, and responsiveness for shoulder JPS and/or kinesthesia protocols...
April 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
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
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