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Rotator cuff rehabilitation

Stephen J Nicholas, Steven J Lee, Michael J Mullaney, Timothy F Tyler, Takumi Fukunaga, Christopher D Johnson, Malachy P McHugh
BACKGROUND: The functional benefits of double-row (DR) versus single-row (SR) rotator cuff repair are not clearly established. PURPOSE: To examine the effect of DR versus SR rotator cuff repair on functional outcomes and strength recovery in patients with full-thickness tears. STUDY DESIGN: Randomized controlled trial; Level of evidence, 2. METHODS: Forty-nine patients were randomized to DR or SR repairs; 36 patients (13 women, 23 men; mean age, 62 ± 7 years; 20 SR, 16 DR) were assessed at a mean 2...
October 2016: Orthopaedic Journal of Sports Medicine
Dirk Kokmeyer, Eric Dube, Peter J Millett
BACKGROUND: Rehabilitation after rotator cuff repair surgery has been the focus of several clinical trials in the past decade. Many illuminate new evidence with regard to the prognosis of structural and functional success after surgery. METHODS: A selective literature search was performed and personal physiotherapeutic and surgical experiences are reported. RESULTS: Post-operative rehabilitation parameters, namely the decision to delay or allow early range of motion after surgery, play a large role in the overall success after surgery...
2016: Open Orthopaedics Journal
Karima Belhaj, Soumia Meftah, Hicham Elhyaoui, Laila Mahir, Amine Tahir, Mohamed Rahmi, Mohamed Rafai, Abdelhak Garch, Mohamed Nechad, Fatima Lmidmani, Abdellatif Elfatimi
OBJECTIVE: Originally developed for the purpose of muscle strengthening, mainly for knee muscles, the isokinetic has gradually seen its scope expand to other joints, especially in muscle testing, becoming one of reference. Son methods applied to the pathology of the shoulder is relatively recent and, to date, the rules for implementing the tests and rehabilitation remain unclear. The aim of study is to define the contribution of the isokinetic evaluation in the management of shoulder tendon...
September 2016: Annals of Physical and Rehabilitation Medicine
Tiphaine Bourseau, Flavie Fremondière, Valérie Dubus, Bénédicte Gohier, Dewi Le Gal, Fabien Cave, Isabelle Richard, Nicolas Lerolle
OBJECTIVE: After critical illness, some survivors experience long-term physical, functional, neurocognitive and/or mental health impairments, which has been termed "Post-Intensive Care syndrome" (PICS) [1]. A specific follow-up is required and many specialized follow-up clinics have been created both abroad and in France. The aim of this study is to evaluate long-term outcomes after critical illness, through the International Classification of Functioning, Disability and Health, and to analyse rehabilitation needs after intensive care unit (ICU) discharge...
September 2016: Annals of Physical and Rehabilitation Medicine
Kelli McIntyre, Annie Bélanger, Jasdeep Dhir, Lyndsay Somerville, Lyn Watson, Myles Willis, Jackie Sadi
STUDY DESIGN: Systematic review. OBJECTIVES: To identify the best evidenced-based approach for the conservative rehabilitation of patients with posterior glenohumeral instability. BACKGROUND: Posterior glenohumeral instability is more common than previously thought. Proper management is imperative to control symptoms and maximize function. METHODS: We conducted an electronic search, up to November 2014, for English-language studies involving rehabilitation of posterior shoulder instability...
June 7, 2016: Physical Therapy in Sport
Jessica M Fritz, Ryan R Inawat, Brooke A Slavens, John R McGuire, Dean W Ziegler, Sergey S Tarima, Steven I Grindel, Gerald F Harris
BACKGROUND: The increasing demand for rotator cuff (RC) repair patients to return to work as soon as they are physically able has led to exploration of when this is feasible. Current guidelines from our orthopedic surgery clinic recommend a return to work at 9 weeks postoperation. To more fully define capacity to return to work, the current study was conducted using a unique series of quantitative tools. To date, no study has combined 3-dimensional (3D) motion analysis with electromyography (EMG) assessment during activities of daily living (ADLs), including desk tasks, and commonly prescribed rehabilitation exercise...
September 14, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Jason D Woollard, James E Bost, Sara R Piva, G Kelley Fitzgerald, Mark W Rodosky, James J Irrgang
PURPOSE: Minimal research has examined the prognostic ability of shoulder examination data or psychosocial factors in predicting patient-reported disability following surgery for rotator cuff pathology. The purpose of this study was to examine these factors for prognostic value in order to help clinicians and patients understand preoperative factors that impact disability following surgery. METHODS: Sixty-two patients scheduled for subacromial decompression with or without supraspinatus repair were recruited...
August 22, 2016: Disability and Rehabilitation
Johannes Barth, Kevin Andrieu, Elias Fotiadis, Gerjon Hannink, Renaud Barthelemy, Mo Saffarini
PURPOSE: The incidence of retear following rotator cuff repair remains a major concern, and the cause and timing of retear remain unclear. The aim of this study was to prospectively investigate the timing of retears following rotator cuff repair at multiple time intervals. The hypothesis was that the 'critical period' for retears extends beyond the first three post-operative months. METHODS: The authors prospectively studied 206 shoulders that underwent arthroscopic double-row (without suture bridge) suture anchor repair for rotator cuff tears...
August 13, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
François Desmeules, Jennifer Boudreault, Clermont E Dionne, Pierre Frémont, Véronique Lowry, Joy C MacDermid, Jean-Sébastien Roy
OBJECTIVE: To perform a systematic review of randomized controlled trials (RCTs) on the efficacy of therapeutic exercises for workers suffering from rotator cuff (RC) tendinopathy. METHODS: A literature search in four bibliographical databases (Pubmed, CINAHL, EMBASE, and PEDro) was conducted from inception up to February 2015. RCTs were included if participants were workers suffering from RC tendinopathy, the outcome measures included work-related outcomes, and at least one of the interventions under study included exercises...
September 30, 2016: Journal of Occupational Health
Yin-Liang Lin, Andrew Karduna
Proprioception is essential for shoulder neuromuscular control and shoulder stability. Exercise of the rotator cuff and scapulothoracic muscles is an important part of shoulder rehabilitation. The purpose of this study was to investigate the effect of rotator cuff and scapulothoracic muscle exercises on shoulder joint position sense. Thirty-six healthy subjects were recruited and randomly assigned into either a control or training group. The subjects in the training group received closed-chain and open-chain exercises focusing on rotator cuff and scapulothoracic muscles for four weeks...
October 2016: Human Movement Science
Amélie Fournier Belley, Dany H Gagnon, François Routhier, Jean-Sébastien Roy
OBJECTIVE: 1) To evaluate the reliability of ultrasonographic (US) measures of acromiohumeral distance (AHD) in shoulder positions linked to wheelchair propulsion in manual wheelchair users (MWU) with spinal cord injury (SCI) and able-bodies; 2) to compare US measures of AHD, supraspinatus tendon thickness and occupation ratio between MWU with SCI with and without shoulder pain (rotator cuff [RC] tendinopathy); and 3) to compare these US measures between MWU with SCI and able-bodies. DESIGN: Cross-sectional SETTING: Two rehabilitation centers (Quebec City and Montreal) PARTICIPANTS: Objective 1: 16 MWU with SCI and 16 able-bodies; Objectives 2 and 3: 37 MWU with SCI (17 with/20 without RC tendinopathy) and 26 able-bodies...
July 15, 2016: Archives of Physical Medicine and Rehabilitation
Warren R Dunn, John E Kuhn, Rosemary Sanders, Qi An, Keith M Baumgarten, Julie Y Bishop, Robert H Brophy, James L Carey, Frank Harrell, Brian G Holloway, Grant L Jones, C Benjamin Ma, Robert G Marx, Eric C McCarty, Sourav K Poddar, Matthew V Smith, Edwin E Spencer, Armando F Vidal, Brian R Wolf, Rick W Wright
BACKGROUND: The purpose of this study is to help define the indications for rotator cuff repair by identifying predictors of failure of nonoperative treatment. METHODS: A prospective, multicenter, cohort study design was used. All patients with full-thickness rotator cuff tears on magnetic resonance imaging were offered participation. Baseline data from this cohort were used to examine risk factors for failing a standard rehabilitation protocol. Patients who underwent surgery were defined as failing nonoperative treatment...
August 2016: Journal of Shoulder and Elbow Surgery
Yoshihiro Kai, Masafumi Gotoh, Kazuto Takei, Kazuya Madokoro, Takeshi Imura, Shin Murata, Toru Morihara, Naoto Shiba
[Purpose] Early postoperative passive motion exercise after arthroscopic rotator cuff repair remains controversial. To better understand this issue, this study was aimed at evaluating scapular kinematics and muscle activities during passive arm elevation in healthy subjects. [Subjects and Methods] The dominant shoulders of 27 healthy subjects were examined. Electromagnetic sensors attached to the scapula, thorax, and humerus were used to determine three-dimensional scapular kinematics during active arm elevation with or without external loads and passive arm elevation...
June 2016: Journal of Physical Therapy Science
Anssi Ryösä, Katri Laimi, Ville Äärimaa, Kaisa Lehtimäki, Juha Kukkonen, Mikhail Saltychev
PURPOSE: Comparative evidence on treating rotator cuff tear is inconclusive. The objective of this review was to evaluate the evidence on effectiveness of tendon repair in reducing pain and improving function of the shoulder when compared with conservative treatment of symptomatic rotator cuff tear. METHOD: Search on CENTRAL, MEDLINE, EMBASE, CINAHL, Web of Science and Pedro databases. Randomised controlled trials (RCT) comparing surgery and conservative treatment of rotator cuff tear...
July 6, 2016: Disability and Rehabilitation
Adrian Wolfensberger, Philippe Vuistiner, Michel Konzelmann, Chantal Plomb-Holmes, Bertrand Léger, François Luthi
BACKGROUND: Validated clinician outcome scores are considered less associated with psychosocial factors than patient-reported outcome measurements (PROMs). This belief may lead to misconceptions if both instruments are related to similar factors. QUESTIONS: We asked: In patients with chronic shoulder pain, what biopsychosocial factors are associated (1) with PROMs, and (2) with clinician-rated outcome measurements? METHODS: All new patients between the ages of 18 and 65 with chronic shoulder pain from a unilateral shoulder injury admitted to a Swiss rehabilitation teaching hospital between May 2012 and January 2015 were screened for potential contributing biopsychosocial factors...
September 2016: Clinical Orthopaedics and related Research
Elif Turgut, Øyvind Pedersen, Irem Duzgun, Gul Baltaci
The combination of open kinetic chain (OKC) and closed kinetic chain (CKC) exercises is commonly recommended in shoulder rehabilitation, aiming at improving strength and sport-specific performance. This study aimed to investigate the three-dimensional (3-D) scapular kinematics and bilateral symmetry of scapular motion during dynamic OKC and CKC movements in asymptomatic and symptomatic shoulders. Fifty subjects with unilateral shoulder pain (symptomatic subjects diagnosed with subacromial impingement syndrome, n=20) or without shoulder pain during active shoulder elevation (asymptomatic subjects, n=30) participated in the study...
June 16, 2016: Journal of Biomechanics
Stefano Gumina, Rosanna Izzo, Giovanni Pintabona, Vittorio Candela, Riccardo Savastano, Valter Santilli
BACKGROUND: Mobility recovery after arthroscopic rotator cuff repair in different tears size. AIM: To investigate, after arthroscopic rotator cuff repair, the range of motion (ROM) progression in different sized tears (small, large and massive), and evaluating ROM changes in the pre and postoperative periods of each group. DESIGN: cohort study. SETTING: Policlinico Umberto I, "Sapienza" University, Rome, Italy. POPULATION: 92 patients with reparable rotator cuff tears...
June 22, 2016: European Journal of Physical and Rehabilitation Medicine
Guido Spargoli
UNLABELLED: Rotator cuff pathology can contribute to shoulder pain and may affect the performance of sport activities, work, and activities of daily living. The partial articular supraspinatus tendon avulsion (PASTA) lesion represents a very common type of rotator cuff pathology seen in rehabilitation. When conservative treatment fails, surgery is generally required. Success of recovery depends on several factors, including: repair techniques, healing process related to timing, rehabilitation programs, and patient compliance with home exercises...
June 2016: International Journal of Sports Physical Therapy
Sang-Jin Shin, Nam-Hoon Do, Juyeob Lee, Young-Won Ko
BACKGROUND: Corticosteroid injections have been widely used for reducing shoulder pain. However, catastrophic complications induced by corticosteroid such as infections and tendon degeneration have made surgeons hesitant to use a corticosteroid injection as a pain control modality, especially during the postoperative recovery phase. PURPOSE: To determine the effectiveness and safety of a subacromial corticosteroid injection for persistent pain control during the recovery period and to analyze the factors causing persistent pain after arthroscopic rotator cuff repair...
September 2016: American Journal of Sports Medicine
Fabio Antonio Vieira, Paul Juma Olawa, Paulo Santoro Belangero, Gustavo Gonçalves Arliani, Eduardo Antônio Figueiredo, Benno Ejnisman
OBJECTIVE: To map out the approaches used by Brazilian orthopedists in treating complete tears of the rotator cuff. METHODS: A multiple-choice questionnaire was handed out to 232 orthopedists at the 45th Brazilian Congress of Orthopedics and Traumatology. Of these, 207 were returned but five were incomplete and were excluded. Thus, 202 questionnaires were used. RESULTS: Among the orthopedists who answered the questionnaires, around 60% were from the southeastern region and 46% were shoulder and elbow surgeons...
November 2015: Revista Brasileira de Ortopedia
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