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Rotator cuff rehabilitation

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https://www.readbyqxmd.com/read/28641732/rehabilitation-of-symptomatic-atraumatic-degenerative-rotator-cuff-tears-a-clinical-commentary-on-assessment-and-management
#1
Sarah Bleichert, Genevieve Renaud, Joy MacDermid, Lyn Watson, Ken Faber, Ross Lenssen, Marie Saulnier, Paul Phillips, Tyler Evans, Jackie Sadi
STUDY DESIGN: Clinical Commentary. INTRODUCTION: Atraumatic rotator cuff (RC) disease, is one of the most common cause of shoulder pain, which encompasses a continuum from tendinopathy to full thickness cuff tears. Extrinsic, intrinsic and environmental factors have been implicated in the pathophysiology of this disorder, affecting the clinical presentation of symptoms including pain and irritability. Successful rehabilitation of symptomatic atraumatic degenerative rotator cuff (SADRC) tears must address the underlying mechanisms causing dysfunction and correct modifiable factors...
April 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28637131/translation-cultural-adaptation-reliability-and-validity-of-the-turkish-version-of-the-penn-shoulder-score
#2
Zeynep Hazar Kanik, Gurkan Gunaydin, Omer Osman Pala, Ugur Sozlu, Zeynep Beyza Alkan, Seyit Citaker, Selda Basar, Ulunay Kanatli
PURPOSE: The purpose of this study is to translate the Penn Shoulder Score into Turkish and to establish its cultural adaptation, reliability, and validity in patients with shoulder dysfunctions. METHODS: The Penn Shoulder Score was translated and culturally adapted from English into Turkish. Subsequently, the Penn Shoulder Score, the Constant Score, the American Shoulder and Elbow Score, and the Western Ontario Rotator Cuff Index were completed by 97 patients with shoulder dysfunctions...
February 7, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28619382/does-early-motion-lead-to-a-higher-failure-rate-or-better-outcomes-after-arthroscopic-rotator-cuff-repair-a-systematic-review-of-overlapping-meta-analyses
#3
REVIEW
Bryan M Saltzman, William A Zuke, Beatrice Go, Randy Mascarenhas, Nikhil N Verma, Brian J Cole, Anthony A Romeo, Brian Forsythe
BACKGROUND: The aims of the study were as follows: to perform a systematic review of meta-analyses comparing "early motion" and "delayed motion" after arthroscopic rotator cuff repair; to provide a framework to analyze the best available evidence to develop recommendations; and to identify gaps where suggestions could be made for future investigations. METHODS: Literature searches were performed to identify meta-analyses examining arthroscopic rotator cuff repair with early-motion vs...
June 12, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28597729/effects-of-high-and-low-energy-radial-shock-waves-therapy-combined-with-physiotherapy-in-the-treatment-of-rotator-cuff-tendinopathy-a-retrospective-study
#4
Xiangzheng Su, Zhongli Li, Zhengsheng Liu, Teng Shi, Chao Xue
PURPOSE: The aim of this study was to investigate the efficacy of high- and low-energy radial shock waves combined with physiotherapy for rotator cuff tendinopathy patients. METHODS: Data from rotator cuff tendinopathy patients received high- or low-energy radial shock waves combined with physiotherapy or physiotherapy alone were collected. The Constant and Murley score and visual analog scale score were collected to assess the effectiveness of treatment in three groups at 4, 8, 12, and 24 weeks...
June 9, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28593101/dry-needling-increases-muscle-thickness-in-a-subject-with-persistent-muscle-dysfunction-a-case-report
#5
Kevin M Cross, Michael McMurray
BACKGROUND AND PURPOSE: Muscle dysfunction is very common following musculoskeletal injury. There is very little evidence to suggest that muscle function may be positively impacted by soft tissue interventions, such as dry needling. The purpose of this case report is to describe the immediate effect of dry needling on muscle thickness in a subject after shoulder surgery. CASE DESCRIPTION: A 22 year-old competitive gymnast presented seven months post shoulder surgery with significant impairments and functional limitations...
June 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28593093/superior-capsule-reconstruction-for-massive-rotator-cuff-tears-key-considerations-for-rehabilitation
#6
Jonas Pogorzelski, Brooke M DelVecchio, Zaamin B Hussain, Erik M Fritz, Jonathan A Godin, Peter J Millett
Superior capsule reconstruction is a recently-developed surgical technique for the treatment of massive, irreparable rotator cuff tears. So far, biomechanical cadaveric studies and clinical outcomes results have been promising concerning integrity, stability, and ROM after superior capsule reconstruction. As this technique has only been recently developed, an evidence-based rehabilitation protocol has not been previously designed. Thus, the purpose of this clinical commentary is to provide an overview of superior capsule reconstruction and to propose a rehabilitation program based on the available scientific evidence...
June 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28582682/rotator-cuff-related-pain-patients-understanding-and-experiences
#7
Melissa A Gillespie, Aleksandra Mącznik, Craig A Wassinger, Gisela Sole
BACKGROUND: Persistent musculoskeletal pain is a multi-factorial entity, influenced by biological, genetic and psychosocial factors. Psychosocial factors, such as individuals' beliefs and experiences, need to be considered in the management of such pain. While extensive research has explored beliefs of individuals with spinal pain, less is known about individuals' beliefs regarding shoulder pain. OBJECTIVES: To explore beliefs about the cause of pain in individuals with persistent rotator cuff-related pain, as well as the experiences of the effect of pain on their daily lives...
May 27, 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/28578763/editorial-commentary-to-move-or-not-to-move-the-shoulder-that-is-the-question
#8
EDITORIAL
Larry D Field
Whether to use an immediate range of motion exercise protocol or, rather, to delay the initiation of rehabilitation exercises for patients after arthroscopic rotator cuff repair presents a significant dilemma for the treating surgeon. The study "The Effect of Early Range of Motion on Quality of Life, Clinical Outcome, and Repair Integrity After Arthroscopic Rotator Cuff Repair" by Mazzocca, Arciero, Shea, Apostolakos, Solovyova, Gomlinski, Wojcik, Tafuto, Stock, and Cote reveals that no differences in quality of life scores or rotator cuff healing were identified after comparing 2 groups of patients undergoing either immediate (within 3 days) or delayed (after 28 days) postoperative rehabilitation protocols...
June 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28560466/real-life-effectiveness-of-spa-therapy-in-rheumatic-and-musculoskeletal-diseases-a-retrospective-study-of-819-patients
#9
Mine Karagülle, Sinan Kardeş, Müfit Zeki Karagülle
The objective of this study is to determine the use and efficacy of spa therapy in patients with a wide spectrum of rheumatic and musculoskeletal diseases under real-life clinical practice circumstances. In this retrospective observational study at the Medical Ecology and Hydroclimatology Department of Istanbul Faculty of Medicine, the records of all adult patients with rheumatic and musculoskeletal diseases who were prescribed a spa therapy in various health resorts in Turkey between 2002 and 2012 were analyzed...
May 30, 2017: International Journal of Biometeorology
https://www.readbyqxmd.com/read/28530504/functional-recovery-after-rotator-cuff-repair-the-role-of-biceps-surgery
#10
Bernardo Gialanella, Francesco Grossetti, Marina Mazza, Laura Danna, Laura Comini
CONTEXT: Surgical cuff repair is indicated in full-thickness rotator cuff tear when non-operative treatment fails. Surgical cuff repair can comprehend surgery of long head of the biceps when concomitant biceps pathology is present. However, the studies executed up to now do not have yet clearly defined if additional biceps surgery affects the shoulder functionality in patients who underwent rotator cuff repair. OBJECTIVE: The aim of this study is to verify if the concomitant biceps surgery prejudices the shoulder functionality during the short-term period in rotator cuff repair patients...
May 22, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28526423/pseudoparalysis-a-systematic-review-of-term-definitions-treatment-approaches-and-outcomes-of-management-techniques
#11
REVIEW
John M Tokish, Thomas C Alexander, Michael J Kissenberth, Richard J Hawkins
BACKGROUND: Pseudoparalysis remains one of the most challenging conditions in shoulder surgery. Long thought of as an unsolvable problem, recent advances in surgical techniques offer potential return of overhead motion in the setting of massive irreparable rotator cuff tears. This article summarizes the available literature including existing definitions and the results of different treatment approaches regarding range of motion, outcome scores, and reversal. METHODS: In accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic review of the MEDLINE database, Cochrane database, Physiotherapy Evidence Database, and Google Scholar database was performed for studies that defined a preoperative shoulder group as having pseudoparalysis...
June 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28515982/current-concepts-on-the-genetic-factors-in-rotator-cuff-pathology-and-future-implications-for-sports-physical-therapists
#12
Travis Orth, Jessica Paré, John E Froehlich
CONTEXT: Recent advances within the field of genetics are currently changing many of the methodologies in which medicine is practiced. These advances are also beginning to influence the manner in which physical therapy services are rendered. Rotator cuff pathology is one of the most common diagnoses treated by the sports physical therapist. The purpose of this commentary is to educate sports physical therapists on the recent advances regarding how genetics influences rotator cuff pathology, including rotator cuff tears, and provide a perspective on how this information will likely influence post-operative shoulder rehabilitation in the near future...
April 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28499920/patient-understanding-expectations-and-satisfaction-regarding-rotator-cuff-injuries-and-surgical-management
#13
Brian J Cole, Eric J Cotter, Kevin C Wang, Annabelle Davey
Rotator cuff injuries are among the most common in orthopaedics, with rotator cuff repair surgery consistently reported as one of the most commonly performed orthopaedic procedures. Patient satisfaction is becoming an increasingly important outcome metric as health care continues to evolve with regard to quality measures affecting physician reimbursement. Evidence supports that postoperative patient satisfaction, an important quality outcome metric, is highly influenced by preoperative patient expectations, which are in turn governed by patient knowledge and understanding...
May 9, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28484857/muscle-architectural-properties-in-the-common-marmoset-callithrix-jacchus
#14
Naomichi Ogihara, Motoharu Oishi, Ryogo Kanai, Hikaru Shimada, Takahiro Kondo, Kimika Yoshino-Saito, Junichi Ushiba, Hideyuki Okano
The common marmoset, Callithrix jacchus, is a small New World monkey that has recently gained attention as an important experimental animal model in the field of neuroscience as well in rehabilitative and regenerative medicine. This attention reflects the closer phylogenetic relationship between humans and common marmosets compared to that between humans and other experimental animals. When studying the neuronal mechanism behind various types of neurological motor disorders using the common marmoset, possible differences in muscle parameters (e...
July 2017: Primates; Journal of Primatology
https://www.readbyqxmd.com/read/28483431/anterior-deltoid-reeducation-for-irreparable-rotator-cuff-tears-revisited
#15
Edward H Yian, Jeffrey F Sodl, Emil Dionysian, Alberto G Schneeberger
BACKGROUND: A previous study introduced a method of conservative treatment of irreparable rotator cuff tears (RCTs) using a rehabilitation program (anterior deltoid reeducation [ADR]). The purposes of this study were to present our experience with ADR and to compare our results with those of the previous study. METHODS: Thirty consecutive elderly patients with irreparable RCTs were prospectively enrolled and taught how to perform the home-based ADR program for a period of 3 months...
May 5, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28449618/telerehabilitation-after-arthroscopic-subacromial-decompression-is-effective-and-not-inferior-to-standard-practice-preliminary-results
#16
Jose Manuel Pastora-Bernal, Rocío Martín-Valero, Francisco Javier Barón-López, Noelia Guerrero Moyano, María-José Estebanez-Pérez
Background Telerehabilitation promises to improve quality, increase patient access and reduce costs in health care. Physiotherapy with exercises is generally recommended to restore function after surgery in patients with chronic subacromial syndrome. Relatively few studies have investigated the feasibility of telerehabilitation interventions in musculoskeletal and orthopaedic disorders. The aim of this study was to evaluate the feasibility and effectiveness of a customizable telerehabilitation intervention and compare with traditional care...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28433759/reverse-shoulder-arthroplasty-combined-with-latissimus-dorsi-transfer-a-systemic-review
#17
REVIEW
R Ortmaier, W Hitzl, N Matis, G Mattiassich, J Hochreiter, H Resch
Reverse shoulder arthroplasty (RSA) combined with latissimus dorsi transfer (LDT) is described for patients with cuff arthropathy and a combined loss of abduction and external rotation. The purpose of this systemic review was to present clinical and radiological outcomes following RSA combined with LDT. A comprehensive literature review was performed to identify studies reporting clinical and radiological results of RSA combined with LDT. Seven articles that describe the treatment of 116 patients were selected...
April 20, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28405223/electromyographic-activity-of-the-shoulder-muscles-during-rehabilitation-exercises-in-subjects-with-and-without-subacromial-pain-syndrome-a-systematic-review
#18
REVIEW
Rita Kinsella, Tania Pizzari
BACKGROUND: Subacromial pain syndrome (SPS) is a common cause of shoulder pain and muscle activity deficits are postulated to contribute to the development and progression of the disorder. The purpose of this systematic review was to definitively determine whether evidence exists of differences in electromyography (EMG) characteristics between subjects with and without SPS. METHODS: Six key databases were searched: MEDLINE, EMBASE, CINAHL, SPORTdiscus, PEDro and The Cochrane Library (inception to May 2016)...
April 2017: Shoulder & Elbow
https://www.readbyqxmd.com/read/28400883/rehabilitation-after-rotator-cuff-repair
#19
REVIEW
Ourania Nikolaidou, Stefania Migkou, Christos Karampalis
BACKGROUND: Rotator cuff tears are a very common condition that is often incapacitating. Whether non-surgical or surgical, successful management of rotator cuff disease is dependent on appropriate rehabilitation. If conservative management is insufficient, surgical repair is often indicated. Postsurgical outcomes for patients having had rotator cuff repair can be quite good. A successful outcome is much dependent on surgical technique as it is on rehabilitation. Numerous rehabilitation protocols for the management of rotator cuff disease are based primarily on clinical experience and expert opinion...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28400879/reverse-shoulder-arthroplasty-for-the-treatment-of-3-and-4-part-fractures-of-the-humeral-head-in-the-elderly
#20
REVIEW
Ioannis Gigis, Alexandros Nenopoulos, Dimitrios Giannekas, Roderich Heikenfeld, Theodoros Beslikas, Ippokratis Hatzokos
BACKGROUND: Proximal humeral fractures in elderly patients present with severe comminution and osteoporotic bone quality. Reverse shoulder arthroplasty has lately been proven beneficial in treating patients with complex proximal humeral fractures. The above technique is recommended and has better results in elderly than in younger individuals. METHODS: We performed a literature search in the databases Pubmed, Medline, EMBASE and Cochrane Library for published articles between 1970 and 2016 using the terms: proximal humerus fractures and reverse shoulder arthroplasty...
2017: Open Orthopaedics Journal
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