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Shoulder AND rehabilitation

Ranjit Joseph, Talia Alenabi, Tea Lulic, Clark R Dickerson
OBJECTIVE: The purpose of this study was to quantify the activation of partitions within supraspinatus and infraspinatus and some periscapular muscles during four resistance exercises with elastic bands. DESIGN: 27 right handed healthy volunteers (22.5 ± 2.7 years old) were recruited. Intramuscular EMG from supraspinatus (anterior and posterior) and infraspinatus (superior and middle) and surface EMG data from the upper, middle and lower trapezius and serratus anterior were recorded during four elastic resistance exercises (Y, T, W, L)...
December 13, 2018: American Journal of Physical Medicine & Rehabilitation
Joe Sarsfield, David Brown, Nasser Sherkat, Caroline Langensiepen, James Lewis, Mohammad Taheri, Christopher McCollin, Cleveland Barnett, Louise Selwood, Penny Standen, Pip Logan, Christopher Simcox, Catherine Killick, Emma Hughes
Encouraging rehabilitation by the use of technology in the home can be a cost-effective strategy, particularly if consumer-level equipment can be used. We present a clinical qualitative and quantitative analysis of the pose estimation algorithms of a typical consumer unit (Xbox One Kinect), to assess its suitability for technology supervised rehabilitation and guide development of future pose estimation algorithms for rehabilitation applications. We focused the analysis on upper-body stroke rehabilitation as a challenging use case...
January 2019: International Journal of Medical Informatics
Ryan A Hartley, Michael E Kordecki
Background and Purpose: Brachial plexus neuropraxia (BPN), or "burners" and "stingers", affect 50-65% of football players, with a high rate of recurrence and the potential, in rare cases, for catastrophic injury. Existing literature on rehabilitation of these athletes is limited. The purpose of this case report is to describe the successful and comprehensive rehabilitation of a subject with recurrent brachial plexus neuropraxia using range of motion exercises, cervical and periscapular strengthening, stabilization exercises, and activity modification...
December 2018: International Journal of Sports Physical Therapy
Marisa Pontillo, Sheri Silfies, Courtney M Butowicz, Charles Thigpen, Brian Sennett, David Ebaugh
Background: Relationships between core stability and lower extremity injuries have been described in the literature; however, evidence of the relationship between upper extremity injuries and core stability and balance is limited. Hypothesis/Purpose: The purpose of this study was to compare clinical measures of core stability and balance between athletes with and without non-traumatic shoulder injuries. Study Design: Cross sectional. Methods: Eighty athletes (54 males, age: 21...
December 2018: International Journal of Sports Physical Therapy
Milan Krticka, Daniel Ira, Martin Flek, Jan Svancara, Radek Pikula
Background: Elbow dislocation is the second most frequent type of large joint dislocations in adults. Standard treatment of simple elbow dislocation (SED) without manifestation of instability includes closed reduction, short-term immobilization of the elbow followed by functional aftercare. This study evaluates SED treatment, comparing outcomes of conservative functional treatment and surgical therapy. Materials and Methods: 54 adult patients with SED without manifest instability treated in tertiary hospital between January 2008 and June 2015 were analyzed in this retrospective study...
November 2018: Indian Journal of Orthopaedics
Natalie J Collins, Harvi F Hart, Kathryn A G Mills
OBJECTIVE: Conduct a systematic review of systematic reviews and randomised controlled trials (RCTs) from the past year evaluating rehabilitation for people with osteoarthritis, and provide narrative synthesis of findings focused on core recommended treatments for osteoarthritis (exercise, education, biomechanical interventions, weight loss). DESIGN: A comprehensive search strategy was used to search PubMed, EMBASE and Cochrane databases (16th May 2017 to 22nd March 2018)...
December 7, 2018: Osteoarthritis and Cartilage
Younggeun Choi, Jihoon Nam, Dongseok Yang, Whanik Jung, Hwa-Ryeong Lee, Sae Hoon Kim
OBJECTIVES: To evaluate the clinical efficacy of smartphone-assisted self-rehabilitation in patients with frozen shoulder. DESIGN: A single-center, randomized controlled trial. SETTING: Orthopedic department of a university hospital. SUBJECTS: A total of 84 patients with frozen shoulder were recruited. INTERVENTION: Patients were randomly divided into two groups: a smartphone-assisted exercise group ( n = 42) and a conventional self-exercise group ( n = 42)...
December 10, 2018: Clinical Rehabilitation
Domenico Buongiorno, Michele Barsotti, Francesco Barone, Vitoantonio Bevilacqua, Antonio Frisoli
The growing interest of the industry production in wearable robots for assistance and rehabilitation purposes opens the challenge for developing intuitive and natural control strategies. Myoelectric control, or myo-control, which consists in decoding the human motor intent from muscular activity and its mapping into control outputs, represents a natural way to establish an intimate human-machine connection. In this field, model based myo-control schemes (e.g., EMG-driven neuromusculoskeletal models, NMS) represent a valid solution for estimating the moments of the human joints...
2018: Frontiers in Neurorobotics
Niv Marom, Riley J Williams
Upper limb injuries in soccer represent only a marginal portion of injuries, however this is mainly true for outfield players. Goalkeepers are reported to have up to 5 times more upper extremity injuries, many of them requiring substantial time-loss for treatment and rehabilitation. The most common upper extremity injury locations are the shoulder/clavicle followed by the hand/finger/thumb, elbow, wrist, forearm, and upper arm. The mechanism of injury, presentation, physical examination, and imaging features all play a significant role in reaching the correct diagnosis...
October 2018: American Journal of Orthopedics
Arrate Pinto-Carral, Antonio J Molina, Álvaro de Pedro, Carlos Ayán
OBJECTIVES: To identify and evaluate the characteristics and methodological quality of the studies that have proposed Pilates as a rehabilitation strategy for women with breast cancer and to determine its benefits on health outcomes in this population. METHODS: A systematic review and meta-analysis were conducted. Medline/PubMed, Pedro, SPORTDiscuss, Scopus and Web of Science were systematically searched up to January 2017. The methodological quality was evaluated by means of the Jadad Scale and the Quality Assessment Tool for Before-After Studies with No Control Group...
December 2018: Complementary Therapies in Medicine
Ali Çağdaş Yörükoğlu, Raziye Şavkın, Nihal Büker, Khaled Yahya Abdullah Alsayani
BACKGROUND: Strong core stabilization not only minimizes the load on the vertebral column, but also improves strength and endurance of peripheral joints, and enables the energy transfer to distal segments. Despite the current interest surrounding core stability, none of the studies investigated the effect of core stability on the formation of rotator cuff tear or healing after repair. OBJECTIVE: To determine the relationship between core stability and upper extremity functional performance in patients who underwent rotator cuff repair surgery and to compare those with healthy subjects of similar age...
November 16, 2018: Journal of Back and Musculoskeletal Rehabilitation
Mahsa Abolfazli, Laleh Lajevardi, Leila Mirzaei, Hosein Ali Abdorazaghi, Akram Azad, Ghorban Taghizadeh
OBJECTIVE: To determine the effect of mirror visual feedback (MVF) on disability, pain, and motor function on patients who underwent hand reconstructive surgery. DESIGN: Randomized, single-blinded controlled trial. SETTING: Rehabilitation center. SUBJECTS: A total of 40 patients who were randomly assigned into the intervention group ( n = 20) and control group ( n = 20) participated in this study. INTERVENTIONS: The rehabilitation sessions took place twice a week for eight weeks...
November 21, 2018: Clinical Rehabilitation
Nicky Kramer, Jo Ramjith, Delva Shamley
PURPOSE: Breast cancer is the most frequently diagnosed cancer and leading cause of cancer death among women, representing a considerable public health burden in South Africa and other low-middle income countries. Short- and long-term complications of these treatments include shoulder morbidities such as pain, decreased range of motion, tightness, weakness, pain, numbness and lymphoedema and may be present for up to 6 years post-treatment. An understanding of baseline demographic and clinical risk factors can guide rehabilitation and management strategies for high-risk patients...
November 19, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Darren de Sa, Andrew J Sheean, Alejandro Morales-Restrepo, Malcolm Dombrowski, Jeffrey Kay, Dharmesh Vyas
PURPOSE: To analyze the available literature pertaining to clinical outcomes and complications of posterior-inferior shoulder stabilization performed arthroscopically in either the beach chair (BC) or lateral decubitus (LD) position. METHODS: According to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), 3 databases (PubMed, EMBASE, and Medline) were searched up to January 2018 for English-language studies on posterior shoulder instability...
November 16, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
Charlotte M Lameijer, Caren K Niezen, Mostafa El Moumni, Corry K van der Sluis
PURPOSE: Perilunate (fracture) dislocations are rare injuries and diminished functional outcomes are reported. However, Patient Reported Outcomes (PROs) following these injuries are rarely described. The aim of this study was to investigate the long-term impact of perilunate (fracture) dislocations using a range of measures, including pain, function, and quality of life. MATERIALS AND METHODS: This cross-sectional study was conducted from January 2016 until March 2016...
November 19, 2018: Disability and Rehabilitation
Fábio Carlos Lucas de Oliveira, Benoit Pairot de Fontenay, Laurent J Bouyer, Jean-Sébastien Roy
BACKGROUND: Kinesiotaping is widely used for the rehabilitation of rotator cuff tendinopathy. It has been argued to reduce symptoms and functional limitations through improvement of proprioceptive feedback. In addition, kinesiotaping has been reported to increase the subacromial space in healthy subjects. However, its effects on the acromiohumeral distance and shoulder proprioception of individuals with rotator cuff tendinopathy have not been ascertained. This study investigated the immediate effects of kinesiotaping on the acromiohumeral distance and shoulder proprioception in individuals with rotator cuff tendinopathy...
November 10, 2018: Clinical Biomechanics
Min-Hee Kim, Won-Gyu Yoo
BACKGROUND: In clinics, training of the lower trapezius muscle for the rehabilitation of the shoulder is often applied. The narrow-base push-up exercise is considered suitable training of the proximal shoulder complex, but the effect on the lower trapezius muscle has not yet been investigated. OBJECTIVE: The purpose of this study was to investigate the effect of push-up, push-up plus, and support surfaces on the lower trapezius muscle during the narrow-base push-up exercise...
November 8, 2018: Journal of Back and Musculoskeletal Rehabilitation
Sandra Martinez-Rico, Alejandro Lizaur-Utrilla, Emilio Sebastia-Forcada, Maria F Vizcaya-Moreno, Joaquin de Juan-Herrero
PURPOSE: The purpose of this study was to assess the impact of a phone assistance nursing program as an adjunct to conventional physiotherapy to increase adherence to a home exercise program on functional outcomes of patients who underwent shoulder instability surgery. METHODS: A randomized controlled study of 70 patients allocated to a phone assistance program (study group, n = 36 patients) or conventional postoperative management (control group, n = 34 patients) was conducted...
November 2018: Orthopaedic Nursing
Nicola Carbonaro, Irene Lucchesi, Federico Lorusssi, Alessandro Tognetti
In this work we present the development and preliminary testing of a wearable-technology-enabled platform for the remote rehabilitation of a large number of shoulder muscular-skeletal diseases. The presented system (Shoulphy) is conceived to lead and assess the patient, wearing a minimal set of inertial sensors, through personalized physical rehabilitation programs under the remote supervision of the physician/therapist. We have introduced a minimal inertial sensor set and an associated biomechanical reconstruction method based on a bi-articular model of the shoulder...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Tong Wang, Yong Bao, Huaqing Hao, Xiao Zhang, Si Li, Qing Xie, Ning Lan, Chuanxin M Niu
Functional Electrical Stimulation (FES) provides a promising technology for rehabilitation of upper-limb motor functions following stroke. It enables activation of individual muscles to assist restoration of impaired muscle synergies toward normal patterns. However, there lacks a systematic approach to optimize the FES stimulation patterns delivered to patients with stroke. Our preliminary work demonstrated that it is feasible to use muscle synergy patterns to guide the generation of FES patterns. Here, we present the methodology of customizing synergy-based FES using parameterized formulae with three strategies: weight-sensitive, variability-sensitive, and duration-sensitive...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
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