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Shoulder AND rehabilitation

Giovanni Merolla, Ilaria Parel, Andrea Giovanni Cutti, Maria Vittoria Filippi, Paolo Paladini, Giuseppe Porcellini
AIM OF THE STUDY: To evaluate total (TSA) and reverse total shoulder arthroplasty (RTSA) using the Constant-Murley score (CMS) and the scapula-weighted (SW) CMS, an integrated outcome measure that takes into account the compensatory movements of the scapula. METHODS: Twenty-five consecutive patients, 12 with TSA and 13 with RTSA, underwent kinematic analysis before and after shoulder replacement. Measurements included flexion (FLEX) and abduction (ABD) for the humerus and Protraction-Retraction (PR-RE), Medio-Lateral rotation (ME-LA), and Posterior-Anterior tilting (P-A) for the scapula...
August 10, 2018: International Orthopaedics
Michael A Stone, Omid Jalali, Ram K Alluri, Paul R Diaz, Reza Omid, Seth C Gamradt, James E Tibone, Erik N Mayer, Alexander Weber
Repetitive overhead throwing generates tremendous demands on the shoulder joint of the overhead athlete. Clinicians, therapists, and medical staff are charged with optimizing a throwing athlete's shoulder mobility and stability to maximize performance and prevent injury. Modifiable risk factors such as strength asymmetry, glenohumeral range of motion deficits, and scapulothoracic joint abnormalities contribute to the overhead athlete's predisposition to shoulder injury. Most shoulder injuries in the overhead thrower can be successfully treated nonoperatively to allow in-season return to sport...
April 2018: International Journal of Sports Physical Therapy
Corrado Angelini, Laura Giaretta, Roberta Marozzo
Limb Girdle Muscular Dystrophies (LGMD) encompasses a clinically heterogeneous group of rare, genetic progressive muscle disorders presenting with weakness and atrophy of predominant pelvic and shoulder muscles. The spectrum of disease severity ranges from severe childhood-onset muscular dystrophy to adult-onset dystrophy. Areas covered: The review presents an update of the clinical phenotypes and diagnostic options for LGMD including both dominant and recessive LGMD and consider their differential clinical and histopathological features...
August 7, 2018: Expert Review of Neurotherapeutics
Charles Agout, Julien Berhouet, Clément Spiry, Nicolas Bonnevialle, Thierry Joudet, Luc Favard
BACKGROUND: Massive rotator cuff tears (RCTs) account for 10% to 40% of all RCTs and over 80% of re-tears. The objectives of this prospective study were to assess functional outcomes 6 and 12 months after starting non-operative therapy for an irreparable massive RCT and to identify predictors of good outcomes of non-operative treatment. HYPOTHESIS: Non-operative treatment deserves to be tried because it can produce improvements in patients with irreparable massive RCTs...
August 2, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Douglas T Hutchinson, Stephanie Sueoka, Angela A Wang, Andrew R Tyser, Kathleen Papi-Baker, Nikolas H Kazmers
BACKGROUND: The purpose of this study was to evaluate the hypothesis that an increased duration of immobilization following trapeziectomy with ligament reconstruction and tendon interposition (LRTI) leads to improved patient-reported outcomes compared with an early mobilization protocol. METHODS: At 2 institutions, we prospectively randomized 223 patients (238 thumbs) undergoing LRTI to receive 1 of 2 postoperative rehabilitation protocols. The immobilization protocol consisted of use of a postoperative forearm-based thumb-spica splint for 7 days followed by a forearm-based thumb-spica cast for 5 weeks and then by a custom forearm-based thermoplastic thumb-spica splint for an additional 6 weeks...
August 1, 2018: Journal of Bone and Joint Surgery. American Volume
Matthew J Best, Miho J Tanaka
Multidirectional instability (MDI) is a debilitating condition that involves chronic subluxation or dislocation of the shoulder in >1 direction. Numerous proposed mechanisms of MDI exist, which occurs in the setting of redundant capsular tissue. Symptoms can range from recurrent dislocations or subluxations to vague aching pain that disrupts activities of daily living. Magnetic resonance imaging is often performed during evaluation of this condition, although magnetic resonance arthrography may provide more detailed images of the patulous capsule...
September 2018: Sports Medicine and Arthroscopy Review
Jeff T Wight, Guy B Grover, John W Chow, Paul A Borsa, Erik A Wikstrom, Mark D Tillman
OBJECTIVES: 1) Thoroughly assess shoulder flexibility by establishing the passive torque-angle relationship for internal and external rotation with the arm in an overhead athletics position (abducted 90°) and 2) test the reliability of four passive torque-angle measures. DESIGN: Reliability study. SETTING: Data were collected in a university biomechanics laboratory. PARTICIPANTS: Bilateral shoulder flexibility of 15 male college students (20...
July 18, 2018: Physical Therapy in Sport
Yildiz Analay Akbaba, Ebru Kaya Mutlu, Suleyman Altun, Derya Celik
OBJECTIVE: To investigate the effect of setting expectations verbally on the effectiveness of kinesiotape application in patients with a rotator cuff tear. DESIGN: Randomized controlled, double-blind study. SETTING: Department of Physiotherapy and Rehabilitation. SUBJECTS: Eighty-nine patients with rotator cuff tear. INTERVENTION: Patients were randomized according to the verbal input given to patients about the effectiveness of kinesiotaping; Group 1 (there is no evidence that kinesiotaping is effective), Group 2 (there is limited evidence that kinesiotaping is effective), and Group 3 (there is evidence that kinesiotaping has an excellent effect)...
July 26, 2018: Clinical Rehabilitation
Gi-Young Park, Dong Rak Kwon, Won Bin Jung
RATIONALE: We report a 45-year-old male patient with unilateral brachial plexopathy following acute carbon monoxide (CO) intoxication. PATIENT CONCERNS: The patient suddenly developed severe left upper extremity weakness and cognitive impairment after CO intoxication. DIAGNOSES: He showed severe weakness in the left upper extremity and decreased cognitive function during physical examination. Whole body bone scan revealed increased radioisotope uptake in the left shoulder, suggesting rhadomyolysis...
July 2018: Medicine (Baltimore)
Fatemeh Mortazavi, Ali Nadian-Ghomsheh
Physical rehabilitation aims people with physical impairments to enhance and restore their functional ability. The Microsoft Kinect v1 and v2 technologies apply depth information and machine vision techniques to generate 3D coordinates of a set of anatomical landmarks on the human body regarded as Kinect joints. Trigonometry relationship between Kinect joints can be used to extract body Range of Motion (ROM). The purpose of this study was to evaluate stability of Kinect for ROM measurement during static stretching exercises...
2018: PloS One
Greesh Kumar Singh, Sanjay Srivastava, Mukesh Kumar, Shellyka Ratnakar
BACKGROUND: Masonry workers engaged in occupational work-activities have high risk of shoulder injury that often develops to functional loss and disability. Rehabilitative exercises (REs) have potential for slowing this development. OBJECTIVE: The objective is to study the effects of three selected REs on integrated electromyography activations of the external rotator muscles and trapezius muscles of masonry workers. METHODS: Ten subjects, masonry workers having shoulder pain, have volunteered for this study...
2018: Work: a Journal of Prevention, Assessment, and Rehabilitation
Nicole Cascia, Tim L Uhl, Carolyn M Hettrich
Clinical Scenario: Ulnar collateral ligament (UCL) injuries are highly prevalent in professional baseball players with the success of operative management being well known in the literature. RTP rates following non-operative management of partial UCL injuries in professional baseball players is not well established in the literature. With a UCL tear being a potential career ending injury, it is imperative that the best treatment option is provided to these throwing athletes. There is an increase in the incidence of UCL surgical rates and a lack of general agreement on non-operative treatment of partial UCL injuries as reported by the American Shoulder and Elbow Surgeons in 2017...
July 24, 2018: Journal of Sport Rehabilitation
Frederico Ribeiro Neto, Rodrigo Rodrigues Gomes Costa, Ricardo Tanhoffer, Martim Bottaro, Rodrigo Luiz Carregaro
CONTEXT: Strength training is one of the most common interventions employed to increase functional independence during rehabilitation of individuals with spinal cord injury (SCI). However, in the literature, there are different results of strength modifications after a SCI compared to a control group (CG). OBJECTIVE: This study aimed to verify if the discriminant analysis using relative and absolute strength is able to discriminate individuals with different levels of spinal cord injury from a CG and to compare strength values of men with different levels of SCI with a CG...
July 24, 2018: Journal of Sport Rehabilitation
Jun-Seok Kim, Moon-Hwan Kim, Duk-Hyun Ahn, Jae-Seop Oh
CONTEXT: A winged scapula (WS) is associated with faulty posture caused by weakness of the serratus anterior (SA), which mainly acts as a scapular stabilizer muscle. It is important to accurately assess and train the SA muscle with a focus on scapula stabilizers during musculoskeletal rehabilitation of individuals with a WS. OBJECTIVE: We examined muscle activity in the SA and pectoralis major (PM), upper trapezius (UT) and anterior deltoid (AD)as well as shoulder protraction strength during isometric shoulder protraction, in individuals with and without a WS...
July 24, 2018: Journal of Sport Rehabilitation
Shogo Okamoto, Yasuhiro Endo, Ryuta Saito, Rie Nakazawa, Masaaki Sakamoto
[Purpose] The glenohumeral, scapular, and thoracic angles at maximum shoulder external rotation during shadow pitching were evaluated and compared with those observed during normal pitching. [Participants and Methods] Our study included 13 healthy males with experience in pitcher activity. All participants performed both, shadow pitching using a towel and normal pitching using a ball. The external rotation of the glenohumeral joint, scapular posterior tilting, and thoracic extension angles in the cocking phase were measured using a 3-dimensional motion analysis system...
July 2018: Journal of Physical Therapy Science
D D Mue, M N Salihu, W T Yongu, M Ochoga, J N Kortor, I C Elachi
BACKGROUND: Septic arthritis is a relatively common condition in the paediatric population. It is both a medical and a surgical emergency with potential high morbidity. This disabling disease requires early diagnosis and prompt management for optimal outcome. OBJECTIVE: This study determined the epidemiological pattern of septic arthritis and analysed factors affecting morbidity and mortality in the paediatric population. MATERIALS AND METHODS: Retrospective data was obtained over a 5-year period in NKST rehabilitation hospital, Mkar, Nigeria...
May 2018: West African Journal of Medicine
Walter Ansanello Netto, Gisele Garcia Zanca, Michele Forgiarini Saccol, Salomão Chade Assan Zatiti, Stela Márcia Mattiello
OBJECTIVE: To investigate possible alterations on scapular muscle strength in subjects with traumatic anterior glenohumeral instability. DESIGN: Cross-sectional study. SETTING: Laboratory setting. PARTICIPANTS: Fifty-two subjects of both sexes: 26 healthy and 26 with traumatic anterior glenohumeral instability. MAIN OUTCOME MEASURES: Subjects performed maximal isometric and concentric isokinetic contractions of shoulder protraction and retraction in scapular and sagittal planes, at slow (12...
July 11, 2018: Physical Therapy in Sport
Robert Diaz, Allison H Stoll, Monica E Rho, Cheri A Blauwet
Shoulder pain in wheelchair users that participate in competitive adaptive sports can be a troublesome condition. Shoulder pain not only affects athletic performance but also affects functional activities such as wheelchair propulsion and weight bearing during transfers. Managing pain in these athletes thus presents a unique challenge because of the difficulty in achieving relative rest and the need to modify athletic shoulder-focused rehabilitation strategies. In all athletes, it is vital to establish an early, accurate diagnosis and optimize conservative treatment before considering surgical interventions to avoid excessive shoulder-related morbidity, loss of function, and, worse, loss of independence...
August 2018: American Journal of Physical Medicine & Rehabilitation
Min-Jeong Kim, Tae-Young Kim, Yeon-A Choi, Ji-Hyoung Chin, Shin-Young Lee
This study intended to analyze the characteristics of standing posture and factors related to sarcopenia of elderly women in Korea to provide basic data for the development of rehabilitation programs designed to prevent and control of the sarcopenia of elderly women. A total of 194 elderly women, aged over 65 years old, living in Gyeonggi-do, were selected to diagnose the presence of sarcopenia through bioelectrical impedance analysis (BIA) and muscle function test (gait speed and grip strength). The subjects were then distinguished into normal group (NG=92), presarcopenia group (PG=86), and sarcopenia group (SG=16); the standing posture of elderly women was captured with the three-dimensional (3D) imaging technique (PA200), and an analysis of variance (ANOVA) was carried out for the collected data through IBM SPSS Statistics ver...
June 2018: Journal of Exercise Rehabilitation
Britt Schoenrock, Vanja Zander, Sebastian Dern, Ulrich Limper, Edwin Mulder, Alar Veraksitš, Ragnar Viir, Andreas Kramer, Maria J Stokes, Michele Salanova, Aleko Peipsi, Dieter Blottner
The human resting muscle tone (HRMT) system provides structural and functional support to skeletal muscle and associated myofascial structures (tendons, fascia) in normal life. Little information is available on changes to the HRMT in bed rest. A set of dynamic oscillation mechanosignals ([Hz], [N/m], log decrement, [ms]) collected and computed by a hand-held digital palpation device (MyotonPRO) were used to study changes in tone and in key biomechanical and viscoelastic properties in global and postural skeletal muscle tendons and fascia from a non-exercise control (CTR) and an exercise (JUMP) group performing reactive jumps on a customized sledge system during a 60 days head-down tilt bed rest (RSL Study 2015-2016)...
2018: Frontiers in Physiology
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