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Shoulder rehabilitation

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https://www.readbyqxmd.com/read/29652042/-motor-learning-of-the-post-stroke-patients-presenting-with-upper-limb-paresis-on-the-mechanotherapeutic-system
#1
A E Khizhnikova, A S Klochkov, A M Kotov-Smolensky, L A Chernikova, N A Suponeva, M A Piradov
BACKGROUND: the relevance of this study arises from the high prevalence of upper limb motor impairment and pathological synergy in the post-stroke patients; these conditions are very difficult to correct with the use of the traditional rehabilitation methods. A promising but insufficiently studied approaches are the virtual reality (VR) technology as well as its combination with other techniques. AIM: The objective of the present study was to evaluate the influence of the training making use of the mechanotherapeutic system on the motor function of the paretic hand...
April 9, 2018: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
https://www.readbyqxmd.com/read/29648933/influence-of-body-position-on-shoulder-and-trunk-muscle-activation-during-resisted-isometric-shoulder-external-rotation
#2
David A Krause, Lucas G Dueffert, Jaclyn L Postma, Eric T Vogler, Amy J Walsh, John H Hollman
BACKGROUND: External rotation (ER) strengthening of the shoulder is an integral component of rehabilitative and preventative programs for overhead athletes. A variety of shoulder ER strengthening exercises are reported, including those intended to integrate the core musculature. The purpose of this study was to examine ER torque and electromyographic (EMG) activation of shoulder and trunk muscles while performing resisted isometric shoulder ER in 3 positions (standing, side lying, and side plank)...
April 1, 2018: Sports Health
https://www.readbyqxmd.com/read/29644897/the-feasibility-acceptability-and-preliminary-efficacy-of-a-low-cost-virtual-reality-based-upper-limb-stroke-rehabilitation-device-a-mixed-methods-study
#3
Alyson Warland, Ioannis Paraskevopoulos, Emmanuel Tsekleves, Jennifer Ryan, Alexander Nowicky, Joanne Griscti, Hannah Levings, Cherry Kilbride
PURPOSE: To establish feasibility, acceptability, and preliminary efficacy of an adapted version of a commercially available, virtual-reality gaming system (the Personalised Stroke Therapy system) for upper-limb rehabilitation with community dwelling stroke-survivors. METHOD: Twelve stroke-survivors (nine females, mean age 58 years, [standard deviation 7.1], median stroke chronicity 42 months [interquartile range 34.7], Motricity index 14-25 for shoulder and elbow) were asked to complete nine, 40-min intervention sessions using two activities on the system over 3 weeks...
April 12, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29643759/changes-in-h-reflex-recruitment-after-trans-spinal-direct-current-stimulation-with-multiple-electrode-configurations
#4
Alexander Kuck, Dick F Stegeman, Herman van der Kooij, Edwin H F van Asseldonk
Trans-spinal direct current stimulation (tsDCS) is an electro-modulatory tool with possible application in the rehabilitation of spinal cord injury. TsDCS generates a small electric field, aiming to induce lasting, functional neuromodulation in the targeted neuronal networks. Earlier studies have shown significant modulatory effects after application of lumbar tsDCS. However, for clinical application, a better understanding of application specific factors is required. Our goal was to investigate the effect of different electrode configurations using lumbar spinal tsDCS on spinal excitability...
2018: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/29629590/higher-preoperative-sensitivity-to-pain-and-pain-at-rest-are-associated-with-worse-functional-outcome-after-stemless-total-shoulder-arthroplasty
#5
B Kadum, C Inngul, R Ihrman, G O Sjödén, A S Sayed-Noor
Aims The aims of this study were to investigate any possible relationship between a preoperative sensitivity to pain and the degree of pain at rest and on exertion with postoperative function in patients who underwent stemless total shoulder arthroplasty (TSA). Patients and Methods In this prospective study, we included 63 patients who underwent stemless TSA and were available for evaluation one year postoperatively. There were 31 women and 32 men; their mean age was 71 years (53 to 89). The pain threshold, which was measured using a Pain Matcher (PM) unit, the degree of pain (visual analogue scale at rest and on exertion, and function using the short version of the Disabilities of the Arm, Shoulder and Hand questionnaire (QuickDASH), were recorded preoperatively, as well as three and 12 months postoperatively...
April 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29624450/national-athletic-trainers-association-position-statement-evaluation-management-and-outcomes-of-and-return-to-play-criteria-for-overhead-athletes-with-superior-labral-anterior-posterior-injuries
#6
Lori A Michener, Jeffrey S Abrams, Kellie C Huxel Bliven, Sue Falsone, Kevin G Laudner, Edward G McFarland, James E Tibone, Charles A Thigpen, Timothy L Uhl
OBJECTIVE:   To present recommendations for the diagnosis, management, outcomes, and return to play of athletes with superior labral anterior-posterior (SLAP) injuries. BACKGROUND:   In overhead athletes, SLAP tears are common as either acute or chronic injuries. The clinical guidelines presented here were developed based on a systematic review of the current evidence and the consensus of the writing panel. Clinicians can use these guidelines to inform decision making regarding the diagnosis, acute and long-term conservative and surgical treatment, and expected outcomes of and return-to-play guidelines for athletes with SLAP injuries...
March 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29623751/scapular-muscle-activity-during-static-yoga-postures
#7
Jaclyn N Chopp-Hurley, Courtney Prophet, Brynn Thistle, Jessica Pollice, Monica R Maly
Study Design Controlled laboratory study; cross-sectional. Background Despite the growing popularity of yoga, little is known about the muscle activity of the scapular stabilizers during isometric yoga postures and their potential utility in shoulder rehabilitation. Objectives To examine scapular stabilizer muscle activation during various yoga postures. Methods Twenty women with yoga experience and no shoulder pain or injury participated. Electromyography was used to record upper, middle and lower trapezius as well as serratus ante-rior muscle activity during 15 yoga postures...
April 6, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29623411/timing-of-rehabilitation-in-children-with-obstetric-upper-trunk-brachial-plexus-palsy
#8
Volkan Yilmaz, Ebru Umay, Nihal Tezel, Ibrahim Gundogdu
OBJECTIVES: The initiation timing of rehabilitation in children with obstetric brachial plexus palsy is controversial. The aim of the present study is to evaluate the effectiveness of rehabilitation timing to the functional outcomes of patients with obstetric upper trunk brachial plexus palsy. MATERIAL AND METHODS: Twenty-nine patients, who did not previously received any rehabilitation programme but attended our outpatient clinic, were included for the study. The electrophysiological findings, obstetric characteristics, and demographic features of the patients were recorded...
April 5, 2018: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/29622249/editorial-commentary-put-down-your-saw-and-pick-up-your-scope-or-why-burn-down-the-bridge-when-the-road-ahead-is-full-of-potholes-reverse-total-shoulder-replacement-versus-arthroscopic-rotator-cuff-repair
#9
EDITORIAL
Joseph C Tauro
Are we doing too many reverse total shoulder replacements and not fixing enough repairable rotator cuff tears? A convincing argument can be made for attempting to repair most, not all, very large rotator cuff tears in patients who do not have a significant arthritic change in the shoulder. My experience over more than 25 years of arthroscopic rotator cuff repair (ARCR) is that the only good way to know if it is repairable is to try. But some patients really do not pass my "eyeball test" as to whether they can rehabilitate and heal enough to make an ARCR reasonable...
April 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29604351/post-stroke-spasticity-and-shoulder-pain-prevalence-decrease-over-the-last-15-years
#10
Diane Menoux, Marylène Jousse, Victorine Quintaine, Leila Tlili, Alain P Yelnik
OBJECTIVES: The usual complications after recent stroke such as disabling spasticity and shoulder pain seemed less frequent in recent years. This study examined the frequency of spasticity and shoulder pain in recent post-stroke patients over time in our physical and rehabilitation medicine department. METHODS: This was a retrospective study of post-stroke inpatients over the last 15 years. Spasticity and shoulder pain prevalence were analysed, as were demographic, clinical and stroke characteristics...
March 28, 2018: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29590445/atlantoaxial-instability-in-a-patient-with-neck-pain-and-ankylosing-spondylitis
#11
Christian Lyons, Michael Ross, Ryan Elliott, Michael Tall
The purpose of this report is to describe the evaluation and treatment of a patient with neck pain and ankylosing spondylitis who had underlying atlantoaxial instability. The patient was a 31-yr-old man diagnosed with ankylosing spondylitis 1 yr prior who was referred to a physical therapist for the treatment of chronic, worsening low back and hip pain. He also had secondary complaints of neck, upper back, and shoulder pain. The patient worked as a military pilot. As part of the patient's physical examination, a Sharp-Purser test was performed, which was positive for excessive motion...
March 26, 2018: Military Medicine
https://www.readbyqxmd.com/read/29578471/kinect-based-virtual-rehabilitation-and-evaluation-system-for-upper-limb-disorders-a-case-study
#12
W L Ding, Y Z Zheng, Y P Su, X L Li
OBJECTIVE: To help patients with disabilities of the arm and shoulder recover the accuracy and stability of movements, a novel and simple virtual rehabilitation and evaluation system called the Kine-VRES system was developed using Microsoft Kinect. METHODS: First, several movements and virtual tasks were designed to increase the coordination, control and speed of the arm movements. The movements of the patients were then captured using the Kinect sensor, and kinematics-based interaction and real-time feedback were integrated into the system to enhance the motivation and self-confidence of the patient...
March 16, 2018: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/29574439/randomised-controlled-trial-of-exercise-to-prevent-shoulder-problems-in-women-undergoing-breast-cancer-treatment-study-protocol-for-the-prevention-of-shoulder-problems-trial-uk-prosper
#13
Julie Bruce, Esther Williamson, Clare Lait, Helen Richmond, Lauren Betteley, Ranjit Lall, Stavros Petrou, Sophie Rees, Emma J Withers, Sarah E Lamb, Alastair M Thompson
Musculoskeletal shoulder problems are common after breast cancer treatment. Early postoperative exercises targeting the upper limb may improve shoulder function. This protocol describes a National Institute for Health Research-funded randomised controlled trial (RCT) to evaluate the clinical and cost-effectiveness of an early supervised structured exercise programme compared with usual care, for women at high risk of developing shoulder problems after breast cancer surgery. METHODS: This pragmatic two-armed, multicentre RCT is underway within secondary care in the UK...
March 23, 2018: BMJ Open
https://www.readbyqxmd.com/read/29569944/shoulder-taping-and-neuromuscular-control
#14
Suzanne J Snodgrass, Scott F Farrell, Henry Tsao, Peter G Osmotherly, Darren A Rivett, Lucy S Chipchase, Siobhan M Schabrun
CONTEXT:   Scapular taping can offer clinical benefit to some patients with shoulder pain; however, the underlying mechanisms are unclear. Understanding these mechanisms may guide the development of treatment strategies for managing neuromusculoskeletal shoulder conditions. OBJECTIVE:   To examine the mechanisms underpinning the benefits of scapular taping. DESIGN:   Descriptive laboratory study. SETTING:   University laboratory...
March 23, 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29569063/-arthroscopic-double-row-reconstruction-of-high-grade-subscapularis-tendon-tears
#15
F Plachel, S Pauly, P Moroder, M Scheibel
OBJECTIVE: Reconstruction of tendon integrity to maintain glenohumeral joint centration and hence to restore shoulder functional range of motion and to reduce pain. INDICATIONS: Isolated or combined full-thickness subscapularis tendon tears (≥upper two-thirds of the tendon) without both substantial soft tissue degeneration and cranialization of the humeral head. CONTRAINDICATIONS: Chronic tears of the subscapularis tendon with higher grade muscle atrophy, fatty infiltration, and static decentration of the humeral head...
March 22, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29566570/three-dimensional-assessment-of-the-asymptomatic-and-post-stroke-shoulder-intra-rater-test-retest-reliability-and-within-subject-repeatability-of-the-palpation-and-digitization-approach
#16
Liza A M Pain, Ross Baker, Qazi Zain Sohail, Denyse Richardson, Karl Zabjek, Jeremy P M Mogk, Anne M R Agur
PURPOSE: Altered three-dimensional (3D) joint kinematics can contribute to shoulder pathology, including post-stroke shoulder pain. Reliable assessment methods enable comparative studies between asymptomatic shoulders of healthy subjects and painful shoulders of post-stroke subjects, and could inform treatment planning for post-stroke shoulder pain. The study purpose was to establish intra-rater test-retest reliability and within-subject repeatability of a palpation/digitization protocol, which assesses 3D clavicular/scapular/humeral rotations, in asymptomatic and painful post-stroke shoulders...
March 23, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29562318/impact-of-workplace-exposure-and-stress-on-neck-pain-and-disabilities-in-women-a-longitudinal-follow-up-after-a-rehabilitation-intervention
#17
Åsa Svedmark, Martin Björklund, Charlotte K Häger, Johan Nilsson Sommar, Jens Wahlström
Introduction: The aim was to evaluate if pain, disability, and work productivity are influenced by physical and psychosocial work exposures as well as by stress, up to 1 year after a randomized controlled trial treatment intervention, and to determine whether any such association differed between treatment and control groups. Methods: Ninety-seven working women suffering non-specific neck pain (n = 67 treatment group, n = 30 control group) were followed from end of treatment intervention and at 9- and 15-month follow-ups, respectively...
March 17, 2018: Annals of Work Exposures and Health
https://www.readbyqxmd.com/read/29557687/passive-accessory-joint-mobilization-in-the-multimodal-management-of-chronic-dysesthesia-following-thalamic-stroke
#18
Kristina Griffin, Michael O'Hearn, Carla C Franck, Carol A Courtney
STUDY DESIGN: Case Report. PURPOSE: Stroke is the most common cause of long-term disability. Dysesthesia, an unpleasant sensory disturbance, is common following thalamic stroke and evidence-based interventions for this impairment are limited. The purpose of this case report was to describe a decrease in dysesthesia following manual therapy intervention in a patient with history of right lacunar thalamic stroke. CASE DESCRIPTION: A 66-year-old female presented with tingling and dysesthesia in left hemisensory distribution including left trunk and upper/lower extremities, limiting function...
March 20, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29550641/analysis-of-shoulder-compressive-and-shear-forces-during-functional-activities-of-daily-life
#19
Christian Klemt, Joe A Prinold, Sharon Morgans, Samuel H L Smith, Daniel Nolte, Peter Reilly, Anthony M J Bull
BACKGROUND: Knowledge of forces acting through the glenohumeral joint during activities of daily living is a prerequisite for improving implant design and aiding rehabilitation planning. Existing data are limited by the number of activities performed and, in some cases, the lack of representation of the glenohumeral loading direction, although high shear force components may cause joint dislocation or implant loosening. This study aims to analyse shoulder compression and shear force components during essential functional activities of daily living...
March 14, 2018: Clinical Biomechanics
https://www.readbyqxmd.com/read/29547446/long-term-retention-of-musculoskeletal-ultrasound-training-during-residency
#20
Robert W Irwin, Jeffrey Smith, S Barry Issenberg
The Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Physical Medicine and Rehabilitation (ABPMR) developed milestones for evaluation of resident physicians that include proper musculoskeletal ultrasound (MSUS) examination of major joints. To date, there have been no published data demonstrating acquisition and retention of these skills and correlation with the milestone evaluation. The investigators developed and implemented a curriculum in musculoskeletal ultrasound examination for Physical Medicine and Rehabilitation (PM&R) residents at a large academic medical center...
March 15, 2018: American Journal of Physical Medicine & Rehabilitation
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