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Shoulder rehabilitation

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https://www.readbyqxmd.com/read/28641736/a-comprehensive-rehabilitation-program-for-posterior-instability-of-the-shoulder
#1
Lyn Watson, Simon Balster, Sarah Ann Warby, Jackie Sadi, Greg Hoy, Tania Pizzari
Posterior shoulder instability is recognised as being less prevalent than anterior instability, however the diagnosis of this pathology is easily overlooked or missed and this may contribute to an underestimation of prevalence. Recently, there has been increasing recognition of this condition and consequently a greater requirement for knowledge of diagnostic procedures and treatment directions. Currently there is limited research into the conservative management of posterior instability, although it is recommended as first-line treatment prior to surgical review, particularly in those with an atraumatic instability mechanism...
April 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28641735/anatomical-and-biomechanical-framework-for-shoulder-arthroplasty-rehabilitation
#2
Aviva L Wolff, Lee Rosenzweig
This article provides an anatomical and biomechanical framework for the postoperative management and progression of treatment for shoulder arthroplasty. The clinical relevance of normal shoulder anatomy, biomechanics, and pathomechanics related to this surgery is emphasized to provide the reader with an understanding of the rationale for treatment. We review the rehabilitation implications of surgical indications and technique for both traditional total shoulder arthroplasty and reverse total shoulder arthroplasty procedures with an emphasis on biomechanical considerations...
April 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28641734/acute-proximal-humeral-fractures-in-adults
#3
Véronique Lowry, Nathalie J Bureau, François Desmeules, Jean-Sébastien Roy, Dominique M Rouleau
STUDY DESIGN: Clinical commentary. INTRODUCTION: Proximal humeral fractures (PHF) are the third most common fracture in the elderly with an increased incidence expected in the coming years with the aging population, causing an important burden to the healthcare system. The management of PHF is challenging due to its complexity and the wide variety of fractures and treatment options. PURPOSE: The objective of this clinical commentary is to update the available evidence on clinical presentation, classification, imaging, medical treatment, and rehabilitation of acute PHF...
April 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28641732/rehabilitation-of-symptomatic-atraumatic-degenerative-rotator-cuff-tears-a-clinical-commentary-on-assessment-and-management
#4
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/28637154/shoulder-pain-after-stroke-experiences-consequences-in-daily-life-and-effects-of-interventions-a-qualitative-study
#5
Ingrid Lindgren, Gunvor Gard, Christina Brogårdh
PURPOSE: To describe experiences of shoulder pain after stroke, how pain affects daily life and perceived effects of interventions. METHOD: A qualitative interview study including 13 community-dwelling persons (six women; median age 65 years) with persistent shoulder pain after stroke. RESULTS: Three categories emerged from the content analysis. In "Multiple pain characteristics" an insidious pain onset was reported. The pain existed both day and night and could be located around the shoulder girdle but also have radiation to the arm and hand...
March 3, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28637131/translation-cultural-adaptation-reliability-and-validity-of-the-turkish-version-of-the-penn-shoulder-score
#6
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/28629270/a-randomized-controlled-trial-of-a-modified-wheelchair-arm-support-to-reduce-shoulder-pain-in-stroke-patients
#7
Ruihuan Pan, Mingchao Zhou, Hao Cai, Youhua Guo, Lechang Zhan, Mei Li, Zhijing Yang, Leying Zhu, Jie Zhan, Hongxia Chen
OBJECTIVE: To evaluate the effect of modified wheelchair arm-support to mitigate hemiplegic shoulder pain and reduce pain frequency in stroke patients. DESIGN: A single-blind randomized controlled trial using computer-generated simple randomization. SETTING: Participants recruited from inpatients at the Guangdong Provincial Hospital of Chinese Medicine. SUBJECTS: A total of 120 patients with stroke were divided into two groups...
June 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28627862/feasibility-and-efficacy-of-wearable-devices-for-upper-limb-rehabilitation-in-patients-with-chronic-stroke-a-randomized-controlled-pilot-study
#8
Li-Fong Lin, Yi-Jia Lin, Zi-Hao Lin, Li-Yun Chuang, Wei-Chun Hsu, Yuan-Hsiang Lin
BACKGROUND: Wearable devices based on inertial measurement units through wireless sensor networks have many applications such as real-time motion monitoring and functional outcome assessment of stroke rehabilitation. However, additional investigations are warranted to validate their clinical value, particularly in detecting the synergy patterns of movements after stroke. AIM: To explore the feasibility and efficacy of wearable devices for upper limb rehabilitation in patients with chronic stroke and to compare the intervention effects (e...
June 19, 2017: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28626630/arthroscopic-removal-of-proximal-humerus-plates-in-chronic-post-traumatic-shoulder-stiffness
#9
Deepak N Bhatia
Proximal humerus fracture fixation may be complicated by persistent postsurgical stiffness or implant-related problems. Arthroscopic plate removal is a cosmetic and functionally beneficial procedure; however, the procedure is technically difficult in the presence of severe subdeltoid scarring. The technique described here shows an arthroscopic subdeltoid adhesiolysis and proximal humerus plate removal using systematic access to 5 regions of screw positions on the plate. After initial glenohumeral adhesiolysis, a thorough subacromial and subdeltoid bursectomy is performed...
April 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28623442/counseling-interventions-delivered-in-women-with-breast-cancer-to-improve-health-related-quality-of-life-a-systematic-review
#10
REVIEW
V D'Egidio, C Sestili, M Mancino, I Sciarra, R Cocchiara, I Backhaus, A Mannocci, Alessandro De Luca, Federico Frusone, Massimo Monti, G La Torre
BACKGROUND: Higher survival rates for breast cancer patients have led to concerns in dealing with short- and long-term side effects. The most common complications are impairment of shoulder functions, pain, lymphedema, and dysesthesia of the injured arm; psychological consequences concern: emotional distress, anxiety, and depression, thereby, deeply impacting/affecting daily living activity, and health-related quality of life. OBJECTIVE: To perform a systematic review for assessing the efficacy or effectiveness of interventions aiming at improving health-related quality of life, return to daily activity, and correct lifestyles among breast cancer patients...
June 16, 2017: Quality of Life Research
https://www.readbyqxmd.com/read/28619447/similar-movements-are-associated-with-drastically-different-muscle-contraction-velocities
#11
Daniel A Hagen, Francisco J Valero-Cuevas
We investigated how kinematic redundancy interacts with the neurophysiological control mechanisms required for smooth and accurate, rapid limb movements. Biomechanically speaking, tendon excursions are over-determined because the rotation of few joints determines the lengths and velocities of many muscles. But how different are the muscle velocity profiles induced by various, equally valid hand trajectories? We used an 18-muscle sagittal-plane arm model to calculate 100,000 feasible shoulder, elbow, and wrist joint rotations that produced valid basketball free throws with different hand trajectories, but identical initial and final hand positions and velocities...
May 31, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/28611573/simultaneous-and-continuous-estimation-of-shoulder-and-elbow-kinematics-from-surface-emg-signals
#12
Qin Zhang, Runfeng Liu, Wenbin Chen, Caihua Xiong
In this paper, we present a simultaneous and continuous kinematics estimation method for multiple DoFs across shoulder and elbow joint. Although simultaneous and continuous kinematics estimation from surface electromyography (EMG) is a feasible way to achieve natural and intuitive human-machine interaction, few works investigated multi-DoF estimation across the significant joints of upper limb, shoulder and elbow joints. This paper evaluates the feasibility to estimate 4-DoF kinematics at shoulder and elbow during coordinated arm movements...
2017: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/28608864/assessment-of-the-impact-of-individual-therapy-on-upper-limb-function-in-patients-diagnosed-with-painful-shoulder-syndrome
#13
Agnieszka Wnuk, Anna Świtoń, Aleksej Juszczak, Ewa Mizia
INTRODUCTION: Functional disorders of the shoulder girdle affect 1/3 of the population. The diagnosis of "painful shoulder" or shoulder impingement syndrome is vague and imprecise. It can relay to so tissue pathology as well as to limitation of mobility of the joint. In this case an appropriate diagnosis, followed by a quick and effective treatment, is crucial. A physiotherapy assessment, performed during an individual therapy session sets out a way forward for targeted rehabilitation...
2017: Folia Medica Cracoviensia
https://www.readbyqxmd.com/read/28606600/maximizing-functional-outcomes-in-head-and-neck-cancer-survivors-assessment-and-rehabilitation
#14
REVIEW
Nausheen Jamal, Barbara Ebersole, Andrew Erman, Dinesh Chhetri
With increases in survivorship for patients with head and neck cancer, attention is turning to quality-of-life issues for survivors. Care for these patients is multifaceted. Dysphagia and issues of voice/speech, airway obstruction, neck and shoulder dysfunction, lymphedema, and pain control are important to address. Rehabilitation interventions are patient-specific and aim to prevent, restore, compensate, and palliate symptoms and sequelae of treatment for optimal functioning. Central to providing comprehensive interdisciplinary care are the head and neck surgeon, laryngologist, and speech-language pathologist...
June 9, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28605288/neck-and-scapula-focused-exercise-training-on-patients-with-non-specific-neck-pain-a-randomized-controlled-trial
#15
Taha Ibrahim Yildiz, Elif Turgut, Irem Duzgun
OBJECTIVES: The purpose of this study was to investigate the effects of additional 6-week scapular stabilization training in patients with non-specific neck pain (NNP). MATERIALS AND METHOD: Thirty patients with non-specific neck pain were randomly allocated to the study. Fifteen participants in the intervention group (IG) received neck-focused exercise and scapular stabilization training while 15 participants in the control group(CG) received neck-focused exercise training...
June 12, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28605231/a-comparison-of-both-motorized-and-non-motorized-treadmill-gait-kinematics-to-overground-locomotion
#16
Adam M Fullenkamp, Danilo V Tolusso, C Matthew Laurent, Brian M Campbell, Andrea E Cripps
CONTEXT: Motorized treadmills (MT) present an altered motor task compared to overground (OG) locomotion in that MT belt surfaces are motor-driven, whereas individuals walking/running OG must propel themselves. A possible solution may lie with novel non-motorized treadmill (NMT) devices as the belt surface is propelled by the user. OBJECTIVE: The purpose of this study was to compare gait performance during both MT and NMT locomotion to OG. DESIGN: Crossover study...
June 12, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28593101/dry-needling-increases-muscle-thickness-in-a-subject-with-persistent-muscle-dysfunction-a-case-report
#17
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/28593096/emg-of-shoulder-muscles-during-reactive-isometric-elastic-resistance-exercises
#18
Michael J Mullaney, Christine Perkinson, Ian Kremenic, Timothy F Tyler, Karl Orishimo, Christopher Johnson
BACKGROUND: Traditionally, shoulder isometrics are introduced in the early stages of shoulder rehabilitation. A patient's isometric torque output is based on a subjective perception of force generation. By utilizing elastic resistance elongation (strain) to standardize force output, clinicians could prescribe shoulder therapeutic isometrics based on % maximum voluntary contraction (%MVC). PURPOSE/HYPOTHESIS: The purpose of this study was to measure electromyographic (EMG) activity and determine the %MVC during shoulder flexion, external rotation and abduction isometrics at varying lengths of TheraBand® elastic resistance...
June 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28589776/early-active-motion-after-rigid-internal-fixation-of-unstable-extra-articular-fractures-of-the-proximal-phalanx
#19
Y Ataker, S Uludag, S C Ece, E Gudemez
The purpose of this study is to describe active early rehabilitation in proximal phalanx fractures treated with rigid internal fixation. A total of 22 consecutive patients presenting with spiral, oblique or comminuted extra-articular fractures of the proximal phalanx were included in the study. All fractures were rigidly stabilized with plate and screws or screws alone and subsequently entered an active early rehabilitation programme. The mean follow-up period was 15.4 months (SD 10.1). Mean visual analogue scale pain score was 0...
June 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28585109/efficacy-and-tolerability-of-peritendinous-hyaluronic-acid-in-patients-with-supraspinatus-tendinopathy-a-multicenter-randomized-controlled-trial
#20
César Flores, Ramón Balius, Guillermo Álvarez, Miguel A Buil, Luisa Varela, Carlos Cano, Joaquín Casariego
BACKGROUND: Physical therapy and peritendinous hyaluronic acid (HA) injections have both shown promising results in the treatment of shoulder tendinopathies. However, the superiority of treatment combining physical therapy and HA is unclear. METHODS: Patients with ultrasound-confirmed supraspinatus tendinopathy were randomized to receive either physical therapy + subacromial HA injections or physical therapy only. Treatment efficacy was assessed using a Visual Analog Scale (VAS) for pain and an Activities of Daily Living (ADL) scale...
December 2017: Sports Medicine—Open
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