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Shoulder rehabilitation

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https://www.readbyqxmd.com/read/28227837/progressive-abduction-loading-therapy-targeting-flexion-synergy-to-regain-reaching-function-in-chronic-stroke-preliminary-results-from-an-rct
#1
Michael D Ellis, Carolina Carmona, Justin Drogos, Stuart Traxel, Julius P A Dewald, Michael D Ellis, Carolina Carmona, Justin Drogos, Stuart Traxel, Julius P A Dewald, Stuart Traxel, Michael D Ellis, Carolina Carmona, Julius P A Dewald, Justin Drogos
Reaching function is impaired following stroke due to abnormal coupling of shoulder abduction and elbow flexion. This phenomenon is commonly referred to as flexion synergy, loss of independent joint control, or impaired joint individuation. We have been successful in treating individuals with chronic stroke with moderate to severe motor impairments through the employment of targeted rehabilitation robotics and identified progressive abduction loading as a key element to the rehabilitation of reaching. Here we expand upon the investigation of progressive abduction loading therapy by testing two variants of the exercise in a larger sample and including a 3-month follow-up...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227609/spring-operated-wearable-enhancer-for-arm-rehabilitation-springwear-after-stroke
#2
Ji Chen, Peter S Lum, Ji Chen, Peter S Lum, Ji Chen, Peter S Lum
A 5-DOF spring actuated exoskeleton, called SpringWear, was developed to increase range of motion in the affected arms of stroke patients. Theoretically perfect gravity compensation is provided at the shoulder elevation DOF. Additional torque is provided to assist weakness in forearm supination and elbow extension. Three stroke patients were tested. All of the assisted joints increased in range of motion, and larger gains should be possible with refinements in the available torque profiles. Additionally, finger range of motion was increased in one subject when asked to open the hand while holding the shoulder at 90 degrees of elevation...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28222545/effect-of-medical-complications-on-the-after-stroke-rehabilitation-outcome
#3
Barbara Janus-Laszuk, Dagmara Mirowska-Guzel, Iwona Sarzynska-Dlugosz, Anna Czlonkowska
BACKGROUND: Post-stroke rehabilitation should begin immediately and continue while improvement is seen. After stroke, patients are at risk of developing medical complications, which can hinder optimal recovery. OBJECTIVE: We aimed to determine the incidence of complications occurring during early inpatient rehabilitation and to assess their influence on patients' functionality. METHODS: For 1075 patients (585 men), we recorded neurological deficits, activities of everyday living, functionality before and after rehabilitation, and the incidence of complications...
January 31, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28218334/early-clinical-predictors-of-motor-function-in-the-upper-extremity-one-month-post-stroke
#4
Jenny Snickars, Hanna C Persson, Katharina S Sunnerhagen
OBJECTIVE: To investigate factors within 3 days post-stroke that could predict severe impairment in motor function in the upper extremity at one month post-stroke. METHODS: This cross-sectional study included 104 patients with first-ever stroke and impaired motor function in the upper extremity. Initial impairment in motor function, demographic data, type of stroke and stroke risk factors were chosen as possible predictors. Severe impairment in motor function was defined as ≤ 31p according to the Fugl-Meyer Assessment for Upper Extremity (FMA-UE)...
February 16, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28217661/winged-scapula-caused-by-rhomboid-paralysis-a-case-report
#5
Maria Grazia Benedetti, Alessandro Zati, Silvia Bonfiglioli Stagni, Isabella Fusaro, Roberta Monesi, Roberto Rotini
Scapular winging secondary to dorsal scapular nerve (DSN) damage is an underestimated condition. It is often caused by entrapment of the nerve due to a hypertrophic middle scalene muscle, or by stretching of the DSN during traumatic movements. The condition has also been attributed to myofascial pain syndrome of the rhomboids with entrapment of the DSN. The non-specific symptomatology reported by patients is often incorrectly diagnosed, and this can result in a high level of disability of the upper limb. A clinical case of misdiagnosed dorsal scapula entrapment is presented...
October 2016: Joints
https://www.readbyqxmd.com/read/28217564/arthroscopic-treatment-of-shoulder-instability-in-professional-athletes
#6
Andrea Pantalone, Daniele Vanni, Matteo Guelfi, Michele Di Mauro, Michele Abate, Vincenzo Salini
BACKGROUND: Post-traumatic shoulder instability is a common disease, especially in sportsmen. If inadequately or late treated, it may be responsible for an articular biomechanics alteration, with serious problems. This is much more obvious for professionals athletes, because corporate and market needs force them to a premature return to sport. The purpose of this retrospective study is to evaluate if arthroscopic approach may be better than the open one and allowing a shoulder function rapid recovery, with fast return to sport...
October 2016: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/28210654/postoperative-rehabilitation-after-rotator-cuff-repair-a-web-based-survey-of-aana-and-aossm-members
#7
Scott Mollison, Jason J Shin, Alexander Glogau, R Cole Beavis
BACKGROUND: Postoperative rehabilitation after arthroscopic rotator cuff repair (ARCR) remains controversial and suffers from limited high-quality evidence. Therefore, appropriate use criteria must partially depend on expert opinion. HYPOTHESIS/PURPOSE: The purpose of the study was to determine and report on the standard and modified rehabilitation protocols after ARCR used by member orthopaedic surgeons of the American Orthopaedic Society for Sports Medicine (AOSSM) and the Arthroscopy Association of North America (AANA)...
January 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28210068/use-of-an-arm-weight-bearing-combined-with-upper-limb-reaching-apparatus-to-facilitate-motor-paralysis-recovery-in-an-incomplete-spinal-cord-injury-patient-a-single-case-report
#8
Takashi Hoei, Kazumi Kawahira, Hidefumi Fukuda, Keizo Sihgenobu, Megumi Shimodozono, Tadashi Ogura
[Purpose] Training using an arm weight-bearing device combined with upper-limb reaching apparatus to facilitate motor paralysis recovery, named the "Reaching Robot", as well as Repetitive Facilitation Exercise were applied to a patient with severe impairment of the shoulder and elbow due to incomplete spinal cord injury and the effects were examined. [Subjects and Methods] A 66-year-old man with incomplete spinal cord injury participated in an upper extremity rehabilitation program involving a Reaching Robot...
January 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28198602/the-profile-of-upper-extremity-muscular-strength-in-female-wheelchair-basketball-players-a-pilot-study
#9
Bahar Külünkoğlu, Yasemin Akkubak, Nevin Ergun
BACKGROUND: The purpose of this study was to analyze and compare the profile of upper extremity muscle strength in female wheelchair basketball players with that of sex-matched non-disabled controls. METHODS: Nineteen female subjects were enrolled in this study. These were divided into two groups. Group 1 (n=10) consisted of wheelchair basketball players and Group 2 (n=9) of non-disabled individuals. Muscular strength in the shoulder was measured using an isokinetic dynamometer...
February 14, 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/28192194/diagonal-movement-of-the-upper-limb-produces-greater-adaptive-plasticity-than-sagittal-plane-flexion-in-the-shoulder
#10
Rayele Moreira, Lysnara Lial, Maria Gabriela Teles Monteiro, Alice Aragão, Lorena Santos David, Marcelo Coertjens, Fernando L Silva-Júnior, Gildário Dias, Bruna Velasques, Pedro Ribeiro, Silmar Silva Teixeira, Victor Hugo Bastos
The motor rehabilitation is based on exercises that involve various joints and muscle groups. One such treatment method is Proprioceptive Neuromuscular Facilitation (PNF), which involves diagonal movements simulating many activities of daily living. The objective of this study was to investigate the differences between PNF and shoulder flexion movements performed without the diagonal component (i.e., only in the sagittal plane) using beta band absolute power as a measure of plasticity. The study included 30 volunteers randomized into three groups (control, PNF, and FLEX), with electroencephalographic signals captured before and after the performance of the task...
February 10, 2017: Neuroscience Letters
https://www.readbyqxmd.com/read/28185992/lasso-plate-an-original-implant-for-fixation-of-type-i-and-ii-regan-morrey-coronoid-fractures
#11
Pengfei Wang, Yan Zhuang, Zhong Li, Wei Wei, Yahui Fu, Xing Wei, Kun Zhang
INTRODUCTION: Coronoid fractures are notoriously difficult to manage particularly when there is a small fragment. We report a retrospective analysis of our experience with consecutive type I and II Regan-Morrey coronoid fractures using a lasso plate. HYPOTHESIS: Type I and II Regan-Morrey coronoid fractures can be effectively managed using a lasso plate. METHODS: From October, 2011 and December, 2013, 25 patients(21 males and 4 females, mean age 40...
February 6, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28173784/a-protocol-for-a-new-methodological-model-for-work-related-shoulder-complex-injuries-from-diagnosis-to-rehabilitation
#12
Igor Setuain, Miriam Gonzalez-Izal, Ainara Paularena, Jose Luis Luque, Lars L Andersen, Mikel Izquierdo
BACKGROUND: Work-related injuries of the shoulder complex represent a challenge for clinicians because of the large variety of clinical entities involved and the broad anatomic structures that can be affected. Furthermore, commonly performed orthopedic tests have demonstrated limited accuracy for diagnosing the injury despite considerable research efforts. The aim of this study protocol is therefore to describe a comprehensive approach integrating both a clinical- and functional status-based pathology and an adapted rehabilitation prescription...
February 7, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28162885/genetic-and-familial-predisposition-to-rotator-cuff-disease-a-systematic-review
#13
REVIEW
Dominique I Dabija, Chan Gao, Todd L Edwards, John E Kuhn, Nitin B Jain
BACKGROUND: Rotator cuff disease is a common disorder leading to shoulder pain and loss of function. Its etiology in atraumatic cases is uncertain and is likely to extend beyond repetitive microtrauma or overuse. Our objective was to determine whether there is a genetic or familial predisposition to rotator cuff disease. METHODS: A literature search of PubMed and Embase databases identified 251 citations. After review of the titles, abstracts, and full articles, 7 met our inclusion and exclusion criteria...
February 2, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28161318/effects-of-daily-physical-activity-level-on-manual-wheelchair-propulsion-technique-in-full-time-manual-wheelchair-users-during-steady-state-treadmill-propulsion
#14
Jennifer Dysterheft, Ian Rice, Yvonne Learmonth, Dominque Kinnett-Hopkins, Robert Motl
OBJECTIVE: To examine whether differences in propulsion technique as a function of intra-individual variability occur as a result of shoulder pain and physical activity (PA) level in full time manual wheelchair users (MWU). DESIGN: Observational study. SETTING: Research laboratory. PARTICIPANTS: A sample of 14 MWU completed the study. Participants were 18-64 years old, used a wheelchair for > 80% ambulation, and free of any condition that could be worsened by PA...
February 1, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28140479/physical-mental-and-cognitive-disabilities-in-relation-to-utilization-of-dental-care-services-by-nursing-home-residents
#15
Fidaa M Almomani, Wegdan Bani-Issa
OBJECTIVE: The main purpose of this study was to investigate factors affecting dental care utilization among nursing home residents in Jordan. METHODS: A total of 221 subjects with a mean age of 62.4 years (121 males and 100 females) taken from among nursing home residents across Jordan were recruited and composed a convenience sample for this study. The Mini Mental State Examination (MMSE), Geriatric Depression Scale (GDS), Tinetti Assessment Battery for gait and balance (TAB), Disability of Arm, Shoulder, and Hand test (DASH) were administered and oral health status was assessed for all subjects and examined as expected correlates of dental care utilization among nursing home residents...
January 31, 2017: Special Care in Dentistry
https://www.readbyqxmd.com/read/28138865/effect-of-sensory-training-of-the-posterior-thigh-on-trunk-control-and-upper-extremity-functions-in-stroke-patients
#16
Esra Dogru Huzmeli, Sibel Aksu Yildirim, Muhammed Kilinc
Some studies show that sensorial rehabilitation is effective on functionality. The aim of this study is to investigate the effect of sensory training of the posterior thigh on the functionality of upper extremity and trunk control in stroke patients. Thirteen subjects (53.23 ± 6.82 years) were included in the intervention group and 13 subjects (58.69 ± 5.94 years) in the control group. The control and intervention groups were treated for ten sessions. The control group was treated only with neurodevelopmental treatment, and the intervention group was treated with sensorial training on the posterior thigh in addition to the neurodevelopmental treatment...
January 30, 2017: Neurological Sciences
https://www.readbyqxmd.com/read/28137439/early-active-motion-protocol-following-open-reduction-internal-fixation-of-the-scaphoid-a-pilot-study
#17
J-C Dunn, N Kusnezov, A Fares, Z Buccino, D Esquivel, J Mitchell
Scaphoid fractures are common injuries which traditionally have been treated with long periods of immobilization even after open reduction and internal fixation (ORIF). The purpose of this pilot investigation was two-fold: 1) describe a precise postoperative Early Active Motion (EAM) rehabilitation protocol following ORIF of scaphoid fractures and 2) record the outcomes of the EAM protocol. Eight consecutive patients having undergone ORIF of the scaphoid were enrolled in the EAM and followed for a minimum of 1 year...
February 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28133022/-effectiveness-of-postoperative-physical-therapy-for-upper-limb-impairments-after-breast-cancer-treatment
#18
Daigo Yamamoto, Seiko Sinko, Toshimitsu Suga, Yu Tsubota, Noriko Sueoka, Katsuhiro Yoshikawa, Masanori Kon
Previous studies have reported the benefits of beginning rehabilitation immediately after breast cancer surgery for improving motor function. However, most studies have not evaluated the long-term struggles patients face after hospital discharge in resuming their previous activities and socialparticipation. Furthermore, the intervention methods and effects of rehabilitation for such activities have not been evaluated. We investigated the effectiveness of postoperative physical therapy for upperlimb impairments after breast cancer treatment...
November 2016: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/28125978/expectations-of-pain-and-functioning-in-patients-with-musculoskeletal-disorders-a-cross-sectional-study
#19
Sigrid Skatteboe, Cecilie Røe, Morten Wang Fagerland, Lars-Petter Granan
BACKGROUND: Research has suggested that patient expectations are associated with treatment outcome and evolve along with patient communication within the musculoskeletal field. However, few studies have investigated if or how physical medicine and rehabilitation (PMR) consultations affect the attending patients' expectations regarding pain and functional improvement. Hence, the aims of the present study were to compare patient expectations regarding pain and functional improvement before and after a PMR consultation and to assess patient characteristics, including diagnosis, that could perhaps predict changes in expectations...
January 26, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28125300/the-impact-of-robot-mediated-adaptive-i-travle-training-on-impaired-upper-limb-function-in-chronic-stroke-and-multiple-sclerosis
#20
Anneleen Maris, Karin Coninx, Henk Seelen, Veronik Truyens, Tom De Weyer, Richard Geers, Mieke Lemmens, Jolijn Coolen, Sandra Stupar, Ilse Lamers, Peter Feys
PURPOSE: The current study aimed to investigate proof-of-concept efficacy of an individualized, robot-mediated training regime for people with MS (pwMS) and stroke patients. METHOD: Thirteen pwMS and 14 chronic stroke patients performed 36 (stroke) or 40 (pwMS) training sessions with the I-TRAVLE system. Evaluation of upper limb function was performed at baseline, after training and at 3 months follow-up. Clinical outcome measures consisted of active range of motion (ROM), Motricity Index, Jamar handgrip strength, perceived fatigue and strength, Wolf Motor Function Test (WFMT) and ABILHAND...
January 26, 2017: Disability and Rehabilitation. Assistive Technology
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