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Subacromial impingement syndrome

Birgit Castelein, Ann Cools, Thierry Parlevliet, Barbara Cagnie
BACKGROUND: Altered recruitment of rotator cuff and scapulothoracic muscles has been identified in patients with subacromial impingement syndrome. To date, however, the cause-consequence relationship between pain and altered muscle recruitment has not been fully unraveled. METHODS: The effect of experimental shoulder pain induced by injection of hypertonic saline in the supraspinatus on the activity of the supraspinatus, infraspinatus, subscapularis, trapezius, and serratus anterior activity was investigated during the performance of an elevation task by use of muscle functional magnetic resonance imaging in 25 healthy individuals...
October 14, 2016: Journal of Shoulder and Elbow Surgery
Hamit Göksu, Figen Tuncay, Pınar Borman
OBJECTIVE: The aim of this study was to compare the therapeutic effects of kinesio taping (KT) and local subacromial injection in patients with subacromial impingement, syndrome (SIS) with regard to pain, range of motion (ROM) and disability. METHODS: Sixty-one patients (48 females and 13 males; mean age: 43.04 ± 6.31, years) with SIS were enrolled into the study. The patients were randomized into two treatment groups receiving either a single corticosteroid and local anesthetic (LA) injection, or kinesio taping performed three times by intervals of 3 day...
September 23, 2016: Acta Orthopaedica et Traumatologica Turcica
Karen A Keenan, Jonathan S Akins, Michelle Varnell, John Abt, Mita Lovalekar, Scott Lephart, Timothy C Sell
OBJECTIVE: To examine the effect of kinesiology tape (KT) on shoulder strength, proprioception, and scapular kinematics in healthy and Subacromial Impingement Syndrome (SAIS) subjects. DESIGN: Placebo-controlled quasi-experimental study. SETTING: Research laboratory. PARTICIPANTS: A total of 30 physically active subjects participated. Ten healthy subjects with no previous history of shoulder pathology received KT on the dominant shoulder...
June 19, 2016: Physical Therapy in Sport
Alva H Bdaiwi, Tanya Anne Mackenzie, Lee Heerington, Ian Horlsey, Ann Cools
CONTEXT: Compromise to the acromio-humeral distance has been reported in subjects with subacromial impingement syndrome when compared to healthy subjects. In clinical practice patients are taped with the intention of altering scapular position and influencing the acromio-humeral distance. However, research to determine the effects of taping on acromio-humeral distance is exiguous. OBJECTIVES: To evaluate the effect of ridged taping techniques to increase posterior scapular tilt and upward scapular rotation on the acromio-humeral distance...
August 24, 2016: Journal of Sport Rehabilitation
Figen Kocyigit, Merve Acar, Mehmet Besir Turkmen, Tugce Kose, Nezahat Guldane, Ersin Kuyucu
OBJECTIVE: To verify effects of kinesio taping (KT) in shoulder subacromial impingement syndrome (SIS) when compared to sham taping applied in the same way with KT. PATIENTS AND METHODS: Patients were randomized as group 1 (n = 21) KT group and group 2 (n = 20) sham-taping group. Taping was applied every three days, three times during the study period. We assessed all the patients at baseline, at the end of the taping period (12th day), and at one-month post-intervention...
October 2016: Physiotherapy Theory and Practice
T M Duymus, L Adiyeke, S Tuna
No abstract text is available yet for this article.
August 2016: Journal of Orthopaedic Surgery
Katherinne F Moura, Renan L Monteiro, Paulo R G Lucareli, Thiago Y Fukuda
STUDY DESIGN: Case series. BACKGROUND AND PURPOSE: Scapular dyskinesis has been associated with several shoulder injuries. Recent literature has suggested that a greater activation of the scapular muscles can play an important role in reducing subacromial impingement in patients with shoulder pain. Thus, the purpose of this case series was to describe a rehabilitation program that emphasizes scapular dyskinesis correction for those with clinical evidence of subacromial pain syndrome...
August 2016: International Journal of Sports Physical Therapy
Cheng-wei Chen, Zhe-er Pan, Chao Zhang, Cai-long Liu, Lei Chen
OBJECTIVE: To evaluate the reliability and diagnosis accuracy of 5 special tests used for the diagnosis of subacromial impingement syndrome (SAIS). METHODS: A prospective blinded cohort study was taken,in which 105 patients with shoulder pain were reviewed. All the patients took 5 special syndrome tests including Neer syndrome, Hawkins-Kennedy syndrome, painful arc empty can test and external rotation resistance test, also underwent arthroscopic surgical examination...
May 2016: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Jeremy Fennell, Chetan P Phadke, George Mochizuki, Farooq Ismail, Chris Boulias
PURPOSE: We investigated the best position for shoulder retractor strengthening exercise to maximize middle trapezius activity and minimize rhomboid major activity. Although both trapezius and rhomboids are scapular retractors, rhomboids also act as downward rotators of the scapula, which can worsen subacromial impingement. METHODS: Twelve healthy participants (age 30 [SD 6] y) with no history of shoulder pain were recruited for this study, which used fine-wire electromyography to examine maximal muscle activation of the middle trapezius and rhomboid major muscle fibres in four different positions: with the shoulder in 90° abduction with elbow completely extended and (1) shoulder internal rotation, (2) shoulder neutral rotation, (3) shoulder external rotation, and (4) rowing (shoulder neutral rotation and elbow flexed 90°)...
2016: Physiotherapy Canada. Physiothérapie Canada
Andrea Santamato, Francesco Panza, Angela Notarnicola, Gennaro Cassatella, Francesca Fortunato, Jula Laura de Sanctis, Giovanni Valeno, Patrick G Kehoe, Davide Seripa, Giancarlo Logroscino, Pietro Fiore, Maurizio Ranieri
UNLABELLED: Study Design Single-blind randomized trial. Background Extracorporeal shockwave therapy (ESWT) has been shown to produce good results in the treatment of subacromial impingement syndrome (SAIS). The efficacy of a combined administration of ESWT and isokinetic exercise (IE) has not yet been studied. Objectives To evaluate the efficacy of focused ESWT combined with IE for the rotator cuff versus focused ESWT alone in the treatment of SAIS. The secondary objective was to assess the isokinetic torque recovery (external rotation at 210°/s, 180°/s, and 120°/s)...
September 2016: Journal of Orthopaedic and Sports Physical Therapy
Nuray Akkaya, Semih Akkaya, Harun R Gungor, Gokce Yaşar, Nilgun Simsir Atalay, Fusun Sahin
BACKGROUND: Although functional results of combined rehabilitation programs are reported, there have been no reports studying the effects of solo pendulum exercises on ultrasonographic measurements of Acromiohumeral distance (AHD). OBJECTIVE: To investigate the effects of weighted and un-weighted pendulum exercises on ultrasonographic AHD and clinical symptoms in patients with subacromial impingement syndrome. METHODS: Patients with subacromial impingement syndrome were randomized to performing weighted (1...
July 21, 2016: Journal of Back and Musculoskeletal Rehabilitation
M Aksakal, C Ermutlu, G Özkaya, Y Özkan
BACKGROUND: Subacromial impingement syndrome (SIS) is one of the most frequent shoulder pathologies. Initial treatment is conservative. Subacromial injection of drugs achieves a high concentration at the pathologic site with less drug use and fewer systemic side effects. Glucocorticoids are most frequently injected. One concern with steroid use is the wide array of potential systemic and local complications. Nonsteroidal anti-inflammatory drugs (NSAIDs) are also peripherally acting and can be used locally...
July 28, 2016: Der Orthopäde
P García Parra, M Anaya Rojas, B Jiménez Bravo, M O González Oria, M Lisbona Muñoz, J J Gil Álvarez, P Cano Luis
INTRODUCTION: Only a few clinical exploratory manoeuvres are truly discriminatory and useful in shoulder disease. The aim of this study is to correlate the physical examination results of the shoulder with the true diagnosis found by arthroscopy. METHODS: A retrospective case series of 150 patients with the most common surgical conditions of the shoulder. Data were collected on the suspicion of each pathology, the physical examination of the patient, and the actual discovery of the disease during arthroscopic surgery...
September 2016: Revista Española de Cirugía Ortopédica y Traumatología
Z-Q Wen, J Pan, Z Chen, J-Y Du, P-C Gu, X-J Lin
Background: Many causes can lead to shoulder pain, and subacromial impingement syndrome (SIS) is the most frequently recorded disorder. The aim of this study was to evaluate the clinical effects of diminutive incision acromioplasty assisted with arthroscopy for the treatment of Chinese patients with subacromial impingement syndrome. Subjects and Methods: Twenty-four painful shoulders in 22 patients with subacromial impingement syndrome were included in the study...
December 16, 2015: West Indian Medical Journal
Irem Duzgun, Elif Turgut, Özge Çinar-Medeni, Nihan Kafa, Zeynep Tuna, Bulent Elbasan, Deran Oskay
BACKGROUND: In the literature it has been shown that posterior capsule flexibility is a precursor to shoulder problems. However, no study thus far has shown the influence of the flexibility of posterior capsule in different shoulder pathologies. OBJECTIVE: This study set about to compare the role of posterior capsule tightness in different shoulder problems. METHODS: One-hundred-twenty-five patients diagnosed with shoulder subacromial impingement syndrome (n= 52), partial rotator cuff tear (n= 31) or frozen shoulder (n= 42) and 30 asymptomatic peers participated in the study...
June 30, 2016: Journal of Back and Musculoskeletal Rehabilitation
Gulcan Harput, Hande Guney, Ugur Toprak, Filiz Colakoglu, Gul Baltaci
BACKGROUND: There is limited information in the literature that shows whether scapular taping has an effect on the acromiohumeral distance (AHD) and shoulder functions. The aim of this study was to investigate the acute effects of scapular kinesiotaping on shoulder internal rotation (IR) and external rotation (ER) strength, IR and ER range of motion (ROM) and AHD in asymptomatic overhead athletes. METHODS: Forty-one volleyball athletes [24 men, 17 women; (Mean±SD) age: 16...
July 8, 2016: Journal of Sports Medicine and Physical Fitness
Morey J Kolber, William J Hanney, Scott W Cheatham, Paul A Salamh, Michael Masaracchio, Xinliang Liu
Subacromial impingement syndrome (SIS) has been reported as an etiological source of shoulder pain among weight-training (WT) participants; however, a paucity of evidence exists to describe intrinsic risk factors. The purpose of this study was to investigate specific risk-related joint and muscle adaptations among WT participants identified as having SIS based upon a previously validated clinical testing cluster. Fifty-five men (mean age 27.3) who participated in recreational WT a minimum of 2-days per week were recruited, including 24 individuals with SIS and 31 without SIS serving as controls...
July 6, 2016: Journal of Strength and Conditioning Research
Nihan Ozunlu Pekyavas, Gul Baltaci
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
Nuri Sengir, Zübeyir Sari, Bahar Kavlak, Cansu Varol, Çağla Ergin, Saadet U Yurdalan
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
Elif Turgut, Øyvind Pedersen, Irem Duzgun, Gul Baltaci
The combination of open kinetic chain (OKC) and closed kinetic chain (CKC) exercises is commonly recommended in shoulder rehabilitation, aiming at improving strength and sport-specific performance. This study aimed to investigate the three-dimensional (3-D) scapular kinematics and bilateral symmetry of scapular motion during dynamic OKC and CKC movements in asymptomatic and symptomatic shoulders. Fifty subjects with unilateral shoulder pain (symptomatic subjects diagnosed with subacromial impingement syndrome, n=20) or without shoulder pain during active shoulder elevation (asymptomatic subjects, n=30) participated in the study...
June 16, 2016: Journal of Biomechanics
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