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scapular assessment

Elizabeth E Hibberd, Kevin G Laudner, Kristen L Kucera, David J Berkoff, Bing Yu, Joseph B Myers
BACKGROUND: Subacromial space distance and forward head and shoulder posture are common characteristics resulting from swim training. These alterations can cause abnormal scapular kinematics and positioning, potentially increasing compression of structures in the subacromial space and increasing the risk for the development of swimmer's shoulder. PURPOSE: To evaluate the effect of the swim training season on subacromial space distance and forward head and forward shoulder posture as well as to determine the relationship between these variables...
October 18, 2016: American Journal of Sports Medicine
Minjuan He, Amao Tang, Xuedi Ge, Jie Zheng
OBJECTIVE: The aim of this study was to determine whether skin barrier factors were associated with the common complication of pressure ulcers (PrUs) in intensive care unit (ICU) patients. It is unclear whether skin barrier factors influence the development of PrUs. PATIENT POPULATION: The sample was composed of 102 ICU patients (54 men, 48 women). The patients ranged in age from 23 to 88 years, with a mean age of 55.7 (SD, 19.1) years. METHODS: Demographic variables and the score for the Acute Physiology and Chronic Health Evaluation IV were recorded on admission...
November 2016: Advances in Skin & Wound Care
Carlos Torrens, Pau Guirro, Joan Miquel, Fernando Santana
HYPOTHESIS: The objective of the study was to evaluate the development of scapular notching in reverse shoulder arthroplasty by comparing larger glenospheres (42 mm) with smaller glenospheres (38 mm). METHODS: This was a prospective randomized study of 81 patients who had undergone reverse shoulder arthroplasty with a 2-year follow-up. Patients were randomized to receive either a 42-mm glenosphere (38 patients) or a 38-mm glenosphere (43 patients). Scapular notching development was assessed with an anteroposterior radiograph at the end of the follow-up...
November 2016: Journal of Shoulder and Elbow Surgery
Luis Gerardo Natera Cisneros, Juan Sarasquete Reiriz
INTRODUCTION: Surgical indication for acromioclavicular joint (ACJ) injuries still represents a reason for shoulder and trauma debate. In high-grade injuries, surgery is advocated because some of the non-operatively managed patients may have persistent shoulder pain that could make them unable to return to their previous activity. It has been shown that many of the patients with high-grade ACJ injuries that are managed non-operatively involve the development of scapular dyskinesis, situation that may result in loss of strength and weakness...
October 12, 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
Tommy Wilkman, Satu Apajalahti, Erika Wilkman, Jyrki Törnwall, Patrik Lassus
PURPOSE: The aim of the present study was to compare the resorption of the bone in the free scapular, free iliac crest, and free fibular microvascular flaps in mandibular reconstruction over time. PATIENTS AND METHODS: In the present retrospective study, we analyzed 186 consecutive patients with scapular, fibular, or deep circumflex iliac artery (DCIA) osseous free microvascular flaps in mandibular reconstruction. We followed up the patients clinically and using multislice computed tomography (MSCT) with volume analyses of the bone...
September 15, 2016: Journal of Oral and Maxillofacial Surgery
Leanda McKenna, Xavier Cornwall, Sian Williams
BACKGROUND: Scapular orientation may be influenced by static body posture (sitting and standing) and contribute to the development of shoulder pain. Therefore, a consistent body posture should be considered when assessing scapular orientation as well as enhancing optimal scapular positioning. OBJECTIVE: To determine whether there are differences in scapular orientation between standing, neutral sitting, and habitual sitting, while adjusting for spinal posture. DESIGN: A single group randomized repeated measures study...
October 6, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Lisa K Schroder, Erich M Gauger, Jeffrey A Gilbertson, Peter A Cole
BACKGROUND: This study's purpose was to assess patient-based functional outcomes following open reduction and internal fixation (ORIF) of displaced scapular body and glenoid neck fractures. This series represents a 9-year experience at a level-I trauma center and referral destination for this injury. METHODS: A database was established to record surgical and functional outcomes of scapular fractures treated with ORIF. For this report, the cases of all patients who had a glenoid neck or scapular body fracture (AO/OTA 14-A3 or 14-C1) without intra-articular involvement were reviewed...
October 5, 2016: Journal of Bone and Joint Surgery. American Volume
Yin-Liang Lin, Andrew Karduna
While synchronous movement of glenohumeral and scapulothoracic joints has been emphasized in previous kinematics studies, most investigations of shoulder joint position sense have treated the shoulder complex as a single joint. The purposes of this study were to investigate the joint position sense errors of the humerothoracic, glenohumeral and scapulothoracic joints at different elevation angles and to examine whether the errors of the glenohumeral and scapulothoracic joints contribute to the errors of the humerothoracic joint...
October 5, 2016: Journal of Applied Biomechanics
Maryne Cozette, Stéphane Delanaud, Pierre-Marie Lepretre, Thierry Weissland
OBJECTIVE: Shoulder internal (IR) and external rotator (ER) muscles play an important role in the stability of glenohumeral joint. The ratio between the peak torque of ER and IR in concentric (ER/IRPT) and mixed (ER-ECC/IR-CONPT) are usually measured to evaluate the effects of muscle weakness, sport activities, injury and treatment (Greenfield et al., 1990; Scoville et al., 1997). However, ER/IRPT and ER-ECC/IR-CONPT failed to provide some indication on the evolution of the ER/IR torque ratio (ER/IRTorque) and mixed torque ratio (ER-EC/IR-COTorque) during the range of motion (ROM)...
September 2016: Annals of Physical and Rehabilitation Medicine
Jessy Lauer, Stéphane Vigier, Frédéric Delage, Alain Meudec, Jean-Michel Pollet, João Paulo Vilas-Boas, Annie Rouard
OBJECTIVE: Aquatic shoulder exercises are widely implemented into rehabilitation programs to provide early muscle strengthening and improved joint mobility. However, since the drag - the force exerted by the water on the moving segments - is very hard to measure, an in-depth knowledge of internal joint load is lacking, which ultimately prevents healthcare professionals from understanding all clinical implications. For the first time, shoulder joint moment, work, and power were calculated through a novel, validated numerical approach coupling fluid flow simulations and inverse dynamics...
September 2016: Annals of Physical and Rehabilitation Medicine
Alexandra Roren, Marie-Martine Lefevre-Colau, Agnès Roby-Brami, Christelle Nguyen, Serge Poiraudeau
OBJECTIVE: Scapular motion is essential for full, functional mobility of the arm. Many shoulder pathologies are associated with alterations of scapular kinematics which have been only little studied in total shoulder arthroplasties. The aim of this study was to compare the 3D scapula kinematics in two groups of patients with total shoulder anatomic (aTSA) or reverse (rTSA) arthoplasties to asymptomatic controls of comparable age during two arm elevation tasks (abduction and flexion) and two simulations of activity of daily living ("hair combing" and "back washing")...
September 2016: Annals of Physical and Rehabilitation Medicine
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
F Fatehi, E Salort-Campana, A Le Troter, D Bendahan, S Attarian
Facioscapulohumeral muscular dystrophy (FSHD), an inherited and progressive muscle disorder, is among the most common hereditary muscle disorders. From a clinical vantage point, FSHD is characterized by weakness of the facial, shoulder (often with scapular winging), arm (including biceps and triceps) and abdominal muscles. Forearm muscles are usually spared and weakness is usually asymmetrical. Over the past few decades, muscle magnetic resonance imaging (MRI) has become established as a reliable and accurate noninvasive tool for the diagnosis and assessment of progression in neuromuscular diseases, showing specific patterns of muscle involvement for a number of myopathies...
October 2016: Revue Neurologique
Leonardo Intelangelo, Diego Bordachar, Alexandre Wesley Carvalho Barbosa
OBJECTIVE: To assess the immediate effects of scapular taping on pain, isometric force, and the level of activation of several scapular girdle muscles in individuals with shoulder pain and scapular dyskinesis. MATERIALS AND METHODS: Ten individuals with shoulder pain during arm elevation and scapular dyskinesis were included and evaluated by using a visual analogue scale (VAS), pressure algometry, dynamometry, and surface electromyography. All assessments were performed before and immediately after the application of scapular taping...
July 2016: Journal of Bodywork and Movement Therapies
Sarah A Warby, Jon J Ford, Andrew J Hahne, Lyn Watson, Simon Balster, Ross Lenssen, Tania Pizzari
INTRODUCTION: The most commonly recommended treatment for multidirectional instability (MDI) of the shoulder is exercise. Despite this recommendation, there is limited evidence to support the effectiveness of exercise. The aim of this paper is to describe a pilot randomised controlled trial comparing the effectiveness of 2 exercise programmes on outcomes of participants with MDI. METHODS AND ANALYSIS: Consenting participants between 12 and 35 years, with non-traumatic MDI will be randomly allocated to participate in either the Rockwood Instability programme or the Watson MDI programme...
September 12, 2016: BMJ Open
Elif Turgut, Irem Duzgun, Gul Baltaci
BACKGROUND: This study analyzed the dynamic three-dimensional scapular kinematics and scapular asymmetry in participants with and without shoulder impingement syndrome. METHODS: Twenty-nine participants with shoulder impingement syndrome, have been suffering from unilateral shoulder pain at the dominant arm lasting more than six weeks and thirty-seven healthy controls participated in the study. Scapular kinematics was measured with an electromagnetic tracking device during shoulder elevation in the sagittal plane...
September 3, 2016: Clinical Biomechanics
Matthew T Provencher, Hannah Kirby, Lucas S McDonald, Petar Golijanin, Daniel Gross, Kevin J Campbell, Lance LeClere, George Sanchez, Shawn Anthony, Anthony A Romeo
BACKGROUND: Pectoralis minor (PM) tightness has been linked to pain and dysfunction of the shoulder joint secondary to anterior tilt and internal rotation of the scapula, thus causing secondary impingement of the subacromial space. PURPOSE: To describe outcomes pertaining to nonoperative and operative treatment via surgical release of the PM tendon for pathologic PM tightness in an active population. STUDY DESIGN: Case series; Level of evidence, 4...
September 9, 2016: American Journal of Sports Medicine
Jun Sakata, Emi Nakamura, Makoto Suzukawa, Atsushi Akaike, Kuniaki Shimizu
BACKGROUND: The physical risk factors for a medial elbow injury in junior baseball players are unknown. PURPOSE: To identify the risk factors for an initial medial elbow injury in junior baseball players. STUDY DESIGN: Case-control study; Level of evidence, 3. METHODS: Junior baseball players (aged 6-12 years) without a history of elbow pain underwent a clinical assessment, ultrasonography, and physical function measurements before the baseball season started...
September 7, 2016: American Journal of Sports Medicine
Norman E D'hondt, Henri Kiers, Jan J M Pool, Sijmen T Hacquebord, Caroline B Terwee, Dirkjan E J Veeger
BACKGROUND: Deviant shoulder girdle movement is suggested as an eminent factor in the aetiology of shoulder pain. Reliable measurements of shoulder girdle kinematics are a prerequisite for optimizing clinical management strategies. PURPOSE: To evaluate reliability, measurement error and internal consistency of measurements with performance-based clinical tests for shoulder girdle kinematics and positioning in patients with shoulder pain. DATA SOURCES: Medline, Embase, CINAHL and SPORTDiscus were systematically searched from inception to August 2015...
September 1, 2016: Physical Therapy
P D Cowling, M A Akhtar, R Y L Liow
OBJECTIVES: A variety of operative techniques have been described as under the term 'Bristow-Latarjet' procedure. This review aims to define the original procedure, and compare the variation in techniques described in the literature, assessing any effect on clinical outcomes. MATERIALS AND METHODS: A systematic review of 24 studies was performed to compare specific steps of the technique (coracoid osteotomy site, subscapularis approach, orientation and position of coracoid graft fixation and fixation method, additional labral and capsular repair) and detect any effect this variability had on outcomes...
September 2016: Bone & Joint Journal
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