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Rehabilitation and rotator cuff

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https://www.readbyqxmd.com/read/29761555/computational-optimization-of-graft-tension-in-simulated-superior-capsule-reconstructions
#1
Michael W Hast, Elaine Schmidt, John D Kelly, Josh R Baxter
Superior capsular reconstruction has received increased attention as a surgical technique to address massive 'irreparable' rotator cuff tears; however, the functional limitations and surgical techniques associated with this repair have yet to be sufficiently explored. The goal of this study was to utilize a multidisciplinary approach to characterize the biomechanics of this repair by: 1) identifying activities of daily living that may overburden graft, and 2) optimizing surgical techniques used during implantation...
May 14, 2018: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/29747540/anodal-transcranial-direct-current-stimulation-to-enhance-rehabilitation-in-individuals-with-rotator-cuff-tendinopathy-a-triple-blind-randomized-control-trial
#2
Amélie Fournier Belley, Catherine Mercier, Maude Bastien, Guillaume Léonard, Nathaly Gaudreault, Jean-Sébastien Roy
Study Design Triple-blind parallel-group randomized control trial. Background Anodal transcranial direct current stimulation (a-tDCS) has been shown to enhance the effects of sensorimotor training in neurological populations. For treatment of rotator cuff (RC) tendinopathy, sensorimotor training leads to reduce pain and increase function. Addition of a-tDCS during a rehabilitation program centered on sensorimotor training could improve treatment outcome. Objective To compare a group receiving a rehabilitation program centered on sensorimotor training with a-tDCS to a group receiving the same rehabilitation program with sham a-tDCS in individuals with RC tendinopathy...
May 10, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29740555/a-comparative-study-on-the-recruitment-of-shoulder-stabilizing-muscles-and-types-of-exercises
#3
João Carlos Comel, Rosane Maria Nery, Eduardo Lima Garcia, Claudete da Silva Bueno, Edinara de Oliveira Silveira, Mariéle Marchezan Zarantonello, Marco Antonio Stefani
The shoulder is susceptible to disturbances caused by microtraumas due to direct contact of the surrounding skeletal structures or failure of the soft parts of the rotator cuff and other muscles inserted into the glenohumeral joint. The purpose of the study was to compare the electromyographic signal in the stabilizing muscles of the shoulder during the diagonal elevation exercise as recommended by the proprioceptive neuromuscular facilitation (PNF) method and dumbbell exercise. This study is classified as Quase-experiment...
April 2018: Journal of Exercise Rehabilitation
https://www.readbyqxmd.com/read/29720170/the-use-of-assistive-technology-in-shoulder-exercise-rehabilitation-a-qualitative-study-of-acceptability-within-a-pilot-project
#4
Anthony W Gilbert, Iva Hauptmannova, Anju Jaggi
BACKGROUND: Painful shoulders pose a substantial socioeconomic burden accounting for 2.4% of all primary care consultations in the UK. There is a strong evidence to indicate that the majority of this shoulder pain can be managed successfully with exercise based treatments and that common surgical procedures provide no extra benefit. Patient adherence and engagement is cited as an important factor in gaining positive outcomes. The MUJO System has been designed to help target the rehabilitation of the rotator cuff muscles which are commonly recommended for the management of shoulder pain...
May 2, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29679207/the-swimmer-s-shoulder-multi-directional-instability
#5
REVIEW
Ivan De Martino, Scott A Rodeo
PURPOSE OF REVIEW: Swimmer's shoulder is the term used to describe the problem of shoulder pain in swimmers. Originally described as supraspinatus tendon impingement under the coracoacromial arch, it is now understood that several different pathologies can cause shoulder pain in competitive swimmers, including subacromial impingement syndrome, overuse and subsequent muscle fatigue, scapular dyskinesis, and laxity and instability. RECENT FINDINGS: Swimmers may develop increased shoulder laxity over time due to repetitive use...
April 20, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29678396/time-to-peak-torque-and-acceleration-time-are-altered-in-male-patients-following-traumatic-shoulder-instability
#6
Jin Hyuck Lee, Ji Soon Park, Hyun Jung Hwang, Woong Kyo Jeong
BACKGROUND: Numerous authors have evaluated the strength of the rotator cuff muscles in patients with shoulder instability. However, only limited data are available with regard to neuromuscular control in patients with traumatic anterior shoulder instability, in particular at 90° of abduction. This study was designed to assess muscle strength and neuromuscular control ability using time to peak torque and acceleration time in nonathletic patients with traumatic anterior shoulder instability...
April 17, 2018: Journal of Shoulder and Elbow Surgery
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
#7
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/29527239/rehabilitation-following-rotator-cuff-repair-a-work-of-the-commission-rehabilitation-of-the-german-society-of-shoulder-and-elbow-surgery-e-v-dvse-in-collaboration-with-the-german-association-for-physiotherapy-zvk-e-v-the-association-physical-therapy-association
#8
REVIEW
Christian Jung, Lena Tepohl, Reina Tholen, Knut Beitzel, Stefan Buchmann, Thomas Gottfried, Casper Grim, Bettina Mauch, Gert Krischak, Hans Ortmann, Christian Schoch, Frieder Mauch
Background: Tears and lesions of the rotator cuff are a frequent cause of shoulder pain and disability. Surgical repair of the rotator cuff is a valuable procedure to improve shoulder function and decrease pain. However, there is no consensus concerning the rehabilitation protocol following surgery. Objectives: To review and evaluate current rehabilitation contents and protocols after rotator cuff repair by reviewing the existing scientific literature and providing an overview of the clinical practice of selected German Society of Shoulder and Elbow Surgery e...
2018: Obere Extremität
https://www.readbyqxmd.com/read/29480870/the-clinical-effect-of-rehabilitation-following-arthroscopic-rotator-cuff-repair-a-meta-analysis-of-early-versus-delayed-passive-motion
#9
REVIEW
Shuxiang Li, Han Sun, Xiaomin Luo, Kun Wang, Guofeng Wu, Jian Zhou, Peng Wang, Xiaoliang Sun
BACKGROUND: The argument on the recommended rehabilitation protocol following arthroscopic rotator cuff repair remains to be resolved. So this meta-analysis was presented to evaluate the differences of clinical effects between the 2 distinct rehabilitation protocols after arthroscopic rotator cuff repair. METHODS: The PubMed, Cochrane Library, Web of Science, and EMBASE were systematically searched. Only randomized controlled trials (RCTs) published up to July 25, 2017, comparing early passive motion (EPM) versus delayed passive motion (DPM) rehabilitation protocols following arthroscopic rotator cuff repair were identified...
January 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29447092/evolution-of-muscular-fatigue-in-periscapular-and-rotator-cuff-muscles-during-isokinetic-shoulder-rotations
#10
Sylvain Gaudet, Jonathan Tremblay, Fabien Dal Maso
To this day, how shoulder muscles react to a strong fatigue stimulus during dynamic shoulder rotations remains unknown. The aims of this study were to assess the effect of repeated maximal internal-external isokinetic shoulder rotations on shoulder strength and muscle activity. Twenty-four individuals completed a 50-repetition fatiguing isokinetic protocol while electromyography was recorded on eleven muscles of the shoulder girdle. Time-frequency transformation and an ANOVA model using statistical parametric mapping methods were used to analyze shifts in instantaneous median frequency (MDF) between each 10-repetition Blocks...
February 15, 2018: Journal of Sports Sciences
https://www.readbyqxmd.com/read/29399735/rotator-cuff-repair-post-operative-rehabilitation-concepts
#11
REVIEW
Terrance A Sgroi, Michelle Cilenti
PURPOSE OF REVIEW: With improvements in surgical techniques and increased knowledge of rotator cuff healing, there was a need to identify a safe progression after rotator cuff repair. The rehabilitation specialist plays an integral role in the care of these patients, and by implementing an evidence and criteria-based model, patients may be able to return to their prior levels of function sooner with fewer complications. RECENT FINDINGS: Timing of progression for rotator cuff patients should align not only with healing but also potential strain on the involved tissue...
March 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29354931/-shoulder-joint-pain-of-rotator-cuff-injury-treated-with-electroacupuncture-and-mulligan-s-mobilization-a-randomized-controlled-trial
#12
Yanwu Wang, Chongmin Wang, Huade Chen, Xinmiao Ye
OBJECTIVE: To verify the clinical therapeutic effects on shoulder joint pain of rotator cuff injury treated with electroacupuncture (EA) and Mulligan's mobilization. METHODS: A total of 120 patients of shoulder joint pain of rotator cuff injury were randomized into an EA group, a rehabilitation group and a combined therapy group, 40 cases in each one. In the EA group, EA was applied to Jianzhen (SI 9), Jianliao (TE 14), Jianyu (LI 15), Tianzong (SI 11), Jianqian (extra) and Binao (LI 14) in the affected side...
January 12, 2018: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/29332181/management-of-rotator-cuff-injuries-in-the-elite-athlete
#13
REVIEW
Leigh J Weiss, Dean Wang, Michael Hendel, Philip Buzzerio, Scott A Rodeo
PURPOSE OF REVIEW: Rotator cuff injuries are a common cause of pain and dysfunction for the elite athlete and can result in time loss from participation. This review highlights the current management of these injuries. RECENT FINDINGS: Conservative management of rotator cuff injuries continues to be the "gold standard" in the elite athlete. This includes a comprehensive rehabilitation program, anti-inflammatories, and corticosteroid injections. Newer treatment techniques such as intramuscular dry needling and the use of biologics such as platelet-rich plasma and stem cells demonstrate early promising results; however, these modalities require further investigation to determine their effectiveness...
March 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29318082/a-review-of-a-workers-compensation-database-2003-to-2013-patient-factors-influencing-return-to-work-and-cumulative-financial-claims-after-rotator-cuff-repair-in-geriatric-workers-compensation-cases
#14
Edward Shields, Caroline Thirukumaran, Katia Noyes, Ilya Voloshin
Background: Workers' compensation status is associated with poor outcomes after rotator cuff repair surgery. The purpose of this study was to analyze a database of geriatric workers' compensation patients after surgical repair of the rotator cuff and identify both medical and nonmedical patient factors that influence the time it takes for them to return to work at full duty, including a comparison of arthroscopic and open techniques. Methods: An all workers' compensation database was queried for rotator cuff claims that were surgically managed using arthroscopic, open, or both approaches from 2003 to 2013 in patients aged ≥60...
December 2017: Geriatric Orthopaedic Surgery & Rehabilitation
https://www.readbyqxmd.com/read/29277362/rotator-cuff-tendon-to-bone-healing-at-12-months-after-patch-grafting-of-acellular-dermal-matrix-in-an-animal-model
#15
Junji Ide, Takuya Tokunaga
There is no report to investigate the histology and biomechanical strength of remodeled tendon-to-bone junction more than 6 months after patch grafting with acellular dermal matrix (ADM) on rotator cuff defect. We investigated those 12 months after surgery and hypothesized that a new native enthesis is not regenerated and the biomechanical strength is inferior to normal control. Adult male Sprague-Dawley rats underwent ADM patch grafting for the rotator cuff defect. Quantitative histological analysis, immunohistochemical analysis for collagen type I and III, and biomechanical testing were performed 12 months after surgery...
March 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29277261/the-contribution-of-the-supraspinatus-muscle-at-sub-maximal-contractions
#16
David Phillips, Peter Kosek, Andrew Karduna
During maximum effort, the supraspinatus muscle contributes approximately 50% of the torque need to elevate the arm, but this has not been examined at sub-maximal levels. The purpose of this study was to determine the contribution of the supraspinatus muscle to shoulder elevation at sub-maximal levels. Seven healthy subjects (four males, three females) performed isometric ramp contractions at the shoulder. Middle deltoid electromyography (EMG) and force applied at the wrist were collected before and after a suprascapular nerve block...
February 8, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29273012/a-prospective-observational-cohort-study-of-patients-presenting-to-an-emergency-department-with-acute-shoulder-trauma-the-manchester-emergency-shoulder-mesh-project
#17
Michael J Callaghan, Janos P Baombe, Dan Horner, Charles E Hutchinson, Dilraj Sandher, Simon Carley
BACKGROUND: Fracture and dislocation of the shoulder are usually identifiable through the use of plain radiographs in an emergency department. However, other significant soft tissue injuries can be missed at initial presentation. This study used contrast enhanced magnetic resonance arthrography (MRA) to determine the pattern of underlying soft tissue injuries in patients with traumatic shoulder injury, loss of active range of motion, and normal plain radiography. METHODS: A prospective, observational cohort study...
December 22, 2017: BMC Emergency Medicine
https://www.readbyqxmd.com/read/29245218/bilateral-anterior-shoulder-dislocation-as-a-result-of-manipulation-a-case-report
#18
Kuan-Lin Chen, Sen-Yung Liu, Ta-Sen Wei
RATIONALE: Bilateral anterior shoulder dislocation is clinically rare and has been reported to be related to high-speed sports. PATIENT CONCERNS: A 76-year-old woman presented with bilateral shoulders pain after traditional Chinese manipulation. DIAGNOSES: She was diagnosed with bilateral anterior dislocations, and a closed reduction was immediately performed. INTERVENTION: The patient was referred for rehabilitation 3 days later, and bilateral rotator cuff injuries were identified from musculoskeletal ultrasound...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29217504/challenges-during-implementation-of-a-patient-facing-mobile-app-for-surgical-rehabilitation-feasibility-study
#19
Annie Ys Lau, Kalman Piper, Desmond Bokor, Paige Martin, Victor Sl Lau, Enrico Coiera
BACKGROUND: Translating research into practice, especially the implementation of digital health technologies in routine care, is increasingly important. Yet, there are few studies examining the challenges of implementing patient-facing digital technologies in health care settings. OBJECTIVE: The aim of this study was to report challenges experienced when implementing mobile apps for patients to support their postsurgical rehabilitation in an orthopedic setting. METHODS: A mobile app was tailored to the needs of patients undergoing rotator cuff repair...
December 7, 2017: JMIR Human Factors
https://www.readbyqxmd.com/read/29185674/effectiveness-of-extracorporeal-shock-wave-therapy-and-kinesio-taping-in-calcific-tendinopathy-of-the-shoulder-a-randomized-controlled-trial
#20
Paolo Frassanito, Carlo Cavalieri, Roberto Maestri, Guido Felicetti
BACKGROUND: Extracorporeal shock wave therapy (ESWT) is effective in the treatment of calcific tendinopathy of the rotator cuff, eliciting an analgesic/anti-inflammatory action and promoting tissue regeneration. Kinesio taping (KT), another recently-introduced rehabilitative tool, exerts an analgesic and biomechanical action on joints and muscles. ESWT and KT may have a synergic effect when used in combination, but the effectiveness of the association has not been established. AIM: To test if the association of KT with ESWT is superior to ESWT alone in the treatment of rotator cuff calcific tendinopathy...
November 29, 2017: European Journal of Physical and Rehabilitation Medicine
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