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Shoulder physiotherapy

Carolina Fernández-Lao, Irene Cantarero-Villanueva, Noelia Galiano-Castillo, Elena Caro-Morán, Lourdes Díaz-Rodríguez, Manuel Arroyo-Morales
BACKGROUND: Mobile learning (m-learning) has becoming very popular in education due to the rapidly advancing technology in our society. The potentials of the mobile applications should be used to enhance the education process. Few mobile applications have been designed to complement the study of physical therapy skills for physiotherapy students. The aim of this study was to investigate whether a mobile application, as a supplement to traditional learning, is useful for physiotherapy students in the acquisition of palpation and ultrasound skills in the shoulder area...
October 19, 2016: BMC Medical Education
Caroline Witney-Lagen, Abdul Hassan, Anouska Doodson, Balachandran Venkateswaran
BACKGROUND: Treatment of patients who have not improved after physiotherapy for multidirectional instability (MDI) remains challenging, with no agreed best practice. The purpose of this study was to ascertain whether arthroscopic plication is safe and effective for these patients. METHODS: Fifty consecutive patients who had not improved after at least 6 months of specialized shoulder physiotherapy for symptomatic MDI and no labral lesion at arthroscopy underwent arthroscopic plication between 2006 and 2013...
October 7, 2016: Journal of Shoulder and Elbow Surgery
Flavia Coroian, Jérôme Froger, H-Y Bonnin Koang, Claire Jourdan, Karima Bakhti, Marc Julia, Audrey Jaussent, Christian Hérisson, Isabelle Laffont
OBJECTIVE: The sensori-motor impairment of upper limb (UL) affects more than 50% of patients after stroke. The objective of this work was to study the efficiency of isokinetic muscle strengthening (IMS) in the chronic phase of stroke in this population. MATERIAL/PATIENTS AND METHODS: The patients underwent 6 weeks of outpatient rehabilitation, 3 days per week, combining physiotherapy (twice/day) and occupational therapy every day. The program was completed by 30 minutes elbow and wrist concentric slow speed IMS of flexor and extensor muscles, in the study group versus 30 minutes passive mobilisation of the joints carried out by the same isokinetic dynamometer in the control group...
September 2016: Annals of Physical and Rehabilitation Medicine
Anne Laure Roy, Agnès Ostertag, Alain Yelnik, Philippe Orcel, Johann Beaudreuil
OBJECTIVE: DASH, SPADI and Constant scales are commonly used for clinical evaluation of patients suffering from degenerative rotator cuff disease (DRCD) of the shoulder. However, their psychometric properties have not yet been compared. This comparison could help to choose the most suitable evaluation tool. The objective of this work is therefore to compare the psychometric properties of DASH, SPADI and Constant scales in patients with DRCD. MATERIAL/PATIENTS AND METHODS: Patients with DRCD were prospectively included...
September 2016: Annals of Physical and Rehabilitation Medicine
François Segretin, Guillaume Paris, Sarah Cheriet, Yohann Delarue
OBJECTIVE: The chronic lateral epicondylitis is a common pathology with an economic impact. Actually, many costly therapies are prescribed without evidence of their effectiveness. Physical therapies seem to be neglected. However, they can correct actions at risk and involve the patient in his rehabilitation. MATERIAL/PATIENTS AND METHODS: This study evaluated the effectiveness of a standardized 2 month rehabilitation program composed of: an outpatient group education session, 18 liberal physical therapy sessions with correction of the posture of the trunk and shoulder, eccentric strengthening of the supinator muscles and the wrist extensor muscles, stretching, and some self daily exercises (transverse friction massage and stretching) according to Pernot-Comtet protocol...
September 2016: Annals of Physical and Rehabilitation Medicine
Marcus Bateman, Benjamin E Smith, Sally E Osborne, Sally R Wilkes
BACKGROUND: Recurrent shoulder instability is usually caused by a traumatic event resulting in structural pathology, although a small subgroup of patients experience symptomatic recurrent shoulder instability without trauma. These patients are usually treated non-operatively but limited evidence exists regarding effective conservative management. In particular, there is a lack of reproducible exercise regimes and none that have been tested with condition-specific outcome measures. METHODS: A service evaluation was conducted over a 15-month period to assess our current treatment protocol used in the management of patients with atraumatic recurrent shoulder instability...
October 2015: Shoulder & Elbow
Manuel Bayon-Calatayud, Ana Maria Benavente-Valdepeñas, Maria Del Prado Vazquez-Muñoz
To investigate the efficacy of mirror therapy in reducing pain and disability in patients with distal radial fractures. Pilot randomized controlled study. Twenty-two patients with closed distal radial fracture. Patients were randomly assigned to experimental (= 11) or control (= 11) groups. Researchers were blinded to group allocation. Both groups received conventional physiotherapy. In addition, the experimental group had 15 sessions of mirror therapy (a daily session, 30 min). The control group received the same amount of conventional occupational therapy...
October 12, 2016: Journal of Rehabilitation Medicine
Kim Hwee Koh
Adhesive capsulitis is a common cause of shoulder pain and limited movement. The objectives of this review are to assess the efficacy and safety of corticosteroid injections for adhesive capsulitis and to evaluate the optimum dose and anatomical site of injections. PubMed and CENTRAL databases were searched for randomised trials and a total of ten trials were included. Results revealed that corticosteroid injection is superior to placebo and physiotherapy in the short-term (up to 12 weeks). There was no difference in outcomes between corticosteroid injection and oral nonsteroidal anti-inflammatory drugs at 24 weeks...
August 29, 2016: Singapore Medical Journal
Francisco Ferrero-Manzanal, Raquel Lax-Pérez, Roberto López-Bernabé, José Ramiro Betancourt-Bastidas, Alvaro Iñiguez de Onzoño-Pérez
INTRODUCTION: Shoulder surgery is often performed with the patient in the so called "beach-chair position" with elevation of the upper part of the body. The anesthetic procedure can be general anesthesia and/or regional block, usually interscalenic brachial plexus block. We present a case of brachial plexus palsy with a possible mechanism of traction based on the electromyographic and clinical findings, although a possible contribution of nerve block cannot be excluded. PRESENTATION OF THE CASE: We present a case of a 62 year-old female, that suffered from shoulder fracture-dislocation...
2016: International Journal of Surgery Case Reports
Louise Jürgensen, Christina Fagerberg, Maria Kibæk, Charlotte Brasch-Andersen
Neuralgic amyotrophy (NA) is characterized by sudden onset of severe pain in the shoulder/upper arm and muscle amyotrophy. Up to 60% of patients with NA are misdiagnosed as having shoulder joint pathology or cervical pathology. We report a case of a 13-year-old girl diagnosed with the hereditary form of NA (HNA). Array comparative genomic hybridization showed a maternally inherited duplication of 1.5 Mb including the entire SEPT9-gene. The girl was treated with non-steroidal anti-inflammatory drugs, corticosteroids and physiotherapy...
August 22, 2016: Ugeskrift for Laeger
Yasmaine H J M Karel, Arianne P Verhagen, Marloes Thoomes-de Graaf, Edwin Duijn, Maaike P J van den Borne, Annechien Beumer, Ramon P G Ottenheijm, Geert-Jan J Dinant, Bart W Koes, Gwendolijne G M Scholten-Peeters
BACKGROUND: Health care providers need prognostic factors to distinguish between patients who are likely to recover compared to the ones that do not. OBJECTIVE: To describe the clinical course and identify prognostic factors of recovery, in patients with shoulder pain at 26 weeks follow-up. DESIGN: A prospective cohort study was carried out in the Netherlands including 389 patients consulting a physiotherapist with a new episode of shoulder pain...
August 18, 2016: Physical Therapy
Jonathan C Hill, Sujin Kang, Elena Benedetto, Helen Myers, Steven Blackburn, Stephanie Smith, Kate M Dunn, Elaine Hay, Jonathan Rees, David Beard, Sion Glyn-Jones, Karen Barker, Benjamin Ellis, Ray Fitzpatrick, Andrew Price
OBJECTIVES: Current musculoskeletal outcome tools are fragmented across different healthcare settings and conditions. Our objectives were to develop and validate a single musculoskeletal outcome measure for use throughout the pathway and patients with different musculoskeletal conditions: the Arthritis Research UK Musculoskeletal Health Questionnaire (MSK-HQ). SETTING: A consensus workshop with stakeholders from across the musculoskeletal community, workshops and individual interviews with a broad mix of musculoskeletal patients identified and prioritised outcomes for MSK-HQ inclusion...
2016: BMJ Open
Tove Dragesund, Alice Kvåle
BACKGROUND: Norwegian Psychomotor Physiotherapy (NPMP) has been an established treatment approach for more than 50 years, although mostly in the Scandinavian countries, and is usually applied to patients with widespread and long-lasting musculoskeletal pain and/or psychosomatic disorders. Few studies have been investigating outcome of NPMP and no randomized clinical trials (RCT) have been systematically tried out on individuals. METHODS/DESIGN: This is a study protocol for a pragmatic, single blinded RCT, which will take place in a city of Norway...
2016: BMC Musculoskeletal Disorders
Carissa Wilkes, Rob Kydd, Mark Sagar, Elizabeth Broadbent
BACKGROUND AND OBJECTIVES: Slumped posture is a diagnostic feature of depression. While research shows upright posture improves self-esteem and mood in healthy samples, little research has investigated this in depressed samples. This study aimed to investigate whether changing posture could reduce negative affect and fatigue in people with mild to moderate depression undergoing a stressful task. METHODS: Sixty-one community participants who screened positive for mild to moderate depression were recruited into a study purportedly on the effects of physiotherapy tape on cognitive function...
July 30, 2016: Journal of Behavior Therapy and Experimental Psychiatry
Rachel Chester, Christina Jerosch-Herold, Jeremy Lewis, Lee Shepstone
BACKGROUND/AIM: Shoulder pain is a major musculoskeletal problem. We aimed to identify which baseline patient and clinical characteristics are associated with a better outcome, 6 weeks and 6 months after starting a course of physiotherapy for shoulder pain. METHODS: 1030 patients aged ≥18 years referred to physiotherapy for the management of musculoskeletal shoulder pain were recruited and provided baseline data. 840 (82%) provided outcome data at 6 weeks and 811 (79%) at 6 months...
July 21, 2016: British Journal of Sports Medicine
Carina Cohen, Mariana Ferreira Leal, Paulo Santoro Belangero, Eduardo Antônio Figueiredo, Marília Cardoso Smith, Carlos Vicente Andreoli, Alberto de Castro Pochini, Moises Cohen, Benno Ejnisman, Flávio Faloppa
OBJECTIVES: We evaluated mRNA expression levels of genes that encode TGF-β1; the TGF-β1 receptor; the collagen-modifying enzymes LOX, PLOD1, and PLOD2; and the extracellular matrix proteins COMP, FN1, TNC and TNXB in synovial/capsule specimens from patients with idiopathic adhesive capsulitis. Possible associations between the measured mRNA levels and clinical parameters were also investigated. METHODS: We obtained glenohumeral joint synovium/capsule specimens from 9 patients with idiopathic adhesive capsulitis who had not shown improvement in symptoms after 5 months of physiotherapy...
July 2016: Clinics
Helen Walker, Tania Pizzari, Henry Wajswelner, Peter Blanch, Laura Schwab, Kim Bennell, Belinda Gabbe
OBJECTIVES: Investigate reliability of shoulder internal and external rotation (IR, ER), abduction in internal rotation (ABIR) and combined elevation (CE) range of motion tests in competitive swimmers. DESIGN: Within participants, inter- and intra-examiner reliability. SETTING: Physiotherapy Department, University of Melbourne, Australia. PARTICIPANTS: 17 competitive swimmers (aged 12-24 years) who participate in at least 5 weekly swimming sessions and two physiotherapy examiners...
September 2016: Physical Therapy in Sport
Gourav Banerjee, Jonathan Rebanks, Michelle Briggs, Mark I Johnson
We present the case of a 46-year-old woman who developed severe pain described as 'tearing' and 'searing' in the left side of the mid-trapezius region near the thoracic 8 vertebra (T8). The patient had undergone surgery for T8 fracture which had resulted from metastasis (secondary breast cancer). A community nurse referred the patient for physiotherapy assessment and treatment for her musculoskeletal pain and related symptoms that had affected her mobility and functional activities. The patient was treated with soft tissue therapy with the addition of kinesiology taping on follow-up visits...
2016: BMJ Case Reports
Alireza Rouhani, Mohsen Mardani-Kivi, Mohammadreza Bazavar, Mahmood Barzgar, Ali Tabrizi, Keyvan Hashemi-Motlagh, Khashayar Saheb-Ekhtiari
INTRODUCTION: Adhesive capsulitis (frozen shoulder) is a relatively prevalent disease of shoulder and affects soft tissue of glenohumeral joint. Signs include painful restricted motion and disability of the patient in daily activities. Calcitonin is a thyroid hormone, and its effectiveness has been demonstrated in painful conditions. The presents study aims to evaluate the effect of calcitonin in treating shoulder adhesive capsulitis. METHOD: This double-blinded randomized clinical trial was conducted on 64 patients suffering from shoulder adhesive capsulitis...
August 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
Anssi Ryösä, Katri Laimi, Ville Äärimaa, Kaisa Lehtimäki, Juha Kukkonen, Mikhail Saltychev
PURPOSE: Comparative evidence on treating rotator cuff tear is inconclusive. The objective of this review was to evaluate the evidence on effectiveness of tendon repair in reducing pain and improving function of the shoulder when compared with conservative treatment of symptomatic rotator cuff tear. METHOD: Search on CENTRAL, MEDLINE, EMBASE, CINAHL, Web of Science and Pedro databases. Randomised controlled trials (RCT) comparing surgery and conservative treatment of rotator cuff tear...
July 6, 2016: Disability and Rehabilitation
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