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Shoulder physiotherapy

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https://www.readbyqxmd.com/read/29778827/intra-and-inter-reliability-of-fleximetry-in-individuals-with-chronic-shoulder-pain
#1
Iran Henrique da Silva, José Mariedson da Silva Junior, Aldair Darlan Santos-de-Araújo, Cid André Fidelis de Paula Gomes, Cesário da Silva Souza, Priscila Helena Vanin Alves de Souza Matias, Almir Vieira Dibai-Filho
OBJECTIVE: To evaluate the intra- and inter-rater reliability of fleximetry in the measurement of range of motion (ROM) in individuals with chronic shoulder pain. DESIGN: Reliability study. SETTING: Physiotherapy clinic. PARTICIPANTS: Thirty individuals of both genders, ages between 18 and 45 years, with chronic shoulder pain. MAIN OUTCOME MEASURES: Fleximetry was used to measurement shoulder ROM (flexion, hyperextension, abduction, medial and lateral rotation, and horizontal abduction and adduction)...
May 17, 2018: Physical Therapy in Sport
https://www.readbyqxmd.com/read/29723066/the-effectiveness-of-web-based-patient-education-and-action-and-coping-plans-as-an-adjunct-to-patient-treatment-in-physiotherapy-a-randomized-controlled-trial
#2
Heather Clark, Sandra Bassett, Richard Siegert
OBJECTIVE: The study investigated: (1) the effect of combining web-based patient education (WBPE) with action and coping plans on patients' adherence to physiotherapy and their subsequent functional outcomes; and (2) the participants' satisfaction with the WBPE program. METHODS: One hundred and eight participants enrolled in this 8-week two group randomized controlled trial. They were allocated to either the WBPE planning group or the attention-control group. The WBPE group made action and coping plans and were familiarized with their web-based program...
May 3, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29721461/the-effect-of-deep-shoulder-infections-on-patient-outcomes-after-arthroscopic-rotator-cuff-repair-a-retrospective-comparative-study
#3
Kivanc Atesok, Peter MacDonald, Jeff Leiter, Sheila McRae, Mandip Singh, Greg Stranges, Jason Old
Introduction: The purpose of this study was to evaluate the effects of deep shoulder infections after RCR on patient outcomes. Methods: A retrospective chart review was conducted involving all patients with deep shoulder infections after arthroscopic RCR (study group). Another group of patients who were matched with the study group by age, gender and rotator cuff tear size, and did not develop deep shoulder infections after arthroscopic RCR were randomly identified (control group)...
October 2017: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/29702071/incentive-spirometry-after-lung-resection-a-randomized-controlled-trial
#4
Peter Ra Malik, Christine Fahim, Jordyn Vernon, Priya Thomas, Colin Schieman, Christian J Finley, John Agzarian, Yaron Shargall, Forough Farrokhyar, Wael C Hanna
BACKGROUND: Incentive spirometry (IS) is thought to reduce the incidence of postoperative pulmonary complications (PPC) after lung resection. We sought to determine whether the addition of IS to routine physiotherapy following lung resection results in a lower rate of PPC, as compared to physiotherapy alone. METHODS: A single-blind prospective randomized controlled trial was conducted in adults undergoing lung resection. Individuals with previous lung surgery or home oxygen were excluded...
April 24, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29574439/randomised-controlled-trial-of-exercise-to-prevent-shoulder-problems-in-women-undergoing-breast-cancer-treatment-study-protocol-for-the-prevention-of-shoulder-problems-trial-uk-prosper
#5
Julie Bruce, Esther Williamson, Clare Lait, Helen Richmond, Lauren Betteley, Ranjit Lall, Stavros Petrou, Sophie Rees, Emma J Withers, Sarah E Lamb, Alastair M Thompson
Musculoskeletal shoulder problems are common after breast cancer treatment. Early postoperative exercises targeting the upper limb may improve shoulder function. This protocol describes a National Institute for Health Research-funded randomised controlled trial (RCT) to evaluate the clinical and cost-effectiveness of an early supervised structured exercise programme compared with usual care, for women at high risk of developing shoulder problems after breast cancer surgery. METHODS: This pragmatic two-armed, multicentre RCT is underway within secondary care in the UK...
March 23, 2018: BMJ Open
https://www.readbyqxmd.com/read/29528748/fragility-fractures-in-the-upper-limb-proximal-and-distal-humerus
#6
Shyam Kumar, Ulhas Sonar, Iqbal Singh
The incidence of fragility fractures of the humerus is increasing worldwide. Although clinicians are aware of fractures of hips and wrists, fractures of the shoulder and elbow do not receive much attention. A considerable proportion of the elderly population (estimated at 10-24%) is dependent on walking aids. A well-functioning and pain-free shoulder and elbow is essential for use of these aids. The impact of loss of mobility in the elderly is well known, hence the overall impact of these fractures on the individual can be considerable...
March 2, 2018: British Journal of Hospital Medicine
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
#7
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/29492342/conservative-treatment-for-patients-with-subacromial-impingement-changes-in-clinical-core-outcomes-and-their-relation-to-specific-rehabilitation-parameters
#8
Mikkel B Clausen, Mikas B Merrild, Adam Witten, Karl B Christensen, Mette K Zebis, Per Hölmich, Kristian Thorborg
Background: Impaired patient-reported shoulder function and pain, external-rotation strength, abduction strength, and abduction range-of-motion (ROM) is reported in patients with subacromial impingement (SIS). However, it is unknown how much strength and ROM improves in real-life practice settings with current care. Furthermore, outcomes of treatment might depend on specific rehabilitation parameters, such as the time spent on exercises (exercise-time), number of physiotherapy sessions (physio-sessions) and number of corticosteroid injections, respectively...
2018: PeerJ
https://www.readbyqxmd.com/read/29492272/mirror-therapy-for-an-adult-with-central-post-stroke-pain-a-case-report
#9
Davide Corbetta, Elisabetta Sarasso, Federica Agosta, Massimo Filippi, Roberto Gatti
Background: Treatment of central post-stroke pain (CPSP) after a thalamic-capsular stroke is generally based on pharmacological approach as it is low responsive to physiotherapy. In this case report, the use of mirror therapy (MT) for the reduction of CPSP in a subject after a stroke involving thalamus is presented. Case presentation: Five years after a right lenticular-capsular thalamic stroke, despite a good recovery of voluntary movement that guaranteed independence in daily life activities, a 50-year-old woman presented with mild weakness and spasticity, an important sensory loss and a burning pain in the left upper limb...
2018: Archives of physiotherapy
https://www.readbyqxmd.com/read/29473482/prospective-surveillance-and-targeted-physiotherapy-for-arm-morbidity-after-breast-cancer-surgery-a-pilot-randomized-controlled-trial
#10
Bolette S Rafn, Stanley Hung, Alison M Hoens, Margaret L McNeely, Chiara A Singh, Winkle Kwan, Carol Dingee, Elaine C McKevitt, Urve Kuusk, Jinsi Pao, Nancy Van Laeken, Charlie H Goldsmith, Kristin L Campbell
OBJECTIVE: To evaluate prospective surveillance and targeted physiotherapy (PSTP) compared to education (EDU) on the prevalence of arm morbidity and describe the associated program cost. DESIGN: Pilot randomized single-blinded controlled trial. SETTING: Urban with assessments and treatment delivered in hospitals. PARTICIPANTS: Women scheduled for breast cancer surgery. INTERVENTIONS: Participants were randomly assigned (1:1) to PSTP ( n = 21) or EDU ( n = 20) and assessed presurgery and 12 months postsurgery...
February 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29471221/estimating-the-minimal-important-difference-for-the-western-ontario-rotator-cuff-index-worc-in-adults-with-shoulder-pain-associated-with-partial-thickness-rotator-cuff-tears
#11
Cordula Braun, Helen H Handoll
BACKGROUND: Knowledge about Minimal Important Differences (MIDs) is essential for the interpretation of continuous outcomes, especially patient-reported outcome measures (PROMS). OBJECTIVE: The aim of this study was to estimate the MID for the Western Ontario Rotator Cuff Index (WORC: score 0 (best) to 2100 (worst disability)) in adults with shoulder pain associated with partial-thickness rotator cuff tears, 'symptomatic PTTs', undergoing conservative treatment with physiotherapy...
June 2018: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/29449765/application-of-the-mckenzie-system-of-mechanical-diagnosis-and-therapy-mdt-in-patients-with-shoulder-pain-a-prospective-longitudinal-study
#12
Afshin Heidar Abady, Richard Rosedale, Bert M Chesworth, Michael A Rotondi, Tom J Overend
Objectives: The primary objective was to determine if the pain and function response to the McKenzie system of Mechanical Diagnosis and Therapy (MDT) differs by MDT classification category at two and four weeks following the start of MDT treatment for shoulder complaints. The secondary objective was to describe the frequency of discharge over time by MDT classification. Methods: International, MDT-trained study collaborators recruited 93 patients attending physiotherapy for rehabilitation of a shoulder problem...
December 2017: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/29437484/the-effects-of-thai-yoga-on-physical-fitness-a-meta-analysis-of-randomized-control-trials
#13
Chuenjid Kongkaew, Parinya Lertsinthai, Katechan Jampachaisri, Pajaree Mongkhon, Peerapong Meesomperm, Kunwarang Kornkaew, Phichamon Malaiwong
OBJECTIVES: Thai yoga is a traditional Thai exercise used for improving health-related physical fitness. Many studies have evaluated these effects, but their results remain inconclusive. This meta-analysis aimed to examine the effectiveness of Thai yoga on physical fitness. DESIGN/METHODS: PubMed, EMBASE, CINAHL, Cochrane library, Thai Library Integrated System (ThaiLis), Physiotherapy Evidence Database (PEDro), National Rehabilitation Information Center (Rehabdata), Scopus, Web of Science, Thai University library databases/journals, and Thai Physical Therapy database up to March 2016 were searched for randomized controlled trials (RCTs) examining the effect of Thai yoga exercise compared with normal daily activities as controls, in any language...
February 13, 2018: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/29428926/immediate-changes-after-manual-therapy-in-patients-with-persistent-nonspecific-back-pain-a-randomized-controlled-trial
#14
Gemma Victoria Espí-López, Maria-Arantzazu Ruescas-Nicolau, M Luz Sanchez-Sanchez, Anna Arnal-Gómez, Mercè Balasch-Bernat, Elena Marques-Sule
Context • Thoracic manipulation decreases pain and disability. However, when such manipulation is contraindicated, the use of other manual techniques based on the regional interdependence of the thoracic spine, upper ribs, and shoulders is an alternative approach. Objective • The study intended to investigate the immediate changes resulting from 3 manual therapy treatments on spinal mobility, flexibility, comfort, and pain perception in patients with persistent, nonspecific back pain as well as changes in their sense of physical well-being and their perception of change after treatment...
February 10, 2018: Alternative Therapies in Health and Medicine
https://www.readbyqxmd.com/read/29363341/physiotherapy-treatment-of-the-diabetic-shoulder-health-related-quality-of-life-and-measures-of-shoulder-function-regarding-patients-with-type-1-diabetes
#15
Maria Kyhlbäck, Anne Söderlund, Tomas Thierfelder, Gunilla Elmgren Frykberg
PURPOSE: The aim of this study was to investigate how health-related quality of life (HRQoL) and functional shoulder range of motion are affected among patients with diabetes with shoulder problems, treated with a specific physiotherapy programme. A further aim was to investigate how health-related quality of life, functional shoulder range of motion, pain intensity, and shoulder function correlate within the group of patients after the treatment period. METHOD: A pre-post treatment design was applied for a study group of ten patients with type 1 diabetes and shoulder problems...
January 24, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29353523/acromioclavicular-joint-disruptions-a-comparison-of-two-surgical-approaches-hook-and-rope
#16
M S Athar, Neil Ashwood, Georgios Arealis, Mark Hamlet, Emma Salt
INTRODUCTION: Acromioclavicular joint injuries are common shoulder girdle injuries most commonly resulting from a direct blow to the acromion with the arm adducted. Type-I or type-II acromioclavicular joint injuries can be managed with sling immobilization, early shoulder motion, and physiotherapy. The management of type-III injuries remains controversial and is individualized. Type IV and V injuries should be treated surgically. A myriad of surgical techniques for the management of acromioclavicular joint injuries have been reported...
January 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29343891/first-two-bilateral-hand-transplantations-in-india-part-3-rehabilitation-and-immediate-outcome
#17
Mohit Sharma, Subramania Iyer, P Kishore, Jimmy Mathew, Sundeep Vijayaraghavan, Ravi Sankaran, Arun N Nair, R Janarthanan, Abhijeet Wakure, Raghuveer Reddy, S M Chetan Mali, Visakh Varma, Ashish Chaudhari, Swapnil Dhake, Akshay Omkumar
Introduction: This report covers the strategies adopted for rehabilitation for the first and second dual hand transplants performed in India. Materials and Methods: The team, under a trained physiatrist, including physiotherapy and occupational therapy personnel, was involved in the management of both these patients. The management protocol was developed considering previous reports as well as our management strategies in the rehabilitation of the replanted hands...
May 2017: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/29335773/effects-of-combining-ergonomic-interventions-and-motor-control-exercises-on-muscle-activity-and-kinematics-in-people-with-work-related-neck-shoulder-pain
#18
Sharon M H Tsang, Billy C L So, Rufina W L Lau, Jie Dai, Grace P Y Szeto
PURPOSE: This study compared the effects of "Ergomotor" intervention and conventional physiotherapy, on influencing the motor control in the neck-shoulder region in people with work-related neck-shoulder pain (WRNSP). METHODS: 101 patients (age range 20-54 years) diagnosed with chronic WRNSP were randomized into control (CO) group (n = 50) and Ergomotor (EM) group (n = 51). Each group received a 12-week intervention. Participants in CO group received treatment for pain relief and general exercises...
April 2018: European Journal of Applied Physiology
https://www.readbyqxmd.com/read/29297720/exploring-patient-experiences-of-participating-in-a-group-exercise-class-for-the-management-of-nonspecific-shoulder-pain
#19
Eva Barrett, Amy Hayes, Mags Kelleher, Carmela Conroy, Katie Robinson, Kieran O'Sullivan, Karen McCreesh
OBJECTIVE: Recent evidence has demonstrated that group-based physiotherapy interventions for musculoskeletal pain can have similar clinical outcomes compared to one-to-one treatment. This study qualitatively explored the experiences of individuals who participated in a physiotherapist-led group exercise class for people with nonspecific shoulder pain (NSSP). METHODS: Semi-structured interviews were carried out with 23 people with NSSP, who had recently participated in a 6-week structured exercise class...
June 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29276538/rotator-cuff-disorders-a-survey-of-current-2016-uk-physiotherapy-practice
#20
Julie Bury, Chris Littlewood
Background: Shoulder pain is a common musculoskeletal presentation, with disorders of the rotator cuff (RC) regarded as the most frequent cause. Conservative treatment is often the initial management; however, findings from a previous survey showed considerable variations in clinical practice, including the use of modalities that are not supported in the literature, suggesting that research is not impacting on practice. The present study aimed to survey current UK physiotherapy practice for the management of RC disorders and to determine whether this has changed over the 5-year period since the last survey was conducted...
January 2018: Shoulder & Elbow
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