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Scapula dysfunction

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https://www.readbyqxmd.com/read/29618110/identification-of-myofascial-trigger-points-in-breast-cancer-survivors-with-upper-limb-pain-interrater-reliability
#1
An De Groef, Marijke Van Kampen, Evi Dieltjens, Sophie De Geyter, Lore Vos, Tessa De Vrieze, Inge Geraerts, Nele Devoogdt
Objective: Despite the increasing awareness of the contribution of myofascial dysfunctions to upper limb pain in breast cancer survivors, reliability of the identification of myofascial trigger points (MTPs) in this population has not yet been investigated. Therefore, the aim of the present study was to investigate the interrater reliability of the identification of MTPs by palpation at the upper limb region in breast cancer survivors with upper limb pain. Design: Interrater reliability study...
November 22, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29525023/shoulder-acromioclavicular-and-coracoclavicular-ligament-injuries-common-problems-and-solutions
#2
REVIEW
James D Wylie, Jeremiah D Johnson, Jessica DiVenere, Augustus D Mazzocca
Injuries to the acromioclavicular joint and coracoclavicular ligaments are common. Many of these injuries heal with nonoperative management. However, more severe injuries may lead to continued pain and shoulder dysfunction. In these patients, surgical techniques have been described to reconstruct the function of the coracoclavicular ligaments to provide stable relationship between the clavicle and scapula. These surgeries have been fraught with high complication rates including clavicle and coracoid fractures, infection, loss of reduction and fixation, hardware migration, and osteolysis...
April 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29478944/scapular-kinematic-and-shoulder-muscle-activity-alterations-after-serratus-anterior-muscle-fatigue
#3
Jun Umehara, Ken Kusano, Masatoshi Nakamura, Katsuyuki Morishita, Satoru Nishishita, Hiroki Tanaka, Itsuroh Shimizu, Noriaki Ichihashi
BACKGROUND: Although the serratus anterior muscle has an important role in scapular movement, no study to date has investigated the effect of serratus anterior fatigue on scapular kinematics and shoulder muscle activity. The purpose of this study was to clarify the effect of serratus anterior fatigue on scapular movement and shoulder muscle activity. METHODS: The study participants were 16 healthy men. Electrical muscle stimulation was used to fatigue the serratus anterior muscle...
February 23, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29354439/pectoralis-major-transfer-for-treatment-of-serratus-anterior-dysfunction-in-the-setting-of-long-thoracic-nerve-palsy
#4
George Sanchez, Márcio B Ferrari, Anthony Sanchez, Nicholas I Kennedy, Matthew T Provencher
Symptomatic scapular winging resulting in scapular dyskinesia leads to a wide spectrum of clinical complaints, most notably periscapular pain. The malpositioning of the scapula, termed through use of the acronym SICK (scapular malposition, inferior-medial border prominence, coracoid pain and malposition, and dyskinesia of scapular movement), is due to the irregular activity of one or more of the periscapular muscles. In particular, the serratus anterior, innervated by the long thoracic nerve, is a key muscle that stabilizes the scapula and provides coordinated scapulohumeral rhythm...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29319656/isolated-rhabdomyolysis-of-the-infraspinatus-muscle-following-the-crossfit-sissy-test-a-report-of-two-cases
#5
Howard D Routman, Jacob J Triplet, Jennifer Kurowicki, Neil Singh
CASE: Following the completion of a CrossFit-style challenge (the "Sissy Test"), 2 patients presented with severe pain and swelling over the posterior aspect of the scapula. Magnetic resonance imaging demonstrated isolated edema of the infraspinatus muscle in both patients; the compartments were compressible. Neurovascular checks and observation of range of motion were performed. The patients were treated nonoperatively and were discharged with the diagnosis of overuse syndrome with rhabdomyolysis of the infraspinatus muscle...
January 2018: JBJS Case Connector
https://www.readbyqxmd.com/read/29237578/the-effectiveness-of-exercise-therapy-on-scapular-position-and-motion-in-individuals-with-scapular-dyskinesis-systematic-review-protocol
#6
Afsun Nodehi Moghadam, Kianoush Abdi, Mohsen Shati, Shohreh Noorizadeh Dehkordi, Abbas Ali Keshtkar, Zahra Mosallanezhad
BACKGROUND: Scapular dyskinesis is an alteration in normal scapular position and motion. Some researchers believe that altered kinematics of the scapula subsequent to dysfunction or weakness of scapular stabilizing muscles contributes to impingement syndrome. Scapular muscle exercises are included in the rehabilitation of patients with subacromial impingement syndrome and scapular dyskinesis because the muscular system is one of the major contributors of scapular positioning both at rest and during shoulder movement, but there is considerable uncertainty relating to the relative effectiveness of such approaches on changing scapular position and motion...
December 13, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28928496/dorsal-scapular-nerve-neuropathy-a-narrative-review-of-the-literature
#7
Brad Muir
OBJECTIVE: The purpose of this paper is to elucidate this little known cause of upper back pain through a narrative review of the literature and to discuss the possible role of the dorsal scapular nerve (DSN) in the etiopathology of other similar diagnoses in this area including cervicogenic dorsalgia (CD), notalgia paresthetica (NP), SICK scapula and a posterolateral arm pain pattern. BACKGROUND: Dorsal scapular nerve (DSN) neuropathy has been a rarely thought of differential diagnosis for mid scapular, upper to mid back and costovertebral pain...
August 2017: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/28854081/treatment-of-axillary-web-syndrome-using-instrument-assisted-soft-tissue-mobilization-and-thoracic-manipulation-for-associated-thoracic-rotation-dysfunction
#8
Patricia Crane, Jaclyn Ladden, Danielle Monica
PURPOSE: There is a paucity of research that investigates physical therapy management for patients with axillary web syndrome (AWS) and thoracic rotation dysfunction. The purpose of this case report is to describe the management of a patient with AWS and thoracic rotation dysfunction using an impairment-based approach that includes instrument assisted soft tissue mobilization (IASTM), thoracic manipulation, and stretching. CASE DESCRIPTION: The patient was a 48-year-old female with a past medical history of bilateral breast cancer with a bilateral latissimus dorsi flap reconstruction...
January 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28614252/suprascapular-nerve-entrapment-caused-by-an-intraosseous-ganglion-of-the-scapula-a-case-report
#9
Jung Ryul Kim, Sung Il Wang
RATIONALE: Suprascapular nerve compression is a rare but important entity that is often missed in clinical practice. Nerve dysfunction caused by an intraosseous ganglion of the glenoid is extremely rare, to the best of our knowledge, only 1 case of suprascapular nerve entrapment due to an intraosseous ganglion cyst has been reported previously in the published literature. PATIENT CONCERNS: We report a 61-year-old woman who had complained right shoulder pain that lasted over 3 years which was exacerbated by overhead activities...
June 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28576347/scapular-muscle-dysfunction-associated-with-subacromial-pain-syndrome
#10
Birgit Castelein, Barbara Cagnie, Ann Cools
STUDY DESIGN: Narrative Review. INTRODUCTION: One of the shoulder pain disorders in which the function of the scapula is comprised is the subacromial pain syndrome. Several rehabilitation guidelines and exercises have been proposed to improve scapulothoracic muscle dysfunction. Consideration of muscle activation patterns may help to select the most appropriate rehabilitation exercise in these patients. To date, suggesting rehabilitation exercises is often based upon the knowledge of the superficial lying scapulothoracic muscles' activity...
April 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28537843/activity-of-periscapular-muscles-and-its-correlation-with-external-oblique-during-push-up-does-scapular-dyskinesis-change-the-electromyographic-response
#11
Rodrigo Cappatode de Araújo, André Luiz Torres Pirauá, Natália Barros Beltrão, Ana Carolina Rodarti Pitangui
Scapular dyskinesis is the term used to describe changes in the positioning or movement of the scapula. Such dysfunction is associated with changes in the activation of the scapular muscles. However, the influence of the axial muscles on the scapular muscles activity of subjects with scapular dyskinesis is unknown. This study aimed to compare the electromyography (EMG) activity of periscapular muscles and its correlation with the external oblique muscle during the execution of push-up performed in different surfaces, in volunteers with and without scapular dyskinesis...
March 2018: Journal of Sports Sciences
https://www.readbyqxmd.com/read/28176603/can-axial-pain-be-helpful-to-determine-surgical-level-in-the-multilevel-cervical-radiculopathy
#12
REVIEW
Bo-Kyung Suh, Ki Han You, Moon Soo Park
Spine surgeons are required to differentiate symptomatic cervical disc herniation with asymptomatic radiographic herniation. Although the dermatomal sensory dysfunction of upper extremity is the most important clue, axial pain including cervicogenic headache and parascapular pain may be helpful to find surgical target level. However, there is no review article about the axial pain originated from cervical spondylotic radiculopathy and relieved by surgical decompression. The purpose is to review the literatures about the axial pain, which can be utilized in determining target level to be decompressed in the patients with cervical radiculopathy at multiple levels...
January 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28167193/the-scapula-backward-tipping-test-an-inter-rater-reliability-study
#13
RANDOMIZED CONTROLLED TRIAL
Deepak Sebastian, Raghu Chovvath, Ramesh Malladi
BACKGROUND & PURPOSE: The purpose of this study was to determine the reliability of the scapula backward tipping test (SBTT) in detecting the presence of pectoralis minor (PM) tightness and subsequently scapula forward tipping, in a symptomatic population. PM tightness with scapula forward tipping has been described to cause pain and dysfunction in the shoulder region. METHODS: 30 patients with a diagnosis of shoulder pain were randomly assigned and examined by 2 musculoskeletal physical therapists at a time...
January 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/27999727/an-intervention-based-clinical-reasoning-framework-to-guide-the-management-of-thoracic-pain-in-a-dancer-a-case-report
#14
Michael Masaracchio, Kaitlin Kirker, Cristiana Kahl Collins, William Hanney, Xinliang Liu
BACKGROUND AND PURPOSE: As a result of the anatomical proximity of the thoracic spine to the cervical, lumbar, and shoulder regions, dysfunction in the thoracic spine can influence pain, mobility, and stability across these areas. Currently, a paucity of evidence exists addressing treatment of individuals with primary thoracic pain, especially in young, athletic patients. Furthermore, current research discussing clinical reasoning frameworks focus on the differential diagnostic process...
December 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27613762/surgical-release-of-the-pectoralis-minor-tendon-for-scapular-dyskinesia-and-shoulder-pain
#15
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...
January 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27582990/scapular-dyskinesis-the-surgeon-s-perspective
#16
REVIEW
Simon J Roche, Lennard Funk, Aaron Sciascia, W Ben Kibler
The scapula fulfils many roles to facilitate optimal function of the shoulder. Normal function of the shoulder joint requires a scapula that can be properly aligned in multiple planes of motion of the upper extremity. Scapular dyskinesis, meaning abnormal motion of the scapula during shoulder movement, is a clinical finding commonly encountered by shoulder surgeons. It is best considered an impairment of optimal shoulder function. As such, it may be the underlying cause or the accompanying result of many forms of shoulder pain and dysfunction...
October 2015: Shoulder & Elbow
https://www.readbyqxmd.com/read/27387494/efficacy-of-kinesio-taping-versus-postural-correction-exercises-on-pain-intensity-and-axioscapular-muscles-activation-in-mechanical-neck-dysfunction-a-randomized-blinded-clinical-trial
#17
RANDOMIZED CONTROLLED TRIAL
Aliaa M El-Abd, Abeer R Ibrahim, Haytham M El-Hafez
BACKGROUND: While postural correction is commonly used for mechanical neck dysfunction (MND), efficacy of KT has received considerable attention. This study was conducted to determine the effectiveness of kinesio taping (KT) versus postural correction exercises on pain intensity and axioscapular muscles activation in patients with MND. METHODS: Randomized clinical trial for which forty six patients with MND were randomly assigned in to 1 of 2 groups received 4 weeks treatment; KT group: received kinesio taping, PCE group: performed postural correction exercises...
October 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/27185457/exercise-and-sports-science-australia-essa-position-statement-on-exercise-and-spinal-cord-injury
#18
REVIEW
Sean M Tweedy, Emma M Beckman, Timothy J Geraghty, Daniel Theisen, Claudio Perret, Lisa A Harvey, Yves C Vanlandewijck
Traumatic spinal cord injury (SCI) may result in tetraplegia (motor and/or sensory nervous system impairment of the arms, trunk and legs) or paraplegia (motor and/or sensory impairment of the trunk and/or legs only). The adverse effects of SCI on health, fitness and functioning are frequently compounded by profoundly sedentary behaviour. People with paraplegia (PP) and tetraplegia (TP) have reduced exercise capacity due to paralysis/paresis and reduced exercising stroke volume. TP often further reduces exercise capacity due to lower maximum heart-rate and respiratory function...
February 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/27023289/presence-of-scapular-dysfunction-in-dominant-shoulder-of-professional-guitar-players
#19
Nidhi A Shah, Apurv P Shimpi, Savita A Rairikar, Shyam Ashok, Parag K Sancheti
BACKGROUND: Playing guitar can cause adoption of asymmetric postures and affect the shoulder's stability. OBJECTIVE: To assess the presence of scapular dysfunction in professional guitar players. METHOD: A lateral scapular slide test was performed at the level of the spine of the scapula and at the inferior angle of the scapula in 20 professional guitar players (age: 18-40 years) and was compared with 20 age-matched non-players at angles of 0°, 45° and 90° of shoulder abduction with both limbs loaded with 0...
September 2016: International Journal of Occupational Safety and Ergonomics: JOSE
https://www.readbyqxmd.com/read/26982455/reliability-of-measuring-pectoralis-minor-muscle-resting-length-in-subjects-with-and-without-signs-of-shoulder-impingement
#20
Dayana P Rosa, John D Borstad, Elisa D Pires, Paula R Camargo
BACKGROUND: Pectoralis minor adaptive shortening may change scapula resting position and scapular kinematics during arm elevation. A reliable and clinically feasible method for measuring pectoralis minor length will be useful for clinical decision making when evaluating and treating individuals with shoulder pain and dysfunction. OBJECTIVES: To evaluate intrarater, interrater, and between-day reliability of a pectoralis minor (PM) muscle length measurement in subjects with and without signs of shoulder impingement...
March 15, 2016: Brazilian Journal of Physical Therapy
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