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shoulder special tests

José Antonio Cano-Martínez, Gregorio Nicolás-Serrano, Julio Bento-Gerard, Francisco Picazo-Marín, Josefina Andrés-Grau
OBJECTIVE: Describe the clinical and radiological results of triple button device in the treatment of high-grade AC dislocations (Rockwood, type V) and assess whether improves vertical and horizontal stability compared to the techniques previously described. MATERIAL AND METHODS: This retrospective study included 39 patients with type V acromioclavicular dislocations treated with Twin Tail TightRope™ system (triple button device). Of the 39 patients, 33 (26 men and 7 women) were able to participate in clinical and radiographic follow up...
September 15, 2016: Injury
Cheng-wei Chen, Zhe-er Pan, Chao Zhang, Cai-long Liu, Lei Chen
OBJECTIVE: To evaluate the reliability and diagnosis accuracy of 5 special tests used for the diagnosis of subacromial impingement syndrome (SAIS). METHODS: A prospective blinded cohort study was taken,in which 105 patients with shoulder pain were reviewed. All the patients took 5 special syndrome tests including Neer syndrome, Hawkins-Kennedy syndrome, painful arc empty can test and external rotation resistance test, also underwent arthroscopic surgical examination...
May 2016: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Nitin B Jain, Jennifer Luz, Laurence D Higgins, Yan Dong, Jon J P Warner, Elizabeth Matzkin, Jeffrey N Katz
OBJECTIVE: The aim was to assess diagnostic accuracy of 15 shoulder special tests for rotator cuff tears. DESIGN: From February 2011 to December 2012, 208 participants with shoulder pain were recruited in a cohort study. RESULTS: Among tests for supraspinatus tears, Jobe test had a sensitivity of 88% (95% confidence interval [CI], 80%-96%), specificity of 62% (95% CI, 53%-71%), and likelihood ratio of 2.30 (95% CI, 1.79-2.95). The full can test had a sensitivity of 70% (95% CI, 59%-82%) and a specificity of 81% (95% CI, 74%-88%)...
July 6, 2016: American Journal of Physical Medicine & Rehabilitation
David Anssari Moin, Wiebe Derksen, Hugo Waars, Bassam Hassan, Daniel Wismeijer
OBJECTIVES: The aim of this study was to introduce a new concept for computer-assisted template-guided placement of a custom 3D-designed/3D-printed implant with congruent custom 3D-designed/3D-printed surgical tooling and to test the feasibility and accuracy of this method in-vitro. MATERIALS AND METHODS: One partially edentulous human mandibular cadaver was scanned with a cone-beam computed tomography (CBCT) system and intra-oral scan system. The 3D data of this cadaver were imported in specialized software and used to analyse the region of a missing tooth...
March 19, 2016: Clinical Oral Implants Research
David Anssari Moin, Wiebe Derksen, J P Verweij, Richard van Merkesteyn, Daniel Wismeijer
PURPOSE: The aim of this study was to introduce a novel method for accurate autotransplantation with computer-assisted guided templates and assembled custom-designed surgical tooling and to test the feasibility and accuracy of this method ex vivo. MATERIALS AND METHODS: A partially edentulous human mandibular cadaver was scanned with a cone-beam computed tomography (CBCT) system and an intraoral scan system. The 3-dimensional (3D) data of this cadaver were imported into specialized software and used to analyze the region of the recipient site and the donor tooth was selected...
May 2016: Journal of Oral and Maxillofacial Surgery
Scott A Burns, Joshua A Cleland, Kristin Carpenter, Paul E Mintken
OBJECTIVE: Examine the interrater reliability of cervicothoracic and shoulder physical examination in patients with a primary complaint of shoulder pain. DESIGN: Single-group repeated-measures design for interrater reliability. SETTING: Orthopaedic physical therapy clinics. PARTICIPANTS: Twenty-one patients with a primary complaint of shoulder pain underwent a standardized examination by a physical therapist (PT). A PT conducted the first examination and one of two additional PTs conducted the 2nd examination...
March 2016: Physical Therapy in Sport
Stefano Paolucci, Marco Iosa, Danilo Toni, Piero Barbanti, Paolo Bovi, Anna Cavallini, E Candeloro, Alessia Mancini, Mauro Mancuso, Serena Monaco, Alessio Pieroni, Serena Recchia, Maria Sessa, Davide Strambo, Michele Tinazzi, Giorgio Cruccu, Andrea Truini
OBJECTIVE: Pain prevalence data for patients at various stages after stroke. DESIGN: Repeated cross-sectional, observational epidemiological study. SETTING: Hospital-based multicenter study. SUBJECTS: Four hundred forty-three prospectively enrolled stroke survivors. METHODS: All patients underwent bedside clinical examination. The different types of post-stroke pain (central post-stroke pain, musculoskeletal pains, shoulder pain, spasticity-related pain, and headache) were diagnosed with widely accepted criteria during the acute, subacute, and chronic stroke stages...
May 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Inge Eriks-Hoogland, Sonja de Groot, Govert Snoek, Gerold Stucki, Marcel Post, Lucas van der Woude
OBJECTIVE: To examine whether musculoskeletal shoulder pain and limitations in shoulder range of motion (ROM) at discharge from first rehabilitation are associated with activities and participation restrictions 5 years later in persons with spinal cord injury (SCI). DESIGN: Prospective cohort study. SETTING: Eight specialized SCI rehabilitation centers. PARTICIPANTS: Subjects (N=138) with an SCI admitted for first rehabilitation...
January 2016: Archives of Physical Medicine and Rehabilitation
Julien Andrin, Charbel Macaron, Pierre Pottecher, Pierre Martz, Emmanuel Baulot, Pierre Trouilloud, Brice Viard
PURPOSE: In the literature, there are several techniques for measuring the glenoidal version of the scapula. The superiority of the scannographic measurement over the standard radiologic measures seems evident. The main problems are the evaluation and the reproducibility of these methods, which are dependent on the quality of the CT scan and the orientation of its sections. We pinpoint a simple method of the "scapular triangle", the reliability of which deserves special consideration...
March 2016: International Orthopaedics
John P Abt, Jonathan M Oliver, Takashi Nagai, Timothy C Sell, Mita T Lovalekar, Kim Beals, Dallas E Wood, Scott M Lephart
Human performance training and prevention strategies are necessary to promote physical readiness and mitigate musculoskeletal injuries of the Naval Special Warfare (NSW) Operator. The purpose of this study was to measure the effectiveness of 2 training programs when performed during a training evolution of Operators. A total of 85 Operators (experimental: n = 46, age: 29.4 ± 5.5 years, height: 176.7 ± 6.4 cm, mass: 86.7 ± 11.6 kg; control: n = 39, age: 29.0 ± 6.0 years, height: 177.1 ± 6.3 cm, mass: 85...
January 2016: Journal of Strength and Conditioning Research
M F Bordalo, M De Nazaré Portal, S Cader, N V Perrotta, J M Dias Neto, E Dantas
AIM: The present study aimed to assess the effects of two different sports training methods - traditional and maturational - on the flexibility of female rhythmic gymnasts at different levels of biological maturation. METHODS: The sample consisted of 120 children, randomly divided (by draw) into six groups of 20 children (eight and nine-years old): traditional training group (TG); maturational training group (MG); and the control group (CG). These were subdivided into early, normal and late, based on biological maturation assessment by hand/wrist X-ray examination...
May 2015: Journal of Sports Medicine and Physical Fitness
Michelle L Osborn, Dominique G Homberger
The combination of large mastoid processes and clavicles is unique to humans, but the biomechanical and evolutionary significance of their special configuration is poorly understood. As part of the newly conceptualized shoulder suspension apparatus, the mastoid processes and clavicles are shaped by forces exerted by the musculo-fascial components of the cleidomastoid and clavotrapezius muscles as they suspend the shoulders from the head. Because both skeletal elements develop during infancy in tandem with the attainment of an upright posture, increased manual dexterity, and the capacity for walking, we hypothesized that the same forces would have shaped them as the shoulder suspension apparatus evolved in ancestral humans in tandem with an upright posture, increased manual dexterity, and bipedality with swinging arms...
September 2015: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology
Fredrik R Johansson, Eva Skillgate, Mattis L Lapauw, Dorien Clijmans, Valentijn P Deneulin, Tanneke Palmans, Human Kinetic Engineer, Ann M Cools
CONTEXT: Shoulder strength assessment plays an important role in the clinical examination of the shoulder region. Eccentric strength measurements are of special importance in guiding the clinician in injury prevention or return-to-play decisions after injury. OBJECTIVE: To examine the absolute and relative reliability and validity of a standardized eccentric strength-measurement protocol for the glenohumeral external rotators. DESIGN: Descriptive laboratory study...
July 2015: Journal of Athletic Training
Tisha Wheeler, R Cameron Wolf, Laurent Kapesa, Alison Cheng Surdo, Gina Dallabetta
BACKGROUND: Despite decades of HIV responses in pockets of West and Central Africa (WCA), the HIV response with key populations remains an understudied area. Recently, there has been a proliferation of studies highlighting epidemiologic and behavioral data that challenge attitudes of complacency among donors and country governments uncomfortable in addressing key populations. METHODS: The articles in this series highlight new studies that provide a better understanding of the epidemiologic and structural burden facing key populations in the WCA region and how to improve responses through more effective targeting...
March 1, 2015: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Joseph E Rupert, Jacob A Rose, Jason M Organ, Michael T Butcher
Scratch-digging mammals are commonly described as having large, powerful forelimb muscles for applying high force to excavate earth, yet studies quantifying the architectural properties of the musculature are largely unavailable. To further test hypotheses about traits that represent specializations for scratch-digging, we quantified muscle architectural properties and myosin expression in the forelimb of the groundhog (Marmota monax), a digger that constructs semi-complex burrows. Architectural properties measured were muscle moment arm, muscle mass (MM), belly length (ML), fascicle length (l(F)), pennation angle and physiological cross-sectional area (PCSA), and these metrics were used to estimate maximum isometric force, joint torque and power...
January 15, 2015: Journal of Experimental Biology
M Proesmans, M Vreys, E Huenaerts, E Haest, S Coremans, F Vermeulen, H Feys
BACKGROUND: 'Profound intellectual and multiple disability' (PIMD) is defined as a profound cognitive disability with severe sensory and motor impairments. The aim of this study was to evaluate the respiratory morbidity in children with PIMD and investigate possible risk factors. METHODS: In 10 specialized facilities for daily care of patients with PIMD, children underwent a standardized clinical assessment evaluating respiratory and motor function. Additional medical information was obtained...
October 2015: Pediatric Pulmonology
Eric J Hegedus, Chad Cook, Jeremy Lewis, Alexis Wright, Jin-Young Park
The use of orthopedic special tests (OSTs) to diagnose shoulder pathology via the clinical examination is standard in clinical practice. There is a great deal of research on special tests but much of the research is of a lower quality implying that the metrics from that research, sensitivity, specificity, and likelihood ratios, is likely to vary greatly in the hands of different clinicians and in varying practice environments. A way to improve the clinical diagnostic process is to cluster OSTs and to use these clusters to either rule in or out different pathologies...
May 2015: Physical Therapy in Sport
Aydan Aytar, Aslican Zeybek, Nihan Ozunlu Pekyavas, Ayca Aytar Tigli, Nevin Ergun
BACKGROUND: Despite the fact that the number of disabled individuals participating in sports is increasing, there are only sparse reports in the literature concerning overuse injuries. OBJECTIVES: The purpose of this study was to compare scapular resting position, shoulder pain, and function in wheelchair basketball, amputee soccer, and disabled table tennis players. STUDY DESIGN: Descriptive study. METHODS: A total of 63 disabled players from amputee soccer, wheelchair basketball, and disabled table tennis participated in our study...
October 2015: Prosthetics and Orthotics International
Ron Diercks, Carel Bron, Oscar Dorrestijn, Carel Meskers, René Naber, Tjerk de Ruiter, Jaap Willems, Jan Winters, Henk Jan van der Woude
Treatment of "subacromial impingement syndrome" of the shoulder has changed drastically in the past decade. The anatomical explanation as "impingement" of the rotator cuff is not sufficient to cover the pathology. "Subacromial pain syndrome", SAPS, describes the condition better. A working group formed from a number of Dutch specialist societies, joined by the Dutch Orthopedic Association, has produced a guideline based on the available scientific evidence. This resulted in a new outlook for the treatment of subacromial pain syndrome...
June 2014: Acta Orthopaedica
R L Hawkins, P Hobeika
Procedures and possible findings for physical examination of the shoulder are categorized and described. Discussion covers initial impressions, inspection, palpation, range of motion, neurological and strength testing, stability, special testing, and examination of joints above and below the shoulder.
October 1983: Orthopedics
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