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Shoulder manual therapy

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
Kelli McIntyre, Annie Bélanger, Jasdeep Dhir, Lyndsay Somerville, Lyn Watson, Myles Willis, Jackie Sadi
STUDY DESIGN: Systematic review. OBJECTIVES: To identify the best evidenced-based approach for the conservative rehabilitation of patients with posterior glenohumeral instability. BACKGROUND: Posterior glenohumeral instability is more common than previously thought. Proper management is imperative to control symptoms and maximize function. METHODS: We conducted an electronic search, up to November 2014, for English-language studies involving rehabilitation of posterior shoulder instability...
June 7, 2016: Physical Therapy in Sport
Kwang-Il Kwak, Eun-Kyung Kim
[Purpose] This study aimed to develop a clinical protocol for the treatment of frozen shoulder using applied hydraulic distension plus manual therapy. [Subjects and Methods] Patients were randomly assigned to 2 groups: 60 patients in group A were treated with hydraulic distension plus manual therapy, and 61 in group B were treated with hydraulic distension alone. Treatment effects were assessed using the Visual Analog Scale (VAS) (pain and satisfaction), and active range of motion of the shoulder (forward flexion, internal and external rotation) before treatments and at 2, 6, 12, 24 weeks, and 1 year after the last injections...
August 2016: Journal of Physical Therapy Science
Paul E Mintken, Amy W McDevitt, Joshua A Cleland, Robert E Boyles, Amber R Beardslee, Scott A Burns, Matthew D Haberl, Lauren A Hinrichs, Lori A Michener
Study Design Multicenter randomized controlled trial. Background Cervicothoracic manual therapy has been shown to improve pain and disability in individuals with shoulder pain, but the incremental effects of manual therapy in addition to exercise therapy have not been investigated in a randomized controlled trial. Objectives To compare the effects of cervicothoracic manual therapy and exercise therapy to those of exercise therapy alone in individuals with shoulder pain. Methods Individuals (n = 140) with shoulder pain were randomly assigned to receive 2 sessions of cervicothoracic range-of-motion exercises plus 6 sessions of exercise therapy, or 2 sessions of high-dose cervicothoracic manual therapy and range-of-motion exercises plus 6 sessions of exercise therapy (manual therapy plus exercise)...
August 2016: Journal of Orthopaedic and Sports Physical Therapy
Andrew Bernstetter
PURPOSE: Cervical traction is a commonly utilized intervention in the treatment of patients with neck pain. In 2009, a clinical prediction rule (CPR) was developed as a way to assist clinicians in determining the patient population most likely to respond to cervical traction, though this CPR has yet to be validated. The purpose of this case report is to demonstrate the application of that CPR. CASE DESCRIPTION: The patient was a 46-year-old female with a four-week history of right-sided neck and shoulder pain, with numbness and tingling of her thumb and index finger...
October 2016: Physiotherapy Theory and Practice
Aleksandra Truszczyńska, Anna Scherer, Justyna Drzał-Grabiec
BACKGROUND: A job requiring stooping, lifting, carrying loads and multiple repetitions of the same movement patterns leads to overloading the musculoskeletal system. OBJECTIVE: The aim of the study was to assess the work-related load experienced by physiotherapists and the occurrence of the musculoskeletal system overload. METHODS: The study included 108 young physiotherapists, 69 women and 39 men, aged from 25 to 35 years (mean 27.12 ± 3...
June 23, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
S Sohns, K Schnieder, G Licht, H von Piekartz
BACKGROUND: Although chronic shoulder pain is highly prevalent and myofascial trigger points (mTrP) are thought to be found in the majority of patients with shoulder complaints, the influence on the pain mechanism remains unclear. There are only very few controlled clinical studies on the effects of manual trigger point compression therapy. OBJECTIVE: This randomized controlled trial (RCT) compared the short-term effects of manual trigger point compression therapy (n = 6) with manual sham therapy (n = 6) in patients with unilateral shoulder pain due to myofascial syndrome (MFS)...
June 13, 2016: Der Schmerz
Matthew J Page, Sally Green, Marshall A Mrocki, Stephen J Surace, Jessica Deitch, Brodwen McBain, Nicolette Lyttle, Rachelle Buchbinder
BACKGROUND: Management of rotator cuff disease may include use of electrotherapy modalities (also known as electrophysical agents), which aim to reduce pain and improve function via an increase in energy (electrical, sound, light, or thermal) into the body. Examples include therapeutic ultrasound, low-level laser therapy (LLLT), transcutaneous electrical nerve stimulation (TENS), and pulsed electromagnetic field therapy (PEMF). These modalities are usually delivered as components of a physical therapy intervention...
2016: Cochrane Database of Systematic Reviews
Matthew J Page, Sally Green, Brodwen McBain, Stephen J Surace, Jessica Deitch, Nicolette Lyttle, Marshall A Mrocki, Rachelle Buchbinder
BACKGROUND: Management of rotator cuff disease often includes manual therapy and exercise, usually delivered together as components of a physical therapy intervention. This review is one of a series of reviews that form an update of the Cochrane review, 'Physiotherapy interventions for shoulder pain'. OBJECTIVES: To synthesise available evidence regarding the benefits and harms of manual therapy and exercise, alone or in combination, for the treatment of people with rotator cuff disease...
2016: Cochrane Database of Systematic Reviews
Nihan Ozunlu Pekyavas, Gul Baltaci
Subacromial impingement syndrome (SAIS) is a major contributing factor of shoulder pain; and treatment approaches (Kinesio® taping [KT], Exercise [EX], manual therapy [MT], and high-intensity laser therapy [HILT]) have been developed to treat the pain. The key objective of this study was to compare the effects of KT, MT, and HILT on the pain, the range of motion (ROM), and the functioning in patients with SAIS. Seventy patients with SAIS were randomly divided into four groups based on the treatment(s) each group received [EX (n = 15), KT + EX (n = 20), MT + KT + EX (n = 16), and MT + KT + HILT + EX (n = 19)]...
August 2016: Lasers in Medical Science
Hsiang-Yu Lin, Chih-Kuang Chuang, Chung-Hsing Wang, Yin-Hsiu Chien, Yu-Mei Wang, Fuu-Jen Tsai, Yen-Yin Chou, Shio Jean Lin, Hui-Ping Pan, Dau-Ming Niu, Wuh-Liang Hwu, Yu-Yuan Ke, Shuan-Pei Lin
BACKGROUND: Information regarding the long-term outcome of enzyme replacement therapy (ERT) with recombinant human N-acetylgalactosamine 4-sulfatase (rhASB, galsulfase, Naglazyme®, BioMarin Pharmaceutical Inc.) for Taiwanese patients with mucopolysaccharidosis (MPS) VI is limited. METHODS: Nine Taiwanese patients with MPS VI (4 males and 5 females; age range, 1.4 to 21.1 years) treated with weekly intravenous infusions of galsulfase (1.0 mg/kg) in 5 medical centers in Taiwan were reviewed...
June 2016: Molecular Genetics and Metabolism Reports
Rachel Goldgrub, Pierre Côté, Deborah Sutton, Jessica J Wong, Hainan Yu, Kristi Randhawa, Sharanya Varatharajan, Danielle Southerst, Silvano Mior, Heather M Shearer, Craig Jacobs, Maja Stupar, Chadwick L Chung, Sean Abdulla, Robert Balogh, Shilpa Dogra, Margareta Nordin, Anne Taylor-Vaisey
OBJECTIVE: The purpose of this systematic review was to evaluate the effectiveness of multimodal care for the management of soft tissue injuries of the shoulder. METHODS: We conducted a systematic review and searched MEDLINE, EMBASE, CINAHL, PsycINFO, and the Cochrane Central Register of Controlled Trials from 1990 to 2015. Two independent reviewers critically appraised studies using the Scottish Intercollegiate Guidelines Network criteria. We used best evidence synthesis to synthesize evidence from studies with low risk of bias...
February 2016: Journal of Manipulative and Physiological Therapeutics
Hasan Kerem Alptekin, Tuğba Aydın, Enes Serkan İflazoğlu, Mirsad Alkan
[Purpose] To evaluate treatments with interferential current, hot pack, ultrasound therapy, stretching, strengthening and range-of-motion exercises, comparing between the right and left shoulders in terms of pain and functional capacity in patients with frozen shoulder. This was a retrospective study. [Subjects and Methods] Sixty-four patients (34 right side, 30 left side) were treated with interferential current and hot pack application for 20 min each, ultrasound therapy for 3 min, regular range-of-motion exercises, stretching exercises, strengthening with a Theraband in all directions and post-exercise proprioceptive neuromuscular facilitation techniques...
January 2016: Journal of Physical Therapy Science
M Terry Loghmani, Amy J Bayliss, Greg Clayton, Evelina Gundeck
Finger injuries are common and can greatly affect a musician's quality of life. A 55-year-old man, who had injured the proximal interphalangeal joint of the left index finger 6 months prior to any intervention, was treated with a manual therapy approach incorporating instrument-assisted soft tissue mobilization (IASTM). Initial examination findings included self-reported pain and functional limitations and physical impairments that significantly impeded his ability to play the acoustic guitar. He was treated once a week for 6 weeks with IASTM, joint mobilization, therapeutic exercise, and ice massage...
December 2015: Journal of Manual & Manipulative Therapy
Joseph W Galvin, Josef K Eichinger
We report a case of a 43-year-old male who sustained an axillary nerve injury secondary to a glenohumeral joint dislocation at a young age, and who has served over 20 years in the military with near normal shoulder function. In addition, we review the literature for the natural history of axillary nerve injury. A 43-year-old male sustained a left anterior glenohumeral dislocation in a motor vehicle accident as an 18-year-old. Following prompt manual reduction and subsequent physical therapy, the patient developed a permanent axillary nerve palsy...
March 2016: Military Medicine
Aimie L Peek, Caroline Miller, Nicola R Heneghan
OBJECTIVES: Non-specific shoulder pain (NSSP) is often persistent and disabling leading to high socioeconomic costs. Cervical manipulation has demonstrated improvements in patients with NSSP, although risks associated with thrust techniques are documented. Thoracic manual therapy (TMT) may utilise similar neurophysiological effects with less risk. The current evidence for TMT in treating NSSP is limited to systematic reviews of manual therapy (MT) applied to the upper quadrant. These reviews included trials that used shoulder girdle manual therapy (SG-MT) in the TMT group...
September 2015: Journal of Manual & Manipulative Therapy
Yun Young Jang, Tae Hoon Kim, Byoung Hee Lee
The purpose of this study was to investigate the effects of brain-computer interface (BCI)-controlled functional electrical stimulation (FES) training on shoulder subluxation of patients with stroke. Twenty subjects were randomly divided into two groups: the BCI-FES group (n = 10) and the FES group (n = 10). Patients in the BCI-FES group were administered conventional therapy with the BCI-FES on the shoulder subluxation area of the paretic upper extremity, five times per week during 6 weeks, while the FES group received conventional therapy with FES only...
June 2016: Occupational Therapy International
Saba Aijaz Ali, Muhammad Khan
OBJECTIVE: The aim of this work was to evaluate the effectiveness of exercise with manual therapy and exercise alone in adhesive capsulitis of the shoulder. METHOD: This randomized study was conducted at institute of physical medicine and rehabilitation Dow University of Health Sciences, Karachi between January, 2014 and July, 2014. Forty four participant age between 25-40 years were recruited. Twenty two participants were allocated to exercise and manual therapy group and 22 participants were allocated to exercise only group...
November 2015: Pakistan Journal of Medical Sciences Quarterly
Haolin Zhang, Jungang Sun, Chao Wang, Congcong Yu, Weiwei Wang, Meng Zhang, Lixing Lao, Ming Yi, You Wan
OBJECTIVE: To explore the effects of contralateral manual acupuncture (MA) on patients with chronic shoulder pain. METHODS: Eighty patients with chronic shoulder pain were randomly allocated to receive contralateral MA (n=38) for 4 weeks or to remain on a waiting list while receiving conventional orthopaedic therapy (n=42). Visual analogue scale (VAS) scores were taken as the primary outcome measure and used for a priori power calculation. Secondary outcome measures for the assessment of shoulder mobility and quality of life included the Jobe test, the Constant-Murley (CM) score, the Disabilities of the Arm, Shoulder and Hand (DASH) score, and the 36 item Short Form Health Survey (SF-36)...
June 2016: Acupuncture in Medicine: Journal of the British Medical Acupuncture Society
Daniel Cury Ribeiro, Marcelo Peduzzi de Castro, Gisela Sole, Bill Vicenzino
BACKGROUND: Manual therapy enhances pain-free range of motion and reduces pain levels, but its effect on shoulder muscle activity is unclear. This study aimed to assess the effects of a sustained glenohumeral postero-lateral glide during elevation on shoulder muscle activity. METHODS: Thirty asymptomatic individuals participated in a repeated measures study of the electromyographic activity of the supraspinatus, infraspinatus, posterior deltoid, and middle deltoid...
April 2016: Manual Therapy
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