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https://www.readbyqxmd.com/read/29329890/pain-motion-and-function-comparison-of-two-exercise-protocols-for-the-rotator-cuff-and-scapular-stabilizers-in-patients-with-subacromial-syndrome
#1
Eva Vallés-Carrascosa, Tomás Gallego-Izquierdo, José Jesús Jiménez-Rejano, Gustavo Plaza-Manzano, Daniel Pecos-Martín, Fidel Hita-Contreras, Alexander Achalandabaso Ochoa
STUDY DESIGN: Randomized clinical trial. INTRODUCTION: Eccentric exercise (EE) was shown to be an effective treatment in tendinopathies. However, the evidence of its effectiveness in subacromial syndrome (SS) is scarce. Moreover, consensus has not been reached on whether best results for SS are obtained by means of EE with or without pain. PURPOSE OF THE STUDY: The purpose of this is to compare the effect on pain, active range of motion (AROM), and shoulder function of an exercise protocol performed with pain <40 mm Visual Analog Scale (VAS) and without pain, in patients with SS...
January 9, 2018: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29326903/inter-and-intrarater-reliability-of-goniometry-and-hand-held-dynamometry-for-patients-with-subacromial-impingement-syndrome
#2
Georg Fieseler, Kevin G Laudner, Lars Irlenbusch, Henrike Meyer, Stephan Schulze, Karl-Stefan Delank, Souhail Hermassi, Thomas Bartels, René Schwesig
The purpose of this study was to examine the intra- and interrater reliability of measuring shoulder range of motion (ROM) and strength among patients diagnosed with subacromial impingement syndrome (SAIS). Twenty-five patients (14 female patients; mean age, 60.4± 7.84 years) diagnosed with SAIS were assessed to determine the intrarater reliability for glenohumeral ROM. Twenty-five patients (16 female patients; mean age, 60.4± 7.80 years) and 76 asymptomatic volunteers (52 female volunteers; mean age, 29...
December 2017: Journal of Exercise Rehabilitation
https://www.readbyqxmd.com/read/29305377/are-corticosteroid-injections-more-beneficial-than-anaesthetic-injections-alone-in-the-management-of-rotator-cuff-related-shoulder-pain-a-systematic-review
#3
REVIEW
Tim Cook, Catherine Minns Lowe, Mark Maybury, Jeremy S Lewis
OBJECTIVE: To compare the effectiveness of corticosteroid injections to local anaesthetic injections in the management of rotator cuff-related shoulder pain (RCRSP). DESIGN: Systematic review with best evidence synthesis. DATA SOURCES: The Cochrane, PubMed, CINAHL Plus, PEDro and EMBASE electronic databases were searched (inception until 8 June 2017). Reference lists of included articles were also hand searched. ELIGIBILITY CRITERIA: Two reviewers independently evaluated eligibility...
January 5, 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29287491/acute-pulmonary-embolism-after-arthroscopic-glenoid-labral-repair-and-subacromial-decompression-case-report-and-review-of-the-literature
#4
Michelle Yagnatovsky, Amos Z Dai, Michael Zacchilli, Laith M Jazrawi
A 29-year-old female with a history of polycystic ovary syndrome (PCOS) on combined oral contraceptives presents with an acute, CT confirmed pulmonary embolus of the right lower lobe one week following arthroscopic labral repair of the right shoulder. The patient's risk factors including obesity, oral contraceptive use, PCOS, and surgical positioning are discussed.
December 21, 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/29245114/subacromial-impingement-syndrome-an-electromyographic-study-of-shoulder-girdle-muscle-fatigue
#5
Omid Alizadehkhaiyat, Margaret M Roebuck, Ahmed T Makki, Simon P Frostick
Muscle fatigue affecting glenohumeral and/or scapular muscles is suggested as one of the contributing factors to the development of subacromial impingement syndrome (SAIS). Nonetheless, the fatigability of shoulder girdle muscles in association with the pathomechanics of SAIS has not been reported. This study aimed to measure and compare fatigue progression within the shoulder girdle musculature of patients and healthy controls. 75 participants including 39 patients (20 females; 19 males) and 36 healthy controls (15 females; 21 males) participated in the study...
December 7, 2017: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/29242702/proliferative-synovitis-of-the-shoulder-bursae-is-a-key-feature-for-discriminating-elderly-onset-rheumatoid-arthritis-mimicking-polymyalgia-rheumatica-from-polymyalgia-rheumatica
#6
Takeshi Suzuki, Ryochi Yoshida, Yuka Hidaka, Yu Seri
Semiquantitative scoring for subacromial bursa (SAB), subdeltoid bursa (SDB), and subcoracoid bursa by both gray-scale (GS) and power Doppler (PD) ultrasonography was performed in 15 patients with polymyalgia rheumatica (PMR) (72.6 ± 7.7 years old) and 15 patients with elderly onset rheumatoid arthritis with PMR-like onset (pm-EORA) (70.7 ± 7.0 years old) before starting treatment. The GS grades of SAB were significantly higher in the shoulders with pm-EORA than in the shoulders with PMR. The GS and PD scores of SAB and the PD scores of SDB were significantly higher in pm-EORA than in PMR cases...
2017: Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29237578/the-effectiveness-of-exercise-therapy-on-scapular-position-and-motion-in-individuals-with-scapular-dyskinesis-systematic-review-protocol
#7
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/29234564/shoulder-external-rotator-eccentric-training-versus-general-shoulder-exercise-for-subacromial-pain-syndrome-a-randomized-controlled-trial
#8
Eric J Chaconas, Morey J Kolber, William J Hanney, Matthew L Daugherty, Stanley H Wilson, Charles Sheets
Background: Shoulder pain affects up to 67% of the population at some point in their lifetime with subacromial pain syndrome (SAPS) representing a common etiology. Despite a plethora of studies there remains conflicting evidence for appropriate management of SAPS. Purpose: To compare outcomes, for individuals diagnosed with SAPS, performing a 6-week protocol of eccentric training of the shoulder external rotators (ETER) compared to a general exercise (GE) protocol...
December 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29234563/postural-alterations-in-patients-with-subacromial-impingement-syndrome
#9
Omid Alizadehkhaiyat, Margaret M Roebuck, Ahmed T Makki, Simon P Frostick
Background: An aberrant upper body posture has been proposed as one of the etiological factors contributing to the development of subacromial impingement syndrome (SAIS). Clinicians have translated this supposition into assessment and rehabilitation programs despite insufficient and conflicting evidence to support this approach. Purpose: The purpose of this study was to compare several postural variables between the SAIS patients and asymptomatic healthy controls...
December 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29226203/blood-glucose-levels-in-diabetic-patients-following-corticosteroid-injections-into-the-subacromial-space-of-the-shoulder
#10
Alexander W Aleem, Usman Ali M Syed, Thema Nicholson, Charles L Getz, Surena Namdari, Pedro K Beredjiklian, Joseph A Abboud
Background: Corticosteroid injections are used to treat a variety of orthopedic conditions with the goal of decreasing pain and inflammation. Administration of systemic or local corticosteroids risks temporarily increasing blood glucose levels, especially diabetic patients. The purpose of this study is to quantify the effects of corticosteroid injections on blood glucose levels in diabetic patients with shoulder pathology. Methods: Diabetic patients who regularly monitored their blood glucose levels and were indicated for a subacromial corticosteroid injection were included in this prospective investigation...
September 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29216699/-diagnostic-value-of-a-predictive-model-for-complete-ruptures-of-the-rotator-cuff-associated-to-subacromial-impingement
#11
I R Águila-Ledesma, J L Córdova-Fonseca, O Medina-Pontaza, D A Núñez-Gómez, C Calvache-García, J M Pérez-Atanasio, R Torres-González
Pathology related to the rotator cuff remains among the most prevalent musculoskeletal diseases. There is an increasing need for imaging studies (MRI, US, arthroscopy) to test the diagnostic performance of the medical history and physical examination. OBJECTIVE: To prove the diagnostic value of a clinical-radiographic predictive model to find complete ruptures of the rotator cuff. MATERIAL AND METHODS: Descriptive, observational, prospective, transversal and analytical study...
May 2017: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/29214618/the-influence-of-smoking-on-recovery-from-subacromial-pain-syndrome-a-cohort-from-the-military-health-system
#12
Daniel I Rhon, John S Magel
BACKGROUND: Smoking rates are higher in the military population than in the civilian sector. Smoking is associated with poor prognosis for many musculoskeletal injuries. The purpose of this study was to investigate the effects of smoking on recovery from a shoulder injury in a prospective cohort seeking care at a military treatment facility. METHODS: Secondary analysis of 98 patients referred to physical therapy for unilateral shoulder pain. Patients received a corticosteroid injection or 6 sessions of physical therapy...
October 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/29202926/impingement-syndrome-of-the-shoulder
#13
Christina Garving, Sascha Jakob, Isabel Bauer, Rudolph Nadjar, Ulrich H Brunner
BACKGROUND: Shoulder pain is the third most common musculoskeletal complaint in orthopedic practice. It is usually due to a defect of the rotator cuff and/or an impingement syndrome. METHODS: This review is based on pertinent literature retrieved by a selective search of the Medline database. RESULTS: Patients with shoulder impingement syndrome suffer from painful entrapment of soft tissue whenever they elevate the arm. The pathological mechanism is a structural narrowing in the subacromial space...
November 10, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29195923/calcific-tendonitis-of-the-rotator-cuff-from-formation-to-resorption
#14
Christelle Darrieutort-Laffite, Frédéric Blanchard, Benoit Le Goff
Calcific tendonitis of the rotator cuff is due to apatite deposits in the shoulder tendons. Patients affected by calcific tendonitis have chronic shoulder pain and disability. Although the disease is frequent, about 10 to 42% of painful shoulders, mechanisms leading to this pathological mineralization are still largely unknown. Research reported in the 1990s suggested that the formation of calcific deposits is linked to cells looking like chondrocytes identified around calcium deposits within a fibrocartilage area...
November 28, 2017: Joint, Bone, Spine: Revue du Rhumatisme
https://www.readbyqxmd.com/read/29193943/-cost-effectiveness-of-local-steroid-combined-with-therapeutic-exercise-in-subacromial-impingement-syndrome
#15
Julio Ramírez-Ortiz, José Dolores Mendoza-Eufracio, María Ricarda García-Viveros, Félix Guillermo Márquez-Celedonio
BACKGROUND: The most common cause of injury is shoulder impingement syndrome. Management includes physical therapy, analgesics, steroids and surgery. The aim of the study was to determine the cost-effectiveness of using steroids combined with therapeutic exercise at home in the chronic impingement syndrome. METHODS: Clinical trial randomized in 30 people with subacromial impingement syndrome underwent two treatments: steroid and at home rehabilitation booklet evaluated at the first and fourth week through UCLA Shoulder rating scale...
September 2017: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/29191285/effects-of-3-different-elastic-therapeutic-taping-methods-on-the-subacromial-joint-space
#16
Katie J Lyman, Kara N Gange, Thomas A Hanson, Christopher D Mellinger
OBJECTIVE: The purpose of this study was to examine the effects of 3 different elastic therapeutic taping methods on the subacromial joint space in healthy adults. METHODS: Pre-/post-test laboratory study method was used in this study. Forty-eight healthy adults with no prior history of shoulder injury or surgery and no history of dominant shoulder pain in the past 6 months were enrolled in the study. Participants were placed into 3 groups (8 males and 8 females per group) on the basis of a consecutively assigned allocation design...
September 2017: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/29181986/disproportionate-fluid-sign-as-an-aid-in-diagnosing-high-grade-bursal-sided-supraspinatus-tendon-tear
#17
Seonji Jeong, Ja-Young Choi, Yu Suhn Kang, Hye Jin Yoo, Sae Hoon Kim, Sung Hwan Hong, Heung Sik Kang
Background Deep, high-grade bursal-sided supraspinatus tendon tears are sometimes preoperatively misinterpreted as full-thickness tears on shoulder magnetic resonance imaging (MRI). Purpose To determine the usefulness of disproportionate fluid sign for differentiating high-grade bursal-sided partial-thickness tears from full-thickness tears on conventional MRI. Material and Methods Preoperative MRIs of 198 patients with arthroscopically confirmed high-grade bursal-sided partial-thickness tears and full-thickness tears were independently reviewed by two readers on two occasions...
January 1, 2017: Acta Radiologica
https://www.readbyqxmd.com/read/29176503/diagnostic-injections-about-the-shoulder
#18
Edward McFarland, Johnathan Bernard, Eric Dein, Alex Johnson
Injections about the shoulder serve diagnostic as well as therapeutic purposes. Diagnosis of shoulder conditions, such as rotator cuff tears, acromioclavicular joint pathology, subacromial impingement or anterolateral pain syndrome, glenohumeral joint pathology, suprascapular nerve entrapment, and biceps tendon pathologies, is often complicated by concomitant conditions with overlapping symptoms and by inconclusive physical examination and imaging results. Injections of anesthetic agents can often help clinicians locate the source of pain...
December 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29176492/the-weight-bearing-shoulder
#19
Ronak M Patel, Jonathan D Gelber, Mark S Schickendantz
The shoulder achieves a wide spectrum of motion, and in a subset of patients, including those who use manual wheelchairs and upper extremity walking aids, the shoulder also serves as the primary weight-bearing joint. Because the weight-bearing shoulder is subject to considerable joint reaction forces and overuse, a broad spectrum of pathology can affect the joint. The combination of muscle imbalance and repetitive trauma presents most commonly as subacromial impingement syndrome but can progress to other pathology...
November 20, 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29169668/arthroscopic-subacromial-decompression-for-subacromial-shoulder-pain-csaw-a-multicentre-pragmatic-parallel-group-placebo-controlled-three-group-randomised-surgical-trial
#20
David J Beard, Jonathan L Rees, Jonathan A Cook, Ines Rombach, Cushla Cooper, Naomi Merritt, Beverly A Shirkey, Jenny L Donovan, Stephen Gwilym, Julian Savulescu, Jane Moser, Alastair Gray, Marcus Jepson, Irene Tracey, Andrew Judge, Karolina Wartolowska, Andrew J Carr
BACKGROUND: Arthroscopic sub-acromial decompression (decompressing the sub-acromial space by removing bone spurs and soft tissue arthroscopically) is a common surgery for subacromial shoulder pain, but its effectiveness is uncertain. We did a study to assess its effectiveness and to investigate the mechanism for surgical decompression. METHODS: We did a multicentre, randomised, pragmatic, parallel group, placebo-controlled, three-group trial at 32 hospitals in the UK with 51 surgeons...
November 20, 2017: Lancet
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