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Shoulder Impingement Syndrome

Birgit Castelein, Ann Cools, Thierry Parlevliet, Barbara Cagnie
BACKGROUND: Altered recruitment of rotator cuff and scapulothoracic muscles has been identified in patients with subacromial impingement syndrome. To date, however, the cause-consequence relationship between pain and altered muscle recruitment has not been fully unraveled. METHODS: The effect of experimental shoulder pain induced by injection of hypertonic saline in the supraspinatus on the activity of the supraspinatus, infraspinatus, subscapularis, trapezius, and serratus anterior activity was investigated during the performance of an elevation task by use of muscle functional magnetic resonance imaging in 25 healthy individuals...
October 14, 2016: Journal of Shoulder and Elbow Surgery
Piccinini Giulia, Vincenzo Maria Saraceni, Federico Zangrando, Teresa Paolucci, Alessandro Sgalippa
OBJECTIVE: The shoulder competence in reaching movement has been known from the time. With this work we wanted to investigate the possible existence of an additional competence of the shoulder with respect to the ability to measure the extracorporeal space, using a new tool known as shoulder proprioceptive rehabilitation tool (SRPT) MATERIAL/PATIENTS AND METHODS: Observational case-control study on 50 subjects, 25 healthy subjects (HS) and 25 subjects with impingement syndrome (ISS) (2-3 for Neer classification)...
September 2016: Annals of Physical and Rehabilitation Medicine
Ke-Vin Chang, Wei-Ting Wu, Chen-Yu Hung, Der-Sheng Han, Rong-Sen Yang, Chung-Hsun Chang, Chih-Peng Lin
BACKGROUND: The suprascapular nerve accounts for 70% of shoulder sensory innervations, and suprascapular nerve block (SSNB) has been shown to be effective in the relief of chronic shoulder pain including rotator cuff tendinitis, subdeltoid impingement syndrome, and adhesive capsulitis. However, this remains inconclusive for patients undergoing surgery. The present meta-analysis aimed to explore the effectiveness of SSNB for relieving acute post-operative shoulder pain. OBJECTIVE: To explore the effectiveness of SSNB for relieving acute post-operative shoulder pain...
September 2016: Pain Physician
Hamit Göksu, Figen Tuncay, Pınar Borman
OBJECTIVE: The aim of this study was to compare the therapeutic effects of kinesio taping (KT) and local subacromial injection in patients with subacromial impingement, syndrome (SIS) with regard to pain, range of motion (ROM) and disability. METHODS: Sixty-one patients (48 females and 13 males; mean age: 43.04 ± 6.31, years) with SIS were enrolled into the study. The patients were randomized into two treatment groups receiving either a single corticosteroid and local anesthetic (LA) injection, or kinesio taping performed three times by intervals of 3 day...
September 23, 2016: Acta Orthopaedica et Traumatologica Turcica
Karen A Keenan, Jonathan S Akins, Michelle Varnell, John Abt, Mita Lovalekar, Scott Lephart, Timothy C Sell
OBJECTIVE: To examine the effect of kinesiology tape (KT) on shoulder strength, proprioception, and scapular kinematics in healthy and Subacromial Impingement Syndrome (SAIS) subjects. DESIGN: Placebo-controlled quasi-experimental study. SETTING: Research laboratory. PARTICIPANTS: A total of 30 physically active subjects participated. Ten healthy subjects with no previous history of shoulder pathology received KT on the dominant shoulder...
June 19, 2016: Physical Therapy in Sport
Alva H Bdaiwi, Tanya Anne Mackenzie, Lee Heerington, Ian Horlsey, Ann Cools
CONTEXT: Compromise to the acromio-humeral distance has been reported in subjects with subacromial impingement syndrome when compared to healthy subjects. In clinical practice patients are taped with the intention of altering scapular position and influencing the acromio-humeral distance. However, research to determine the effects of taping on acromio-humeral distance is exiguous. OBJECTIVES: To evaluate the effect of ridged taping techniques to increase posterior scapular tilt and upward scapular rotation on the acromio-humeral distance...
August 24, 2016: Journal of Sport Rehabilitation
Figen Kocyigit, Merve Acar, Mehmet Besir Turkmen, Tugce Kose, Nezahat Guldane, Ersin Kuyucu
OBJECTIVE: To verify effects of kinesio taping (KT) in shoulder subacromial impingement syndrome (SIS) when compared to sham taping applied in the same way with KT. PATIENTS AND METHODS: Patients were randomized as group 1 (n = 21) KT group and group 2 (n = 20) sham-taping group. Taping was applied every three days, three times during the study period. We assessed all the patients at baseline, at the end of the taping period (12th day), and at one-month post-intervention...
October 2016: Physiotherapy Theory and Practice
Elif Turgut, Irem Duzgun, Gul Baltaci
BACKGROUND: This study analyzed the dynamic three-dimensional scapular kinematics and scapular asymmetry in participants with and without shoulder impingement syndrome. METHODS: Twenty-nine participants with shoulder impingement syndrome, have been suffering from unilateral shoulder pain at the dominant arm lasting more than six weeks and thirty-seven healthy controls participated in the study. Scapular kinematics was measured with an electromagnetic tracking device during shoulder elevation in the sagittal plane...
September 3, 2016: Clinical Biomechanics
Rohit Singh, Akshay Malhotra, Gillian Cribb, Paul Cool, Stuart Hay
Impingement syndrome is usually caused by irritation of the rotator cuff within the sub acromial space and this includes the coraco-acromial arch (Acromion and Coraco-acromial ligament), the acromio-clavicular joint and occasionally the coracoid. Iatrogenic causes such as sutures, pins, plates or wires left from previous surgery can cause similar symptoms. We present a series of four cases mimicking "classical" impingement symptoms/signs in which the causal pathology was identified outside the sub-acromial space...
September 2016: Annals of Medicine and Surgery
Katherinne F Moura, Renan L Monteiro, Paulo R G Lucareli, Thiago Y Fukuda
STUDY DESIGN: Case series. BACKGROUND AND PURPOSE: Scapular dyskinesis has been associated with several shoulder injuries. Recent literature has suggested that a greater activation of the scapular muscles can play an important role in reducing subacromial impingement in patients with shoulder pain. Thus, the purpose of this case series was to describe a rehabilitation program that emphasizes scapular dyskinesis correction for those with clinical evidence of subacromial pain syndrome...
August 2016: International Journal of Sports Physical Therapy
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
Jeremy Fennell, Chetan P Phadke, George Mochizuki, Farooq Ismail, Chris Boulias
PURPOSE: We investigated the best position for shoulder retractor strengthening exercise to maximize middle trapezius activity and minimize rhomboid major activity. Although both trapezius and rhomboids are scapular retractors, rhomboids also act as downward rotators of the scapula, which can worsen subacromial impingement. METHODS: Twelve healthy participants (age 30 [SD 6] y) with no history of shoulder pain were recruited for this study, which used fine-wire electromyography to examine maximal muscle activation of the middle trapezius and rhomboid major muscle fibres in four different positions: with the shoulder in 90° abduction with elbow completely extended and (1) shoulder internal rotation, (2) shoulder neutral rotation, (3) shoulder external rotation, and (4) rowing (shoulder neutral rotation and elbow flexed 90°)...
2016: Physiotherapy Canada. Physiothérapie Canada
Nuray Akkaya, Semih Akkaya, Harun R Gungor, Gokce Yaşar, Nilgun Simsir Atalay, Fusun Sahin
BACKGROUND: Although functional results of combined rehabilitation programs are reported, there have been no reports studying the effects of solo pendulum exercises on ultrasonographic measurements of Acromiohumeral distance (AHD). OBJECTIVE: To investigate the effects of weighted and un-weighted pendulum exercises on ultrasonographic AHD and clinical symptoms in patients with subacromial impingement syndrome. METHODS: Patients with subacromial impingement syndrome were randomized to performing weighted (1...
July 21, 2016: Journal of Back and Musculoskeletal Rehabilitation
M Aksakal, C Ermutlu, G Özkaya, Y Özkan
BACKGROUND: Subacromial impingement syndrome (SIS) is one of the most frequent shoulder pathologies. Initial treatment is conservative. Subacromial injection of drugs achieves a high concentration at the pathologic site with less drug use and fewer systemic side effects. Glucocorticoids are most frequently injected. One concern with steroid use is the wide array of potential systemic and local complications. Nonsteroidal anti-inflammatory drugs (NSAIDs) are also peripherally acting and can be used locally...
July 28, 2016: Der Orthopäde
P García Parra, M Anaya Rojas, B Jiménez Bravo, M O González Oria, M Lisbona Muñoz, J J Gil Álvarez, P Cano Luis
INTRODUCTION: Only a few clinical exploratory manoeuvres are truly discriminatory and useful in shoulder disease. The aim of this study is to correlate the physical examination results of the shoulder with the true diagnosis found by arthroscopy. METHODS: A retrospective case series of 150 patients with the most common surgical conditions of the shoulder. Data were collected on the suspicion of each pathology, the physical examination of the patient, and the actual discovery of the disease during arthroscopic surgery...
September 2016: Revista Española de Cirugía Ortopédica y Traumatología
Z-Q Wen, J Pan, Z Chen, J-Y Du, P-C Gu, X-J Lin
Background: Many causes can lead to shoulder pain, and subacromial impingement syndrome (SIS) is the most frequently recorded disorder. The aim of this study was to evaluate the clinical effects of diminutive incision acromioplasty assisted with arthroscopy for the treatment of Chinese patients with subacromial impingement syndrome. Subjects and Methods: Twenty-four painful shoulders in 22 patients with subacromial impingement syndrome were included in the study...
December 16, 2015: West Indian Medical Journal
Irem Duzgun, Elif Turgut, Özge Çinar-Medeni, Nihan Kafa, Zeynep Tuna, Bulent Elbasan, Deran Oskay
BACKGROUND: In the literature it has been shown that posterior capsule flexibility is a precursor to shoulder problems. However, no study thus far has shown the influence of the flexibility of posterior capsule in different shoulder pathologies. OBJECTIVE: This study set about to compare the role of posterior capsule tightness in different shoulder problems. METHODS: One-hundred-twenty-five patients diagnosed with shoulder subacromial impingement syndrome (n= 52), partial rotator cuff tear (n= 31) or frozen shoulder (n= 42) and 30 asymptomatic peers participated in the study...
June 30, 2016: Journal of Back and Musculoskeletal Rehabilitation
Gulcan Harput, Hande Guney, Ugur Toprak, Filiz Colakoglu, Gul Baltaci
BACKGROUND: There is limited information in the literature that shows whether scapular taping has an effect on the acromiohumeral distance (AHD) and shoulder functions. The aim of this study was to investigate the acute effects of scapular kinesiotaping on shoulder internal rotation (IR) and external rotation (ER) strength, IR and ER range of motion (ROM) and AHD in asymptomatic overhead athletes. METHODS: Forty-one volleyball athletes [24 men, 17 women; (Mean±SD) age: 16...
July 8, 2016: Journal of Sports Medicine and Physical Fitness
Morey J Kolber, William J Hanney, Scott W Cheatham, Paul A Salamh, Michael Masaracchio, Xinliang Liu
Subacromial impingement syndrome (SIS) has been reported as an etiological source of shoulder pain among weight-training (WT) participants; however, a paucity of evidence exists to describe intrinsic risk factors. The purpose of this study was to investigate specific risk-related joint and muscle adaptations among WT participants identified as having SIS based upon a previously validated clinical testing cluster. Fifty-five men (mean age 27.3) who participated in recreational WT a minimum of 2-days per week were recruited, including 24 individuals with SIS and 31 without SIS serving as controls...
July 6, 2016: Journal of Strength and Conditioning Research
Saara Ketola, Janne Lehtinen, Petra Elo, Seppo Kortelainen, Heini Huhtala, Ilkka Arnala
Background and purpose - Arthroscopic acromioplasty is still commonly used in the treatment of shoulder impingement syndrome, even though its benefits are questioned; randomized controlled studies have not shown any benefits when compared to non-operative treatment. In this randomized study, we investigated whether operative treatment protects from later rotator cuff rupture and whether it has any effect on the development of rotator cuff muscle volume. Patients and methods - 140 stage-II impingement patients were randomized to a structured exercise group (n = 70) or to an operative group (n = 70)...
August 2016: Acta Orthopaedica
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