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Shoulder Impingement Syndrome

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https://www.readbyqxmd.com/read/29679207/the-swimmer-s-shoulder-multi-directional-instability
#1
REVIEW
Ivan De Martino, Scott A Rodeo
PURPOSE OF REVIEW: Swimmer's shoulder is the term used to describe the problem of shoulder pain in swimmers. Originally described as supraspinatus tendon impingement under the coracoacromial arch, it is now understood that several different pathologies can cause shoulder pain in competitive swimmers, including subacromial impingement syndrome, overuse and subsequent muscle fatigue, scapular dyskinesis, and laxity and instability. RECENT FINDINGS: Swimmers may develop increased shoulder laxity over time due to repetitive use...
April 20, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29628705/ultrasound-guided-versus-landmark-guided-corticosteroid-injection-in-patients-with-rotator-cuff-syndrome-randomised-controlled-trial
#2
Himanshu Bhayana, Puneet Mishra, Anupama Tandon, Amite Pankaj, Rohit Pandey, Raskesh Malhotra
Objective: Impingement syndrome is the most common differential in a patient presenting to an orthopaedic OPD with shoulder pain. Impingement syndrome is often managed with subacromial corticosteroid injection, which can be instilled using either landmark guided (LMG) approach or with the assistance of ultrasound (US). This study was envisaged to enquire whether ultrasound assistance improves the accuracy, efficacy or safety profile of the injection. Methods: 60 patients of rotator cuff syndrome underwent diagnostic ultrasound...
March 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29576490/is-the-inclinometer-a-valid-measure-of-thoracic-kyphosis-a-cross-sectional-study
#3
Donald J Hunter, Darren A Rivett, Sharmain McKiernan, Ishanka Weerasekara, Suzanne J Snodgrass
BACKGROUND: Radiographs are used to monitor thoracic kyphosis in individuals with certain pathologies (e.g. osteoporosis), exposing patients to potentially harmful radiation. Thus, other measures for monitoring the progression of thoracic kyphosis are desirable. The gravity-dependent inclinometer has been shown to be reliable but its validity as a measure of thoracic kyphosis has not been investigated. OBJECTIVES: To determine the validity of the gravity-dependent (analogue) inclinometer for measuring thoracic kyphosis...
March 6, 2018: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/29550858/patients-who-are-candidates-for-subacromial-decompression-have-more-pronounced-range-of-motion-deficits-but-do-not-differ-in-self-reported-shoulder-function-strength-or-pain-compared-to-non-candidates
#4
Adam Witten, Mikkel B Clausen, Kristian Thorborg, Mikkel L Attrup, Per Hölmich
PURPOSE: Subacromial impingement syndrome (SIS) is associated with low self-reported shoulder function, impairments in shoulder strength and range of motion (ROM), and pain. It is not known how the symptomatology associated with SIS is reflected in the choice of treatment. This study compares self-reported shoulder function, shoulder strength, ROM, and pain in patients with SIS considered candidates and non-candidates for subacromial decompression (SAD). METHOD: Self-reported shoulder function (Q-DASH and SPADI), maximum isometric muscle strength in shoulder abduction (Abd-strength) and external rotation (ER-strength), active abduction ROM (Abd-ROM) and passive internal rotation ROM (IR-ROM) were measured in a consecutive cohort of patients with SIS referred to an orthopedic outpatient clinic...
March 17, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29549892/test-retest-reliability-of-handgrip-strength-as-an-outcome-measure-in-patients-with-symptoms-of-shoulder-impingement-syndrome
#5
Christos Savva, Paraskevas Mougiaris, Christoforos Xadjimichael, Christos Karagiannis, Michalis Efstathiou
OBJECTIVE: The purpose of this study was to investigate the degree of test-retest reliability of grip strength measurement using a hand dynamometer in patients with shoulder impingement syndrome. METHODS: A total of 19 patients (10 women and 9 men; mean ± standard deviation age, 33.2 ± 12.9 years; range 18-59 years) with shoulder impingement syndrome were measured using a hand dynamometer by the same data collector in 2 different testing sessions with a 7-day interval...
March 2018: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/29543510/subacromial-decompression-yields-a-better-clinical-outcome-than-therapy-alone-a-prospective-randomized-study-of-patients-with-a-minimum-10-year-follow-up
#6
Stefanos Farfaras, Ninni Sernert, Lars Rostgard Christensen, Erling K Hallström, Jüri-Toomas Kartus
BACKGROUND: The long-term outcome after the treatment of subacromial impingement syndrome (SAIS) with either nonsurgical or surgical methods has not been thoroughly investigated. Hypothesis/Purpose: The purpose was to evaluate the long-term clinical outcome and the presence of rotator cuff injuries and osteoarthritis (OA) after the surgical and nonsurgical treatment of SAIS. The hypothesis was that, at a minimum 10 years after the initial treatment, patients who had undergone acromioplasty would have a better clinical outcome and run a lower risk of developing rotator cuff ruptures and OA as compared with those treated with physical therapy...
March 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29499710/the-strengthening-exercises-in-shoulder-impingement-trial-the-sexsi-trial-investigating-the-effectiveness-of-a-simple-add-on-shoulder-strengthening-exercise-programme-in-patients-with-long-lasting-subacromial-impingement-syndrome-study-protocol-for-a-pragmatic
#7
Mikkel Bek Clausen, Thomas Bandholm, Michael Skovdal Rathleff, Karl Bang Christensen, Mette Kreutzfeldt Zebis, Thomas Graven-Nielsen, Per Hölmich, Kristian Thorborg
BACKGROUND: Subacromial impingement syndrome (SIS) is a painful, and often long lasting, shoulder condition affecting patient function and quality of life. In a recent study, we observed major strength impairments in shoulder external rotation and abduction (~30%) in a population of patients with pronounced and long-lasting SIS. However, the current rehabilitation of such strength impairments may be inadequate, with novel rehabilitation programmes including exercise therapy only improving external rotation strength by 4-13%...
March 2, 2018: Trials
https://www.readbyqxmd.com/read/29490599/the-end-of-an-era
#8
Jeremy Lewis
In 1972, American orthopaedic surgeon Charles Neer published his seminal paper, "Anterior Acromioplasty for the Chronic Impingement Syndrome in the Shoulder: A Preliminary Report." It wasn't a robust scientific paper; however, it changed the direction of orthopaedic practice for the next half century. Neer argued that a primary cause of shoulder pain was attrition of the supraspinatus tendon and related structures from the overlying acromion, especially when the arm was elevated. Neer recommended surgical removal to stop the impingement, and over the last half century, it could be argued that millions of people around the globe would have undergone acromioplasty surgery to stop this portion of the bone impinging onto the soft tissues located in the subacromial space...
March 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29484249/the-utilization-of-mulligan-concept-thoracic-sustained-natural-apophyseal-glides-on-patients-classified-with-secondary-impingement-syndrome-a-multi-site-case-series
#9
Dawn P Andrews, Kari B Odland-Wolf, James May, Russell Baker, Alan Nasypany
Background and Purpose: Secondary impingement syndrome (SIS) is a common complaint in the sporting population particularly among athletes engaging in overhead activities. While symptoms may be present at the shoulder with patients complaining of SIS, spinal alignment or dysfunction can influence scapular positioning and overall shoulder girdle function. As an adjunct therapy to traditional interventions for SIS, thoracic high-velocity low-amplitude (HVLA) thrusts have been utilized and correlated with patient reported decreases in pain...
February 2018: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29459121/effect-of-adding-interferential-current-in-an-exercise-and-manual-therapy-program-for-patients-with-unilateral-shoulder-impingement-syndrome-a-randomized-clinical-trial
#10
Cid André Fidelis de Paula Gomes, Almir Vieira Dibai-Filho, William Arruda Moreira, Shirley Quispe Rivas, Emanuela Dos Santos Silva, Ana Claudia Bogik Garrido
OBJECTIVE: The purpose of this study was to measure the additional effect of adding interferential current (IFC) to an exercise and manual therapy program for patients with unilateral shoulder impingement syndrome. METHODS: Forty-five participants were randomly assigned to group 1 (exercise and manual therapy), group 2 (exercise and manual therapy + IFC), or group 3 (exercise and manual therapy + placebo ultrasound). Individuals participated in 16 treatment sessions, twice a week for 8 weeks...
February 16, 2018: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/29445933/multimodality-imaging-of-subacromial-impingement-syndrome
#11
REVIEW
Lionel Pesquer, Sophie Borghol, Philippe Meyer, Mickael Ropars, Benjamin Dallaudière, Pierre Abadie
Subacromial impingement syndrome results from irritation of the tendons of the rotator cuff muscles in the subacromial space and may manifest as a range of pathologies. However, subacromial impingement is a dynamic condition for which imaging reveals predisposing factors but no pathognomonic indicators. Also, the usual imaging features of subacromial impingement may be seen in symptomatic and asymptomatic patients. Therefore, imaging is able to detect tears and describe the risk factors of impingement but cannot confirm subacromial impingement...
February 14, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29439309/the-relationships-between-shoulder-pain-range-of-motion-and-disability-in-patients-with-shoulder-dysfunction
#12
Shahnawaz Anwer, Ahmad H Alghadir, Einas S Al-Eisa, Zaheen Ahmad Iqbal
BACKGROUND: Shoulder dysfunction is a major cause of musculoskeletal pain in general population. A variety of shoulder disorders can cause a reduction in shoulder range of motion and subsequent disability. OBJECTIVE: To investigate the relationship between the shoulder pain, range of motion, and disability in patients with shoulder dysfunction. METHODS: Sixty-four patients (49 men and 15 women) with shoulder disorders with a varying diagnosis including, adhesive capsulitis, rotator cuff injury, impingement syndrome, acromio-clavicular pain, and instability, participated in this cross-sectional study...
February 6, 2018: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/29423865/short-term-outcomes-of-subacromial-injection-of-combined-corticosteroid-with-low-volume-compared-to-high-volume-local-anesthetic-for-rotator-cuff-impingement-syndrome-a-randomized-controlled-non-inferiority-trial
#13
Manusak Boonard, Sermsak Sumanont, Alisara Arirachakaran, Punyawat Apiwatanakul, Artit Boonrod, Wichan Kanchanatawan, Jatupon Kongtharvonskul
BACKGROUND: In symptomatic tendinosis, a corticosteroid injection into the subacromial space is a palliative treatment option. This study compares high volumes (10 cc) of local anesthetic (LA) combined with triamcinolone acetate (TA) with low volumes (4 cc) of LA combined with TA to see whether the latter would provide similar pain, function and complication outcomes for subacromial injections in patients with impingement syndrome. MATERIALS AND METHODS: This single-center, randomized, single-blind, non-inferiority trial included patients with shoulder pain and positive multiple clinical tests supporting the diagnosis of impingement syndrome...
February 8, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29417082/comparison-of-subacromial-ketorolac-injection-versus-corticosteroid-injection-in-the-treatment-of-shoulder-impingement-syndrome
#14
Parisa Taheri, Farnaz Dehghan, Sahar Mousavi, Reza Solouki
Objective: Subacromial impingement syndrome is the most common cause of shoulder pain and restriction in range of motion in the world. The aim of this study was to compare the efficacy of subacromial injection of ketorolac with the injection of corticosteroid for the treatment of subacromial impingement syndrome. Methods: A total of forty patients were randomly allocated into two groups. Group A received 40 mg of methylprednisolone and Group B received 60 mg of ketorolac as a subacromial injection along with lidocaine...
October 2017: Journal of Research in Pharmacy Practice
https://www.readbyqxmd.com/read/29364040/comparison-of-upper-trapezius-and-infraspinatus-myofascial-trigger-point-therapy-by-dry-needling-in-overhead-athletes-with-unilateral-shoulder-impingement-syndrome
#15
Fahimeh Kamali, Ehsan Sinaei, Maryam Morovati
CONTEXT: Chronic musculoskeletal disorders in shoulder joint are often associated with myofascial trigger points (MTrP), particularly in the upper trapezius (UT) muscle. Dry needling (DN) is a treatment of choice for myofascial pain syndrome. However, local lesions and severe post-needle soreness sometimes hamper the direct application of DN in the UT. Therefore, finding an alternative point of treatment seems useful in this regard. OBJECTIVE: To compare the efficacy of UT versus infraspinatus (ISP) DN on pain and disability of subjects with shoulder pain...
January 24, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29364027/effects-of-kinesiology-taping-on-scapular-reposition-accuracy-kinematics-and-muscle-activity-in-athletes-with-shoulder-impingement-syndrome-a-randomized-controlled-study
#16
Yi-Fen Shih, Ya-Fang Lee, Wen-Yin Chen
CONTEXT: Scapular proprioception is a key concern in managing shoulder impingement syndrome (SIS). However, no study has examined the effect of elastic taping on scapular proprioception performance. OBJECTIVE: To investigate the immediate effect of kinesiology taping on scapular reposition accuracy, kinematics and muscle activation in individuals with shoulder impingement syndrome. DESIGN: Randomized controlled study. SETTING: Musculoskeletal laboratory, National Yang-Ming University, Taiwan...
January 24, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29326903/inter-and-intrarater-reliability-of-goniometry-and-hand-held-dynamometry-for-patients-with-subacromial-impingement-syndrome
#17
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/29313270/ultrasound-elastography-based-assessment-of-the-elasticity-of-the-supraspinatus-muscle-in-impingement-syndrome-does-elastography-has-any-diagnostic-value
#18
Adnan Demirel, Murat Baykara, Tuba Tülay Koca, Ejder Berk
Ultrasound elastography (UE) is a new ultrasound-based imaging technique that provides information about elasticity and stiffness of tissues. This cross-sectional study aimed to identify the diagnostic importance of UE in supraspinatus impingement syndrome. Forty-one subjects, aged 38-70 years, were included in the study. UE was used to determine the elasticity of the supraspinatus muscle. The strain ratio was calculated as the evaluation criteria to measure the elasticity of the muscle. High strain ratio indicated low elasticity...
January 8, 2018: Clinical Rheumatology
https://www.readbyqxmd.com/read/29245139/scapular-focused-exercise-treatment-protocol-for-shoulder-impingement-symptoms-three-dimensional-scapular-kinematics-analysis
#19
Gisele Harumi Hotta, Adriane Lopes Santos, Kevin James McQuade, Anamaria Siriani de Oliveira
BACKGROUND: The present study aimed to describe the effects of a periscapular strengthening and neuromuscular training protocol in three-dimensional scapular kinematics and resting positioning in participants with shoulder impingement symptoms. Self-reported function was also evaluated. METHOD: The study group comprised 50 subjects with shoulder impingement syndrome (control group, n=25; treatment group, n=25). The treatment group underwent 8weeks of neuromuscular training and periscapular strengthening...
January 2018: Clinical Biomechanics
https://www.readbyqxmd.com/read/29245114/subacromial-impingement-syndrome-an-electromyographic-study-of-shoulder-girdle-muscle-fatigue
#20
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...
February 2018: Journal of Electromyography and Kinesiology
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