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https://www.readbyqxmd.com/read/27900200/inter-rater-reliability-of-the-shoulder-symptom-modification-procedure-in-people-with-shoulder-pain
#1
Jeremy S Lewis, Karen McCreesh, Eva Barratt, Eric J Hegedus, Julius Sim
BACKGROUND: Musculoskeletal conditions involving the shoulder are common and, because of the importance of the upper limb and hand in daily function, symptoms in this region are commonly associated with functional impairment in athletic and non-athletic populations. Deriving a definitive diagnosis as to the cause of shoulder symptoms is fraught with difficulty. Limitations have been recognised for imaging and for orthopaedic special tests. 1 solution is to partially base management on the response to tests aimed at reducing the severity of the patient's perception of symptoms...
2016: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/27527912/the-pathophysiology-associated-with-primary-idiopathic-frozen-shoulder-a-systematic-review
#2
Victoria Ryan, Hazel Brown, Catherine J Minns Lowe, Jeremy S Lewis
BACKGROUND: Frozen shoulder is a common yet poorly understood musculoskeletal condition, which for many, is associated with substantial and protracted morbidity. Understanding the pathology associated with this condition may help to improve management. To date this has not been presented in a systematic fashion. As such, the aim of this review was to summarise the pathological changes associated with this primary frozen shoulder. METHODS: HASH(0x403fbe8) DATABASES: Medline, Embase, CINAHL, AMED, BNI and the Cochrane Library, were searched from inception to 2nd May, 2014...
2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27475532/is-thoracic-spine-posture-associated-with-shoulder-pain-range-of-motion-and-function-a-systematic-review
#3
REVIEW
Eva Barrett, Mary O'Keeffe, Kieran O'Sullivan, Jeremy Lewis, Karen McCreesh
INTRODUCTION: Excessive thoracic kyphosis is considered a predisposing factor for shoulder pain, though there is uncertainty about the nature of the relationship between shoulder pain and thoracic spine posture. The aim of this systematic review was to investigate the relationship between thoracic kyphosis and shoulder pain, shoulder range of motion (ROM) and function. METHODS: Two reviewers independently searched eight electronic databases and identified relevant studies by applying eligibility criteria...
December 2016: Manual Therapy
https://www.readbyqxmd.com/read/27445360/psychological-factors-are-associated-with-the-outcome-of-physiotherapy-for-people-with-shoulder-pain-a-multicentre-longitudinal-cohort-study
#4
Rachel Chester, Christina Jerosch-Herold, Jeremy Lewis, Lee Shepstone
BACKGROUND/AIM: Shoulder pain is a major musculoskeletal problem. We aimed to identify which baseline patient and clinical characteristics are associated with a better outcome, 6 weeks and 6 months after starting a course of physiotherapy for shoulder pain. METHODS: 1030 patients aged ≥18 years referred to physiotherapy for the management of musculoskeletal shoulder pain were recruited and provided baseline data. 840 (82%) provided outcome data at 6 weeks and 811 (79%) at 6 months...
July 21, 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27083390/rotator-cuff-related-shoulder-pain-assessment-management-and-uncertainties
#5
Jeremy Lewis
INTRODUCTION: Rotator cuff related shoulder pain (RCRSP) is an over-arching term that encompasses a spectrum of shoulder conditions including; subacromial pain (impingement) syndrome, rotator cuff tendinopathy, and symptomatic partial and full thickness rotator cuff tears. For those diagnosed with RCRSP one aim of treatment is to achieve symptom free shoulder movement and function. Findings from published high quality research investigations suggest that a graduated and well-constructed exercise approach confers at least equivalent benefit as that derived from surgery for; subacromial pain (impingement) syndrome, rotator cuff tendinopathy, partial thickness rotator cuff (RC) tears and atraumatic full thickness rotator cuff tears...
June 2016: Manual Therapy
https://www.readbyqxmd.com/read/26904293/shouldering-the-burden-of-evidence-based-practice-the-experiences-of-physiotherapists-partaking-in-a-community-of-practice
#6
Karen McCreesh, Louise Larkin, Jeremy Lewis
The study aim was to elicit the motivators, barriers, and benefits of participation in a Community of Practice (CoP) for primary care physiotherapists. We used a qualitative approach using semistructured interviews. The participants were twelve physiotherapists partaking in a newly formed Shoulder CoP. A desire for peer support was the strongest motivator for joining, with improving clinical practice being less apparent. Barriers to participation included time and work pressures and poor research skills. The structure of the CoP, in terms of access to meetings and the provision of preparation work and deadlines for the journal clubs, was reported to be a facilitator...
2016: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/26390274/rotator-cuff-tendinopathy-navigating-the-diagnosis-management-conundrum
#7
Jeremy Lewis, Karen McCreesh, Jean-Sébastien Roy, Karen Ginn
Synopsis The hallmark characteristics of rotator cuff (RC) tendinopathy are pain and weakness, experienced most commonly during shoulder external rotation and elevation. Assessment is complicated by nonspecific clinical tests and the poor correlation between structural failure and symptoms. As such, diagnosis is best reached by exclusion of other potential sources of symptoms. Symptomatic incidence and prevalence data currently cannot be determined with confidence, primarily as a consequence of a lack of diagnostic accuracy, as well as the uncertainty as to the location of symptoms...
November 2015: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/25807152/acromiohumeral-distance-measurement-in-rotator-cuff-tendinopathy-is-there-a-reliable-clinically-applicable-method-a-systematic-review
#8
Karen M McCreesh, James M Crotty, Jeremy S Lewis
BACKGROUND: Narrowing of the subacromial space has been noted as a common feature of rotator cuff (RC) tendinopathy. It has been implicated in the development of symptoms and forms the basis for some surgical and rehabilitation approaches. Various radiological methods have been used to measure the subacromial space, which is represented by a two-dimensional measurement of acromiohumeral distance (AHD). A reliable method of measurement could be used to assess the impact of rehabilitation or surgical interventions for RC tendinopathy; however, there are no published reviews assessing the reliability of AHD measurement...
July 2, 2013: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/25690908/acromiohumeral-distance-measurement-in-rotator-cuff-tendinopathy-is-there-a-reliable-clinically-applicable-method-a-systematic-review
#9
REVIEW
Karen M McCreesh, James M Crotty, Jeremy S Lewis
BACKGROUND: Narrowing of the subacromial space has been noted as a common feature of rotator cuff (RC) tendinopathy. It has been implicated in the development of symptoms and forms the basis for some surgical and rehabilitation approaches. Various radiological methods have been used to measure the subacromial space, which is represented by a two-dimensional measurement of acromiohumeral distance (AHD). A reliable method of measurement could be used to assess the impact of rehabilitation or surgical interventions for RC tendinopathy; however, there are no published reviews assessing the reliability of AHD measurement...
March 2015: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/25178255/combining-orthopedic-special-tests-to-improve-diagnosis-of-shoulder-pathology
#10
REVIEW
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
https://www.readbyqxmd.com/read/25107826/frozen-shoulder-contracture-syndrome-aetiology-diagnosis-and-management
#11
REVIEW
Jeremy Lewis
Frozen shoulder is a poorly understood condition that typically involves substantial pain, movement restriction, and considerable morbidity. Although function improves overtime, full and pain free range, may not be restored in everyone. Frozen shoulder is also known as adhesive capsulitis, however the evidence for capsular adhesions is refuted and arguably, this term should be abandoned. The aim of this Masterclass is to synthesise evidence to provide a framework for assessment and management for Frozen Shoulder...
February 2015: Manual Therapy
https://www.readbyqxmd.com/read/24613213/validation-of-ultrasound-measurement-of-the-subacromial-space-using-a-novel-shoulder-phantom-model
#12
Karen McCreesh, Pratik Adusumilli, Tony Evans, Sara Riley, Andrew Davies, Jeremy Lewis
Ultrasound has a high degree of diagnostic accuracy in the assessment of rotator cuff tendons. Increasingly, ultrasound is being used to measure other parameters of rotator cuff pathology, including the size of the subacromial space, or acromiohumeral distance (AHD). Although this measure has been found to be clinically reliable, no assessment of its validity has been carried out. This technical study reports on the development of a novel ultrasound phantom of the shoulder and its use in validation of ultrasound measurement of AHD...
July 2014: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/24174615/is-there-a-relationship-between-subacromial-impingement-syndrome-and-scapular-orientation-a-systematic-review
#13
REVIEW
Elizabeth Ratcliffe, Sharon Pickering, Sionnadh McLean, Jeremy Lewis
BACKGROUND: Alterations in scapular orientation and dynamic control, specifically involving increased anterior tilt and downward rotation, are considered to play a substantial role in contributing to a subacromial impingement syndrome (SIS). Non-surgical intervention aims at restoring normal scapular posture. The research evidence supporting this practice is equivocal. OBJECTIVE: The aim of this study was to systematically review the relevant literature to examine whether a difference exists in scapular orientation between people without shoulder symptoms and those with SIS...
August 2014: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/23834747/predicting-response-to-physiotherapy-treatment-for-musculoskeletal-shoulder-pain-a-systematic-review
#14
REVIEW
Rachel Chester, Lee Shepstone, Helena Daniell, David Sweeting, Jeremy Lewis, Christina Jerosch-Herold
BACKGROUND: People suffering from musculoskeletal shoulder pain are frequently referred to physiotherapy. Physiotherapy generally involves a multimodal approach to management that may include; exercise, manual therapy and techniques to reduce pain. At present it is not possible to predict which patients will respond positively to physiotherapy treatment. The purpose of this systematic review was to identify which prognostic factors are associated with the outcome of physiotherapy in the management of musculoskeletal shoulder pain...
July 8, 2013: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/23821657/acromiohumeral-distance-measurement-in-rotator-cuff-tendinopathy-is-there-a-reliable-clinically-applicable-method-a-systematic-review
#15
Karen M McCreesh, James M Crotty, Jeremy S Lewis
BACKGROUND: Narrowing of the subacromial space has been noted as a common feature of rotator cuff (RC) tendinopathy. It has been implicated in the development of symptoms and forms the basis for some surgical and rehabilitation approaches. Various radiological methods have been used to measure the subacromial space, which is represented by a two-dimensional measurement of acromiohumeral distance (AHD). A reliable method of measurement could be used to assess the impact of rehabilitation or surgical interventions for RC tendinopathy; however, there are no published reviews assessing the reliability of AHD measurement...
July 2, 2013: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/23800352/predicting-response-to-physiotherapy-treatment-for-musculoskeletal-shoulder-pain-protocol-for-a-longitudinal-cohort-study
#16
Rachel Chester, Lee Shepstone, Jeremy S Lewis, Christina Jerosch-Herold
BACKGROUND: Shoulder pain affects all ages, with a lifetime prevalence of one in three. The most effective treatment is not known. Physiotherapy is often recommended as the first choice of treatment. At present, it is not possible to identify, from the initial physiotherapy assessment, which factors predict the outcome of physiotherapy for patients with shoulder pain. The primary objective of this study is to identify which patient characteristics and baseline measures, typically assessed at the first physiotherapy appointment, are related to the functional outcome of shoulder pain 6 weeks and 6 months after starting physiotherapy treatment...
June 21, 2013: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/22613243/a-specific-exercise-program-for-patients-with-subacromial-impingement-syndrome-can-improve-function-and-reduce-the-need-for-surgery
#17
COMMENT
Jeremy S Lewis
QUESTION: Does a specific exercise program improve shoulder function more than non-specific exercises in patients with subacromial impingement? DESIGN: Randomised, controlled trial with concealed allocation and blinded outcome assessment. SETTING: University hospital in Sweden. PARTICIPANTS: Patients aged 30 to 65 years with subacromial impingement syndrome of at least 6 months duration, and on the waiting listing for surgery were included...
2012: Journal of Physiotherapy
https://www.readbyqxmd.com/read/20193055/clinical-measurement-of-the-thoracic-kyphosis-a-study-of-the-intra-rater-reliability-in-subjects-with-and-without-shoulder-pain
#18
Jeremy S Lewis, Rachel E Valentine
BACKGROUND: Clinical sagittal plane assessment of the thoracic kyphosis angle is considered an essential component of the postural examination of patients presenting with upper body pain syndromes. Cervical headaches and conditions involving the shoulder, such as subacromial pain syndrome, have all been associated with an increase in the thoracic kyphosis. Concomitantly a decrease in the thoracic kyphosis as a result of a stretching and strengthening rehabilitation programme is believed to be associated with a reduction in symptoms and pain and improvement in function...
2010: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/20025761/the-prevalence-of-neovascularity-in-patients-clinically-diagnosed-with-rotator-cuff-tendinopathy
#19
Jeremy S Lewis, Syed A Raza, James Pilcher, Christine Heron, Jan D Poloniecki
BACKGROUND: Shoulder dysfunction is common and pathology of the rotator cuff tendons and subacromial bursa are considered to be a major cause of pain and morbidity. Although many hypotheses exist there is no definitive understanding as to the origin of the pain arising from these structures. Research investigations from other tendons have placed intra-tendinous neovascularity as a potential mechanism of pain production. The prevalence of neovascularity in patients with a clinical diagnosis of rotator cuff tendinopathy is unknown...
2009: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/19364757/rotator-cuff-tendinopathy-a-model-for-the-continuum-of-pathology-and-related-management
#20
REVIEW
Jeremy S Lewis
BACKGROUND: Pathology of the soft tissues of the shoulder including the musculotendinous rotator cuff and subacromial bursa are extremely common and are a principal cause of pain and suffering. Competing theories have been proposed to explain the pathoaetiology of rotator cuff pathology at specific stages and presentations of the condition. This review proposes a model to describe the continuum of the rotator cuff pathology from asymptomatic tendon through full thickness rotator cuff tears...
October 2010: British Journal of Sports Medicine
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