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52 papers 25 to 100 followers
By Ainsley Rossi Clinician & Asst Professor Emory University Division of PT. Specialist in orthopedic PT.
https://www.readbyqxmd.com/read/28593096/emg-of-shoulder-muscles-during-reactive-isometric-elastic-resistance-exercises
#1
Michael J Mullaney, Christine Perkinson, Ian Kremenic, Timothy F Tyler, Karl Orishimo, Christopher Johnson
BACKGROUND: Traditionally, shoulder isometrics are introduced in the early stages of shoulder rehabilitation. A patient's isometric torque output is based on a subjective perception of force generation. By utilizing elastic resistance elongation (strain) to standardize force output, clinicians could prescribe shoulder therapeutic isometrics based on % maximum voluntary contraction (%MVC). PURPOSE/HYPOTHESIS: The purpose of this study was to measure electromyographic (EMG) activity and determine the %MVC during shoulder flexion, external rotation and abduction isometrics at varying lengths of TheraBand® elastic resistance...
June 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28816894/the-clavicle-trial-a-multicenter-randomized-controlled-trial-comparing-operative-with-nonoperative-treatment-of-displaced-midshaft-clavicle-fractures
#2
RANDOMIZED CONTROLLED TRIAL
Philip M Ahrens, Nicholas I Garlick, Julie Barber, Emily M Tims
BACKGROUND: The treatment of displaced midshaft clavicle fractures remains controversial. METHODS: We undertook a multicenter randomized controlled trial to compare effectiveness and safety between nonoperative management and ORIF (open reduction and internal fixation) for displaced midshaft clavicle fractures in adults. Three hundred and one eligible adult patients were randomized to 1 of the 2 treatment groups and followed at 6 weeks, 3 months, and 9 months after recruitment...
August 16, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28630217/effectiveness-of-conservative-interventions-including-exercise-manual-therapy-and-medical-management-in-adults-with-shoulder-impingement-a-systematic-review-and-meta-analysis-of-rcts
#3
REVIEW
Ruedi Steuri, Martin Sattelmayer, Simone Elsig, Chloé Kolly, Amir Tal, Jan Taeymans, Roger Hilfiker
OBJECTIVE: To investigate the effectiveness of conservative interventions for pain, function and range of motion in adults with shoulder impingement. DESIGN: Systematic review and meta-analysis of randomised trials. DATA SOURCES: Medline, CENTRAL, CINAHL, Embase and PEDro were searched from inception to January 2017. STUDY SELECTION CRITERIA: Randomised controlled trials including participants with shoulder impingement and evaluating at least one conservative intervention against sham or other treatments...
September 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28602388/arthroscopic-subacromial-spacer-implantation-in-patients-with-massive-irreparable-rotator-cuff-tears-clinical-and-radiographic-results-of-39-retrospectives-cases
#4
Julien Deranlot, Olivier Herisson, Geoffroy Nourissat, David Zbili, Jean David Werthel, Marie Vigan, Francois Bruchou
PURPOSE: To evaluate the clinical and radiographic outcome of a biodegradable subacromial spacer in the treatment of massive irreparable rotator cuff tear. METHODS: Between January 2011 and December 2014, all shoulders with symptomatic massive irreparable rotator cuff tears treated at our institution with arthroscopic implantation of a biodegradable subacromial spacer followed for at least 1 year were included in our series. Patients with osteoarthritis ≥ grade 3 in the Hamada classification were excluded...
September 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27278468/enhanced-function-and-quality-of-life-following-5%C3%A2-months-of-exercise-therapy-for-patients-with-irreparable-rotator-cuff-tears-an-intervention-study
#5
Birgitte Hede Christensen, Kathrine Skov Andersen, Sten Rasmussen, Elizabeth Lykholt Andreasen, Lotte Mejlvig Nielsen, Steen Lund Jensen
BACKGROUND: Rotator cuff rupture is associated with dysfunction, pain and muscular weakness related to the upper extremity. Some evidence exists to support the beneficial effect of exercises but there is lack of evidence of which exercises imply the best effect and how physiotherapy should be administered. Therefore, the purpose of this study was to examine the effect of a neuromuscular exercise program for patients with irreparable rotator cuff rupture. METHODS: Based on sample-size calculations thirty patients with chronic irreparable rotator cuff tears (of at least m...
June 8, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28576347/scapular-muscle-dysfunction-associated-with-subacromial-pain-syndrome
#6
Birgit Castelein, Barbara Cagnie, Ann Cools
STUDY DESIGN: Narrative Review. INTRODUCTION: One of the shoulder pain disorders in which the function of the scapula is comprised is the subacromial pain syndrome. Several rehabilitation guidelines and exercises have been proposed to improve scapulothoracic muscle dysfunction. Consideration of muscle activation patterns may help to select the most appropriate rehabilitation exercise in these patients. To date, suggesting rehabilitation exercises is often based upon the knowledge of the superficial lying scapulothoracic muscles' activity...
April 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28586628/effectiveness-of-radial-extracorporeal-shock-wave-therapy-reswt-when-combined-with-supervised-exercises-in-patients-with-subacromial-shoulder-pain-a-double-masked-randomized-sham-controlled-trial
#7
Elisabeth Kvalvaag, Jens Ivar Brox, Kaia Beck Engebretsen, Helene Lundgaard Soberg, Niels Gunnar Juel, Erik Bautz-Holter, Leiv Sandvik, Cecilie Roe
BACKGROUND: Subacromial shoulder pain is a common complaint, and radial extracorporeal shock wave therapy (rESWT) is increasingly used to treat this condition. Although many therapists use rESWT in combination with supervised exercises, no studies have evaluated the additional effect of rESWT with supervised exercises for subacromial shoulder pain. PURPOSE: To assess whether rESWT is more effective than sham rESWT when combined with supervised exercises for improving pain and function in patients with subacromial shoulder pain...
September 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28237770/the-reliability-of-physical-examination-tests-for-the-clinical-assessment-of-scapular-dyskinesis-in-subjects-with-shoulder-complaints-a-systematic-review
#8
REVIEW
Toni Lange, Filip Struyf, Jochen Schmitt, Jörg Lützner, Christian Kopkow
STUDY DESIGN: Systematic review. OBJECTIVES: The aim of this systematic review was to summarize and evaluate intra- and interrater reliability research of physical examination tests used for the assessment of scapular dyskinesis. BACKGROUND: Scapular dyskinesis, defined as alteration of normal scapular kinematics, is described as a non-specific response to different shoulder pathologies. METHODS: A systematic literature search was conducted in MEDLINE, EMBASE, AMED and PEDro until March 20th, 2015...
July 2017: Physical Therapy in Sport
https://www.readbyqxmd.com/read/27475532/is-thoracic-spine-posture-associated-with-shoulder-pain-range-of-motion-and-function-a-systematic-review
#9
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/16558646/a-kinetic-chain-approach-for-shoulder-rehabilitation
#10
J McMullen, T L Uhl
OBJECTIVE: To introduce an approach to shoulder rehabilitation that integrates the kinetic chain throughout the rehabilitation program while providing the theoretical rationale for this program. BACKGROUND: The focus of a typical rehabilitation program is to identify and treat the involved structures. However, in activities of sport and daily life, the body does not operate in isolated segments but rather works as a dynamic unit. Recently, rehabilitation programs have emphasized closed kinetic chain exercises, core-stabilization exercises, and functional programs...
July 2000: Journal of Athletic Training
https://www.readbyqxmd.com/read/28495804/sham-surgery-versus-labral-repair-or-biceps-tenodesis-for-type-ii-slap-lesions-of-the-shoulder-a-three-armed-randomised-clinical-trial
#11
Cecilie Piene Schrøder, Øystein Skare, Olav Reikerås, Petter Mowinckel, Jens Ivar Brox
BACKGROUND: Labral repair and biceps tenodesis are routine operations for superior labrum anterior posterior (SLAP) lesion of the shoulder, but evidence of their efficacy is lacking. We evaluated the effect of labral repair, biceps tenodesis and sham surgery on SLAP lesions. METHODS: A double-blind, sham-controlled trial was conducted with 118 surgical candidates (mean age 40 years), with patient history, clinical symptoms and MRI arthrography indicating an isolated type II SLAP lesion...
May 11, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27462471/arthroscopic-repair-of-articular-surface-partial-thickness-rotator-cuff-tears-transtendon-technique-versus-repair-after-completion-of-the-tear-a-meta-analysis
#12
REVIEW
Yohei Ono, Jarret M Woodmass, Aaron J Bois, Richard S Boorman, Gail M Thornton, Ian K Y Lo
Articular surface partial-thickness rotator cuff tears (PTRCTs) are commonly repaired using two different surgical techniques: transtendon repair or repair after completion of the tear. Although a number of studies have demonstrated excellent clinical outcomes, it is unclear which technique may provide superior clinical outcomes and tendon healing. The purpose was to evaluate and compare the clinical outcomes following arthroscopic repair of articular surface PTRCT using a transtendon technique or completion of the tear...
2016: Advances in Orthopedics
https://www.readbyqxmd.com/read/28290117/what-influence-does-progression-of-a-nonhealing-rotator-cuff-tear-have-on-shoulder-pain-and-function
#13
Yoon Sang Jeon, Rag Gyu Kim, Sang-Jin Shin
BACKGROUND: There have been numerous reports of clinical outcomes associated with tendon healing after repair that suggest a nonhealed tendon has a negative effect on postoperative clinical outcomes. However, to our knowledge, there has been no report on the relationship between tear size progression of nonhealed tendons and clinical outcomes. QUESTIONS/PURPOSES: (1) Do patients with healed arthroscopic rotator cuff repairs have better outcomes, less pain, and more strength than patients whose repair did not heal? (2) In patients with nonhealed rotator cuff tendons, does tear size progression (increase or decrease) affect outcomes, pain, and strength? (3) Is there continued improvement beyond 6 months in outcomes, pain, and strength; and how do the improvements differ based on whether the tear size has increased or decreased? METHODS: Between May 2008 and December 2012, 647 patients underwent arthroscopic rotator cuff repair for full-thickness tears at our institution...
June 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28405223/electromyographic-activity-of-the-shoulder-muscles-during-rehabilitation-exercises-in-subjects-with-and-without-subacromial-pain-syndrome-a-systematic-review
#14
REVIEW
Rita Kinsella, Tania Pizzari
BACKGROUND: Subacromial pain syndrome (SPS) is a common cause of shoulder pain and muscle activity deficits are postulated to contribute to the development and progression of the disorder. The purpose of this systematic review was to definitively determine whether evidence exists of differences in electromyography (EMG) characteristics between subjects with and without SPS. METHODS: Six key databases were searched: MEDLINE, EMBASE, CINAHL, SPORTdiscus, PEDro and The Cochrane Library (inception to May 2016)...
April 2017: Shoulder & Elbow
https://www.readbyqxmd.com/read/28288280/early-versus-delayed-motion-after-rotator-cuff-repair-a-systematic-review-of-overlapping-meta-analyses
#15
Darby A Houck, Matthew J Kraeutler, Hayden B Schuette, Eric C McCarty, Jonathan T Bravman
BACKGROUND: Previous meta-analyses have been conducted to compare outcomes of early versus delayed motion after rotator cuff repair. PURPOSE: To conduct a systematic review of overlapping meta-analyses comparing early versus delayed motion rehabilitation protocols after rotator cuff repair to determine which meta-analyses provide the best available evidence. STUDY DESIGN: Systematic review. METHODS: A systematic review was performed by searching PubMed and Cochrane Library databases...
October 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28298061/arthroscopic-repair-of-anterosuperior-massive-rotator-cuff-tears-does-repair-integrity-affect-outcomes
#16
Sung-Jae Kim, Yun-Rak Choi, Min Jung, Wonyong Lee, Yong-Min Chun
BACKGROUND: The purpose of this study was to investigate clinical outcomes and structural integrity after arthroscopic repair of anterosuperior massive rotator cuff tears (RCTs) and to compare clinical outcomes between healed and retear groups. HYPOTHESIS: The authors hypothesized that although both groups would exhibit improved clinical outcomes compared with their preoperative status, the healed group would have better clinical outcomes than the retear group, and in the retear group, the subscapularis retear subgroup would have inferior outcomes compared with the intact subscapularis repair subgroup...
July 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/25143489/early-versus-delayed-passive-range-of-motion-exercise-for-arthroscopic-rotator-cuff-repair-a-meta-analysis-of-randomized-controlled-trials
#17
COMPARATIVE STUDY
Ke-Vin Chang, Chen-Yu Hung, Der-Sheng Han, Wen-Shiang Chen, Tyng-Guey Wang, Kuo-Liong Chien
BACKGROUND: Postoperative shoulder stiffness complicates functional recovery after arthroscopic rotator cuff repair. PURPOSE: To compare early passive range of motion (ROM) exercise with a delayed rehabilitation protocol with regard to the effectiveness of stiffness reduction and functional improvements and rates of improper healing in patients undergoing arthroscopic repair for torn rotator cuffs. STUDY DESIGN: Systematic review and meta-analysis...
May 2015: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28259517/short-term-effects-of-thoracic-spine-manipulation-on-shoulder-impingement-syndrome-a-randomized-controlled-trial
#18
RANDOMIZED CONTROLLED TRIAL
Melina N Haik, Francisco Alburquerque-Sendín, Paula R Camargo
OBJECTIVE: To investigate the short-term effects of thoracic spine manipulation (TSM) on pain, function, scapular kinematics, and scapular muscle activity in individuals with shoulder impingement syndrome. DESIGN: Randomized controlled trial with blinded assessor and patient. SETTING: Laboratory. PARTICIPANTS: Patients with shoulder impingement syndrome (N=61). INTERVENTIONS: Participants were randomly allocated to TSM group (n=30) or sham-TSM group (n=31) and attended 2 intervention sessions over a 1-week period...
August 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28314695/a-systematic-review-of-cost-effective-treatment-of-postoperative-rotator-cuff-repairs
#19
REVIEW
Rebecca N Dickinson, John E Kuhn, Jamie L Bergner, Katherine H Rizzone
OBJECTIVE: The Bundled Payments for Care Improvement initiative combines payment of multiple services for episodes of care into 1 bundle. Rotator cuff repair is a likely candidate for future inclusion. The objective of this study was to determine cost-effective, high-quality postoperative rehabilitation dosing and cryotherapy for patients undergoing rotator cuff repair based on systematic review of the literature. METHODS: Systematic review of level I and level II articles was performed in PubMed, Cochrane Databases, and PEDro...
May 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28122541/physical-examination-tests-of-the-shoulder-a-systematic-review-and-meta-analysis-of-diagnostic-test-performance
#20
Sigmund Ø Gismervik, Jon O Drogset, Fredrik Granviken, Magne Rø, Gunnar Leivseth
BACKGROUND: Physical examination tests of the shoulder (PETS) are clinical examination maneuvers designed to aid the assessment of shoulder complaints. Despite more than 180 PETS described in the literature, evidence of their validity and usefulness in diagnosing the shoulder is questioned. METHODS: This meta-analysis aims to use diagnostic odds ratio (DOR) to evaluate how much PETS shift overall probability and to rank the test performance of single PETS in order to aid the clinician's choice of which tests to use...
January 25, 2017: BMC Musculoskeletal Disorders
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