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By Ainsley Rossi Clinician & Asst Professor Emory University Division of PT. Specialist in orthopedic PT.
Benjamin F Donohue, Marc G Lubitz, Timothy E Kremchek
Injuries to the latissimus dorsi and teres major muscles, while rare, are debilitating. They are seen in a variety of sports, although disproportionately in the throwing shoulder of baseball pitchers. There have been 25 case reports and 2 case series published on the nonoperative and operative management of these injuries. Latissimus dorsi and teres major muscle anatomy, function, and common injury patterns are well described in these case reports. Also well detailed are the typical patient presentation, physical examination, and imaging findings...
December 1, 2016: American Journal of Sports Medicine
Stuart R Heron, Steve R Woby, Dave P Thompson
OBJECTIVES: To assess the efficacy of three different exercise programmes in treating rotator cuff tendinopathy/shoulder impingement syndrome. DESIGN: Parallel group randomised clinical trial. SETTING: Two out-patient NHS physiotherapy departments in Manchester, United Kingdom. PARTICIPANTS: 120 patients with shoulder pain of at least three months duration. Pain was reproduced on stressing the rotator cuff and participants had full passive range of movement at the shoulder...
September 21, 2016: Physiotherapy
Karen A Ginn, Darren Reed, Chelsea Jones, Anthony Downes, Ian Cathers, Mark Halaki
OBJECTIVES: Although the belly press and lift off tests are recommended to assess subscapularis function, shoulder internal rotation (IR) exercises performed in other shoulder positions are more commonly used to restore subscapularis function. It is not known if shoulder IR exercises specifically activate subscapularis to the same degree as the lift off and belly press tests, and thus have the potential to effect subscapularis strength gains. Therefore, the aim was to compare subscapularis activation levels with those of other shoulder internal rotator muscles during the belly press and lift off tests and shoulder IR exercise positions...
November 17, 2016: Journal of Science and Medicine in Sport
Marie E Walcott, Stephen D Daniels, Nathan J Sinz, Larry D Field, Laurence D Higgins
HYPOTHESIS: Our purpose was to describe an arthroscopic repair technique for and outcomes of traumatic transtendinous rotator cuff tears affecting the supraspinatus tendon. MATERIALS AND METHODS: A retrospective review was performed on a series of patients between January 2009 and January 2012. Demographic data, as well as preoperative and postoperative clinical data including strength, visual analog scale pain score, Subjective Shoulder Value, American Shoulder and Elbow Surgeons score, and Simple Shoulder Test score, were obtained...
January 2017: Journal of Shoulder and Elbow Surgery
Nancy R Talbott And, Dexter W Witt
OBJECTIVES: The purpose of this study was to quantify in vivo posterior translational movements occurring in the glenohumeral joint during posterior mobilizations and to determine the intratester reliability of those posterior translational movements. METHODS: Twenty-eight individuals (17 females, 11 males) participated in this study. One physical therapist utilized a Kaltenborn approach to apply three grades of posterior humeral mobilization. A hand held dynamometer was used to quantify the force used during each grade of mobilization...
December 2016: Journal of Manual & Manipulative Therapy
P Sealey, D Critchley
OBJECTIVES: To evaluate the effect of isometric shoulder extension in 90° shoulder flexion on the acromio-humeral distance, to establish the force required to achieve a clinically important increase in the acromio-humeral distance, and to investigate the practicality and reliability of real-time ultrasound measurement of the acromio-humeral distance in 90° shoulder forward flexion. DESIGN: Prospective single-group intervention. SETTING: King's College London, Guy's Campus...
May 6, 2016: Physiotherapy
Koya Mine, Takashi Nakayama, Steve Milanese, Karen Grimmer
Posterior shoulder tightness (PST) and glenohumeral internal rotation deficit (GIRD) are common physical impairments in overhead sports, such as baseball, cricket and tennis.(1-4)) PST is clinically measured by passive shoulder horizontal adduction with scapula stabilized in supine or side lying.(5),(6)) GIRD is generally characterised as concurrent deficits of internal rotation (IR) and total arc of motion in dominant side.(7),(8)) Although the mechanisms of PST and GIRD are not clear, it is speculated that they derive from tight posterior glenohumeral capsule and posterior muscles, such as posterior deltoid, infraspinatus and teres minor muscles...
August 24, 2016: Journal of Sport Rehabilitation
Matthew T Provencher, Hannah Kirby, Lucas S McDonald, Petar Golijanin, Daniel Gross, Kevin J Campbell, Lance LeClere, George Sanchez, Shawn Anthony, Anthony A Romeo
BACKGROUND: Pectoralis minor (PM) tightness has been linked to pain and dysfunction of the shoulder joint secondary to anterior tilt and internal rotation of the scapula, thus causing secondary impingement of the subacromial space. PURPOSE: To describe outcomes pertaining to nonoperative and operative treatment via surgical release of the PM tendon for pathologic PM tightness in an active population. STUDY DESIGN: Case series; Level of evidence, 4...
January 2017: American Journal of Sports Medicine
Eric J Hegedus, Adam P Goode, Chad E Cook, Lori Michener, Cortney A Myer, Daniel M Myer, Alexis A Wright
OBJECTIVE: To update our previously published systematic review and meta-analysis by subjecting the literature on shoulder physical examination (ShPE) to careful analysis in order to determine each tests clinical utility. METHODS: This review is an update of previous work, therefore the terms in the Medline and CINAHL search strategies remained the same with the exception that the search was confined to the dates November, 2006 through to February, 2012. The previous study dates were 1966 - October, 2006...
November 2012: British Journal of Sports Medicine
Beate Dejaco, Bas Habets, Corné van Loon, Susan van Grinsven, Robert van Cingel
PURPOSE: To investigate the effectiveness of isolated eccentric versus conventional exercise therapy in patients with rotator cuff tendinopathy. METHODS: Thirty-six patients with rotator cuff tendinopathy, diagnosed by an orthopaedic surgeon, were included and randomly allocated to an isolated eccentric exercise (EE) group (n = 20, mean age = 50.2 ± 10.8 years) or a conventional exercise (CG) group (n = 16, mean age = 48.6 ± 12.3 years). Both groups fulfilled a 12-week daily home-based exercise programme and received a total amount of nine treatment sessions...
June 28, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Davide Blonna, Enrico Bellato, Francesco Caranzano, Marco Assom, Roberto Rossi, Filippo Castoldi
BACKGROUND: The arthroscopic Bankart repair and open Bristow-Latarjet procedure are the 2 most commonly used techniques to treat recurrent shoulder instability. PURPOSE: To compare in a case control-matched manner the 2 techniques, with particular emphasis on return to sport after surgery. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: A study was conducted in 2 hospitals matching 60 patients with posttraumatic recurrent anterior shoulder instability with a minimum follow-up of 2 years (30 patients treated with arthroscopic Bankart procedure and 30 treated with open Bristow-Latarjet procedure)...
December 2016: American Journal of Sports Medicine
Scott A Rodeo, Joseph T Nguyen, John T Cavanaugh, Yashika Patel, Ronald S Adler
BACKGROUND: Shoulder pain is a common problem in competitive swimmers, but the structural alterations in elite-level competitive swimmers are not well known. HYPOTHESIS: Adaptive changes are common in the rotator cuff, bursa, labrum, and capsule in elite swimmers, and such abnormalities are related to factors concerning training and correlate with symptoms. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: The study population was the 2008 United States Olympic swimming team...
December 2016: American Journal of Sports Medicine
Omid Alizadehkhaiyat, David H Hawkes, Graham J Kemp, Simon P Frostick
BACKGROUND: High level throwing performance requires the development of effective muscle activation within shoulder girdle muscles particularly during forceful internal rotation (IR) motions. STUDY DESIGN: Controlled Laboratory Descriptive Study. PURPOSE: To investigate activation pattern of 16 shoulder girdle muscles/muscle sub-regions during three common shoulder IR exercises. METHODS: EMG was recorded in 30 healthy subjects from 16 shoulder girdle muscles/muscle sub-regions (surface electrode: anterior, middle and posterior deltoid, upper, middle and lower trapezius, serratus anterior, teres major, upper and lower latissimus dorsi, upper and lower pectoralis major; fine wire electrodes: supraspinatus, infraspinatus, subscapularis and rhomboid major) using a telemetric EMG system...
October 2015: International Journal of Sports Physical Therapy
Amin Mohamadi, Jimmy J Chan, Femke M A P Claessen, David Ring, Neal C Chen
BACKGROUND: The ability of injection of corticosteroids into the subacromial space to relieve pain ascribed to rotator cuff tendinosis is debated. The number of patients who have an injection before one gets relief beyond what a placebo provides is uncertain. QUESTIONS/PURPOSES: We asked: (1) Do corticosteroid injections reduce pain in patients with rotator cuff tendinosis 3 months after injection, and if so, what is the number needed to treat (NNT)? (2) Are multiple injections better than one single injection with respect to pain reduction at 3 months? METHODS: We systematically searched seven electronic databases for randomized controlled trials of corticosteroid injection for rotator cuff tendinosis compared with a placebo injection...
January 2017: Clinical Orthopaedics and related Research
Nitin B Jain, Jennifer Luz, Laurence D Higgins, Yan Dong, Jon J P Warner, Elizabeth Matzkin, Jeffrey N Katz
OBJECTIVE: The aim was to assess diagnostic accuracy of 15 shoulder special tests for rotator cuff tears. DESIGN: From February 2011 to December 2012, 208 participants with shoulder pain were recruited in a cohort study. RESULTS: Among tests for supraspinatus tears, Jobe test had a sensitivity of 88% (95% confidence interval [CI], 80%-96%), specificity of 62% (95% CI, 53%-71%), and likelihood ratio of 2.30 (95% CI, 1.79-2.95). The full can test had a sensitivity of 70% (95% CI, 59%-82%) and a specificity of 81% (95% CI, 74%-88%)...
March 2017: American Journal of Physical Medicine & Rehabilitation
Edward P Mulligan, Mu Huang, Tara Dickson, Michael Khazzam
BACKGROUND: While physical therapy is an effective element in the rehabilitation of rotator cuff (RC) disease, the most effective sequence of exercise training interventions has not been defined. HYPOTHESIS/PURPOSE: The purpose of this study is to determine if there is a difference in pain or function in patients who are given RC strengthening prior to or after initiating scapular stabilization exercises. STUDY DESIGN: Level I randomized crossover trial...
February 2016: International Journal of Sports Physical Therapy
Abbey Schory, Erik Bidinger, Joshua Wolf, Leigh Murray
PURPOSE: The purpose of this systematic review was to determine the exercises that optimize muscle ratios of the periscapular musculature for scapular stability and isolated strengthening. METHODS: A systematic search was performed in PubMed, CINAHL, SPORTDiscus, Scopus, and Discovery Layer. Studies were included if they examined the muscle activation of the upper trapezius compared to the middle trapezius, lower trapezius, or serratus anterior using EMG during open chain exercises...
June 2016: International Journal of Sports Physical Therapy
Matthias Flury, Dominik Rickenbacher, Hans-Kaspar Schwyzer, Christian Jung, Marco M Schneider, Katharina Stahnke, Jörg Goldhahn, Laurent Audigé
BACKGROUND: The exact role of platelet-rich plasma (PRP) in rotator cuff tendon reconstruction remains unclear. PURPOSE/HYPOTHESIS: This study investigated whether an intraoperative pure PRP injection, compared with a local anesthetic injection, improves patient-reported outcomes at 3 and 6 months after arthroscopic rotator cuff repair. The hypothesis was that pure PRP improves patient-reported outcomes (Oxford Shoulder Score [OSS]) at 3 and 6 months after surgery and has the same pain-reducing effect compared with a postoperative subacromial local anesthetic (ropivacaine) injection...
August 2016: American Journal of Sports Medicine
Masataka Nakazawa, Akimoto Nimura, Tomoyuki Mochizuki, Masahiro Koizumi, Tatsuo Sato, Keiichi Akita
BACKGROUND: Several biomechanical studies have shown that the acromioclavicular (AC) ligament prevents posterior translation of the clavicle in the horizontal plane. In anatomy textbooks, however, the AC ligament is illustrated as running straight across the AC joint surface. HYPOTHESIS: The AC ligament does not run straight across the joint surface, and the configuration of the AC ligament may vary. STUDY DESIGN: Descriptive laboratory study...
June 17, 2016: American Journal of Sports Medicine
Matthew J Page, Sally Green, Brodwen McBain, Stephen J Surace, Jessica Deitch, Nicolette Lyttle, Marshall A Mrocki, Rachelle Buchbinder
BACKGROUND: Management of rotator cuff disease often includes manual therapy and exercise, usually delivered together as components of a physical therapy intervention. This review is one of a series of reviews that form an update of the Cochrane review, 'Physiotherapy interventions for shoulder pain'. OBJECTIVES: To synthesise available evidence regarding the benefits and harms of manual therapy and exercise, alone or in combination, for the treatment of people with rotator cuff disease...
June 10, 2016: Cochrane Database of Systematic Reviews
2016-06-28 02:46:02
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