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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...
September 9, 2016: 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)...
August 8, 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...
August 9, 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...
July 28, 2016: 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%)...
July 6, 2016: 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...
2016: Cochrane Database of Systematic Reviews
Peter Edwards, Jay Ebert, Brendan Joss, Gev Bhabra, Tim Ackland, Allan Wang
UNLABELLED: The incidence of rotator cuff tears increases with age, with full-thickness rotator cuff tears present in approximately 25% of individuals in their sixties, and more than 50% of those in their eighties. While surgery is considered an effective treatment, recurrent tears at the insertion site are common, especially with degenerative tears, which are frequent in the older population. More recently, there has been increasing interest in exercise rehabilitation and physical therapy as a means to manage partial and full thickness tears of the rotator cuff by addressing weakness and functional deficits...
April 2016: International Journal of Sports Physical Therapy
Keith M Baumgarten, Roy Osborn, Will E Schweinle, Matthew J Zens, Elizabeth A Helsper
BACKGROUND: There are few level 1 or 2 evidence studies that examine rehabilitation after rotator cuff repair. Pulleys have been used in postoperative shoulder rehabilitation with the intention of improving range of motion and developing strength. There is a concern that the use of pulleys in rehabilitation of rotator cuff repairs may contribute to excessive scapular motion (scapular substitution) and potentially inferior outcomes. HYPOTHESIS: Rotator cuff repair patients treated with pulley exercises would have increased scapular substitution and inferior patient-determined outcome scores, range of motion, and strength compared with patients treated with an alternative rehabilitation program without pulleys...
July 2016: American Journal of Sports Medicine
Xavier Robert-Lachaine, Paul Allard, Véronique Godbout, Patrice Tétreault, Mickael Begon
BACKGROUND: Some patients with rotator cuff tears feel pain without functional limitation, whereas others show a decrease in range of motion. To investigate this distinction, the scapulohumeral rhythm was used to conduct a functional evaluation of shoulder joints' coordination. The objective was to characterize patients according to their active range of motion without pain and their scapulohumeral rhythm compared with healthy individuals. MATERIALS AND METHODS: Fourteen patients with rotator cuff tears and 14 healthy individuals were set up with 35 reflective markers on the trunk and upper limb tracked by an optoelectronic system to measure the scapulohumeral rhythm...
October 2016: Journal of Shoulder and Elbow Surgery
Yin-Liang Lin, Andrew Karduna
Rotator cuff and scapular muscle strengthening exercises are an essential part of shoulder rehabilitation and sports training. Although the effect of exercise training on pain and function have been widely investigated, few studies have focused on the changes in shoulder kinematics and muscle activity after exercise training. Therefore, the purpose of the present study was to investigate the effect of rotator cuff and scapular strengthening exercises on shoulder kinematics and the activation of rotator cuff and scapular muscles in healthy subjects...
March 21, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
Miguel Ortega-Castillo, Ivan Medina-Porqueres
OBJECTIVES: To identify and criticize the evidence for the effectiveness of the eccentric exercise to treat upper limb tendinopathies. DESIGN: Systematic review. METHODS: Relevant randomized controlled trials (RCTs) were sourced using MEDLINE, SPORT Discus, Physiotherapy Evidence Database (PEDro) and CINAHL databases. Inclusion criteria were: (1) studies in English or Spanish; (2) adult participants with clinical diagnosis of tendinopathy; (3) RCT study design; (4) results regarding pain or strength were assessed; and (5) eccentric exercise was employed to treat upper extremity tendinopathies...
June 2016: Journal of Science and Medicine in Sport
2016-05-12 16:43:01
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