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Shoulder AND rehabilitation

Natalia Romero-Franco, Juan C Fernández-Domínguez, Juan A Montaño-Munuera, Javier Romero-Franco, Pedro Jiménez-Reyes
Muscle imbalance and deficit are key parameters for guiding rehabilitation and sports sessions and avoiding injuries. However, the high cost and non-portable nature of most instruments employed for muscle strength assessment frequently hamper an affordable evaluation in field conditions. This study evaluated the validity and reliability of a low-cost digital dynamometer to assess the maximal isometric strength of upper limb muscles. Fourteen physically active volunteers performed the main movements of the upper limb at maximal isometric strength: flexion-extension, internal-external rotation and abduction-adduction of the shoulder; and flexion-extension of both elbow and wrist...
March 21, 2019: Journal of Sports Sciences
Jérôme Tirefort, Adrien J Schwitzguebel, Philippe Collin, Alexandra Nowak, Chantal Plomb-Holmes, Alexandre Lädermann
BACKGROUND: Patients are commonly advised to wear a sling for 4 to 6 weeks after rotator cuff repair despite negative effects of early immobilization and benefits of motion rehabilitation. The aim of this study was to compare clinical and radiographic outcomes up to 6 months following rotator cuff repair with and without postoperative sling immobilization. METHODS: We randomized 80 patients scheduled for arthroscopic repair of a small or medium superior rotator cuff tear into sling and no-sling groups (40 patients each)...
March 20, 2019: Journal of Bone and Joint Surgery. American Volume
Melissa Gaitan, Liz Bainbridge, Stephanie Parkinson, Leanne Cormack, Sarah Cleary, Meg Harrold
BACKGROUND: Stroke can result in pain and loss of motor control in the hemiplegic shoulder, and while prevention of secondary changes is likely to be the most effective management, there is limited evidence directing clinicians towards the most at-risk patients. OBJECTIVES: The aim of this case series was to investigate the presentation of shoulder pain, motor impairment, shoulder passive range of motion (PROM) and alignment of the hemiplegic shoulder following acute stroke...
March 20, 2019: Topics in Stroke Rehabilitation
Min-Su Kim, Sung Hoon Kim, Se-Eung Noh, Heui Je Bang, Kyoung-Moo Lee
OBJECTIVE: The purpose of this study was to investigate the therapeutic effects of a newly developed shoulder robot on post-stroke hemiplegic shoulder pain DESIGN: Prospective, single-blind randomized controlled trial. SETTING: Inpatient department of a tertiary university hospital. PARTICIPANTS: Hemiplegic shoulder pain patients (n=38) were consecutively recruited and randomly assigned to an intervention or control group. INTERVENTIONS: A newly developed robot was designed to perform joint mobilization and stretching exercises with patients lying in the supine position...
March 13, 2019: Archives of Physical Medicine and Rehabilitation
Janaina Andressa de Souza, João Carlos Ferrari Corrêa, Letizzia Dall' Agnol, Filipe Ribeiro Dos Santos, Márcia Rafaella Pereira Gomes, Fernanda Ishida Corrêa
BACKGROUND: Shoulder pain is reported to be one of the major challenges faced in the functional recovery of patients in rehabilitation following a stroke. In such cases, transcranial direct current stimulation (tDCS) has been used as an additional therapeutic tool for improvements in central and peripheral pain. The aim of the proposed study is to evaluate the effect of tDCS when combined with upper limb physical therapy on pain intensity and functional improvement in stroke survivors with shoulder pain in the hemiplegic limb...
March 15, 2019: Trials
Mert Doğan, Mertcan Koçak, Özge Onursal Kılınç, Fatma Ayvat, Gülşah Sütçü, Ender Ayvat, Muhammed Kılınç, Özgür Ünver, Sibel Aksu Yıldırım
BACKGROUND: Functional range of motion is defined as the required range of motions for individuals to maintain maximal independence, along with optimal conditions for activities of daily living. Intervention plans for rehabilitation are directed towards the acquisition of anatomical range of motion. However, this isn't always possible based on person's etiology, prognosis, or severity of disease. RESEARCH QUESTION: The aim of this study is to determine functional range of motion during different unilateral, bilateral symmetrical and bimanual asymmetrical tasks of activities of daily living...
February 25, 2019: Gait & Posture
Minseock Kim, Minyoung Lee, Minhee Kim, Sejun Oh, SeungPil Jung, Bumchul Yoon
BACKGROUND: The survival rate of breast cancer survivors (BCSs) is > 90%. Particular issues are upper arm dysfunction caused by surgery and treatments. Physical activity has been recommended to improve shoulder function and quality of life (QoL) in BCSs. However, rehabilitation programs tend not to be continuous. PURPOSE: To explore the effectiveness of therapeutic inflatable ball self-exercise for improving shoulder function and QoL in breast cancer survivors (BCSs) following breast cancer surgery...
March 12, 2019: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Jeffrey M Blumberg, Paul Walker, Stephanie Johnson, Bradley Johnson, Eugene Yu, Marie-Constance Lacasse, David K Lam, Brian Rittenberg, Christopher M K L Yao, Douglas Chepeha, John R de Almeida, David P Goldstein, Ralph Gilbert
INTRODUCTION: The scapula tip free flap has been described for reconstruction of short mandible defects with extensive soft tissue needs. The versatility of this flap has not been extensively described. METHODS: Retrospective case series of patients who underwent mandibulectomy and reconstruction with the scapula tip free flap from 2005 to 2016. Outcomes include bony union, complications, dental rehabilitation, and donor site morbidity. RESULTS: A total of 120 patients were identified...
March 14, 2019: Head & Neck
Alessandro Scano, Franco Molteni, Lorenzo Molinari Tosatti
Since the release of the first Kinect in 2011, low-cost technologies for upper-limb evaluation has been employed frequently for rehabilitation purposes. However, a limited number of studies have assessed the potential of the Kinect V2 for motor evaluations. In this paper, a simple biomechanical protocol has been developed, in order to assess the performances of healthy people and patients, during daily-life reaching movements, with focus on some of the patients' common compensatory strategies. The assessment considers shoulder range of motion, elbow range of motion, trunk compensatory strategies, and movement smoothness...
March 11, 2019: Sensors
Kevin Laudner
CONTEXT: Tightness of the pectoralis minor is a common characteristic that has been associated with aberrant posture and shoulder pathology. Determining conservative treatment techniques for maintaining and lengthening this muscle are critical. Although some gross stretching techniques have been proven effective, there are currently no empirical data regarding the effectiveness of self-myofascial release for treating tightness of this muscle. OBJECTIVES: To determine the acute effectiveness of a self-myofascial release with movement technique of the pectoralis minor for improving shoulder motion and posture among asymptomatic individuals...
March 12, 2019: Journal of Sport Rehabilitation
Benoit Pairot de Fontenay, Catherine Mercier, Laurent Bouyer, Alexandre Savoie, Jean-Sébastien Roy
STUDY DESIGN: Cross-sectional and longitudinal (exploratory) studies. INTRODUCTION: Rotator cuff (RC) tendinopathy is the most prevalent shoulder diagnosis, and proprioception deficits are often observed in individuals with RC tendinopathy. PURPOSE OF THE STUDY: This study aimed to evaluate upper limb proprioception during a multijoint task in participants with and without RC tendinopathy and to determine if symptoms, functional limitations, and proprioception are improved after a rehabilitation program...
March 8, 2019: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
Manuel Torres-Parada, Jamile Vivas, Vanesa Balboa-Barreiro, José Marey-López
BACKGROUND: Post-stroke Shoulder Pain (PSSP) is a common stroke-related syndrome that prolongs hospitalization and diminishes quality of life. PSSP studies were unsuccessful in clarifying pathophysiological mechanisms. Therefore, cohort's studies with greater variety of the sample and larger follow-up period could provide additional clinical data and may improve medical care. OBJECTIVE: To classify people with PSSP and identify intergroup clinical differences, providing additional data useful for therapeutic care planning...
March 4, 2019: Brazilian Journal of Physical Therapy
Elizabeth A Chrischilles, Danielle Riley, Elena Letuchy, Linda Koehler, Joan Neuner, Cheryl Jernigan, Brian Gryzlak, Neil Segal, Bradley McDowell, Brian Smith, Sonia L Sugg, Jane M Armer, Ingrid M Lizarraga
PURPOSE: Chronic upper extremity disability (UED) is common after breast cancer treatment but under-identified and under-treated. Although UED has been linked to quality of life (QoL), the role of UED as mediator between contemporary treatment practices and QoL has not been quantified. This investigation describes UED in a contemporary sample of breast cancer patients and examines its relationship with personal and treatment factors and QoL. METHODS: Eight hundred and thirty-three women diagnosed at eight medical institutions during 2013-2014 with microscopically confirmed ductal carcinoma in situ or invasive stage I-III breast cancer were surveyed an average of 22 months after diagnosis...
March 9, 2019: Breast Cancer Research and Treatment
Wang Ying, Qiang Wan Min, Tang Lei, Zheng Xiao Na, Li Li, Li Jing
PURPOSE: This study aimed to evaluate the effectiveness of Baduanjin exercise, which is a traditional Chinese Qigong exercise, in breast cancer survivors to assess its efficacy for physical and psychological rehabilitation. METHODS: The study was a single-blinded randomized controlled trial. Eighty-six subjects were randomly assigned to the intervention (n = 46) or control (n = 40) groups. The intervention group received Baduanjin exercise 3 days/week at hospital and another 4 days/week at home for 6 months, whereas the control group were requested to maintain their original physical activity...
April 2019: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
J Geßmann, M Königshausen, T A Schildhauer, D Seybold
OBJECTIVE: Stabilization of the humeral shaft and the restoration of shoulder function dependent on the osseous integrity of the prosthetic stem component. INDICATIONS: In cases of a stable prosthesis stem, an isolated plate osteosynthesis is possible. Prosthesis stem replacement is indicated in cases of a loose stem. With sufficient bone stock of the proximal humeral segment, a change to a shorter humeral shaft component with subsequent plate fixation of the fracture is possible...
February 28, 2019: Operative Orthopädie und Traumatologie
Jacob Lloyd, Ashna Maria Pinto, Shoba Nair, Subhash Tarey
Introduction: Stroke is the development of a focal neurological disturbance lasting >24 h, of vascular origin. In India, stroke is one of the leading causes of morbidity and mortality. Most stroke patients, during their duration of treatment and posthospitalization, want relief of suffering, a sense of control and minimized burden on the family. Aim: The aim of this study is to describe treating doctors' perspectives on the palliative needs of stroke patients in India...
January 2019: Indian Journal of Palliative Care
Jui-Te Lin, Stephen Sprigle
PURPOSE: The goal of this study was to evaluate the relative influence of operator and wheelchair factors on propulsion effort during over-ground wheelchair manoeuvres. METHOD: This observational study included 23 full-time manual wheelchair users and 13 able-bodied subjects. The operator factors included shoulder position, aerobic capacity and propulsion strength. The wheelchair factors included system mass, weight distribution, and frictional loss in straight and turning trajectories...
February 27, 2019: Disability and Rehabilitation. Assistive Technology
Alexa Rosypal von Dohlen, David Scott, J P Dubey, David S Lindsay
The life cycle of Sarcocystis species is heteroxenous (2-host), with carnivores being the definitive host and herbivores serving as intermediate hosts in predator-prey relationships. Raptors (eagles, hawks, falcons, and owls) are apex predators and are not consumed routinely by other carnivores, making the occurrence of sarcocysts in their muscles unusual. Recent reports of sarcocysts in eagles and owls with Sarcocystis encephalitis suggests that this condition may be becoming more frequent, and Sarcocystis falcatula has been implicated as the agent of encephalitis in golden ( Aquila chrysaetos) and bald eagles ( Haliaeetus leucocephalus) as well as great horned owls ( Bubo virginianus)...
February 2019: Journal of Parasitology
Max Rogerio Freitas Ramos, Yonder Archanjo Ching San Junior, Leonardo Antunes Bellot de Souza
Scapular dyskinesis is quite frequent and can lead to shoulder pain. The diagnosis is essentially clinical. The main cause is muscle imbalance, between the trapezius, rhomboids, and pectoralis minor. In these cases, rehabilitation is the best treatment. We present a case of a young male patient with dyskinesis due to axonal involvement of the long thoracic nerve and paresis of the anterior serratus muscle. After a swimming program to increase muscular strength and imbalance, he experienced pain reduction and functional recovery of the upper limb, with reduction of the winged scapula...
2019: Case Reports in Orthopedics
Sarah Baum, Heleen van Kampen, Nikolaus Ballenberger, Harry von Piekartz
INTRODUCTION:  There have been controversial discussions in research regarding the mutual relationship between changes in dental occlusion and postural reorganisation. Particularly in professional sports, the application of dental splints has been studied increasingly. However, there is a lack of data regarding the effects of a dental splint on the motor function of the shoulder joint, although overhead athletes often have to deal with long-lasting shoulder problems and their consequences...
February 21, 2019: Sportverletzung Sportschaden: Organ der Gesellschaft Für Orthopädisch-Traumatologische Sportmedizin
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