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Anju Jaggi

Ali Noorani, Michael Goldring, Anju Jaggi, Jo Gibson, Jonathan Rees, Marcus Bateman, Mark Falworth, Peter Brownson
No abstract text is available yet for this article.
February 2019: Shoulder & Elbow
Anthony W Gilbert, Anju Jaggi, Carl R May
Background: The use of real time 1:1 videoconferencing is growing in popularity in clinical practice. Authors have explored the effectiveness and acceptability of videoconferencing for patients; however, little research exists on the viewpoints of clinicians. Methods: Patients with atraumatic shoulder instability attending a tertiary treatment centre were offered the choice of videoconferencing or a face-to-face consultation for their follow-up session. Immediately after the consultation a semi-structured interview was conducted to explore the underlying reasons behind its use and acceptability...
February 2019: Shoulder & Elbow
Anthony W Gilbert, Iva Hauptmannova, Anju Jaggi
BACKGROUND: Painful shoulders pose a substantial socioeconomic burden accounting for 2.4% of all primary care consultations in the UK. There is a strong evidence to indicate that the majority of this shoulder pain can be managed successfully with exercise based treatments and that common surgical procedures provide no extra benefit. Patient adherence and engagement is cited as an important factor in gaining positive outcomes. The MUJO System has been designed to help target the rehabilitation of the rotator cuff muscles which are commonly recommended for the management of shoulder pain...
May 2, 2018: BMC Musculoskeletal Disorders
Anthony W Gilbert, Anju Jaggi, Carl R May
BACKGROUND: Real time 1:1 videoconferencing (VC) has the potential to play an important role in the management of orthopaedic pathologies. Despite positive reporting of telemedicine studies uptake in clinical practice remains low. Acceptability to patients is an important element of system take-up in telemedicine and a focus towards qualitative methodology may explore the underlying reasons behind its acceptability. In this paper we have systematically reviewed qualitative studies that include evidence about patient responses to VC services in an orthopaedic setting...
June 2018: Physiotherapy
Anju Jaggi, Susan Alexander
BACKGROUND: The shoulder relies predominantly on dynamic muscular control to provide stability. Successful treatment is highly dependent upon the correct clinical diagnosis, identification of anatomical structural defects and abnormal movement patterns so that rehabilitation programs can be designed accordingly and individualised to the patient. METHOD: A systematic outline is provided to guide the clinician on how to identify muscular insufficiencies both local to the shoulder joint and global muscles that can influence shoulder instability...
2017: Open Orthopaedics Journal
Sally Hopewell, David J Keene, Michael Maia Schl├╝ssel, Melina Dritsaki, Susan Dutton, Andrew Carr, William Hamilton, Zara Hansen, Anju Jaggi, Chris Littlewood, Hessam Soutakbar, Peter Heine, Lucy Cureton, Karen Barker, Sarah E Lamb
INTRODUCTION: Shoulder pain is very common, with around 70% of cases due to disorders of the rotator cuff. Despite widespread provision of physiotherapy, there is uncertainty about which type of exercise and delivery mechanisms are associated with best outcomes. There is also uncertainty around the long-term benefits and harms of corticosteroid injection therapy, which is often used in addition to physiotherapy. The Getting it Right: Addressing Shoulder Pain trial will assess the clinical and cost-effectiveness of individually tailored, progressive exercise compared with best practice advice, with or without corticosteroid injection, in adults with a rotator cuff disorder...
July 17, 2017: BMJ Open
Peter Brownson, Oliver Donaldson, Michael Fox, Jonathan L Rees, Amar Rangan, Anju Jaggi, Graham Tytherleigh-Strong, Julie McBernie, Michael Thomas, Rohit Kulkarni
No abstract text is available yet for this article.
July 2015: Shoulder & Elbow
Anju Jaggi, Susan Alexander, Robert Herbert, Lennard Funk, Karen A Ginn
BACKGROUND: Shoulder instability is a common problem affecting young adults. Stabilization surgery followed by physiotherapy rehabilitation has been shown to reduce the chance of further episodes of shoulder dislocation and to improve quality of life in patients who sustain a shoulder dislocation as a result of a high collision trauma, but it is unclear if surgical intervention is beneficial for patients with atraumatic shoulder instability who have structural damage at the shoulder. The aim of this randomized controlled clinical trial is to determine if the addition of surgical intervention to physiotherapy rehabilitation improves outcomes for patients with atraumatic shoulder instability who have sustained soft tissue damage at their joint...
December 17, 2014: BMC Musculoskeletal Disorders
Anju Jaggi, Ali Noorani, Alex Malone, Joseph Cowan, Simon Lambert, Ian Bayley
PURPOSE: The aim of this study is to present muscle patterns observed with the direction of instability in a series of patients presenting with recurrent shoulder instability. MATERIALS AND METHODS: A retrospective review was carried out on shoulder instability cases referred for fine wire dynamic electromyography (DEMG) studies at a specialist upper limb centre between 1981 and 2003. An experienced consultant clinical neurophysiologist performed dual needle insertion into four muscles (pectoralis major (PM), latissimus dorsi (LD), anterior deltoid (AD) and infraspinatus (IS)) in shoulders that were suspected to have increased or suppressed activation of muscles that could be contributing to the instability...
October 2012: International Journal of Shoulder Surgery
Ali M Noorani, David J S Roberts, Alex A Malone, Tim S Waters, Anju Jaggi, Simon M Lambert, Ian Bayley
BACKGROUND AND PURPOSE: The Stanmore Percentage of Normal Shoulder Assessment (SPONSA) is a patient-reported outcome measure (PROM). The score assesses pain, range of movement, strength, stability and function of the shoulder. The aim of this work was to formally validate the SPONSA. MATERIALS AND METHODS: Validation of this score was carried out by measuring reproducibility, construct validity and sensitivity to change. Time to completion was also recorded. The Oxford Shoulder Score (OSS) and Constant Score (CS) were used for comparison...
January 2012: International Journal of Shoulder Surgery
Anju Jaggi, Alex A Malone, Joseph Cowan, Simon Lambert, Ian Bayley, Mindy C Cairns
BACKGROUND: This pilot study assesses level of agreement between surface and fine-wire electromyography (EMG), in order to establish if surface is as reliable as fine wire in the diagnosis and treatment of abnormal muscle patterning in the shoulder. METHOD: Eighteen participants (11 female) with unstable shoulders were recruited after written consent and ethical approval. Anthropometric information and mean skinfold size for triceps, subscapular, biceps and suprailiac sites were obtained...
March 2009: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
Michelle Ehrlich, Jaggi Rao, Anju Pabby, Mitchel P Goldman
BACKGROUND AND OBJECTIVE: Facial rhytides are a common cosmetic concern. Surgical treatment effects dramatic improvement; however, the associated risk and cost may be prohibitive. Recent focus is on developing topical products containing biologically active ingredients for at-home therapy. Our study examines the effects of a topical cream containing transforming growth factor-beta(1) (TGF-beta(1)), l-ascorbic acid, and Cimicifuga racemosa extract (CRS) (Topix Pharmaceuticals, North Amityville, NY, USA)...
May 2006: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
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