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Orthopaedic Surgery Aug 2023
Topics: Humans; Shoulder; Elbow; Upper Extremity
PubMed: 37587546
DOI: 10.1111/os.13861 -
PloS One 2023Rotator cuff tendinopathy is a common shoulder disorder in which the primary treatment is resistance exercises. Isometric exercises are being studied for lower limb...
Isometric versus isotonic exercise in individuals with rotator cuff tendinopathy-Effects on shoulder pain, functioning, muscle strength, and electromyographic activity: A protocol for randomized clinical trial.
INTRODUCTION
Rotator cuff tendinopathy is a common shoulder disorder in which the primary treatment is resistance exercises. Isometric exercises are being studied for lower limb tendinopathies but not for rotator cuff tendinopathy. This protocol for a randomized clinical trial aims to compare the effects of two types of exercise (isometric and isotonic) on shoulder pain, functioning, muscle strength, and electromyographic activity in individuals with rotator cuff tendinopathy.
METHODS
Forty-six individuals (18 to 60 years old) with shoulder pain for more than three months and unilateral supraspinatus and/or infraspinatus tendinopathy will participate in this trial. Individuals will be randomized into two exercise groups: isometric or isotonic. The following outcomes will be evaluated before and after the first session and after six weeks of intervention: shoulder pain and functioning; isometric strength of shoulder elevation and lateral and medial rotation; and electromyographic activity of medial deltoid, infraspinatus, serratus anterior, and lower trapezius. Groups will perform stretching and strengthening of periscapular muscles. The isometric group will perform three sets of 32 s, at 70% of maximal isometric strength. The isotonic group will perform concentric and eccentric exercises (2 s for each phase) in three sets of eight repetitions at a load of eight repetition maximum. The total time under tension of 96 s will be equal for both groups, and load will be adjusted in weeks three and five of the protocol. Treatment effect between groups will be analyzed using linear mixed model.
TRIAL REGISTRATION
Trial registration number: Universal Trial Number (UTN) code U1111-1284-7528 and Brazilian Clinical Trials Registry platform-RBR-3pvdvfk.
Topics: Humans; Adolescent; Young Adult; Adult; Middle Aged; Rotator Cuff; Shoulder Pain; Shoulder; Exercise Therapy; Tendinopathy; Muscle Strength; Randomized Controlled Trials as Topic
PubMed: 37956135
DOI: 10.1371/journal.pone.0293457 -
Radiologie (Heidelberg, Germany) Feb 2024Radiological imaging plays a significant role in the diagnostics of shoulder pathologies. Based on a patient's medical history, physical examination and radiological... (Review)
Review
BACKGROUND
Radiological imaging plays a significant role in the diagnostics of shoulder pathologies. Based on a patient's medical history, physical examination and radiological imaging, it is possible to plan the further conservative or surgical treatment.
OBJECTIVES
Common pathologies of the shoulder and the correct radiological imaging are presented.
CONCLUSIONS
A rational and targeted use of radiological imaging, together with the medical history and physical examination allows correct diagnosis of pathologies of the shoulder joint.
Topics: Humans; Shoulder; Rotator Cuff Injuries; Shoulder Joint; Physical Examination
PubMed: 37816804
DOI: 10.1007/s00117-023-01219-3 -
The Journal of Bone and Joint Surgery.... Oct 2023
Topics: Humans; Shoulder; Elbow; Upper Extremity; Shoulder Joint
PubMed: 37616391
DOI: 10.2106/JBJS.23.00649 -
RoFo : Fortschritte Auf Dem Gebiete Der... Nov 2023
Topics: Shoulder; Diagnostic Imaging
PubMed: 37935175
DOI: 10.1055/a-2135-8013 -
World Neurosurgery Oct 2023
Topics: Humans; Shoulder; Upper Extremity
PubMed: 37803688
DOI: 10.1016/j.wneu.2023.08.001 -
Journal of ISAKOS : Joint Disorders &... Dec 2023
Topics: Humans; Shoulder; Longevity; Shoulder Joint; Hemiarthroplasty; Osteoarthritis
PubMed: 37913870
DOI: 10.1016/j.jisako.2023.10.012 -
Journal of Shoulder and Elbow Surgery Feb 2024Managing the painful shoulder in overhead athletes can be difficult because of a lack of time-loss injuries in overhead sports and focusing primarily on either... (Review)
Review
Managing the painful shoulder in overhead athletes can be difficult because of a lack of time-loss injuries in overhead sports and focusing primarily on either pathoanatomic causes or movement impairments. Although managing the painful shoulder can be challenging, the combination of identifying pathoanatomic causes with movement impairments can provide a more focused rehabilitation approach directed at the causes of shoulder pain. Understanding the potential influence of scapular positioning as well as mobility and/or strength impairments on shoulder pain can help clinicians develop more directed rehabilitation programs. Furthermore, sports-specific methods such as long toss or the use of weighted balls for achieving physiological or performance-based gains have limited empirical evidence regarding their clinical and performance-based benefits, which may impede the rehabilitation process. Applying a comprehensive evaluation approach prior to and throughout the treatment process can assist clinicians with selecting the most appropriate treatment based on patient need. Reconsidering traditional treatments based on existing evidence may help refine the treatment process for overhead athletes with shoulder pain.
Topics: Humans; Shoulder Pain; Shoulder; Scapula; Sports; Athletes; Shoulder Injuries
PubMed: 37573929
DOI: 10.1016/j.jse.2023.07.013 -
Zeitschrift Fur Rheumatologie Dec 2023Advanced omarthritis or an irreparable lesion of the rotator cuff are indications for the implantation of a shoulder prosthesis. Several models are available and the... (Review)
Review
Advanced omarthritis or an irreparable lesion of the rotator cuff are indications for the implantation of a shoulder prosthesis. Several models are available and the choice of model depends on the specific pathology of the patient. Preoperative medication management must be taken into account in rheumatism patients. The correct aftercare is essential for the proper functioning of the prosthesis.
Topics: Humans; Shoulder; Shoulder Joint; Rotator Cuff Injuries; Rotator Cuff; Prosthesis Design; Treatment Outcome
PubMed: 37775540
DOI: 10.1007/s00393-023-01419-1 -
Instructional Course Lectures 2024It is important to discuss the importance of synchronous balance between periscapular muscles for scapulothoracic motion and resultant scapulohumeral rhythm....
It is important to discuss the importance of synchronous balance between periscapular muscles for scapulothoracic motion and resultant scapulohumeral rhythm. Abnormalities in this balance can lead to scapular dyskinesia and winging, affecting shoulder motion and leading to impingement. Strategies exist to diagnose and differentiate between pathologies such as muscle paralysis (eg, trapezius or serratus anterior) or overactivity (eg, pectoralis minor). The physician should be aware of the role of diagnostic imaging, as well as the unique considerations for patients with Ehlers-Danlos syndrome. Overall, a comprehensive physical examination to accurately diagnose and treat scapular pathologies is particularly important.
Topics: Humans; Electromyography; Scapula; Shoulder; Muscle, Skeletal; Dyskinesias
PubMed: 38090928
DOI: No ID Found