Evaluation and Treatment of Shoulder Impingement Syndrome in the Absence of Rotator Cuff Tear

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Publisher :
ISBN 13 :
Total Pages : 164 pages
Book Rating : 4.:/5 (391 download)

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Book Synopsis Evaluation and Treatment of Shoulder Impingement Syndrome in the Absence of Rotator Cuff Tear by : Pat R. Carter

Download or read book Evaluation and Treatment of Shoulder Impingement Syndrome in the Absence of Rotator Cuff Tear written by Pat R. Carter and published by . This book was released on 1993 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Rotator Cuff Disorders

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Publisher : Lippincott Williams & Wilkins
ISBN 13 :
Total Pages : 456 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Rotator Cuff Disorders by : Wayne Z. Burkhead

Download or read book Rotator Cuff Disorders written by Wayne Z. Burkhead and published by Lippincott Williams & Wilkins. This book was released on 1996 with total page 456 pages. Available in PDF, EPUB and Kindle. Book excerpt: A text on the rotator cuff, with nine chapters written by Burkhead himself, and the remaining 24 chapters contributed by nationally and internationally recognized physicians and shoulder surgeons. The volume contains seven sections: history of cuff repair (1 chapter); basic science and the rotator cuff (3 chapters); evaluation and classification of cuff lesions (3 chapters); clinical disorders (10 chapters); conservative treatment of cuff defects and impingement syndrome (2 chapters); arthroscopic management of rotator cuff disease (1 chapter); and surgical management of massive cuff tears and degeneration (13 chapters). Thoroughly illustrated in bandw, with extensive chapter references. Annotation copyright by Book News, Inc., Portland, OR

Rotator Cuff Tear

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Publisher : Karger Medical and Scientific Publishers
ISBN 13 : 3805598149
Total Pages : 198 pages
Book Rating : 4.8/5 (55 download)

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Book Synopsis Rotator Cuff Tear by : Nicola Maffulli

Download or read book Rotator Cuff Tear written by Nicola Maffulli and published by Karger Medical and Scientific Publishers. This book was released on 2012 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt: A valuable collection of up-to-date information by leading international experts The history of rotator cuff tendinopathy started more than 150 years ago, when some types of shoulder pain were attributed to rupture of the rotator cuff tendon'. In the third millennium, the pathogenetic mechanisms leading to rotator cuff problems are still debated. Although conservative measures are the first-line therapy, poor spontaneous tendon healing and progression from partial- thickness to full-thickness tears may mandate surgery. Biological, biomechanical and clinical studies have been conducted to establish the superiority of one technique over the other, but no clinical differences have been found. Although we know more about the pathogenesis, diagnosis and management of rotator cuff pathology, our efforts should be directed at trying to find the treatment that best fits the specific needs of each patient. This book collects current reviews on rotator cuff problems, with regard to both biological and clinical aspects, and provides practical hints on management and rehabilitation for sports physicians, surgeons, physiotherapists and athletic trainers.

Rotator Cuff Disorders

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Publisher :
ISBN 13 :
Total Pages : 100 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Rotator Cuff Disorders by : Joseph P. Iannotti

Download or read book Rotator Cuff Disorders written by Joseph P. Iannotti and published by . This book was released on 1991 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a study of what the contributors consider the best present-day surgical and nonsurgical treatments for young people, athletes and others who suffer rotator cuff disorders. It covers pathogenesis, diagnosis, nonsurgical management, surgical treatment and postoperative rehabilitation.

Rotator Cuff Injuries

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Publisher : Springer
ISBN 13 : 3319636685
Total Pages : 370 pages
Book Rating : 4.3/5 (196 download)

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Book Synopsis Rotator Cuff Injuries by : Patrick J. McMahon

Download or read book Rotator Cuff Injuries written by Patrick J. McMahon and published by Springer. This book was released on 2017-09-30 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt: Comprised exclusively of clinical cases presenting injuries to and management of the rotator cuff, this concise, practical casebook will provide orthopedic surgeons with the best real-world strategies to properly manage the various kinds of cuff injury they may encounter. Each chapter is a case that opens with a unique clinical presentation, followed by a description of the diagnosis, assessment and management techniques used to treat it, as well as the case outcome, literature review and clinical pearls and pitfalls. Cases included illustrate different management strategies for rotator cuff surgery, including arthroscopic repair for tendonitis and tears, open and mini-open repair for severe tears, latissimus dorsi and pectoralis tendon transfer, arthroscopic debridement, hemiarthroplasty and total reverse arthroplasty, biological augmentation, and revision repair after retear and infection. Pragmatic and reader-friendly, Rotator Cuff Injuries: A Clinical Casebook is an excellent resource for orthopedic surgeons and sports medicine specialists confronted with both common and complex injuries to the rotator cuff.

Rotator Cuff Across the Life Span

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Publisher : Springer
ISBN 13 : 3662587297
Total Pages : 526 pages
Book Rating : 4.6/5 (625 download)

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Book Synopsis Rotator Cuff Across the Life Span by : Andreas B. Imhoff

Download or read book Rotator Cuff Across the Life Span written by Andreas B. Imhoff and published by Springer. This book was released on 2019-04-27 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents the consensus findings of the ISAKOS Shoulder Committee regarding the treatment options in patients suffering from shoulder pain and reduced function or dead arm syndrome as a consequence of rotator cuff injuries. The aim is twofold: to equip readers with a precise knowledge of the presenting characteristics of these injuries in different age groups and to describe in detail the initial management and surgical and non-surgical approaches, taking into account the age-specific features. Readers will find clear descriptions of all the latest arthroscopic techniques, which allow repair of even the largest tears. The indications for and performance of tendon transfer procedures, biceps tenotomy, tenodesis, hemiarthroplasty, anatomic shoulder arthroplasty, reverse total shoulder arthroplasty, and revision surgery are explained. Helpful guidance is also provided on the use of strategies to promote rotator cuff healing, including stem cell therapy and scaffolds. The authors are leading experts in the field, and the book will be of value for all shoulder surgeons and orthopaedic trainees and consultants, as well as sports medicine specialists.

Rotator Cuff Tear

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Publisher : Springer
ISBN 13 : 3319333550
Total Pages : 424 pages
Book Rating : 4.3/5 (193 download)

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Book Synopsis Rotator Cuff Tear by : Stefano Gumina

Download or read book Rotator Cuff Tear written by Stefano Gumina and published by Springer. This book was released on 2016-11-14 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook provides detailed, state of the art information on simple and complex rotator cuff tears that will be of value in daily clinical practice. It covers all relevant aspects, including basic science, pathogenesis, clinical and instrumental evaluation, and treatment techniques. Drawing on the results of recent studies, the book will enable the reader to better understand how tears occur and what treatment should be employed in different circumstances. Rotator cuff tear has always attracted great interest because it may cause shoulder pain, loss of strength, simple or complex disabilities, and partial or total inability to work, reducing quality of life. The goals of cuff repair are to restore footprint anatomy with biomechanically secure, tension-free construction that promotes biological healing at the tendon-to-bone interface. Even today, there is cause for discussion about when and how to perform surgical repair and on what to do in cases of irreparable rupture. This book casts light on such issues. It is especially designed for shoulder surgeons and rehabilitation specialists and will also be of value for residents and shoulder fellows.

Shoulder Rehabilitation, An Issue of Physical Medicine and Rehabilitation Clinics of North America, E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323960618
Total Pages : 261 pages
Book Rating : 4.3/5 (239 download)

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Book Synopsis Shoulder Rehabilitation, An Issue of Physical Medicine and Rehabilitation Clinics of North America, E-Book by : Thomas (Quin) Throckmorton

Download or read book Shoulder Rehabilitation, An Issue of Physical Medicine and Rehabilitation Clinics of North America, E-Book written by Thomas (Quin) Throckmorton and published by Elsevier Health Sciences. This book was released on 2023-04-04 with total page 261 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this issue of Physical Medicine and Rehabilitation Clinics, guest editor Dr. Thomas (Quin) Throckmorton brings his considerable expertise to Shoulder Rehabilitation. Top experts in the field cover key topics such as shoulder impingement syndrome; non-operative treatment of rotator cuff tears; post-operative rehabilitation following rotator cuff repair; non-operative treatment of the biceps-labral complex; post-operative rehabilitation after SLAP repair; and more. Contains 12 relevant, practice-oriented topics including post-operative rehabilitation after surgery for shoulder instability; scapular dyskinesis; adhesive capsulitis; post-operative rehabilitation after shoulder arthroplasty; muscular re-training and rehabilitation after tendon transfer surgery in the shoulder; and more. Provides in-depth clinical reviews on shoulder rehabilitation, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Basic Principles and Operative Management of the Rotator Cuff

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Publisher : SLACK Incorporated
ISBN 13 : 1617110043
Total Pages : 402 pages
Book Rating : 4.6/5 (171 download)

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Book Synopsis Basic Principles and Operative Management of the Rotator Cuff by : C. Benjamin Ma

Download or read book Basic Principles and Operative Management of the Rotator Cuff written by C. Benjamin Ma and published by SLACK Incorporated. This book was released on 2012 with total page 402 pages. Available in PDF, EPUB and Kindle. Book excerpt: Basic Principles and Operative Management of the Rotator Cuff by Drs. C. Benjamin Ma and Brian Feeley is a unique and comprehensive book that covers arthroscopic, open techniques, and reconstructive options for treating rotator cuff tears The first section focuses on an up-to-date understanding the basic principles of the rotator cuff--its anatomy, the basic science behind rotator cuff pathology, diagnosis, and imaging. This section references recent literature so that the reader understands the pathology of rotator cuff disease. The second section focuses on the different types of rotator cuff pathology, how to diagnose pathology accurately, and discusses different non operative and operative treatment options. The operative sections will provide detailed state of the art techniques with clear photos and illustrations to take the surgeon through surgical procedures step-by-step. It is a comprehensive text on the operative management of rotator cuff pathology, including arthroscopic and open repairs, revision surgery, tendon transfers, and reverse shoulder arthroplasty. The book also describes "tricks and tips" to help the surgeon avoid common errors that are often encountered during the procedure. Different options for each type of rotator cuff problem will be presented. The final section will focus on complicated problems encountered in the shoulder. Topics Include - Anatomic structures, vascular and nerve supply, and the relevant surgical anatomy of the rotator cuff - Biomechanics of the rotator cuff--how the rotator cuff works to raise and lower the shoulder and position the arm in space, and how these functions are lost in cuff tears - Understanding the molecular mechanisms responsible for tendon and muscle degeneration - How to evaluate imaging in order to accurately diagnose rotator cuff tear problems and to be well-prepared for the operating room - Office and surgical management of common rotator cuff problems--divided into an introduction, diagnosis, non operative management, operative management, post operative management, and outcomes - Treatment options for large and massive cuff tears - Reconstructive options--replacements and muscle transfers - Detailed step-by-step guide to allow surgeons to navigate through complicated procedures Bonus! Basic Principles and Operative Management of the Rotator Cuff offers a companion Web site featuring complete surgical videos to walk you through each detailed technique step-by-step. In this constantly evolving field, Basic Principles and Operative Management of the Rotator Cuff will be a comprehensive reference for practicing orthopedic surgeons, sports medicine surgeons, shoulder and elbow specialists, and orthopedic surgery residents.

The Athlete's Shoulder

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Publisher : Elsevier Health Sciences
ISBN 13 : 0443067015
Total Pages : 898 pages
Book Rating : 4.4/5 (43 download)

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Book Synopsis The Athlete's Shoulder by : James R. Andrews

Download or read book The Athlete's Shoulder written by James R. Andrews and published by Elsevier Health Sciences. This book was released on 2008-10-30 with total page 898 pages. Available in PDF, EPUB and Kindle. Book excerpt: The latest edition of this in-depth look at athletic injuries of the shoulder has been updated to feature 16 new chapters, additional illustrations and algorithms, an added focus on arthroscopic treatments, and pearls that highlight key information. Additional contributing authors give you a fresh spin on new and old topics from rehabilitation exercises to special coverage of female athletes, pediatrics, and golfers. This book offers coverage of arthroscopy, total joint replacement, instability, football, tennis, swimming, and gymnastic injuries, rotator cuff injuries, and much, much more! The large range of topics covered in this text ensures that it's a great resource for orthopaedists, physical therapists, athletic trainers, and primary care physicians. Presents a multidisciplinary approach to the care of the shoulder, combining contributions from the leaders in the field of orthopedic surgery, physical therapy, and athletic training. Demonstrates which exercises your patients should perform in order to decrease their chance of injury or increase strength following an injury through illustrated exercises for rehabilitation and injury prevention. Illustrates how the shoulder is affected during activity of certain sports with a variety of tables and graphs. Covers a large range of topics including all shoulder injuries to be sufficiently comprehensive for both orthopaedists and physical therapists/athletic trainers. Features 16 new chapters, including Internal Impingement, Bankarts: Open vs. Arthroscopy, Adhesive Capsulitis of the Shoulder, Cervicogenic Shoulder Pain, Proprioception: Testing and Treatment, and more. Details current surgical and rehabilitation information for all aspects of shoulder pathology to keep you up-to-date. Organizes topics into different sections on anatomy, biomechanics, surgery, and rehabilitation for ease of reference.

Practical Evaluation and Management of the Shoulder

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Publisher :
ISBN 13 :
Total Pages : 264 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Practical Evaluation and Management of the Shoulder by : Frederick A. Matsen

Download or read book Practical Evaluation and Management of the Shoulder written by Frederick A. Matsen and published by . This book was released on 1994 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: The practical considerations which underline the diagnosis and treatment of patients with shoulder disorders are presented in this concise, easy to understand, and informative text. Activities to help the reader master the problems, methods and mechanical principles of the shoulder are provided. Coverage includes frozen shoulder, post traumatic stiff shoulder, TUBS syndrome, glenohumeral instabliity, scapulothoracic snapping and cuff tears.

Shoulder Surgery

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Publisher : Elsevier Health Sciences
ISBN 13 :
Total Pages : 776 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Shoulder Surgery by : Frederick A. Matsen

Download or read book Shoulder Surgery written by Frederick A. Matsen and published by Elsevier Health Sciences. This book was released on 2004 with total page 776 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive, new guide clearly presents the principles of both normal and abnormal shoulder mechanics and shows clinicians how to successfully perform a variety of procedures. The authors focus on time-tested techniques and the basic tools every surgeon has at their disposal...instead of those that need special, complex, or expensive equipment. Over 750 superb original illustrations demonstrate every important step. Provides the scientific foundations upon which shoulder surgery must be based, enabling the surgeon to make adaptations according to a patient's specific mechanical situation. Describes procedures that have been consistently successful in managing mechanical problems of the shoulder. Features 1,400 illustrations by a shoulder surgeon who is also a professional artist accurately portray both anatomic features and step-by-step procedures. Uses a consistent format throughout for easy reference.

Atlas of Uncommon Pain Syndromes E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323640788
Total Pages : 488 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Atlas of Uncommon Pain Syndromes E-Book by : Steven D. Waldman

Download or read book Atlas of Uncommon Pain Syndromes E-Book written by Steven D. Waldman and published by Elsevier Health Sciences. This book was released on 2019-09-19 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt: Covering the many relatively uncommon pain conditions that are often misdiagnosed, this one-of-a-kind visual resource clearly presents the extensive knowledge and experience of world-renowned pain expert Steven D. Waldman, MD, JD. Atlas of Uncommon Pain Syndromes, 4th Edition, first and foremost helps you make a correct diagnosis – a critical step in managing patients in chronic pain. Hundreds of high-quality illustrations, as well as x-rays, ultrasound, CTs, and MRIs, help you confirm your diagnoses with confidence. Offers head-to-toe coverage – 135 conditions in all – providing concise, easy-to-read chapters for each condition. Dr. Waldman’s practical guidance is designed to help you make the correct diagnosis of uncommon pain syndromes, even the signs and symptoms don’t quite fit. Explains each pain syndrome using a consistent, easy-to-follow format: an ICD-10 CM code for billing purposes, followed by a brief description of the signs and symptoms, laboratory and radiographic testing, differential diagnosis, available treatment options, and clinical pearls. Features updated chapters throughout, as well as 12 new chapters covering Hemicrania Continua, Acute Calcific Prevertebral Tendinitis, Sternohyoid Syndrome Snapping Scapula Syndrome, Erythromelagia, Foix-Alajouanine Syndrome, Lumbar Paraspinous Muscle Compartment Syndrome, Clunealgia, Nutcracker Syndrome, Paroxysmal Extreme Pain Disorder, Iliopsoas Tendon Rupture, and Snapping Pes Anserinus Syndrome Provides practitioners and trainees in pain medicine, anesthesiology, neurology, psychiatry, physical medicine and rehabilitation, primary care, and more with a firm foundation in the diagnosis of uncommon pain in daily practice.

Therapeutic Exercise

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Publisher : F.A. Davis
ISBN 13 : 1719649472
Total Pages : 3368 pages
Book Rating : 4.7/5 (196 download)

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Book Synopsis Therapeutic Exercise by : Carolyn Kisner

Download or read book Therapeutic Exercise written by Carolyn Kisner and published by F.A. Davis. This book was released on 2022-10-17 with total page 3368 pages. Available in PDF, EPUB and Kindle. Book excerpt: The premier text for therapeutic exercise Here is all the guidance you need to customize interventions for individuals with movement dysfunction. You’ll find the perfect balance of theory and clinical technique—in-depth discussions of the principles of therapeutic exercise and manual therapy and the most up-to-date exercise and management guidelines.

Patients with subacromial pain in primary care

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Publisher : Linköping University Electronic Press
ISBN 13 : 9179297994
Total Pages : 105 pages
Book Rating : 4.1/5 (792 download)

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Book Synopsis Patients with subacromial pain in primary care by : Jenny Nordqvist

Download or read book Patients with subacromial pain in primary care written by Jenny Nordqvist and published by Linköping University Electronic Press. This book was released on 2021-01-08 with total page 105 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Shoulder pain is a common musculoskeletal disorder and 40-74% of the patients attending primary healthcare with a shoulder disorder are diagnosed with subacromial pain. Subacromial pain is characterized by restricted and painful movement of the arm that leads to difficulties in performing arm-related activities and often affects the quality of life profoundly, with respect to everyday function, work capacity, sleep quality and mental health. It is crucial that the measurements used to evaluate shoulder function and treatment response have acceptable psychometric properties and also that they are patients-specific and time-efficient to administer. For patients with subacromial pain, exercises are recommended as first-line treatment but consensus about which exercises and dosage to recommend has not been reached. The lack of evidence for one specific exercise model may be partly due to heterogeneity among this group of patients. The overall aim of this thesis were to evaluate the efficacy of a previously tested exercise strategy for patients with subacromial pain in a primary care setting, to describe the heterogeneity with possible subcategories among patients with subacromial pain, and finally to validate and adjust the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire for more diagnosis-specific clinical assessment. Methods: The four papers in this thesis are based on two clinical studies, one randomized controlled trial (RCT) and one clinical cohort. The participants in both studies were patients with subacromial pain attending physiotherapist (PT) in a primary care setting. Two of the papers are based on psychometric analyses, with evaluation of construct validity and responsiveness for the DASH when used to evaluate shoulder function in patients with subacromial pain, and also calculation of minimal important change (MIC) for a diagnosis-specific short version of DASH (DASH 7). A third paper describe clinical presentation in patients with subacromial pain, based on the components active range of motion (AROM), rotator cuff function and scapular kinematics and the fourth paper evaluated the efficacy of a 3-month specific exercise strategy in comparison to an active control strategy. Results: Seven items from the original DASH were identified as being the most important in evaluating patients with subacromial pain (resulting in the DASH 7 questionnaire). The DASH 7 shows good responsiveness, can discriminate between patients who perceive themselves as improved and those who do not, and maintain a high level of internal consistency for the assessment of shoulder function in patients with subacromial pain, using only a quarter of the items of the original DASH. Based on clinical presentation, patients with subacromial pain in the primary care setting comprise a heterogeneous group. Rotator cuff dysfunction, defined as pain during resisted isometric muscle-testing, is very frequently present while limitation in active range of motion and scapular dyskinesia are less common. After three months of exercise, both groups in the RCT had significantly improved with no between group difference as measured with the primary CM-score. However, as measured with the DASH and the DASH 7, the patients in the specific exercise group was significantly more improved compared to those in the active control group. Conclusions: The DASH 7 questionnaire is a short patient-reported outcome measurement (PROM) with good responsiveness, specific for patients with subacromial pain. Heterogeneity was confirmed with identified variability in AROM, rotator cuff function and scapular kinematics in clinical presentation which confirms that these components are important in the clinical examination of patients with subacromial pain. Shoulder function evaluated with the CM score did not improve to a significantly different degree between the two groups studied. The specific exercises might not be necessary for all patients in the primary care setting to achieve a clinically relevant improvement. However, the specific exercise strategy was significantly better when improvement was assessed by DASH and DASH 7, and this leads us to recommend this strategy, with its progressive loading of the rotator cuff muscles and scapula stabilizers, as first choice, provided that it is tolerated by the patient. Bakgrund: Axelsmärta är ett vanligt problem i befolkningen och bland de som söker hjälp för sin axelsmärta inom primärvården är subacromial smärta den vanligaste diagnosen. Subacromial smärta karaktäriseras av smärta vid armaktivitet, främst vid aktivitet i och över axelhöjd samt bakom ryggen. Det är vanligt att denna smärta ger störd sömn och svårighet att utföra fritidsaktiviteter och dagligt arbete vilket kan bidra till försämrad psykisk hälsa och livskvalitet. Det är viktigt att kunna mäta och utvärdera skulderfunktion samt effekt av behandling på ett tillförlitligt sätt och att de instrument som används känns relevanta för patienten samt är tids-effektiva att administrera. Träning är den behandling som i första hand rekommenderas för patienter med subacromial smärta men det saknas fortfarande tydliga riktlinjer gällande vilka övningar och vilken dosering som är den bästa. En diskuterad anledning till att det är svårt att påvisa sådana riktlinjer kan vara att patientgruppen är heterogen. Det övergripande syftet med den här avhandlingen var att utvärdera effekten av en specifik träningsstrategi för patienter med subacromial smärta i primärvård, att identifiera och beskriva variationen i klinisk presentation hos patienter med subacromial smärta samt att validera och justera självskattningsformuläret DASH för dignosspecifik bedömning. Metoder: De fyra delarbeten som ingår i den här avhandlingen baseras på två kliniska studier. Samtliga studiedeltagare var patienter med subacromial smärta som sökte vård hos fysioterapeut inom primärvården i Östergötland. I två delarbeten analyseras mätegenskaper för självskattningsformulär, gällande validitet och responsiveness (förmåga att mäta förändring över tid) hos DASH för patienter med subacromial smärta samt gällande kliniskt relevant förändring hos den diagnosspecifika kortversionen, DASH 7. Ett tredje delarbete beskriver klinisk presentation hos patienterna utifrån komponenterna aktiv rörlighet, muskelfunktion i rotatorkuff samt skulderbladets rörelsemönster och det fjärde delarbetet utvärderar effekten av en specifik träningsstrategi jämfört med en aktiv kontrollstrategi för patienter med subacromial smärta i primärvård. Resultat: Sju av de ursprungliga 30 frågorna i DASH identifierades som de viktigaste för att utvärdera skulderfunktion hos patienter med subacromial smärta (vilket resulterade i ett nytt självskattningsformulär, DASH 7). DASH 7 uppvisar god responsiveness och kan skilja mellan de patienter som upplever sig förbättrade och de som inte gör det, samt bibehåller hög intern konsistens för bedömning av skulderfunktion hos patienter med subacromial smärta, med endast en fjärdedel av frågorna från DASH. Baserat på klinisk presentation, konstateras att patienter med subacromial smärta i primärvård är en heterogen grupp. Störd funktion i rotatorcuffens muskulatur, definierat som smärta vid isometriska muskeltester, är vanligt förekommande medan inskränkt aktiv rörlighet och stört rörelsemönster i skulderbladet förekommer mer sällan. Efter tre månaders träning uppvisar patienterna i båda träningsgrupperna en signifikant förbättring i skulderfunktion. Gällande funktion mätt med utvärderingsinstrumentet CM ses ingen skillnad i effekt mellan träningsgrupperna. Däremot, när skulderfunktion utvärderas med DASH och DASH 7, ses att patienterna i den specifika träningsgruppen förbättrats signifikant mer jämfört med patienterna i den aktiva kontrollgruppen. Konklusioner: DASH 7 är ett kort självskattningsformulär med god förmåga att mäta förändring över tid, specifikt utformat för patienter med subacromial smärta. Heterogenitet konstateras baserat på variationen i klinisk presentation gällande de tre komponenterna: aktiv rörlighet, muskelfunktion i rotatorkuff samt skulderbladets rörelsemönster, vilket visar på att dessa komponenter är viktiga i bedömningen av patienter med subacromial smärta. Förändrad skulderfunktion, utvärderat med CM, visar ingen skillnad i effekt mellan de två träningsgrupperna som testats. Den specifika träningen verkar därmed inte behövas för alla patienter med subacromial smärta i primärvård för att uppnå en kliniskt relevant förbättring. Utvärdering av skulderfunktion med DASH och DASH 7 däremot visar att patienterna i den specifika träningsgruppen blivit signifikant bättre jämfört med de i den aktiva kontrollgruppen. Baserat på dessa resultat rekommenderar vi den specifika träningsstrategin som förstahandsval vid behandling av subacromial smärta, förutsatt att patienten tolererar den belastade träningen för rotatorkuff- och skulderbladsmuskulatur.

Physical Examination of the Shoulder

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Author :
Publisher : Springer
ISBN 13 : 1493925938
Total Pages : 280 pages
Book Rating : 4.4/5 (939 download)

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Book Synopsis Physical Examination of the Shoulder by : Ryan J. Warth

Download or read book Physical Examination of the Shoulder written by Ryan J. Warth and published by Springer. This book was released on 2015-06-24 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text presents a comprehensive and concise evidence-based and differential-based approach to physical examination of the shoulder in a manner that promotes its successful application in clinical practice. Additionally, this book provides an integrated approach to the diagnosis of numerous shoulder pathologies by combining discussions of pathoanatomy and the interpretation of physical examination techniques and was written for any health care professional or student who may be required to evaluate patients who present with shoulder pain. This information will allow the clinician to make informed decisions regarding further testing procedures, imaging and potential therapeutic options. Physical Examination of the Shoulder will serve as an invaluable resource for practicing orthopedic surgeons, sports medicine specialists, physical therapists, residents in training and medical students interested in the field of clinical orthopedics. ​

Treat Your Own Rotator Cuff

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Publisher : Dog Ear Publishing
ISBN 13 : 1598582062
Total Pages : 98 pages
Book Rating : 4.5/5 (985 download)

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Book Synopsis Treat Your Own Rotator Cuff by : Jim Johnson

Download or read book Treat Your Own Rotator Cuff written by Jim Johnson and published by Dog Ear Publishing. This book was released on 2006 with total page 98 pages. Available in PDF, EPUB and Kindle. Book excerpt: Treat your own rotator cuff? Who needs to worry about that? According to the medical research, a lot of people. The rotator cuff, a group of four, flat tendons that connect to the critical muscles that stabilize your shoulder, can cause a lot more problems than you might think. Consider a few of these statistics from the published literature: .It's simply just a matter of time until the majority of shoulders get a rotator cuff tear. According to Magnetic Resonance Imaging (MRI) scans, approximately 4% of people under forty years of age have a torn rotator cuff. After age sixty, however, 54% of people have one (Sher 1995). .Once the rotator cuff gets torn, it doesn't look good either. One study followed a group of patients with tears in their rotator cuffs and found that 80% of the them went on to either enlarge or turn into full thickness tears-in less than a two-year period (Yamanaka 1994). As you can tell, rotator cuff problems aren't just for elite athletes. Seriously consider investing just a few minutes a week doing the simple exercises in this book if you: .have been diagnosed with either a partial or full thickness rotator cuff tear (yes, many studies show that even full thickness tears can be helped with exercise ) .experience shoulder pain .do upper body weight lifting .have a job or play a sport where you do a lot of work with your arms above shoulder level .have been diagnosed with "impingement syndrome" .want a healthy and properly functioning rotator cuff So whether you already suffer from a rotator cuff problem, or simply want to prevent one, Treat Your Own Rotator Cuff will guide you step-by-step through an evidence-based program that can iron-plate your shoulders in just minutes a week. Jim Johnson, P.T., is a physical therapist who has spent over fifteen years treating both inpatients and outpatients with a wide range of pain and mobility problems. He has written many books based completely on published research and controlled trials including The Multifidus Back Pain Solution, Treat Your Own Knees, The No-Beach, No-Zone, No-Nonsense Weight Loss Plan: A Pocket Guide to What Works, and The Sixty-Second Motivator. His books have been translated into other languages and thousands of copies have been sold worldwide. Besides working full-time as a clinician in a large teaching hospital and writing books, Jim Johnson is a certified Clinical Instructor by the American Physical Therapy Association and enjoys teaching physical therapy students from all over the United States.