scholarly journals Ultrasonic Aspiration for Vaccination-Related Shoulder Dysfunction

Heliyon ◽  
2021 ◽  
pp. e08442
Author(s):  
Marko Bodor ◽  
Uma Srikumaran ◽  
Yvette Uribe
Keyword(s):  
Shoulder Dysfunction

Roentgenographic diagnosis of shoulder dysfunction

JAMA ◽  
1965 ◽  
Vol 194 (10) ◽  
pp. 1081-1085 ◽  
Author(s):  
G. A. Kernwein
Keyword(s):  
Shoulder Dysfunction

Recall Bias in Retrospective Assessment of Preoperative Patient-Reported American Shoulder and Elbow Surgeons Scores in Arthroscopic Rotator Cuff Repair Surgery

2020 ◽  
Vol 48 (6) ◽  
pp. 1471-1475
Author(s):  
Matthew J. Gotlin ◽  
Matthew T. Kingery ◽  
Samuel L. Baron ◽  
Joseph McCafferty ◽  
Laith M. Jazrawi ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff Repair ◽  
Recall Bias ◽  
Duration Of Symptoms ◽  
Shoulder Dysfunction ◽  
Patient Reported ◽  
The Mean ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

Background: The gold-standard method for collecting patient-reported outcomes (PROs) is the prospective assessment of preoperative to postoperative change. However, this method is not always feasible because of unforeseen cases or emergencies, logistical and infrastructure barriers, and cost issues. In such cases, a retrospective approach serves as a potential alternative, but there are conflicting conclusions regarding the reliability of the recalled preoperative PROs after orthopaedic procedures. Purpose: To assess the agreement between prospectively and retrospectively collected PROs for a common, low-risk procedure. Study Design: Cohort study (Diagnosis); Level of evidence, 3. Methods: Patients who underwent arthroscopic rotator cuff repair between May 2012 and September 2017 at the study institution were identified. All of the patients completed the American Shoulder and Elbow Surgeons (ASES) Standard Shoulder Assessment Form preoperatively at their preassessment appointment. Patients were then contacted in the postoperative period and asked to recall their preoperative condition while completing another ASES form. Results: A total of 84 patients completed the telephone survey and were included in this analysis (mean age, 57.40 ± 9.96 years). The mean duration of time from onset of shoulder symptoms to surgery was 9.13 ± 9.08 months. The mean duration of time between surgery and recall ASES administration was 39.12 ± 17.37 months. The mean recall ASES score was significantly lower than the preoperative ASES score (30.69 ± 16.93 vs 51.42 ± 19.14; P < .001). There was poor test-retest reliability between preoperative ASES and recall ASES (intraclass correlation coefficient, 0.292; 95% CI, –0.07, 0.57; P = .068). Greater age at the time of recall, a shorter symptomatic period before surgery, and less severe preoperative shoulder dysfunction were associated with a greater difference between preoperative ASES and recall ASES. Conclusion: Retrospectively reported PROs are subject to significant recall bias. Recalled PROs were almost always lower than their prospectively recorded counterparts. Recalled PROs are more likely to be accurate when reported by younger patients, those with a longer duration of symptoms, and those with more severe preoperative conditions.

Establishing Normative Data on Scapulothoracic Musculature Using Handheld Dynamometry

2009 ◽  
Vol 18 (4) ◽  
pp. 502-520 ◽  
Author(s):  
Nichole Turner ◽  
Kristen Ferguson ◽  
Britney W. Mobley ◽  
Bryan Riemann ◽  
George Davies
Keyword(s):  
Outcome Measures ◽  
Normative Data ◽  
Rank Order ◽  
Field Research ◽  
Normal Subjects ◽  
Correction Method ◽  
Activity Level ◽  
Serratus Anterior ◽  
Shoulder Dysfunction ◽  
Lower Trapezius

Context:Scapular strength deficits have been linked to shoulder dysfunction.Objective:To establish normative data on the scapulothoracic musculature in normal subjects using a handheld dynamometer.Design:Descriptive normative data study.Setting:Field research.Subjects:172 subjects with varying levels of overhead activity.Methods:A handheld dynamometer was used to test the upper, middle, and lower trapezius; rhomboids; and serratus anterior.Main Outcome Measures:A 2-factor ANOVA was performed for each of the muscles by activity level and unilateral ratio by activity-level analyses. Post hoc analysis included multiple pairwise comparisons, using the Dunn-Bonferroni correction method.Results:Activity level did not significantly affect the unilateral ratios: Elevation:depression was 2.5:1, upward:downward rotation was 1.5:1, and protraction:retraction was 1.25:1. A rank order from strongest to weakest was established through significant comparisons.Conclusion:The unilateral ratios along with the rank order should be considered when discussing scapular rehabilitation protocols.

scholarly journals THE DISCRIMINATE ABILITY OF THE PEDIATRIC ADOLESCENT SHOULDER SURVEY (PASS)

2019 ◽  
Vol 7 (3_suppl) ◽  
pp. 2325967119S0018
Author(s):  
Tracey Bastrom ◽  
Andrew Pennock ◽  
Eric W. Edmonds
Keyword(s):  
Surgical Treatment ◽  
Shoulder Instability ◽  
Shoulder Function ◽  
Compensatory Mechanisms ◽  
Minimal Impact ◽  
Shoulder Dysfunction ◽  
Operative Outcomes ◽  
The Difference

Purpose: The purpose of this study was to examine whether improvements in the Pediatric and Adolescent Shoulder Survey (PASS) are seen at 3 months following surgical treatment for shoulder instability and whether the PASS can discriminate between patients with differing outcomes based on clinical exam and the single assessment numeric evaluation (SANE). Performance of the PASS was contrasted with an adult validated tool, the quickDASH. Methods: Patients who underwent surgical treatment for shoulder instability with completed PASS forms available at pre-operative and 3 months post-operative (range 2.5-4.5mos) were included in this review. The PASS consists of 13 questions that assess (in child friendly language) symptoms, limitations, need for compensatory mechanisms, and emotional distress related to shoulder dysfunction. Responses are on a 0-5 or 0-10 scale with a score calculation based on percentage of total possible points (100% indicates no/minimal impact on quality of life from shoulder dysfunction). Patients were grouped based on range of motion or strength (within 10 degrees to contralateral extremity or no discrepancy in strength score was considered no deficit) and SANE score (=80% vs <80%) at the 3-month visit. Alpha was set at p<0.05 to declare significance. Results: 50 patients with a mean age of 16 years (range 13.5-18 yrs) were identified in this review with a mean post-operative follow-up of 3.2 ± 0.5 months. Scores on the PASS improved significantly from pre-operative (57 ± 16%) to post-operative (74 ± 16%, p<0.001). The quickDASH similarly showed improvement (27 ± 16 pre vs 18 ± 16 post, p=0.003) although the magnitude of the effect for the PASS was larger (f=0.84 for PASS vs f=0.48 for quickDASH). Ceiling effect (>15% reporting the highest score) was observed at 3 months with the quickDASH (16% with top score), but not with the PASS (4%, p=0.03). While both tools were able to discriminate between patients with SANE score =80% vs <80%, the difference in quickDASH score between patients with/without diminished motion did not reach significance (p=0.07, Table). Conclusion: The PASS shows anticipated improvements in shoulder function following surgical intervention for instability without ceiling effects. The PASS is able to discriminate between patients with differing post-operative outcomes at 3 months following surgery. [Table: see text]

scholarly journals Do patients benefit from physiotherapy for shoulder dysfunction following neck dissection? A systematic review

2020 ◽  
Vol 134 (2) ◽  
pp. 104-108
Author(s):  
A S Harris
Keyword(s):  
Systematic Review ◽  
Neck Dissection ◽  
Current Evidence ◽  
Shoulder Dysfunction ◽  
Cost Efficacy ◽  
Prospective Trials ◽  
Randomised Controlled ◽  
Upper Limb Dysfunction ◽  
Term Benefit

AbstractObjectiveAccessory nerve palsy affects a proportion of patients following neck dissection, and results in shoulder dysfunction and regional pain. This project aimed to establish the evidence supporting post-operative physiotherapy for the shoulder following neck dissection.MethodA systematic review was conducted of prospective trials investigating the efficacy of rehabilitation for shoulder or upper limb dysfunction and pain following any type of neck dissection.ResultsA total of 820 papers were identified; through a staged review process, 7 trials were found that fulfilled the inclusion criteria. These included three randomised, controlled trials and four non-randomised studies. Five out of the seven trials demonstrated a statistically significant benefit of physiotherapy.ConclusionCurrent evidence shows a benefit from physiotherapy in patients with shoulder dysfunction following neck dissection. Some evidence suggests progressive resistance is superior to other types of physiotherapy. Long-term benefit and cost efficacy have not been studied.

scholarly journals Critical and Theoretical Perspective on Scapular Stabilization: What Does It Really Mean, and Are We on the Right Track?

2016 ◽  
Vol 96 (8) ◽  
pp. 1162-1169 ◽  
Author(s):  
Kevin J. McQuade ◽  
John Borstad ◽  
Anamaria Siriani de Oliveira
Keyword(s):  
Theoretical Perspective ◽  
Future Research ◽  
Critical Thought ◽  
Shoulder Dysfunction ◽  
Performance Training ◽  
Core Stabilization ◽  
Historical Analogy ◽  
Scapular Dyskinesia ◽  
And Performance ◽  
The Right

AbstractStabilization exercises have been a focus and mainstay of many therapeutic and performance training programs in the past decade. Whether the focus is core stabilization for the spine or scapular stabilization, clinicians and trainers alike have endorsed these programs, largely on the basis of conceptual theory and anecdotal experience. The notion that an unstable scapula is related to shoulder dysfunction and pathology is well accepted, but is it accurate? The aim of this perspective article is to challenge the concept of scapular stabilization through the application of biomechanical and motor control constructs. The objectives are to critically examine current beliefs about scapular stabilization, to discuss definitions of stabilization and stability in the context of the scapulothoracic region, and to evaluate key evidence regarding scapular stabilization and scapular dyskinesia. Several new approaches that may affect the understanding of normal and atypical scapula motion are explored. Finally, a historical analogy is presented and future research and clinical directions are suggested. The aims are to lead readers to the essential concepts implied on scapular stabilization, to increase the critical thought process in rehabilitation practice, and to suggest some open topics to be explored in future research.

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