Relation between preoperative electromyographic activity of the deltoid and upper trapezius muscle and clinical results in patients treated with reverse shoulder arthroplasty

2020 ◽  
Vol 29 (1) ◽  
pp. 195-201 ◽  
Author(s):  
HongRi Li ◽  
Seung-hyun Yoon ◽  
Doohyung Lee ◽  
Heewoong Chung
Author(s):  
Andréia C. O. Silva, PT, MSc ◽  
Claudia S. Oliveira, PT, PhD ◽  
Daniela A. Biasotto-Gonzalez, PT, PhD ◽  
Marco A. Fumagalli, Eng, PhD ◽  
Fabiano Politti, PT, PhD

Background and Purpose: The lack of clear knowledge about the etiology of nonspecific neck pain (NS-NP) strengthens the need for other mech-anisms, still poorly described in the literature, to be investigated. Therefore, a quantitative analysis of two cases of NS-NP in subjects with functiona dyspepsia was conducted in order to verify the immediate and seven-day postintervention effects of visceral manipulation (VM) to the stomach and liver on neck pain, cervical range of motion (ROM), and electromyographic (EMG) activity of the upper trapezius muscle. Case Description: Case A was an 18-year-old female with a complaint of nonspecific neck pain for one year, with reported pain on waking, momentary intermittent pain, and occasional symptoms of paresthesia in the upper limbs. Case B was a 25-year-old female with a complaint of cervical pain for one year, accompanied by pain in the unilateral temporomandibular joint, and medial thoracic region. Both cases presented functional dyspepsia.Outcomes: The results demonstrated (sub-jects A and B, respectively) a general increase in cervical ROM (range: 12.5% to 44.44%) and amplitude of the EMG signal (immediately postintervention: 57.62 and 20.78; post seven days: 53.54% and 18.83%), and an increase in muscle fiber conduction velocity immediately postintervention (4.44% and 7.44%) and a de-crease seven days postintervention (25.25% and 21.18%). For pain, a decrease was observed immediately postintervention (23.07% and 76.92%) and seven days postintervention (100% for both subjects). Discussion: A single VM provided important clinical improvement in neck pain, cervical spine range of motion, and EMG activity of the upper trapezius muscle, immediately and seven days postintervention in two NS-NP subjects with func-tional dyspepsia.


2018 ◽  
Vol 41 (3) ◽  
pp. 208-217 ◽  
Author(s):  
Simone Aparecida Penimpedo Calamita ◽  
Daniela Aparecida Biasotto-Gonzalez ◽  
Nívea Cristina De Melo ◽  
Marco Antônio Fumagalli ◽  
César Ferreira Amorim ◽  
...  

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Andréia Cristina de Oliveira Silva ◽  
Daniela Aparecida Biasotto-Gonzalez ◽  
Douglas Meira dos Santos ◽  
Nivea Cristina De Melo ◽  
Cid André Fidelis de Paula Gomes ◽  
...  

Background. The aim of the present study was to assess the immediate effects of auricular acupuncture (AA) on the electromyographic (EMG) activity of the upper trapezius muscle and pain in nonspecific neck pain (NS-NP) patients. Twelve patients with NS-NP (NS-NP group) and 12 healthy subjects (HS Group) were enrolled in a randomized, single-blinded, crossover study. Each subject received a single session of AA and sham AA (SAA). Surface EMG activity was measured in the upper trapezius muscle at different “step contractions” of isometric shoulder elevation (15%, 20%, 25%, and 30% MVC). The outcome measure in patients with NS-NP was based on the numerical pain rating scale (NRS). AA treatment led to a significant decrease in EMG activity in both groups (NS-NP group:p= 0.0001; HS group:p< 0.0001—ANOVA test). This was not the case for the SAA treatment (NS-NP group:p= 0.71; HS group:p< 0.54). Significant decreases (p< 0.001) in the NRS were found for both treatments (AA and SAA). This study demonstrated the immediate effect of auricular acupuncture on the electromyographic activity of the upper trapezius muscle but the effect of this intervention on pain symptoms in patients with nonspecific neck pain was inconclusive.


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