scholarly journals Association of Shoulder Dysfunction with Mobility Limitation in Older Adults of the BLSA

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 936-937
Author(s):  
Derik Davis ◽  
Kai Sun ◽  
Laurence Magder ◽  
Eleanor Simonsick
Keyword(s):  
Older Adults ◽  
Lower Extremity ◽  
External Rotation ◽  
Mobility Limitation ◽  
Shoulder Dysfunction ◽  
Shoulder Range Of Motion ◽  
Shoulder External Rotation ◽  
The Impact ◽  
Shoulder Elevation ◽  
Walking Endurance

Abstract Mobility limitation affects one-third of older adults; yet, the impact of shoulder dysfunction which effects roughly 20%, is inadequately documented. As arm swing is a fundamental component of ambulation, we investigated the cross-sectional association between shoulder range of motion (ROM) and walking endurance using time to walk 400m as quickly as possible and lower extremity performance using the expanded Short Physical Performance Battery (e-SPPB). Data are from 614 men (50.5%) and women aged ≥ 60 years (mean 71.8 ±8 years) in the Baltimore Longitudinal Study of Aging (BLSA) who performed bilateral shoulder elevation and/or bilateral shoulder external rotation (ER) during nurse-administered physical examination. We examined odds of poor 400m-walk and e-SPPB performance defined as the worst quartile associated with abnormal shoulder elevation (≤9%) relative to bilateral normal shoulder elevation and abnormal shoulder external rotation (≤5%) relative to bilateral normal shoulder external rotation (ER) in separate analyses. Analyses were adjusted for age, sex, weight and height. Adjusted odds (95% confidence interval) of poor 400m-walk performance associated with abnormal shoulder elevation (N=254) were 4.7 (1.1-19.5;p=0.035) and with abnormal shoulder ER (n=401) were 4.8 (1.4-16.7;p=0.010). Adjusted odds of poor e-SPPB performance associated with abnormal shoulder elevation (N=462) were 3.5 (1.6-7.7;p=0.002) and with abnormal shoulder ER (n=457) were 2.9 (1.1-7.4;p=0.030). Results suggest abnormal shoulder ROM is associated with poorer walking endurance capacity and lower-extremity functional performance in the relatively healthy older adults. Future research is warranted to develop novel screening paradigms that mitigate mobility limitation and functional decline in older adults with shoulder dysfunction.

scholarly journals Serratus Anterior Stretch: A Novel Intervention and Its Effect on the Shoulder Range of Motion

2020 ◽  
pp. 1-4
Author(s):  
Keramat Ullah Keramat ◽  
Mohammad Naveed Babar
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
External Rotation ◽  
Scapular Dyskinesis ◽  
Serratus Anterior ◽  
Shoulder Dysfunction ◽  
Shoulder Range Of Motion ◽  
Before And After ◽  
Movement Screening ◽  
Shoulder Range

Context: Serratus anterior tightness is associated with scapular dyskinesis and overall shoulder dysfunction, which affects the range of motion. The most effective intervention to stretch the serratus anterior is unknown. Objective: To evaluate the effect of a therapist-administered novel serratus anterior stretch (SAS) on shoulder range of motion. Method: This study recruited 30 healthy subjects of age 21.20 (1.69) years, height 1.65 (0.11) m, and weight 60.90 (10.36) kg in equal ratio of males and females who scored 1 or 2 on the shoulder mobility test of functional movement screening. A single intervention of a novel SAS was applied to the shoulder. Outcome variables before and after the SAS included the following: shoulder ROM (flexion, abduction, internal rotation, and external rotation) and functional movements of reaching up behind the back and reaching down behind the neck. Results: A paired t test was used to analyze the data. Following the acute SAS intervention, all shoulder ROM improved significantly (P < .000). The change in internal rotation was 6.00° (7.47°), external rotation was 5.66° (9.35°), abduction was 13.50° (11.82°), flexion was 20° (13.33°), reaching up behind the back was 5.10 (2.21) cm, and reaching down behind the neck was 5.41 (2.89) cm. The most marked improvement was in reaching up behind the back (24.48%) and reaching down behind the neck (22.78%). A very large effect size (>1) was observed across most of the variables. Conclusion: An acute SAS intervention improves shoulder mobility in healthy individuals. It is recommended for the trial on the prevention and rehabilitation of shoulder pathologies with restriction in shoulder mobility.

Impact of a competition with two consecutive matches in a day on physical performance in young tennis players

2017 ◽  
Vol 42 (7) ◽  
pp. 750-756 ◽  
Author(s):  
Cesar Gallo-Salazar ◽  
Juan Del Coso ◽  
David Barbado ◽  
Alejandro Lopez-Valenciano ◽  
Francisco Javier Santos-Rosa ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
Physical Performance ◽  
External Rotation ◽  
Isometric Strength ◽  
Tennis Players ◽  
Performance Variables ◽  
Change Of Direction ◽  
Shoulder Range Of Motion ◽  
Shoulder External Rotation

The purpose of this study was to analyze the effects of playing 2 tennis matches on the same day on physical performance in young tennis players. Twelve well-trained young tennis players took part in a simulated tennis competition consisting of 2 tennis matches on the same day (morning and afternoon sessions). Before and the day after the competition, physical performance was measured using a battery of countermovement jumps; a 10 m sprint; the 5–0–5 agility test; hip, grip and shoulder maximal isometric strength; shoulder range of motion; and a serve velocity test. Postcompetition results showed reduced performance in 10 m (–3.3%, effect size (ES) = small), dominant and nondominant 5–0–5 agility test (–4.6%, ES = moderate; –4.2%, ES = moderate, respectively), bilateral (–5.2%, ES = small), and unilateral countermovement jumps (dominant leg: –7.2%, ES = small; non-dominant leg: –9.1%, ES = small). Both dominant and nondominant shoulder external rotation range of motion increased (12.2%, ES = moderate; 5.6%, ES = small), whereas internal rotation decreased (–4.2%, ES = small; –3.3%, ES = small) in the postcompetition tests, together with the dominant shoulder external rotation (–10.7%, ES = moderate) and internal rotation (–9.3%, ES = small) strength. Physical impairments occurred in neuromuscular performance variables involving lower (e.g., jumping, sprinting, and change of direction) and upper (e.g., isometric strength and range of motion) limbs the day after playing a competition with 2 consecutive matches on the same day. These alterations in neuromuscular and sport-specific performance need to be taken into consideration when planning tournament schedules for young tennis players, as well as preparing match and recovery strategies.

scholarly journals Preseason shoulder range of motion screening and in-season risk of shoulder and elbow injuries in overhead athletes: systematic review and meta-analysis

2020 ◽  
Vol 54 (17) ◽  
pp. 1019-1027 ◽  
Author(s):  
Federico Pozzi ◽  
Hillary A Plummer ◽  
Ellen Shanley ◽  
Charles A Thigpen ◽  
Chase Bauer ◽  
...  
Keyword(s):  
Systematic Review ◽  
Range Of Motion ◽  
External Rotation ◽  
Meta Analysis ◽  
Professional Baseball ◽  
Overhead Athletes ◽  
Shoulder Range Of Motion ◽  
Elbow Injuries ◽  
Shoulder External Rotation ◽  
Shoulder Range

ObjectiveTo characterise whether preseason screening of shoulder range of motion (ROM) is associated with the risk of shoulder and elbow injuries in overhead athletes.DesignSystematic review and meta-analysis.Data sourcesSix electronic databases up to 22 September 2018.Eligibility criteriaInclusion criteria were (1) overhead athletes from Olympic or college sports, (2) preseason measures of shoulder ROM, (3) tracked in-season injuries at the shoulder and elbow, and (4) prospective cohort design. Exclusion criteria were (1) included contact injuries, (2) lower extremity, spine and hand injuries, and (3) full report not published in English.ResultsFifteen studies were identified, and they included 3314 overhead athletes (baseball (74.6%), softball (3.1%), handball (16.1%), tennis (2.0%), volleyball (2.0%) and swimming (2.2%)). Female athletes are unrepresented (12% of the overall sample). Study quality ranged from 11 to 18 points on a modified Downs and Black checklist (maximum score 21, better quality). In one study, swimmers with low (<93°) or high (>100°) shoulder external rotation were at higher risk of injuries. Using data pooled from three studies of professional baseball pitchers, we showed in the meta-analysis that shoulder external rotation insufficiency (throwing arm <5° greater than the non-throwing arm) was associated with injury (odds ratio=1.90, 95% confidence interval 1.24 to 2.92, p<0.01).ConclusionPreseason screening of shoulder external rotation ROM may identify professional baseball pitchers and swimmers at risk of injury. Shoulder ROM screening may not be effective to identify handball, softball, volleyball and tennis players at risk of injuries. The results of this systematic review and meta-analysis should be interpreted with caution due to the limited number of studies and their high degree of heterogeneity.PROSPERO registration numberCRD42017072895.

Evaluation of Shoulder Stiffness

2013 ◽  
Author(s):  
Rita M. Patterson ◽  
Robert Longnecker ◽  
Carolyn Young ◽  
Katelyn Rockenbach ◽  
Michael Connors
Keyword(s):  
External Rotation ◽  
Adult Population ◽  
Age And Gender ◽  
Shoulder Stiffness ◽  
Shoulder Dysfunction ◽  
Shoulder Range Of Motion ◽  
General Adult Population ◽  
And Gender ◽  
Shoulder Range ◽  
Two Populations

Shoulder-related pain in the general adult population has been estimated to be between 6.9 and 26% (potentially 1 in 4 people will experience shoulder dysfunction in their lifetime). Thirty age and gender matched subjects were tested using a specially designed device to measure torque during internal/external shoulder rotation. Subjects with shoulder pain had a decreased shoulder range of motion and increased torque at full internal and external rotation. This device was able to objectively distinguish the amount of stiffness between two populations of subjects.

Changes in Throwing Arm Mechanics at Increased Throwing Distances During Structured Long-Toss

2018 ◽  
Vol 46 (12) ◽  
pp. 3002-3006 ◽  
Author(s):  
Brittany Dowling ◽  
Michael P. McNally ◽  
Walter A. Laughlin ◽  
James A. Onate
Keyword(s):  
High School ◽  
Sports Medicine ◽  
Inertial Sensor ◽  
External Rotation ◽  
Return To Play ◽  
Baseball Players ◽  
Shoulder Range Of Motion ◽  
Elbow Injuries ◽  
Shoulder External Rotation ◽  
Throw Distance

Background: Elbow injuries among adolescent baseball players have been outpacing those of college and professional players. In attempts to prevent injuries and maximize return-to-play potential following injury, attention has been focused on “return to throw” programs, which include long-toss throws. Because the few studies that were conducted on long-toss throwing focused primarily on college-aged athletes, it is not known what type of load is incurred at the elbow during interval throwing progression among high school baseball players. Purpose: To quantify the change in arm slot, arm speed, shoulder external rotation, and elbow varus torque across increasing throwing distances within a given athlete. Study Design: Descriptive laboratory study. Methods: Ninety-five high school baseball players performed a long-toss protocol while wearing an inertial sensor and sleeve. Each participant was tested for 5 throws at distances of 9 m, 18 m, 27 m, 37 m, and 46 m. Linear mixed-effects models and likelihood ratio tests were used to estimate the within-participant relationship between throw distance and arm slot, arm speed, shoulder external rotation, and elbow varus torque. Results: Arm slot ( P < .01), arm speed ( P < .01), shoulder external rotation ( P < .01), and elbow varus torque ( P < .01) were significantly associated with long-toss throw distance. As the throw distance increased, there was an increase in arm speed and shoulder external rotation and a decrease in arm slot for each distance. However, elbow varus torque increased with each distance up to 37 m and then remained the same at 46 m. Conclusion: The use of longer distances for conditioning and rehabilitation may be beneficial in increasing shoulder range of motion and arm speed; however, precaution needs to be taken, as throwing longer distances are accompanied by an increase in arm rotation, arm speed, and elbow torque, with a decrease in arm slot. Clinical Relevance: Return-to-throw programs have been utilized by sports medicine clinicians and coaches to help guide a player during rehabilitation. These programs involve throwing at increased efforts through increased distances with no immediate feedback on elbow stress. This investigation describes arm biomechanical changes during submaximum interval throwing and demonstrates a tool that can be utilized to measure arm stress in real time for clinicians and athletes progressing through an interval throwing program.

The Impact of Subjective and Objective Hearing Loss on Cognition and Memory in Older Adults

2015 ◽  
Vol 20 (2) ◽  
pp. 49-57 ◽  
Author(s):  
Yvonne Rogalski ◽  
Amy Rominger
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Reading Aloud ◽  
Cognitive Testing ◽  
Professional Collaboration ◽  
Cognitive Screening ◽  
Speech Language Pathologist ◽  
Text Passage ◽  
The Impact ◽  
Audiologic Evaluation

For this exploratory cross-disciplinary study, a speech-language pathologist and an audiologist collaborated to investigate the effects of objective and subjective hearing loss on cognition and memory in 11 older adults without hearing loss (OAs), 6 older adults with unaided hearing loss (HLOAs), and 16 young adults (YAs). All participants received cognitive testing and a complete audiologic evaluation including a subjective questionnaire about perceived hearing difficulty. Memory testing involved listening to or reading aloud a text passage then verbally recalling the information. Key findings revealed that objective hearing loss and subjective hearing loss were correlated and both were associated with a cognitive screening test. Potential clinical implications are discussed and include a need for more cross-professional collaboration in assessing older adults with hearing loss.

The Impact of TimeSlips on Undergraduate Students in Service Learning With Older Adults

2020 ◽  
pp. 1-8
Author(s):  
Sabine Heuer
Keyword(s):  
Older Adults ◽  
Service Learning ◽  
Undergraduate Students ◽  
Attitude Scale ◽  
Evidence Based ◽  
Attitudes Toward Older Adults ◽  
Students Attitudes ◽  
Attitude Shift ◽  
The Impact ◽  
Journal Entries

Purpose Future speech-language pathologists are often unprepared in their academic training to serve the communicative and cognitive needs of older adults with dementia. While negative attitudes toward older adults are prevalent among undergraduate students, service learning has been shown to positively affect students' attitudes toward older adults. TimeSlips is an evidence-based approach that has been shown to improve health care students' attitudes toward older adults. The purpose of this study is to explore the change in attitudes in speech-language pathology students toward older adults using TimeSlips in service learning. Method Fifty-one students participated in TimeSlips service learning with older adults and completed the Dementia Attitude Scale (DAS) before and after service learning. In addition, students completed a reflection journal. The DAS data were analyzed using nonparametric statistics, and journal entries were analyzed using a qualitative analysis approach. Results The service learners exhibited a significant increase in positive attitude as indexed on the DAS. The reflective journal entries supported the positive change in attitudes. Conclusions A noticeable attitude shift was indexed in reflective journals and on the DAS. TimeSlips is an evidence-based, patient-centered approach well suited to address challenges in the preparation of Communication Sciences and Disorders students to work with the growing population of older adults.

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