Does Altering Sitting Posture Have a Direct Effect on Clinical Shoulder Tests in Individuals With Shoulder Pain and Rotator Cuff Degenerative Tears?

Background and objectives: The long head of the biceps (LHB) and rotator cuff tendinopathy is the major cause of shoulder pain in competitive swimmers. The risk of tendinopathy increases with aging; however, the structural changes of LHB and rotator cuff in populations of masters swimmers have not been well examined. The purpose of this study was to investigate the prevalence of ultrasonographic abnormalities of the shoulders in masters swimmers, and the association of pain, age, and swim training with structural changes in this population. Materials and Methods: A total of 60 subjects participated in this study, with 20 masters swimmers with shoulder pain, 20 asymptomatic masters swimmers, and 20 sex- and age-matched controls. All swimmers completed a self-reported questionnaire for shoulder pain, their history of competition, and training volume. Each subject underwent ultrasonographic examination of both shoulders for pathologic findings in the LHB tendon, rotator cuff (supraspinatus (SSP) and subscapularis (SSC)) tendons, and subacromial bursa (SAB) of both shoulders and had thickness measured. Results: The prevalence of tendinosis (LHB, 48.8%; SSP, 17.5%; SSC, 15.9%), partial tear (SSP, 35.0%), and calcification (SSC, 10.0%) were higher in swimmers than in controls. LHB and SSP tendinosis were associated with shoulder pain. Older age and later start of competition were associated with an increased risk of LHB tendinosis and SSC calcification. Earlier initiation of swimming and longer history of competition were associated with an increased risk of SSP and SSC tendinosis. The thicker SSP tendon significantly increased the risk of tendinosis and partial tear. Conclusions: A high prevalence of structural changes in the rotator cuff and biceps tendons in masters swimmers reflects the effect of shoulder symptoms, aging, and swim training.

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Short-term response to shoulder symptoms modification procedure in patients with rotator cuff related shoulder pain: A case series

Physiotherapy ◽

10.1016/j.physio.2021.10.077 ◽

2021 ◽

Vol 113 ◽

pp. e100

Author(s):

A. Obaid ◽

N.-I. Pandey

Keyword(s):

Rotator Cuff ◽

Shoulder Pain ◽

Case Series ◽

Short Term ◽

Modification Procedure ◽

Term Response

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CASE STUDY: MANAGEMENT OF PATIENT WITH SHOULDER PAIN BY GENERAL PRACTITIONER

Odes’kij medičnij žurnal (The Odessa Medical Journal) ◽

10.54229/2226-2008-2021-5-13 ◽

2021 ◽

Author(s):

V. M. Nazarian ◽

V. I. Velichko ◽

V. I. Synenko ◽

S. F. Kovalenko

Keyword(s):

General Practitioner ◽

Rotator Cuff ◽

Shoulder Pain ◽

Pathological Process ◽

Autologous Plasma ◽

Appropriate Treatment ◽

Inflammatory Drugs ◽

Pharmacological Method ◽

Reduced Mobility

Shoulder pain is one of the most common presentations of musculoskeletal pain with population prevalence of between 7 and 26 %. The most common pathology that affects the shoulder joint is rotator cuff syndrome. The most important aspects in the management of patient with shoulder pain by general practitioner are to ensure an accurate diagnosis and to start the appropriate treatment on time. The main direction of rotator cuff syndrome treatment includes a period of rest from the exacerbating activity and taking nonsteroidal anti-inflammatory drugs. In some cases the use of the NSAIDs is not possible, so we decided to suggest an alternative non-pharmacological method of treatment. We treated a patient with rotator cuff syndrome by injections of autologous plasma into the affected muscles and projections of entheses that were involved in the pathological process. We obtained positive results. The shoulder pain had been reduced, mobility and movement had been improved after a course of autologous plasma injections. In our opinion, it is expedient to consider such treatment of the rotator cuff syndrome both as an additional method and separately in case of impossibility of prescribing the main therapy.

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Does the Acromiohumeral Distance Matter in Chronic Rotator Cuff Related Shoulder Pain?

manuelletherapie ◽

10.1055/s-0043-124534 ◽

2018 ◽

Vol 22 (01) ◽

pp. 4-5

Author(s):

Frederick Hirtz

Keyword(s):

Rotator Cuff ◽

Shoulder Pain ◽

Acromiohumeral Distance

Navarro-Ledesma S, Struyf F, Labajos-Manzanares MT et al. Musculoskelet Sci Pract 2017; 29: 38–42

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Platelet-Rich Plasma versus Corticosteroid Injections in Rotator Cuff Related Shoulder Pain: A Comparative Study with Up to 18 Months of Follow-Up

10.21203/rs.3.rs-138247/v1 ◽

2021 ◽

Author(s):

Juho Annaniemi ◽

Jüri Pere ◽

Salvatore Giordano

Keyword(s):

Rotator Cuff ◽

Shoulder Pain ◽

Platelet Rich Plasma ◽

Primary Outcome Measure ◽

Secondary Outcome ◽

Subacromial Injection ◽

Western Ontario Rotator Cuff ◽

Feasible Alternative ◽

Cuff Repair

Abstract Purpose: Given the complications involved in corticosteroid (CS) injections, subacromial platelet-rich plasma (PRP) injections may provide a valid alternative to CS in the treatment of rotator cuff related shoulder pain (RCRSP).Methods: We retrospectively reviewed a total of 98 patients affected by RCRSP who were treated with either subacromial injection of PRP or CS. The PRP group received three injections of autologous PRP at two weeks interval, and the CS group received one injection of CS. Western Ontario Rotator Cuff Index (WORC) was the primary outcome measure, while secondary outcome measures were the Visual Analogue Scale (VAS), Range of Motion (ROM) and need for cuff repair surgery, which were analyzed at interval of 6, 12, and 18 months.Results: A total of 75 patients were included in the analysis (PRP n = 35, CS n = 40). Mean follow-up was (PRP 21.1 ± 8.7 months vs CS 33.6 ± 16.3 months, p <0.001). Both groups showed improvement in WORC, VAS and ROM. No significant differences were detected between the two groups in any of the primary (WORC) or secondary outcomes during 6, 12 and 18 months (all p > 0.05). No adverse events were detected.Conclusion: Both treatments improve RCRSP patient’s symptoms, but none of them seems to result in a significant better outcome in this series of patients. PRP can be a safe and feasible alternative to CS in treatment of RCRSP even at long follow-up, to reduce local and systemic effects involved with CS injections.

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The Long Biceps Tendon as the Main Cause of Shoulder Pain in Rotator Cuff Tears

Orthopedics ◽

10.3928/01477447-20070301-15 ◽

2007 ◽

Vol 30 (3) ◽

pp. 185 ◽

Cited By ~ 4

Author(s):

George M. Kontakis

Keyword(s):

Rotator Cuff ◽

Shoulder Pain ◽

Biceps Tendon ◽

Rotator Cuff Tears

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Is rotator cuff related shoulder pain a multidimensional disorder? An exploratory study

Scandinavian Journal of Pain ◽

10.1515/sjpain-2019-0108 ◽

2020 ◽

Vol 20 (2) ◽

pp. 297-305 ◽

Cited By ~ 1

Author(s):

Luca Maestroni ◽

Michele Marelli ◽

Massimiliano Gritti ◽

Fabio Civera ◽

Martin Rabey

Keyword(s):

Rotator Cuff ◽

Pain Intensity ◽

Shoulder Pain ◽

Management Strategies ◽

Future Research ◽

Multivariable Model ◽

Cross Sectional ◽

Need To Evaluate ◽

Symptom Persistence ◽

Multivariable Regression Models

AbstractBackground and aimsRotator cuff related shoulder pain has been associated with factors from multiple dimensions such as strength changes, psychosocial measures, comorbidities and level of education. However, to date little research has been undertaken to evaluate which factors explain the greatest variance in pain and disability levels in people with rotator cuff related shoulder pain. The objective of this study was therefore to evaluate which multidimensional examination findings were associated with higher pain and disability in a primary care cohort with rotator cuff related shoulder pain.MethodsThis was an exploratory cross-sectional cohort study. Sixty-seven participants with rotator cuff related shoulder pain were assessed for: pain intensity, disability; demographic, psychological, social and lifestyle characteristics, and isometric strength of shoulder internal and external rotator muscles. Univariable associations between pain intensity/disability and each variable were assessed using linear regression. Variables with univariable associations (p < 0.1) were entered into backwards stepwise multivariable regression models.ResultsThe multivariable model for pain intensity included sleep and perceived persistence and explained 46.5% of the variance (37.6% uniquely by sleep, 5.4% uniquely by perceived persistence). The multivariable model for disability included sleep and sex and explained 26.8% of the variance (4.5% shared by predictors, 16.4% uniquely by sleep, 5.9% uniquely by sex).ConclusionsRotator cuff-related shoulder pain and disability are associated with sleep disturbance, perceived symptom persistence and sex. Rotator cuff related shoulder pain may be considered a multidimensional disorder.ImplicationsClinicians need to evaluate sleep and perceived symptom persistence in people with rotator cuff related shoulder pain. Future research may examine whether management strategies for RCRSP directed towards these factors afford improved treatment outcomes.

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