Revisiting the Beighton Criteria: Does Ligamentous Laxity Testing Correlate With Shoulder Range of Motion Norms in a North American, Pediatric Population?

This is a preliminary study to investigate the feasibility of electronic moxibustion in breast cancer patients with upper limb lymphedema. As current treatment options for lymphedema are unsatisfactory and time consuming, there have been attempts to manage symptoms using integrative treatments. Electronic moxibustion was developed to compensate for the shortcomings of conventional moxibustion and is widely used in clinical practice. However, there have been no studies on using electronic moxibustion in breast cancer-related lymphedema. To investigate the feasibility of electronic moxibustion in treating breast cancer-related lymphedema, this study included subjects who completed primary cancer treatment at least 6 months ago and had more than 10 mm difference in arm circumference of upper limbs. All subjects were assigned to the treatment group. Subjects were treated with 16 sessions (30 minutes/session) of electronic moxibustion for 8 weeks followed by 4 weeks of follow-up. For outcome measures, upper limb circumferences, shoulder range of motion, bioimpedance analysis, and quality of life questionnaire were assessed. All 10 subjects completed the study. The effective index showed 38.21% reduction after treatment ( P = .0098) and 29.35% ( P = .0039) after 4 weeks of follow-up compared to the baseline. The reduction of lymphedema was most prominent at 10 cm above the elbow crease, where the mean reduction of circumference difference was 7.5 mm ( P = .0430) and continued to improve after treatment (mean reduction of 8.3 mm, P = .0156). There was significant improvement in shoulder range of motion only in flexion and internal rotation at week 9. There were 7 adverse events, and most were irrelevant to the treatment. Only 1 participant had a mild burn on the acupuncture point. Here, we demonstrate for the first time that electronic moxibustion treatment is a feasible treatment for breast cancer-related lymphedema. Electronic moxibustion may reduce differences in upper limb circumference and improve shoulder range of motion. A future comparative clinical trial is needed to confirm the clinical efficacy of this treatment.

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Effectiveness of arthroscopic management of idiopathic shoulder stiffness: A meta-analysis

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-200267 ◽

2021 ◽

pp. 1-8

Author(s):

Ya-Dong Wang ◽

Yu-Xiang Ming ◽

Yong-Hua Pang ◽

Wei-Nan Chen ◽

Xu-Hua Zong ◽

...

Keyword(s):

Range Of Motion ◽

External Rotation ◽

Meta Analysis ◽

Eligibility Criteria ◽

Shoulder Stiffness ◽

Capsular Release ◽

Shoulder Range Of Motion ◽

Arthroscopic Capsular Release ◽

Shoulder Range

BACKGROUND: Persisting shoulder stiffness adversely affects quality of life by causing pain and motion restrictions especially in patients with diabetes. OBJECTIVE: The aim of this study was to evaluate the outcomes of arthroscopic capsular release in patients with idiopathic shoulder stiffness. METHOD: A literature search was conducted in electronic databases and studies were selected by following precise eligibility criteria. Random-effects meta-analyses were performed to estimate the changes at latest follow-up in scores of the Constant, American Shoulder and Elbow Surgeons (ASES), and University of California at Los Angelis (UCLA) scales, Visual Analogue Scale (VAS), and shoulder range of motion. RESULTS: Nineteen studies were included. The follow-up duration was 42 months [95% confidence interval (CI): 32, 51]. Improvements in scores of the Constant, ASES, UCLA scales, and VAS were 48.3 [95% CI: 38.0, 58.6], 44.6 [95% CI: 24.6, 64.6], 19.3 [95% CI: 16.6, 22.0], and -6.1 [95% CI: -6.9, -5.4] respectively (P< 0.05 all). Improvements in the shoulder range of motion were: abduction 82.0 [95% CI: 65.0, 98.9]; forward flexion 75.9 [95% CI: 59.7, 92.1]; external rotation 43.2 [95% CI: 37.5, 49.0]; and internal rotation 25.4 [95% CI: 15.2, 35.5] degrees; P< 0.05 all). CONCLUSION: Arthroscopic capsular release effectively improves shoulder function in patients with idiopathic shoulder stiffness.

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The Effects of Body Mass Index on Softball Pitchers’ Hip and Shoulder Range of Motion

Sports Medicine International Open ◽

10.1055/a-1244-1621 ◽

2020 ◽

Vol 05 (01) ◽

pp. E8-E13

Author(s):

Kenzie B. Friesen ◽

Adam W. Anz ◽

Jeffrey R. Dugas ◽

James R. Andrews ◽

Gretchen D. Oliver

Keyword(s):

Body Mass Index ◽

Body Composition ◽

Range Of Motion ◽

Body Mass ◽

Mean Difference ◽

Additional Stress ◽

Maximal Velocity ◽

Strength And Conditioning ◽

Shoulder Range Of Motion ◽

Shoulder Range

AbstractCurrently it is hypothesized that increased body mass index may contribute to overuse injuries. Thus, if hip or shoulder range of motion is affected by body mass index, pitchers may be placing additional stress on joints as they seek to pitch at maximal velocity. The purpose of this study was to examine if range of motion at the hips and shoulders were related to body mass index classification. A sample of 147 female softball pitchers (17.0±4.2 years; 167.6±11.8 cm; 70.6±17.5 kg; body mass index=24.8±4.7 kg/m2) participated. Bilateral hip and shoulder range of motion were assessed. Multivariate analysis of variance results indicated body mass index [Wilks’ Λ=0.742, F=1.722, p=0.014, η2=0.095] significantly affected range of motion of the shoulder and hip. Post hoc results indicated the underweight group had significantly more range of motion than the obese group in hip internal range of motion on both the throwing side (mean difference=12.39, p=0.005) and glove side (mean difference=11.98, p=0.004). Although body composition is not overly emphasized among softball pitchers, the current study reveals excess weight may inhibit proper mechanics. Coaches, athletic trainers, strength and conditioning personnel, and athletes should acknowledge the role that body composition can play in affecting pitch outcomes.

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The Effect of Mobilization of an Asymptomatic Cervical Spine on Shoulder Pain, Shoulder Range of Motion and Shoulder disability in Patients with Shoulder Pain

Indian Journal of Physiotherapy and Occupational Therapy - An International Journal ◽

10.37506/ijpot.v14i1.3426 ◽

2020 ◽

Keyword(s):

Cervical Spine ◽

Range Of Motion ◽

Shoulder Pain ◽

Shoulder Range Of Motion ◽

Shoulder Disability ◽

Shoulder Range

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Exercise Protocol With Limited Shoulder Range of Motion for 15 or 30 Days After Conservative Surgery for Breast Cancer With Oncoplastic Technique

American Journal of Clinical Oncology ◽

10.1097/coc.0000000000000811 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

Samantha K.L.A. Rizzi ◽

Cinira A.S. Haddad ◽

Patrícia S. Giron ◽

Patrícia V.G. Figueira ◽

Amanda Estevão ◽

...

Keyword(s):

Breast Cancer ◽

Range Of Motion ◽

Conservative Surgery ◽

Exercise Protocol ◽

Shoulder Range Of Motion ◽

Oncoplastic Technique ◽

Shoulder Range

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Correlation of shoulder range of motion limitations at discharge with limitations in activities and participation one year later in persons with spinal cord injury

Journal of Rehabilitation Medicine ◽

10.2340/16501977-0655 ◽

2011 ◽

Vol 43 (3) ◽

pp. 210-215 ◽

Cited By ~ 10

Author(s):

IE Eriks-Hoogland ◽

S de Groot ◽

MWM Post ◽

LHV van der Woude

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Range Of Motion ◽

Shoulder Range Of Motion ◽

Cord Injury ◽

One Year ◽

Shoulder Range

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Regaining motion among patients with shoulder pathology - are all exercises equal?

Shoulder & Elbow ◽

10.1177/17585732211067161 ◽

2021 ◽

pp. 175857322110671

Author(s):

Alon Rabin ◽

Eran Maman ◽

Oleg Dolkart ◽

Efi Kazum ◽

Zvi Kozol ◽

...

Keyword(s):

Pain Intensity ◽

Range Of Motion ◽

Motion Analysis ◽

The Self ◽

Flexion Angle ◽

Shoulder Range Of Motion ◽

Shoulder Flexion ◽

Shoulder Disorders ◽

Level Of Difficulty ◽

Shoulder Range

Background Little information exists to guide the choice of exercise for regaining shoulder range of motion (ROM). The purpose of this study was to compare the maximal ROM reached, pain and difficulty associated with 4 commonly prescribed exercises. Methods Forty (9 females) patients with various shoulder disorders and a limited flexion ROM performed 4 exercises for regaining shoulder flexion ROM in a randomized order. Exercises included the self-assisted flexion, forward bow, table slide and rope-and-pulley. Participants were videotaped while performing all exercises and the maximal flexion angle reached during each exercise was recorded using Kinovea motion analysis freeware (Kinovea 0.8.15). Pain intensity and the perceived level of difficulty associated with each exercise were also recorded. Results The forward bow and table slide generated significantly greater ROM compared with the self-assisted flexion and rope-and-pulley (P ≤ 0.005). The self-assisted flexion was associated with a greater pain intensity compared with the table slide and rope-and-pulley (P = 0.002) and a greater perceived level of difficulty compared with the table slide (P = 0.006). Conclusions Due to the greater ROM allowed, and similar or even lower level of pain or difficulty, clinicians may wish to initially recommend the forward bow and table slide for regaining shoulder flexion ROM.

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