scholarly journals Current Concepts in the Evaluation and Treatment of the Shoulder in Overhead-Throwing Athletes, Part 1: Physical Characteristics and Clinical Examination

2009 ◽  
Vol 2 (1) ◽  
pp. 39-50 ◽  
Author(s):  
Michael M. Reinold ◽  
Thomas J. Gill
Keyword(s):  
Range Of Motion ◽  
Clinical Examination ◽  
Shoulder Joint ◽  
Sports Medicine ◽  
Physical Characteristics ◽  
Shoulder Range Of Motion ◽  
Throwing Athlete ◽  
Overhead Throwing ◽  
Shoulder Range ◽  
Throwing Motion

The overhead-throwing athlete is a challenging sports medicine patient. The repetitive microtraumatic stresses imposed on the athlete’s shoulder joint complex during the throwing motion constantly places the athlete at risk for injury. These stresses may effect several adaptations to normal shoulder range of motion, strength, and scapula position. The clinician should therefore appreciate the unique physical characteristics of the overhead-throwing athlete to accurately evaluate and treat throwing-related injuries.

scholarly journals Neuromodulation of the Suprascapular Nerve

2014 ◽  
Vol 6;17 (6;12) ◽  
pp. E769-E773
Author(s):  
Foad Elahi
Keyword(s):  
Peripheral Nerve ◽  
Range Of Motion ◽  
Shoulder Pain ◽  
Nerve Stimulation ◽  
Shoulder Joint ◽  
Adhesive Capsulitis ◽  
Suprascapular Nerve ◽  
Shoulder Range Of Motion ◽  
Shoulder Range ◽  
Chronic Shoulder Pain

The shoulder joint is an enarthrodial or ball-and-socket joint. A complex network of anatomic structures endows the human shoulder with tremendous mobility, greater than any other joint in the body. Many pathologies can been found in those patients with chronic shoulder pain. The painful limitation of shoulder motion affects hand and arm motion as well; therefore, it significantly influences work performance and everyday activities as well as the quality of life. Therefore, the treatment of patients with chronic shoulder pain has major social and health economic implications. In this article we present a patient with a complex history of shoulder pathology including 7 surgeries that left the patient with chronic debilitating shoulder pain. She was suffering from chronic pain and limited mobility of the shoulder joint due to adhesive shoulder capsulitis. She was treated with a multimodality approach with the goals of increasing shoulder range of motion and decreasing her pain. This did not provide significant improvement. The suprascapular nerve supplies motor and sensory innervation to the shoulder, and can be easily accessible in the supraspinatus fossa. A suprascapular nerve block dramatically decreased her pain. This clinical observation along with confirmatory nerve block play an important role during the decision-making process for a trial period of electrical neuromodulation. She was followed for 3 months after the permanent implantation of a suprascapular nerve stimulator. Her pain and shoulder range of motion in all planes improved dramatically. Peripheral nerve stimulation (PNS) of the suprascapular nerve, in addition to multimodality pain management, is one approach to the difficult task of treating adhesive capsulitis with accompanying pain and the inability to move the shoulder. We conducted a literature review on PubMed and found no case describing a similar patient to our knowledge. Key words: Suprascapular nerve, neuromodulation, peripheral nerve stimulation, adhesive capsulitis, chronic shoulder pain

scholarly journals Current Concepts in the Evaluation and Treatment of the Shoulder in Overhead Throwing Athletes, Part 2: Injury Prevention and Treatment

2010 ◽  
Vol 2 (2) ◽  
pp. 101-115 ◽  
Author(s):  
Michael M. Reinold ◽  
Thomas J. Gill ◽  
Kevin E. Wilk ◽  
James R. Andrews
Keyword(s):  
At Risk ◽  
Injury Prevention ◽  
Shoulder Joint ◽  
Sports Medicine ◽  
Rehabilitation Program ◽  
Overhead Athlete ◽  
Prevention And Treatment ◽  
Injury Treatment ◽  
Overhead Throwing ◽  
Throwing Motion

The overhead throwing athlete is an extremely challenging patient in sports medicine. The repetitive microtraumatic stresses imposed on the athlete’s shoulder joint complex during the throwing motion constantly place the athlete at risk for injury. Treatment of the overhead athlete requires the understanding of several principles based on the unique physical characteristics of the overhead athlete and the demands endured during the act of throwing. These principles are described and incorporated in a multiphase progressive rehabilitation program designed to prevent injuries and rehabilitate the injured athlete, both nonoperatively and postoperatively.

scholarly journals Effect of Giving Scapular Pattern Exercise for Increasion Range of Motion in Frozen Shoulder

2020 ◽  
Author(s):  
Aulia Muthia Muthmainnah ◽  
◽  
Afif Ghufroni ◽  
M.Mudatsir Syatibi ◽  
◽  
...  
Keyword(s):  
Range Of Motion ◽  
Shoulder Joint ◽  
Frozen Shoulder ◽  
Limited Range ◽  
T Test ◽  
Joint Motion ◽  
Shoulder Range Of Motion ◽  
Joint Disorder ◽  
Shoulder Range ◽  
Paired T Test

ABSTRACT Background: Frozen shoulder is a shoulder joint disorder that occurs in 2-5% of the world’s total population and causes pain, causing shoulder joint motion to be limited. Limited range of shoulder joint motion in frozen shoulder causing diminished functional activity ability. This research aims to determine the effect of giving training on scapula patterns to increase the range of shoulder movement in frozen shoulder case. Subjects and Method: This was an experimental study with one groups pre and posttest design. This study was conducted for 4 weeks with 8 times treatment at RSAL Dr. Ramelan Surabaya. The subjects selected in this study were six persons based on criteria for inclusion and exclusion. The dependent variable was shoulder range of motion. The independent variable was scapular pattern exercise. The data were collected by goniometer instrument and analyzed by paired T test. Results: Paired T test showed that shoulder range of motion exorotation (p= 0.001; 95% CI= -15.95 to -7.38) (Mean= 11.67; SD= 4.08), shoulder range of motion abduction (p< 0.001; 95% CI= -50.75 to -39.25) (Mean= 45.00; SD= 5.48), shoulder range of motion endorotation (p< 0.001, 95% CI= -29.73 to -15.27) (Mean= 22.50; SD= 6.89). Conclusion: Scapular pattern exercise can be recommended as a therapy to increase the range of motion of the shoulder joint in cases of frozen shoulder. Keywords: frozen shoulder, shoulder range of motion, scapular pattern exercise, goniometer. Correspondence: Aulia Muthia Muthmainnah. School of Health Polytechnics, Surakarta. Jl.Adi Sumarmo, Tohudan, Karanganyar. Email: [email protected]. Mobile: 082320934461 DOI: https://doi.org/10.26911/the7thicph.05.11

scholarly journals Effect of Mulligan Mobilization with Movement versus Kinesiotaping in Frozen Shoulder

2021 ◽  
Vol 11 (11) ◽  
pp. 37-47
Author(s):  
Krisha A Shah ◽  
Leena Zore ◽  
Ajay Kumar
Keyword(s):  
Range Of Motion ◽  
Shoulder Joint ◽  
External Rotation ◽  
Group Analysis ◽  
Frozen Shoulder ◽  
Post Intervention ◽  
Pain Scores ◽  
Shoulder Range Of Motion ◽  
Group A ◽  
Shoulder Range

Background: Frozen Shoulder is a painful shoulder condition with insidious onset that was associated with stiffness and loss of motion in the shoulder joint. Mulligan Mobilization with Movement for shoulder joint combines sustained manual application of ‘gliding’ force to a joint, with the aim of repositioning the positional faults with concurrent physiological motion of the joint. Kinesiotaping improves glenohumeral motions and reduces microtrauma and mechanical irritation of soft tissue structures and reorient shoulder movements through arc of improved glenohumeral motion. Objective: To compare effect of Mulligan Mobilization with Movement and Kinesiotaping on pain and active shoulder range of motion using VAS and universal goniometer. Method: 30 subjects were selected as per inclusion and exclusion criteria and were randomly allocated into 2 groups of 15 each. Group A received Mulligan Mobilization with Movement and Group B received Kinesiotaping for shoulder joint. Pre and Post intervention shoulder external rotation, abduction and internal rotation range of motion and VAS scores were analysed. Result: The statistical analysis showed that there is a significant increase in range of motion and significant reduction in pain scores post intervention in both the groups (p<0.0001). However, inter group analysis showed that Group A is much more effective in improving range of motion and reducing pain scores. Conclusion: The present study concluded that Mulligan Mobilization With Movement is a better intervention on Frozen shoulder as it shows greater increase in shoulder range of motion and significant pain reduction when compared to Kinesiotaping technique. Key words: Mulligan Mobilization with Movement (MWM), Kinesiotaping, Frozen shoulder, pain, Range of Motion.

scholarly journals Recurrent anteroinferior glenohumeral instability resulting from a proximal humerus osteochondroma

2017 ◽  
Vol 3 (1) ◽  
pp. 18
Author(s):  
Marlis T. Sabo ◽  
Stephen J. French
Keyword(s):  
Range Of Motion ◽  
Shoulder Instability ◽  
Shoulder Joint ◽  
Proximal Humerus ◽  
Young Male ◽  
Clinical Event ◽  
Glenohumeral Instability ◽  
Rapid Improvement ◽  
Shoulder Range Of Motion ◽  
Shoulder Range

Shoulder instability is a common clinical event, with most causes due to capsulolabral pathology within the shoulder joint. We present a case of a young male with chronic recurrent anteroinferior instability due to impingement of a proximal humerus osteochondroma on the glenoid during shoulder range of motion. Excision of the osteochondroma and repair of the anteroinferior capsule to the humeral neck successfully treated the instability and enabled a rapid improvement in patient function.

scholarly journals Electronic Moxibustion for Breast Cancer-Related Lymphedema: A Pilot Clinical Trial

2020 ◽  
Vol 19 ◽  
pp. 153473542096285
Author(s):  
Kyungsun Han ◽  
Ojin Kwon ◽  
Hyo-Ju Park ◽  
Ae-Ran Kim ◽  
Boram Lee ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Clinical Trial ◽  
Range Of Motion ◽  
Upper Limb ◽  
Life Questionnaire ◽  
Breast Cancer Patients ◽  
Shoulder Range Of Motion ◽  
Breast Cancer Related Lymphedema ◽  
Shoulder Range

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.

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

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.

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

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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