scholarly journals Ultrasound comparison of the effects of prehabilitation exercises and the scapular assistance test on the acromiohumeral distance

2017 ◽  
Vol 29 (1) ◽  
pp. 1-6
Author(s):  
M Gous ◽  
B Van Dyk ◽  
E Bruwer
Keyword(s):  
Injury Risk ◽  
Exercise Intervention ◽  
Intervention Group ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
Control Group ◽  
Subacromial Impingement ◽  
Intervention Programme ◽  
Overhead Athletes ◽  
Acromiohumeral Distance

Background: Prolonged participation in overhead sports creates shoulder muscle imbalances which eventually alter the efficacy of the shoulder stabiliser muscles and heighten injury risk, such as subacromial impingement syndrome. Objectives: The aim of this study was to determine if ultrasound is effective to measure the acromiohumeral distance (AHD) to compare the effect of the scapular assistance test (SAT) on the AHD with a prehabilitative exercise intervention programme in asymptomatic cricket players. Methods: Baseline testing on cricket players from the North- West University cricket squad (N=34) included AHD measurements performed by a sonographer at 0°, 30° and 60° humeral abduction angles respectively, with and without the SAT application. Players were then randomly assigned to an intervention and control group. The control group continued with their normal in-season programme, whereas the intervention group also performed shoulder stability exercises for six weeks. Results: The exercise intervention had a similar effect as the SAT on the AHD at 0o and 30o humeral abduction angles in the intervention group. The AHD measurements in the exercise intervention group indicated widening at all abduction angles after the six-week intervention period, whereas the AHD measurements in the control group were equal or smaller than baseline measurements without the SAT at 30o and 60o respectively. Conclusion: Exercise intervention has a similar effect on the AHD of asymptomatic cricket players compared to the SAT – especially in 0°and 30o of humeral abduction. Ultrasound can therefore be utilised to assist in identifying the risk of developing subacromial impingement syndrome (SIS) in asymptomatic overhead athletes by measuring the AHD at different angles of humeral abduction, without and with the SAT application. 

The Effects of Rigid Scapular Taping on Acromiohumeral Distance in Healthy Shoulders: An Observational Study

2017 ◽  
Vol 26 (1) ◽  
pp. 51-56 ◽  
Author(s):  
Alya H. Bdaiwi ◽  
Tanya Anne Mackenzie ◽  
Lee Herrington ◽  
Ian Horlsey ◽  
Ann Cools
Keyword(s):  
Repeated Measures ◽  
Human Performance ◽  
Outcome Measure ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
Ultrasound Measurement ◽  
Subacromial Impingement ◽  
Main Outcome Measure ◽  
Repeated Measures Design ◽  
Acromiohumeral Distance

Context:Compromise to the acromiohumeral distance (AHD) has been reported in subjects with subacromial impingement syndrome when compared with healthy subjects. In clinical practice, patients are taped with the intention of altering scapular position and influencing the AHD. However, research to determine the effects of taping on AHD is exiguous.Objectives:To evaluate the effect of ridged taping techniques to increase posterior scapular tilt and upward scapular rotation on the AHD.Design:1-group pretest/posttest repeated-measures design.Setting:Human performance laboratory.Participants:20 asymptomatic participants (10 male and 10 female) age 27 y (SD 8.0 y).Intervention:Ridged tapping of the scapula into posterior tilt and upward scapular rotation.Main Outcome Measure:Ultrasound measurement of the AHD.Results:AHD increased significantly after rigid tape application to the scapula (P < .003) in healthy shoulders in 60° of passive arm abduction.Conclusion:Taping techniques applied to the scapula had an immediate effect of increasing the AHD in healthy shoulders in 60° of passive arm abduction. Results suggest that taping for increasing posterior scapular tilt and increasing scapular upward rotation can influence the AHD and is a useful adjunct to rehabilitation in patients with subacromial impingement syndrome.

scholarly journals To explore the reasonable selection of clavicular hook plate to reduce the occurrence of subacromial impingement syndrome after operation

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Rui Qiao ◽  
Jiarui Yang ◽  
Kun Zhang ◽  
Zhe Song
Keyword(s):  
Impingement Syndrome ◽  
Hook Plate ◽  
Subacromial Impingement Syndrome ◽  
Control Group ◽  
Shoulder Abduction ◽  
Acromioclavicular Joint Dislocation ◽  
Subacromial Impingement ◽  
Significant Difference ◽  
Clavicular Hook Plate ◽  
The Difference

Abstract Background Acromioclavicular joint dislocation is a shoulder joint injury common in the clinical setting and is generally surgically treated with clavicular hook plate technique with confirmed curative effect. However, symptoms such as shoulder abduction limitation, shoulder discomfort and joint pain postoperatively may occur in some patients. Therefore, this study aimed to explore whether the existing clavicular hook plate can be reasonably selected to reduce the incidence of subacromial impingement syndrome (SIS) and provide a reference for clinical diagnosis and treatment. Materials and methods Patients with SIS admitted from March 2018 to June 2020 were selected as the experimental group and asymptomatic patients postoperatively, as the control group. The hook end depth and acromial height of the hook plate used in patients were recorded, and the difference between them was calculated. Results The difference between the hook plate depth and acromial height was 7.500±1.912 mm and 6.563±1.537 mm in the experimental and control groups, respectively, with statistically significant difference (t=3.021, P=0.006). A difference of >0.6 mm as a grouping index is required to perform a single factor analysis, with statistically significant difference (t=3.908, P=0.048). Conclusions The occurrence of SIS after placing the clavicular hook plate may be related to the difference between its depth and the acromial height. A difference of >6 mm may be a factor affecting the occurrence of SIS. Pre-imaging measurement of the acromial height can provide suggestions for selecting the type of hook plate intraoperatively.

scholarly journals To Explore the Reasonable Selection of Clavicular Hook Plate to Reduce the Occurrence of Subacromial Impingement Syndrome After Operation.

2020 ◽  
Author(s):  
Rui Qiao ◽  
Jiarui Yang ◽  
Kun Zhang ◽  
Zhe Song
Keyword(s):  
Impingement Syndrome ◽  
Hook Plate ◽  
Subacromial Impingement Syndrome ◽  
Control Group ◽  
Subacromial Impingement ◽  
Asymptomatic Patients ◽  
Clavicular Hook Plate ◽  
Single Factor Analysis ◽  
The Difference ◽  
Experimental Group

Abstract Purpose:To explore whether the existing clavicular hook plate can be reasonably selected to reduce the incidence of Subacromial impingement syndrome （SIS） and provide reference for clinical diagnosis and treatment.Methods and methods The patients with SIS admitted from March 2019 to March 2020 were selected as the experimental group, and the asymptomatic patients after operation as the control group. The hook end depth and acromion height of the hook plate used by the patients were recorded, and the difference between them was calculated.Results The difference between the depth of hook plate and the height of acromion in the experimental group was (8.06±1.15mm). In the control group, the difference between the depth of hook plate and the height of acromion was (6.78±1.82mm), and the difference was statistically significant（t=2.721，P=0.009）. The difference is greater than 0.6 mm as a grouping index to do a single factor analysis）.The difference was statistically significant（t=5.711 P=0.017）.Conclusions The occurrence of SIS after clavicular hook plate may be related to the difference between the depth of hook plate and the height of acromion. When the difference is greater than 6mm, it may be a factor affecting the occurrence of SIS. Pre-imaging measurement of acromion height can provide suggestions for selecting the type of hook plate during operation.

Mortality and Incidence of Chest Pain after an Exercise Intervention Programme

1980 ◽  
Vol 8 (3) ◽  
pp. 99-104
Author(s):  
Pekka Oja ◽  
Kalevi Pyörälä ◽  
Risto Kärävä ◽  
Sven Punsar
Keyword(s):  
Physical Activity ◽  
Chest Pain ◽  
Exercise Intervention ◽  
Reference Group ◽  
Intervention Group ◽  
Exercise Programme ◽  
Control Group ◽  
Intervention Programme ◽  
Pain Symptoms

One hundred and sixty-six middle-aged Finnish men free of clinical coronary heart disease (CHD), but having at least one CHD risk factor, participated in an 18-month controlled exercise intervention study, one-half as an exercising group and the other half as a matched control group; thereafter all 166 followed a partially controlled exercise programme for the next year. These men formed the intervention group for the present follow-up study covering the subsequent 6 years. The reference group for the follow-up comprised 152 men who fulfilled the same inclusion critera for the original study as the intervention subjects, but who had been excluded from the study for non-medical reasons, mainly because they could not be pair-matched. Mortality statistics were collected, and a postal questionnaire on chest pain symptoms and physical activity was sent to all of the men 8 years after the start of the study. One CHD death and four other deaths occurred in the reference group, and one CHD and no other deaths in the intervention group. Severe chest pain possibly suggestive of myocardial infarction was more common in the reference group than in the intervention group, but no difference was found in angina pectoris symptoms. The level of recent physical activity or smoking did not affect the chest pain symptoms independently.

scholarly journals Effects of Modified Posterior Shoulder Stretching Exercises on Shoulder Mobility, Pain, and Dysfunction in Patients With Subacromial Impingement Syndrome

2020 ◽  
Vol 12 (2) ◽  
pp. 139-148
Author(s):  
Özge Tahran ◽  
Sevgi Sevi Yeşilyaprak
Keyword(s):  
Internal Rotation ◽  
Treatment Program ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
Control Group ◽  
Subacromial Impingement ◽  
Positive Effects ◽  
Posterior Shoulder ◽  
Significant Difference ◽  
Stretching Exercises

Background: Posterior shoulder stretching exercises (PSSEs) aim to reduce posterior shoulder tightness (PST). Position modification of traditional PSSEs has been suggested to minimize inadequate control of scapular and glenohumeral rotation, possibly leading to increased subacromial impingement. Hypothesis: Modified PSSEs will have positive effects on shoulder mobility, pain, and dysfunction. Study Design: Randomized controlled trial. Level of Evidence: Level 1. Methods: A total of 67 symptomatic patients with subacromial impingement syndrome (SIS) and shoulder internal rotation asymmetry were randomly assigned to 3 groups: modified cross-body stretch (MCS) (n = 22; treatment program + MCS), modified sleeper stretch (MSS) (n = 22; treatment program + MSS), and a control group (n = 23; treatment program consisting of only modalities, range of motion [ROM], and strength training but no PSSEs) for 4 weeks. Pain, PST, shoulder rotation ROM, and dysfunction were evaluated. Results: Pain, PST, shoulder rotation ROM, function, and disability improved in all groups ( P < 0.05). The MCS and MSS groups had better results compared with the control group with regard to pain with activity, internal rotation ROM, function, and disability ( P < 0.05). There was no significant difference between the stretching groups ( P > 0.05). Conclusion: All treatments improved pain, shoulder mobility, function, and disability in patients with SIS. However, modified PSSEs in addition to a treatment program was superior to the treatment program alone (without PSSEs) in improving pain with activity, internal rotation ROM, and dysfunction. Moreover, stretching provided clinically significant improvements. Clinical Relevance: Modified PSSEs, in addition to a treatment program, are beneficial for patients with SIS. Both modified cross-body and sleeper stretches are safe and efficacious for improving shoulder mobility, pain, and dysfunction.

Efficacy of high-intensity laser therapy in subacromial impingement syndrome: a three-month follow-up controlled clinical trial

2019 ◽  
Vol 33 (5) ◽  
pp. 894-903 ◽  
Author(s):  
Javier Aceituno-Gómez ◽  
Juan Avendaño-Coy ◽  
Julio Gómez-Soriano ◽  
Venancio Miguel García-Madero ◽  
Gerardo Ávila-Martín ◽  
...  
Keyword(s):  
Laser Therapy ◽  
Shoulder Pain ◽  
High Intensity ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
Control Group ◽  
Subacromial Impingement ◽  
High Intensity Laser ◽  
Intensity Laser ◽  
Experimental Group

Objectives: To evaluate the effectiveness of high-intensity laser therapy on shoulder pain and function in subacromial impingement syndrome. Design: Clinical controlled trial with alternate allocation. Setting: Hospital Department of Rehabilitation. Subjects: A total of 46 participants with subacromial impingement syndrome. Intervention: Participants were sequence allocated to an intervention group (high-intensity laser therapy + exercise therapy) and control group (sham-laser + exercise therapy) and received 15 sessions (five days a week during three weeks). Main measures: Patiens were evaluated at baseline, after 15 sessions, and at one month and at three months after completing the intervention. The main outcome variables were pain and functionality as measured by visual analogue scale; pressure pain threshold; Shoulder Pain and Disability Index; Constant-Murley Score; and QuickDASH. Secondary outcomes were number of sessions at discharge and drug use. Results: A total of 21 patients in high-intensity laser therapy group (56.7 ± 8.9 years) and 22 patients in sham-laser group (61.3 ± 8.9 years) concluded the study. Visual analogue scale (cm) at baseline, one-month, and three-months were 6.2 ± 0.5, 3 ± 2.6, and 2.6 ± 2.4 for the control group and 5.4 ± 1.5, 3.6 ± 1.3, and 1.8 ± 1.7 for experimental group, respectively. Shoulder Pain and Disability Index (points) at baseline, one-month, and three-monts were 51.8 ± 16.1, 16.3 ± 16.1, and 13.6 ± 17.1 in the control group and 41.8 ± 20.6, 20.5 ± 19.7, 11 ± 14.5 in experimental group, respectively. No differences were found between groups ( P > 0.05). Conclusion: The effect of high-intensity laser therapy plus exercise is not higher than exercise alone to reduce pain and improve functionality in patients with subacromial syndrome.

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