scholarly journals Effects of neuromuscular taping on muscular strength, range of motion and pain intensity in the glenohumeral joint in professional handball athletes: blinded randomized clinical trial

2020 ◽  
pp. 1-9 ◽  
Author(s):  
Cristiane Rissatto Jettar Lima ◽  
Paulo Fernandes Pires ◽  
Charlini Simoni Hartz ◽  
Ester Moreira de Castro ◽  
Elisa Bizetti Pelai ◽  
...  
Keyword(s):  
Pain Intensity ◽  
Range Of Motion ◽  
Shoulder Pain ◽  
Repeated Measures ◽  
Muscular Strength ◽  
Glenohumeral Joint ◽  
Pressure Pain Threshold ◽  
Short Term ◽  
Shoulder Dysfunction ◽  
Time Interaction

Background: Recent investigations in handball athletes point to the need to carry out rehabilitation programs that aim to improve the instability of the glenohumeral joint, widely used in the various tasks of this modality. Objectives: To evaluate the immediate and short‑term effects of a neurofunctional elastic bandage (NEB) on muscular strength, range of motion and pain intensity in the glenohumeral joint in handball athletes with shoulder dysfunction. Method: This study was composed of 20 professional male handball athletes who presented shoulder pain at rest and dysfunction of the shoulder, divided into two groups; experimental (n = 10) and placebo (n = 10). Before and one hour after the application of NEB the following were evaluated: maximal isometric muscular strength during movements of the glenohumeral joint (load cell), the range of motion (ROM) of the glenohumeral joint (fleximetry), pain intensity in the shoulder at rest and during movement, and the pressure pain threshold (algometry). NEB was maintained for 72 hours in all volunteers, during which a diary of shoulder pain was recorded for the short-term assessment. We used the ANOVA two-way repeated measures considering the possibility of group by time interaction, adopting a 5% level for significant differences. The treatment effect size was analyzed by means of Cohen’s d values. Results: There was no group by time interaction for any of the variables (p> 0.05), however, there was a large effect of the treatment for reducing pain in the experimental group after the application of NEB in the short-term period (d = 0.83). Conclusion: There were no significant effects on muscular strength, range of motion or pain intensity in the shoulder in handball athletes immediately after implementation of NEB.

scholarly journals The Distinction of Hot Herbal Compress, Hot Compress, and Topical Diclofenac as Myofascial Pain Syndrome Treatment

2018 ◽  
Vol 23 ◽  
pp. 215658721775345 ◽  
Author(s):  
Jurairat Boonruab ◽  
Netraya Nimpitakpong ◽  
Watchara Damjuti
Keyword(s):  
Quality Of Life ◽  
Pain Intensity ◽  
Range Of Motion ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Pressure Pain ◽  
Cervical Range Of Motion ◽  
Topical Diclofenac ◽  
Hot Compress

This randomized controlled trial aimed to investigate the distinctness after treatment among hot herbal compress, hot compress, and topical diclofenac. The registrants were equally divided into groups and received the different treatments including hot herbal compress, hot compress, and topical diclofenac group, which served as the control group. After treatment courses, Visual Analog Scale and 36-Item Short Form Health survey were, respectively, used to establish the level of pain intensity and quality of life. In addition, cervical range of motion and pressure pain threshold were also examined to identify the motional effects. All treatments showed significantly decreased level of pain intensity and increased cervical range of motion, while the intervention groups exhibited extraordinary capability compared with the topical diclofenac group in pressure pain threshold and quality of life. In summary, hot herbal compress holds promise to be an efficacious treatment parallel to hot compress and topical diclofenac.

scholarly journals Is Dry Needling Effective When Combined with Other Therapies for Myofascial Trigger Points Associated with Neck Pain Symptoms? A Systematic Review and Meta-Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-24
Author(s):  
César Fernández-De-Las-Peñas ◽  
Gustavo Plaza-Manzano ◽  
Jorge Sanchez-Infante ◽  
Guido F Gómez-Chiguano ◽  
Joshua A Cleland ◽  
...  
Keyword(s):  
Neck Pain ◽  
Pain Intensity ◽  
Range Of Motion ◽  
Dry Needling ◽  
Short Term ◽  
Pain Thresholds ◽  
Pressure Pain ◽  
Cervical Range Of Motion ◽  
Pressure Pain Thresholds

Objective. To evaluate the effects of combining dry needling with other physical therapy interventions versus the application of the other interventions or dry needling alone applied over trigger points (TrPs) associated to neck pain. Databases and Data Treatment. Electronic databases were searched for randomized controlled trials where at least one group received dry needling combined with other interventions for TrPs associated with neck pain. Outcomes included pain intensity, pain-related disability, pressure pain thresholds, and cervical range of motion. The risk of bias (RoB) was assessed using the Cochrane risk of bias tool, methodological quality was assessed with PEDro score, and the quality of evidence was assessed by using the GRADE approach. Between-groups mean differences (MD) and standardized mean difference (SMD) were calculated. Results. Eight trials were included. Dry needling combined with other interventions reduced pain intensity at short-term (SMD −1.46, 95% CI −2.25 to −0.67) and midterm (SMD −0.38, 95% CI −0.74 to −0.03) but not immediately after or at long-term compared with the other interventions alone. A small effect on pain-related disability was observed at short-term (SMD −0.45, 95% CI −0.87 to −0.03) but not at midterm or long-term. The inclusion of dry needling was also effective for improving pressure pain thresholds only at short-term (MD 112.02 kPa, 95% CI 27.99 to 196.06). No significant effects on cervical range of motion or pain catastrophism were observed. Conclusion. Low-to-moderate evidence suggests a positive effect to the combination of dry needling with other interventions for improving pain intensity, pain-related disability, pressure pain thresholds, and cervical range of motion in people with neck pain associated with TrPs at short-term. No midterm or long-term effects were observed.

Effects of Trigger Point Dry Needling for Nontraumatic Shoulder Pain of Musculoskeletal Origin: A Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Marcos J Navarro-Santana ◽  
Guido F Gómez-Chiguano ◽  
Joshua A Cleland ◽  
Jose L Arias-Buría ◽  
César Fernández-de-las-Peñas ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Pain Intensity ◽  
Shoulder Pain ◽  
Trigger Point ◽  
Meta Analysis ◽  
Dry Needling ◽  
Short Term ◽  
Positive Effects ◽  
Evidence Level ◽  
Quality Evidence

Abstract Objective The purpose of this study was to evaluate the effects of trigger point (TrP) dry needling alone or as an adjunct to other interventions on pain intensity and related disability in nontraumatic shoulder pain. Methods Ten databases were searched from inception to January 2020 for randomized clinical trials in which at least 1 group received TrP dry needling for shoulder pain of musculoskeletal origin with outcomes collected on pain intensity and related disability. Data extraction including participant and therapist details, interventions, blinding strategy, blinding assessment outcomes, and results were extracted by 2 reviewers. The risk of bias (RoB, Cochrane Guidelines), methodological quality (PEDro score), and evidence level (GRADE approach) were assessed. The search identified 551 publications with 6 trials eligible for inclusion. Results There was moderate quality evidence that TrP dry needling reduces shoulder pain intensity with a small effect (MD = −0.49 points, 95% CI = −0.84 to −0.13; SMD = −0.25, 95% CI = −0.42 to −0.09) and low quality evidence that TrP dry needling improves related disability with a large effect (MD = −9.99 points, 95% CI -15.97 to −4.01; SMD = −1.14, 95% CI -1.81 to −0.47) as compared to a comparison group. The effects on pain were only found at short-term. The RoB was generally low, but the heterogenicity of the results downgraded the evidence level. Conclusions Moderate- to low-quality evidence suggests positive effects of TrP dry needling for pain intensity (small effect) and pain-related disability (large effect) in nontraumatic shoulder pain of musculoskeletal origin, mostly at short term. Future clinical trials investigating long-term effects are needed. Impact Dry needling is commonly used for the management of musculoskeletal pain. This is the first meta-analysis to examine the effects of dry needling on nontraumatic shoulder pain.

scholarly journals Effect of a novel stretching technique on shoulder range of motion in overhead athletes with glenohumeral internal rotation deficits: a randomized controlled trial

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Omar Gharisia ◽  
Everett Lohman ◽  
Noha Daher ◽  
Alan Eldridge ◽  
Amjad Shallan ◽  
...  
Keyword(s):  
Pain Intensity ◽  
Range Of Motion ◽  
Internal Rotation ◽  
The Novel ◽  
Post Intervention ◽  
Significant Group ◽  
Overhead Athletes ◽  
Time Interaction ◽  
The Cross ◽  
Over Time

Abstract Background The cross-body and the modified sleeper stretch have been used to improve posterior shoulder soft tissue flexibility and to increase glenohumeral joint internal rotation (GHJ IR) in overhead athletes. However, due to the inability to stabilize patient’s scapula and control GHJ rotation with the cross-body stretch and the potential for subacromial impingement or symptoms’ aggravation with the modified sleeper stretch, a new stretching technique (Passive Glenohumeral Internal Rotation with Clam Shell Bridging) was developed as an alternative to these commonly used stretches that may allow for greater stability of the scapula without reproducing symptoms. Thus, the current study aimed to examine and compare a novel stretching technique to the traditional modified sleeper stretch to determine the effect on glenohumeral IR range of motion (ROM) and self-reported pain in overhead athletes with glenohumeral internal rotation deficits (GIRD). Methods Forty-two overhead athletes with GIRD [mean age 25.9 ± 2.6 years, 20 males and 22 females] participated in this study. Participants were randomly assigned into either novel stretching group or modified sleeper stretching group. IR ROM was measured with a digital inclinometer before, immediately, and at week 4 post intervention, while pain was measured with Numeric Pain Rating Scale before and at week 4 post intervention. Results There was no significant group by time interaction effect for IR ROM (p = 0.27); however, there was a significant change over time (p < 0.001, η2 = 0.77). Both groups demonstrated a significant increase in IR from baseline to immediate and week 4, and from immediate to week 4 (p < 0.001). There was a significant group by time interaction for pain intensity (p < 0.001, η2 = 0.72). Results showed a significant reduction in pain intensity over time in the novel group (p = 0.001, d = 2.18), but not in the traditional group (p = 0.231, d = 0.46). Conclusion Both stretches appear to be effective at improving IR ROM in overhead athletes with GIRD. However, the novel stretching might be more effective at reducing shoulder pain and thus may be more appropriate for symptomatic patients. Trial registration Prospectively registered in February 6, 2017 under Clinical Trial Registry # NCT03044236.

scholarly journals Alternative duty work as workplace-initiated procedure to reduce sickness absence

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Pauliina Mattila-Holappa ◽  
Johanna Kausto ◽  
Ville Aalto ◽  
Leena Kaila-Kangas ◽  
Mika Kivimäki ◽  
...  
Keyword(s):  
Sickness Absence ◽  
Repeated Measures ◽  
Negative Binomial ◽  
Negative Binomial Regression ◽  
Occupational Class ◽  
Short Term ◽  
Time Interaction ◽  
Binomial Regression ◽  
The Difference ◽  
And Control

Abstract Purpose Alternative duty work is a procedure that enables an employee with a short-term disability to perform modified duties as an alternative to sickness absence. We examined whether the implementation of an alternative duty policy was associated with reduced sickness absence in the Finnish public sector. Methods Two city administrations (A and D) that implemented an alternative duty work policy to their employees (n = 5341 and n = 7538) served as our intervention cities, and two city administrations (B and C) that did not implement the policy represented the reference cities (n = 6976 and n = 6720). The outcomes were the number of annual days, all episodes, and short-term (< 10 days) episodes during the 2 years before versus the 2 years after the intervention year. We applied repeated measures negative binomial regression analyses, using the generalized estimating equations method and the difference-in-difference analysis to compare the intervention and control cities (adjusted for sex, age, type of job contract, occupational class). Results During the five-year study period, the number of sickness absence days and episodes increased in both the intervention and control cities. Covariate-adjusted analysis of relative risk showed that the overall increase in post- versus pre-intervention sickness absence days was smaller in intervention City A, RR = 1.14 (95% CI = 1.09–1.21) than in control cities B and C, RR = 1.19 (95% CI =1.14–1.24), group × time interaction p < 0.02. In intervention City D, we found a corresponding result regarding all sickness absence episodes and short-term sickness absence episodes but not days. Conclusions This follow-up suggests that implementing an alternative duty work policy may marginally decrease employees’ sickness absences.

scholarly journals Effect of Neural Therapy on shoulder dysfunction and pain in supraspinatus tendinopathy

2022 ◽  
Vol 38 (3) ◽  
Author(s):  
Ibrahim Bashan ◽  
Gulsah Yasa Ozturk
Keyword(s):  
Range Of Motion ◽  
Shoulder Pain ◽  
Visual Analog Scale ◽  
P Value ◽  
Analog Scale ◽  
Neural Therapy ◽  
Shoulder Dysfunction ◽  
Creative Commons ◽  
Scale Scores ◽  
Supraspinatus Tendinitis

Objectives: To investigate the effect of 1% procaine injection, which is used in neural therapy, on shoulder pain and dysfunction in patients diagnosed with supraspinatus tendinopathy. Methods: The Range of Motion values, Visual Analog Scale and the QuickDASH Scale scores of 70 patients, who were diagnosed with musculus supraspinatus tendinitis based on magnetic resonance imaging findings, were analyzed. The data of the scales obtained before neural therapy and at the follow-up visit at four weeks after the end of therapy were compared, and a p-value of <0.05 was considered statistically significant. Results: After neural therapy, a statistically significant increase was observed in Range of Motion values and there was a statistically significant decrease in both the Visual Analog Scale and QuickDASH score averages. Conclusion: This is one of the rare studies showing the effects of neural therapy application on shoulder pain severity and dysfunction in patients with supraspinatus tendinitis who are resistant to medical therapy. doi: https://doi.org/10.12669/pjms.38.3.4823 How to cite this:Bashan I, Ozturk GY. Effect of Neural Therapy on shoulder dysfunction and pain in supraspinatus tendinopathy. Pak J Med Sci. 2022;38(3):---------. doi: https://doi.org/10.12669/pjms.38.3.4823 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals GANGGUAN MANSET ROTATOR SENDI BAHU Suatu tinjauan anatomik

2014 ◽  
Vol 6 (3) ◽  
Author(s):  
George N. Tanudjaja
Keyword(s):  
Rotator Cuff ◽  
Range Of Motion ◽  
Shoulder Pain ◽  
Glenohumeral Joint ◽  
Spontaneous Pain ◽  
Supraspinatus Muscle ◽  
Joint Structure ◽  
Wide Range ◽  
Teres Minor

Abstract: Rotator cuff of glenohumeral joint is a group of muscles and their tendons which surrounds and protects the wholeness of the glenohumeral joint and functions as a shoulder rotator. Shoulder pain is commonly found and is mostly caused by tendinitis of the rotator cuff or subacromial bursitis. There are four important muscles of this rotator cuff: supraspinatus, infraspinatus, teres minor, and subscapularis (SITS) muscles. Among them, the most troublesome is the tendon of supraspinatus muscle that functions as a sheet as well as the abductor of glenohumeral joint. Therefore, tendinitis of this muscle is associated with spontaneous pain and disturbance in lifting the superior extremity. This cuff structure shows that tendons of the SITS muscles together with the capsule of genohumeral joint and the joint structure itself enable a very wide range of motion with a consequence of being troubled easily.Keywords: glenohumeral, rotator cuf, tendon, jointAbstrak: Manset rotator sendi bahu adalah sekelompok otot dan tendonnya yang mengelilingi dan menjaga keutuhan articulatio genohumerale dengan fungsi lain sebagai rotator brachium. Nyeri bahu sering ditemukan dan umumnya disebabkan oleh tendinitis manset rotator atau bursitis subacromiale. Di antara keempat tendines, yang tersering mengalami gangguan yaitu tendon m. supraspinatus yang selain sebagai pembungkus juga berfungsi sebagai abduktor articulatio glenohumerale sehingga selain nyeri spontan juga ditemukan kesulitan mengangkat membrum superior. Struktur manset ini menunjukkan bahwa tendines keempat otot tersebut bergabung dengan capsula articularis genohumerale dengan struktur sendinya yang memungkinkan pergerakan bahu yang sangat luas tetapi dengan konsekuensi akan lebih mudah terjadi gangguan.Kata kunci: sendi bahu, manset rotator, tendon, articulatio

An Intervention to Enhance Psychological Capital and Health Outcomes in Homeless Female Youths

2016 ◽  
Vol 39 (3) ◽  
pp. 356-373 ◽  
Author(s):  
Lynn Rew ◽  
Tara Powell ◽  
Adama Brown ◽  
Heather Becker ◽  
Natasha Slesnick
Keyword(s):  
Substance Use ◽  
Self Efficacy ◽  
Repeated Measures ◽  
Social Connectedness ◽  
Psychological Capital ◽  
Health Risk Behaviors ◽  
Short Term ◽  
Significant Group ◽  
Time Interaction ◽  
Quasi Experimental

Female homeless youths are vulnerable to risky sex and substance use behaviors, yet they have strengths known as psychological capital. A quasi-experimental pre-post research design with repeated measures was used to examine the feasibility and preliminary efficacy of a brief intervention to enhance psychological capital, reduce health-risk behaviors, and achieve short-term behavioral goals. Study participants were 80 ethnically diverse homeless women between the ages of 18 and 23 years. Intervention participants had significant improvements in psychological capital, hope, resilience, and self-efficacy to refuse alcohol, social connectedness, and substance use ( p < .05). There was a significant group by time interaction for safe sex self-efficacy; intervention participants had greater self-confidence in negotiating safer sex practices than comparison participants. At the follow-up post-test, 82% of intervention participants who remained in the study had met or exceeded their short-term goals. This brief, street-based intervention was feasible and showed preliminary efficacy.

scholarly journals Musculoskeletal Changes in Hemophilia Patients Subsequent to COVID−19 Lockdown

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 702
Author(s):  
Rubén Cuesta-Barriuso ◽  
Javier Meroño-Gallut ◽  
Raúl Pérez-Llanes ◽  
Roberto Ucero-Lozano
Keyword(s):  
Pain Intensity ◽  
Range Of Motion ◽  
Pain Threshold ◽  
Plantar Flexion ◽  
Pressure Pain Threshold ◽  
Significant Deterioration ◽  
Pressure Pain ◽  
Joint Condition ◽  
Severity Of The Disease ◽  
Therapeutic Model

(1) Background. The lockdown period due to the COVID−19 pandemic has drastically decreased levels of physical activity in the population. Hemophilia is characterized by hemarthrosis that leads to chronic, progressive and degenerative joint deterioration. (2) Methods. This observational study recruited 27 patients with hemophilia and arthropathy. Knee, ankle and elbow joints were assessed. The frequency of clinical hemarthrosis, pain intensity, pressure pain threshold, and joint ROM were evaluated. (3) Results. Following lockdown, a significant deterioration of joint condition, perceived joint pain and range of motion was noted in all joints. There were no changes in the frequency of knee hemarthrosis, while the frequency of ankle hemarthrosis significantly reduced. However, the frequency of elbow hemarthrosis increased. Depending on the degree of hemophilia severity, there were changes in pressure pain threshold in the elbow and in pain intensity and range of motion of the ankle joint. According to the type of treatment, i.e., prophylaxis vs. on-demand treatment, there were differences in the joint condition in elbows and the plantar flexion movement of the ankle. There were no differences in the knee joint based on the severity of the disease, the type of treatment or the development of inhibitors (4). Conclusions. Because of the COVID−19 lockdown, the musculoskeletal status of patients with hemophilia deteriorated. Joint condition, perceived pain, and range of motion were significantly affected. The frequency of clinical hemarthrosis did not increase during this period. A more active therapeutic model could prevent rapid deterioration in patients with hemophilic arthropathy during prolonged sedentary periods.

scholarly journals The benefit of platelet-rich plasma injection over institution-based physical therapy program in adhesive capsulitis patients with diabetes mellitus: prospective observational cohort study

2021 ◽  
Author(s):  
Apurba Barman ◽  
Somanth Mukherjee ◽  
Mithilesh K Sinha ◽  
Jagannatha Sahoo ◽  
Amrutha Viswanath
Keyword(s):  
Diabetes Mellitus ◽  
Physical Therapy ◽  
Range Of Motion ◽  
Shoulder Pain ◽  
Glenohumeral Joint ◽  
Platelet Rich Plasma ◽  
Adhesive Capsulitis ◽  
Diabetic Patients ◽  
Single Shot ◽  
Patients With Diabetes

Background: The objective of this study was to compare the efficacy of platelet-rich plasma (PRP) injection with an institution-based physical therapy (PT) program for adhesive capsulitis (AC) of the shoulder in patients with diabetes mellitus (DM).Methods: A total of seventy diabetic patients with AC of the shoulder for <6 months were assigned to two groups: PRP group and PT group. In the PRP group, 35 patients were administered a single shot of PRP (4 mL) into the glenohumeral joint. In the PT group, 35 patients were given institution-based PT that included 10 30-minute sessions of planned PT over a 2-week period. After the interventions, all patients were prospectively followed for 12 weeks. Intensity of shoulder pain, function, and range of motion were assessed at baseline and then at 3, 6, and 12 weeks. Results: Thirty-three patients in the PRP group and 32 in the PT group completed the 12-week study. At 12 weeks, patients who received PRP injections showed greater improvement in shoulder pain (p<0.001) than those recruited to the PT group. In the range of motion and shoulder function activities, patients in the PRP group showed significant improvement compared with the institution-based PT group (p<0.001). No significant complications were reported from any groups.Conclusions: In a diabetic population, PRP injections significantly improved shoulder pain and function compared with an institution-based PT program for shoulder AC. Additionally, it is a safe and well-tolerated method for AC management for diabetic patients.

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