scholarly journals The Effect of Rotator Cuff Injury Rehabilitation Program according to Anthropometric Measurements in Volleyball Players from Sulaymaniyah Governorate

2021 ◽  
Vol 33 (4) ◽  
pp. 183-192
Author(s):  
Alan Salah Saleh ◽  
Zainab Abid Ali

          The researchers aimed at designing a rehabilitation program using stretching exercises and proprioceptive neuromuscular facilitation (PNF). The researchers used the experimental methods on (9) young volleyball players to conclude that stretching exercises have a good effect on PNF rehabilitation in rotator cuff injury according to the anthropometric measurement for volleyball players as well as stretching exercises that develop proprioceptive neuromuscular facilitation (PNF) have a positive effect on rehabilitating rotator cuff injury in muscle, tendons according to anthropometric measurement.  

2021 ◽  
Vol 33 (4) ◽  
pp. 173-182
Author(s):  
Alan Salah Saleh ◽  
Zainab Abid Ali

The research aim at identifying the effect of rehabilitation program using stretching exercises (Proprioceptive Neuromuscular Facilitation) PNF in rotator cuff partial tear in female volleyball players according to functional variables. The researchers used the experimental method on (9) volleyball players with partial tear in the rotator cuff. They used the experimental method and the data was collected and treated using proper statistical operations to conclude significant differences between pre and posttests in heart pulse, blood pressure, and muscle mass percentage. Finally the researchers recommended using stretching to facilitated PNF in rehabilitating rotor cuff as well as using these exercises have a positive role in healing all functional variables to their normal state.


2021 ◽  
pp. 036354652110117
Author(s):  
Huabin Chen ◽  
Shengcan Li ◽  
Han Xiao ◽  
Bing Wu ◽  
Li Zhou ◽  
...  

Background: Injuries at the bone-tendon interface (BTI) are common findings in clinical practice. Rehabilitation procedures after BTI surgery are important but are controversial. Purpose: To investigate the effects of different exercise intensities on BTI healing by means of an established mouse rotator cuff injury model. Study Design: Controlled laboratory study. Methods: A total of 150 specific pathogen free male C57BL/6 mice, with supraspinatus insertion injury, were randomly assigned to 1 of 5 groups according to postoperative rehabilitation of different exercise intensities: (1) control group, (2) low-intensity exercise group, (3) moderate-intensity exercise group, (4) high-intensity exercise group, and (5) increasing-intensity exercise group (IG). The specimens were harvested 4 or 8 weeks postoperatively for microarchitectural, histological, molecular biological, and mechanical evaluations. Results: Histological test results showed that the degrees of tissue fusion and polysaccharide protein distribution at the healing interface at 4 and 8 weeks after surgery were significantly better in the IG than in the other 4 groups. Synchrotron radiation micro–computed tomography showed that the quantity of subchondral bone at the enthesis (bone volume/total volume fraction, trabecular thickness, trabecular number) was higher and trabecular separation was lower in the IG than in the other 4 groups. Quantitative reverse transcription polymerase chain reaction (qRT-PCR) analysis revealed that the healing interface in the IG expressed more transcription factors, such as sox 9, runx 2, and scleraxis, than the interfaces in the other groups. Although no significant difference was seen in the cross-sectional area between the groups at postoperative weeks 4 and 8 ( P > .05), the tensile load, ultimate strength, and stiffness of the specimens in the IG were significantly better than those in the other 4 groups ( P < .05). Conclusion: The rehabilitation program with increasing-intensity exercise was beneficial for BTI healing. Clinical Relevance: The results of this study provide evidence supporting the use of a simple and progressive exercise rehabilitation program after rotator cuff surgery.


Author(s):  
Foteini Alipasali ◽  
Sophia D. Papadopoulou ◽  
Ioannis Gissis ◽  
Georgios Komsis ◽  
Stergios Komsis ◽  
...  

The aim of the present trial was to investigate the effect of two stretching programs, a dynamic and a static one, on the sprint ability of recreational volleyball players. The sample consisted of 27 male recreational volleyball players (age 21.6 ± 2.1 years, mean ± standard deviation, body mass 80.3 ± 8.9 kg, height 1.82 ± 0.06 m, body mass index 24.3 ± 2.5 kg.m−2, volleyball experience 7.7 ± 2.9 years). Participants were randomly divided into three groups: (a) the first performing dynamic stretching exercises three times per week, (b) the second following a static stretching protocol on the same frequency, and (c) the third being the control group, abstaining from any stretching protocol. The duration of the stretching exercise intervention period was 6 weeks, with all groups performing baseline and final field sprinting tests at 4.5 and 9 m. The post-test sprint times were faster in both the 4.5 (p = 0.027, η2 = 0.188) and 9 m tests (p < 0.001, η2 = 0.605) compared to the pre-test values. A large time × group interaction was shown in both the 4.5 (p = 0.007, η2 = 0.341) and 9 m tests (p = 0.004, η2 = 0.363) with the static and dynamic stretching groups being faster in the post-test than in the pre-test, whereas no change was found in the control group. The percentage change in the 4.5 m sprint time correlated with volleyball experience (r = −0.38, p = 0.050), i.e., the longer the volleyball experience, the larger the improvement in the 4.5 m sprint. Thus, it is concluded that both stretching techniques have a positive effect on the velocity of recreational male volleyball players, when performed at a frequency of three times per week for 6 weeks under the same conditions as defined in the study protocol.


2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Maria J. Santana ◽  
Darrell J. Tomkins

Abstract Introduction The patient is the person who experiences both the processes and the outcomes of care. Information held by the patient is vital for clinical and self-management, improving health outcomes, delivery of care, organization of health systems, and formulation of health policies. Patient-reported outcome measures (PROMs) play an important role in supporting patient’s self-management. This narrative describes a patient-led use of a PROM to self-manage after a rotator cuff injury. Methods This is a narrative of a patient who tore the supraspinatus tendon in her right shoulder in an accident. The Disabilities of the Arm, Shoulder and Hand, the DASH questionnaire, was used to monitor and self-manage recovery after the accident. The DASH questionnaire is a self-reported questionnaire that measures the difficulty in performing upper extremity activities and pain in the arm, shoulder or hand. It has been widely used in research studies, but here the patient initiated its use for self-management while waiting for and after rotator cuff surgery. The patient created separate sub-scale scores for function and for pain to answer questions from healthcare providers about her recovery. Results There was noticeable improvement over 3 months of conservative treatment, from a high level of disability of 56 to 39 (score changed 17); however, the scores were nowhere near the general population normative score of 10.1. Surgery improved the score from 39 pre-surgery to 28. Post-surgical interventions included physiotherapy, pain management and platelet-riched plasma treatment (PRP). The score was 14 4 weeks post-PRP. Conclusions The patient found the DASH useful in monitoring recovery from a rotator cuff injury (before and after surgery). The DASH contributed to communication with healthcare professionals and supported the clinical management. The DASH questionnaire was able to capture the patient’s experience with the injury and surgical recovery, corroborating an improvement in function while there was persistent post-surgical pain.


2015 ◽  
Vol 33 (12) ◽  
pp. 1861-1867 ◽  
Author(s):  
Takeshi Yamaguchi ◽  
Nobuyasu Ochiai ◽  
Yu Sasaki ◽  
Takehiro Kijima ◽  
Eiko Hashimoto ◽  
...  

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Binghao Zhao ◽  
Qingsong Zhang ◽  
Bo Liu

Abstract Background The study aimed to explore the additional value of repair of Lafosse I subscapularis injury compared with debridement in anterosuperior rotator cuff injury. Methods The prospective study was conducted on a total of 41 patients with supraspinatus tendon tear combined with Lafosse I subscapularis injury. Eighteen patients were divided into the repair group and 23 patients were divided into the non-repair group. The two groups were compared for intraoperative parameters, pain score, range of motion of the shoulder joint, shoulder joint function and quality of life (QoL) at pre-operation, 3 and 6 months postoperatively and the final follow-up visit. Results The width of supraspinatus tendon tear did not exceed 3 cm and did not retract beyond the glenoid in among patients. There was no statistical difference of preoperative data between two groups, including age, course of disease, positive Jobe test, positive Bear-hug test, positive Lift-off test, Patte stage, longitudinal tear and pain severity (P > 0.05). Compared to preoperative levels, the severity of pain, ASES scores and EQ-5D-3L scores were significantly lower at 3 and 6 months postoperatively and the final position (P < 0.05). However, there was no statistical difference in pain severity, ASES scores and EQ-5D-3L scores between repair group and non-repair group (P > 0.05). Similarly, compared to preoperative levels, the range of motion of shoulder joint was significantly improved after operation, including internal rotation, external rotation, forward flexion and elevation (P < 0.05). However, there was no statistical difference in range of motion of shoulder joint between repair group and non-repair group (P > 0.05). Conclusion Operative treatment can effectively lessen severity of pain in the patients, improve shoulder joint function, increase the range of motion of the shoulder joint and enhance the QoL in treating anterosuperior rotator cuff injury. However, repair of subscapularis brings no benefit compared to debridement in treating supraspinatus tendon tear combined with Lafosse I subscapularis injury.


2019 ◽  
Vol 100 (2) ◽  
pp. 95-101
Author(s):  
A. P. Stepanchenko ◽  
G. V. Fedoruk ◽  
A. A. Makovskiy ◽  
V. E. Dubrov ◽  
R. V. Zaytsev ◽  
...  

Objective. To assess whether radiographic criteria for proximal humeral head migration can be used as screening of damage to the rotator cuff after dislocation in patients over 45 years of age.Material and methods. The study included the results of a follow-up of 101 patients after shoulder dislocation without signs of damage to the rotator cuff before injury. Damage to the rotator cuff was assessed using MRI, followed by a correlation analysis between the results of measuring the height of the subacromial space with radiography and MRI.Results. Signs of cranial migration of the humeral head are detected statistically significantly more frequently in the group of older patients than in that of young ones (F=0.009; p<0.05). MRI study statistically significantly more often revealed signs of damage to the rotator cuff in the older patients than in the young ones (F=0.009; p<0.05). There was a high correlation between the humeral head migration index and the MRI measurements of the acromiohumeral interval (r=0.93, p<0.05).Conclusion. The acromiohumeral index, as well as MRI, can be used as a criterion for rotator cuff injury. This study has shown that the older patients have a 19-fold higher risk for damage to the rotator cuff from a dislocated shoulder (95% CI 6.93–52.11). Thus, attention should be paid to the presence of radiographic signs of rotator cuff injury in all patients after dislocation of the shoulder.


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