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Posted by Rachael Lowe on August 31, 2010 · Leave a Comment
There are many types of treatment used to manage the frozen shoulder, but there is no consensus on how best to manage patients with this painful and debilitating condition. This review of the evidence of the effectiveness looked at interventions used to manage primary frozen shoulder using the Cochrane Database of Systematic Reviews, the Database of Abstracts of Reviews of Effects, the Physiotherapy Evidence Database…
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Posted by Rachael Lowe on August 4, 2010 · Leave a Comment
The objective of this study was to systematically review the reliability of physical examination procedures used in the clinical examination of patients with shoulder pain. MEDLINE, PEDro, AMED, PsychInfo, Cochrane Library (2009) and CINAHL were searched from the earliest record on the database to June 2009. Reliability studies that included any patients with shoulder pain were analysed for their quality and reliability results. Pre-established criteria were used to judge the…
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Posted by Rachael Lowe on August 4, 2010 · Leave a Comment
This pilot study was performed to investigate the influence of psychomotor skills on the outcome of a specific nonoperative program (scapular dyskinesis-program) to treat scapular dyskinesis. Fifteen patients (group A) with positive and 11 patients (group B) with a negative outcome after physical therapy were included. To test the psychomotor skills of the patients the Motorische Leistungsserie (MLS) was used. The test results of the patients of group A…
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Posted by Rachael Lowe on May 17, 2010 · Leave a Comment
The purpose of this study was to examine the effect of manipulative therapy on the shoulder girdle, in addition to usual care provided by the general practitioner, on the outcomes of physical examination tests for the treatment of shoulder complaints. This was a randomized controlled trial in a primary care setting in the Netherlands. A total of 150 participants were recruited from December 2000 until December 2002. All patients received…
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Posted by Rachael Lowe on May 17, 2010 · Leave a Comment
The purpose of the study was to assess changes in the maximal muscle strength of the shoulder external rotators immediately and at 10, 20, and 30 minutes after cervical joint mobilization at the C5-6 segment. Eighteen participants with existing or a history of neck pain were screened by 2 investigators independently for muscle weakness of shoulder external rotators. Fifteen qualified participants underwent shoulder external rotator strength testing with a handheld…
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Posted by Rachael Lowe on April 15, 2010 · Leave a Comment
This study aimed to systematically and critically review available literature to ascertain whether beneficial effects of ultrasound were associated with certain shoulder pathologies or particular ultrasound treatment protocols.
Eight studies included in this review (n=586 patients, median PEDro score=8.0/10) evaluated various parameters, including the duration of patients` symptoms (0-12 months), duty cycle (20% and 100%), intensity (0.1-2.0 W/cm2), treatment time per session (4.5-15.8 minutes)…
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Posted by Rachael Lowe on March 29, 2010 · Leave a Comment
The objective of this review was to compare surgical versus non-surgical treatment for acute anterior dislocation of the shoulder. The four included studies involved 163 participants, mainly active young adult males. All had had a primary (first time) traumatic anterior shoulder dislocation. Methodological quality was variable. All participants of one trial returned to active military duty. Two trials respectively reported similar numbers with reduced sports participation or non return to…
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Posted by Rachael Lowe on March 11, 2010 · Leave a Comment
New research shows an approved therapy for osteoporosis, Forteo, may speed healing and improve patient outcomes for rotator cuff tears. The preliminary study from Hospital for Special Surgery in New York is being presented at the American Academy of Orthopaedic Surgeons (AAOS) meeting this week in New Orleans .
Forteo is a synthetic version of parathyroid hormone, which is the body's primary regulator of calcium and…
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Posted by Rachael Lowe on February 4, 2010 · Leave a Comment
The objective of this study was to compare responsiveness (ability to measure change) of the Disabilities of Arm, Shoulder, and Hand (DASH) and Upper Extremity Functional Index (UEFI). Statistical analyses included Rasch analysis to place the instruments on the same scale, analysis of variance to compare change scores, correlations to compare change scores with global ratings, and the use of receiver operating characteristic (ROC) curves to determine meaningful change…
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Posted by Rachael Lowe on February 1, 2010 · Leave a Comment
The
Cardiff Interactive Shoulder Movement Alliance (CISMA) will soon be launching the first stage of the CISMA process where we will be asking for the opinions of clinicians regarding the terminology they use to quantify scapulothoracic position and movement in patients with shoulder pain. Their opinions will be combined with those of other expert shoulder clinicians (Physiotherapist, Surgeon and Doctor) to work towards a consensus approach on terminology.
Later…
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