In people with stroke, range-of-motion (ROM) exercises may contribute to hemiparetic shoulder pain, but the underlying mechanisms are unknown. This study examined scapular and humeral movement patterns in people with poststroke hemiparesis as they performed commonly prescribed ROM exercises. Using kinematic techniques, we studied 13 people with hemiparesis, both with and without pain, as they [...]
Clinical and radiological outcome of conservative vs. surgical treatment of atraumatic degenerative rotator cuff rupture: design of a randomized controlled trial.
Subacromial impingement syndrome is a frequently observed disorder in orthopedic practice. Lasting symptoms and impairment may occur when a subsequent atraumatic rotator cuff rupture is also present. However, degenerative ruptures of the rotator cuff can also be observed in asymptomatic elderly individuals. Treatment of these symptomatic degenerative ruptures may be conservative or surgical. Acceptable results [...]
Does Passive Mobilization of Shoulder Region Joints Provide Additional Benefit Over Advice and Exercise Alone for People Who Have Shoulder Pain and Minimal Movement Restriction? A Randomized Controlled Trial.
The purpose of this study was to determine whether passive mobilization of shoulder region joints adds treatment benefit over exercise and advice alone for people with shoulder pain and minimal movement restriction. Design This was a randomized controlled clinical trial with short-, medium- and longer-term follow-up. Setting The study was conducted in a metropolitan teaching [...]
Reliability of shoulder internal rotation passive range of motion measurements in the supine versus sidelying position.
The objective of tis study was to compare intrarater and interrater reliability of shoulder internal rotation (IR) passive range of motion measurements utilizing a standard supine position and a sidelying position. Glenohumeral IR range of motion deficits are often noted in patients with shoulder pathology. Excellent intrarater reliability has been found when measuring this motion. [...]
Manipulative therapy in addition to usual medical care accelerates recovery of shoulder complaints at higher costs: economic outcomes of a randomized trial
Shoulder complaints are common in primary care and have an unfavourable long term prognosis. The objective was to evaluate the clinical effectiveness of manipulative therapy of the cervicothoracic spine and the adjacent ribs in addition to usual medical care (UMC) by the general practitioner in the treatment of shoulder complaints.Â This economic evaluation was conducted [...]
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 [...]
Reliability of physical examination tests used in the assessment of patients with shoulder problems: a systematic review.
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 [...]
Correlation of psychomotor findings and the outcome of a physical therapy program to treat scapular dyskinesis.
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 [...]
Manipulative therapy in addition to usual care for patients with shoulder complaints: results of physical examination outcomes in a randomized controlled trial.
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 [...]
Immediate and carry over changes of C5-6 joint mobilization on shoulder external rotator muscle strength.
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 [...]