Exposure to low amounts of ultrasound energy does not improve soft tissue shoulder pathology: a systematic review.
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%), [...]
Surgical versus non-surgical treatment for acute anterior shoulder dislocation
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 [...]
Osteoporosis Drug Improves Healing After Rotator Cuff Surgery
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 [...]
A Comparison of the Ability of Two Upper Extremity Assessments to Measure Change in Function
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 [...]
Cardiff Interactive Shoulder Movement Alliance (CISMA)
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 [...]
Prediction of good functional recovery after stroke based on combined motor and somatosensory evoked potential findings.
The objective of this study was to delineate whether functional recovery after stroke, determined by the modified Rankin Scale during the neurologically stable chronic stage, is associated with the presence or absence of motor evoked potential or somatosensory evoked potential measured during the sub-acute stage at the commencement of rehabilitation. Consecutive 105 first-ever unilateral patients [...]
Acute effects of scapular mobilization in shoulder dysfunction: a double-blind randomized placebo-controlled trial.
The aim of this study was to evaluate the initial effects of scapular mobilization (SM) on shoulder range of motion (ROM), scapular upward rotation, pain, and function. A double-blinded, randomized, placebo-controlled trial was conducted to evaluate the initial effect of the SM at a sports physiotherapy clinic. A visual analog scale, ROM, scapular upward rotation, [...]
Evaluation of shoulder joint position sense in both asymptomatic and rehabilitated professional rugby players and matched controls
The objective of this study was to assess if joint position sense (JPS) in the shoulder differed between un-injured rugby players, matched control subjects and previously injured rehabilitated rugby players. 15 asymptomatic professional rugby union players, 15 previously injured professional rugby union players, 15 asymptomatic matched non-rugby playing controls had their JPS assessed. JPS was [...]
Dose-response effects of graded therapeutic exercises in patients with long-standing subacromial pain
Exercise therapy is widely used in the conservative treatment of long-standing subacromial pain, but there is still no consensus on recommending any specific treatment schedules. The aim of this study was to examine the effect of a high-dose versus a low-dose of the same repetitive exercise program in patients with long-standing subacromial pain/impingement. Sixty-one patients [...]
Level 1 Shoulder Course
This course offers the opportunity to gain extensive clinical insight into the assessment, diagnosis, treatment and progression of shoulder rehabilitation from a specialist shoulder physiotherapist. The course is extensively based on current research and provides “cutting edge†information as to new treatment techniques that are available as well as evidence-based practices that therapists can integrate. [...]
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