Shoulder Impingement Syndrome Patients Research Articles

Efficacy of mulligan technique on sub-acromial space in patients with shoulder impingement syndrome

IntroductionTo estimate the effectiveness of the Mulligan technique for the shoulder complex on the subacromial space, shoulder ROM, pressure pain threshold, and function of the shoulder in the impingement syndrome patient.MethodsThirty patients who suffered from shoulder impingement syndrome were at random allocated into two groups; the experimental group received shoulder complex mobilization with movement plus conventional therapy, and the control group received conventional treatment. All patients were examined by ultrasonography for subacromial space, shoulder range of motion using a digital goniometer, electronic algometry for pressure pain threshold, and the Quick DASH for a difficulty level involved in carrying out several physical activities.ResultsIn comparison to group B post-treatment, there were statistically significant improvements in the subacromial space (<i>p</i> > 0.004), flexion and abduction ROM, PPT of the biceps and supraspinatus (<i>p</i> > 0.001), and a significant reduction in the quick DASH (<i>p</i> > 0.001).ConclusionsShoulder complex mobilization with movement plus conventional therapy improved subacromial space, shoulder ROM, pressure pain thresholds, and function more than conventional therapy alone in shoulder impingement syndrome patients.

Comparison of Conventional Physical Therapy with and Without Maitland Thoracic Manipulation in Shoulder Impingement Syndrome Patients. A Randomized Controlled Trial (RCT)

The most typical cause of shoulder or sub acromial pain was impingement syndrome. Between 6.7 and 66.7% of people reported having shoulder pain at some point in their lives, and this frequency increases with age, reaching its peak around 50. The most frequent causes of shoulder pain were rotator cuff disease and adhesive capsulitis, both of which may present with the same signs but differ in the results and consequences of particular therapeutic approaches. Various therapies, such as joint mobilization and therapeutic exercises targeted at particular shoulder tissues, were employed in current practice to treat shoulder pain, but their efficacy was limited.The Mayo hospital in Lahore's OPD physiotherapy department hosted this blinded, controlled trial. In this study, two groups of 40 participants were randomly chosen. Static conservative exercise treatment was used to treat the subjects in Group A. The individuals in Group B received Maitland Thoracic Manipulation as part of a conservative exercise therapy regimen. Each patient signed a Performa, and informed consent was obtained from them all. The Neer Impingement test and a self-made and peer-reviewed questionnaire were both utilized to collect data and determine the prevalence of shoulder impingement syndrome.The findings of this study demonstrated that Maitland manipulation was more successful for treating Shoulder Impingement syndrome than conservative therapy alone.Impingement syndrome was the most common cause of shoulder or sub acromial pain. The incidence of shoulder pain was ranging from 6.7 to 66.7% which increase in frequency as age progresses, peaking at 50 years of age. Rotator cuff pathology and adhesive capsulitis were the most common causes of shoulder pain, may exhibit same findings but with variety of outcomes and effects to specific treatment strategies. In current practice, different interventions were used for treating shoulder pain, such as joint mobilization and therapeutic exercises, directed at specific tissues of the shoulder, but the effectiveness of these treatment options were limited.According to the study, conservative physical therapy combined with Maitland Mobilization and Manipulation is more effective at treating shoulder impingement discomfort and produces greater results than conservative physical therapy alone.

Sanal Gerçeklik Egzersizlerinin Omuz Sıkışma Sendromlu Hastalarda Ağrı, Fonksiyonellik ve Akromiohumeral Aralık Üzerine Etkisi: Tek Kör Randomize Kontrollü Bir Çalışma

Sanal Gerçeklik Egzersizlerinin Omuz Sıkışma Sendromlu Hastalarda Ağrı, Fonksiyonellik ve Akromiohumeral Aralık Üzerine Etkisi: Tek Kör Randomize Kontrollü Bir Çalışma

The effectiveness of routine physiotherapy with and without neuromobilization on pain and functional disability in patients with shoulder impingement syndrome; a randomized control clinical trial

BackgroundThe objective of the study was to compare the effects of neuromobilization (NM) techniques and routine physiotherapy on pain and functional disability in patients having shoulder impingement syndrome (SIS). Present study was aimed to discover evidence based conservative and cost effective remedy on pain and functional disability.Study designSingle blinded randomized control clinical trial.MethodsA total of 80 patients with SIS were randomly assigned into care and experimental groups (40 in each group). After the baseline assessment routine physiotherapy was executed on both groups, while NM was applied additionally to experimental group. Pain and functional disability score were evaluated by Visual Analogue Scale and University of California at Los Angeles rating score at baseline, 5th and 11th week. Differences in outcome between groups were evaluated with clinical improvement.ResultsThe experimental group compared with care group at 11th week had lower mean pain score 2.15(1.66–2.64) vs 4.90(4.41–5.40); between group difference, 1.82; 95% (CI), − 2.38 to − 1.25; P < 0.001 and Partial ƞ2 = 0.33, similarly functional disability score 28.58(27.32–29.83) vs 20.10(18.84–21.36); between group difference,5.62; 95%CI, (4.32–6.92); P< 0.001 and Partial ƞ2 = 0.49 respectively. In experimental group NM was a more effective technique to reduce the pain severity and disability in SIS patients as compare to care group.ConclusionNeuromobilization techniques in addition to routine physiotherapy were significantly effective for the treatment of SIS.Trial registrationIRCT20190121042445N1, Registered 19 February 2019.

Genome-Wide Association Analysis Identified ANXA1 Associated with Shoulder Impingement Syndrome in UK Biobank Samples.

Shoulder impingement syndrome (SIS) is a common shoulder disorder with unclear genetic mechanism. In this study, Genome-wide Association Study (GWAS) was conducted to identify the candidate loci associated with SIS by using the UK Biobank samples (including 3,626 SIS patients and 3,626 control subjects). Based on the GWAS results, gene set enrichment analysis was further performed to detect the candidate gene ontology and pathways associated with SIS. We identified multiple risk loci associated with SIS, such as rs750968 (P = 4.82 × 10−8), rs754832 (P = 4.83 × 10−8) and rs1873119 (P = 6.39 × 10−8) of ANXA1 gene. Some candidate pathways have been identified related to SIS, including those linked to infection response and hypoxia, “ZHOU_INFLAMMATORY_RESPONSE_FIMA_DN” (P = 0.012) and “MANALO_HYPOXIA_UP” (P = 5.00 × 10−5). Our results provide novel clues for understanding the genetic mechanism of SIS.

Evaluation of the cross-sectional area of acromion process for shoulder impingement syndrome.

BackgroundAnatomic changes in the acromion have been considered a main cause of shoulder impingement syndrome (SIS). To evaluate the relationship between SIS and the acromion process, we devised a new morphological parameter called the acromion process cross-sectional area (APA). We hypothesized that the APA could be an important morphologic diagnostic parameter in SIS.MethodsWe collected APA data from 95 patients with SIS and 126 control subjects who underwent shoulder magnetic resonance imaging (MRI). Then we measured the maximal cross-sectional area of the bone margin of the acromion process on MRI scans.ResultsThe mean of APAs were 136.50 ± 21.75 mm2 in the male control group and 202.91 ± 31.78 mm2 in the male SIS group; SIS patients had significantly greater APAs (P < 0.001). The average of APAs were 105.38 ± 19.07 mm2 in the female control group and 147.62 ± 22.90 mm2 in the female SIS group, and the SIS patients had significantly greater APAs (P < 0.001). The optimal APA cut-off in the male group was 165.14 mm2 with 90.2% sensitivity, 91.4% specificity, and an area under the curve (AUC) of 0.968. In the female group, the optimal cut-off was 122.50 mm2 with 85.2% sensitivity, 84.9% specificity, and an AUC of 0.928.ConclusionsThe newly devised APA is a sensitive parameter for assessing SIS; greater APA is associated with a higher possibility of SIS. We think that this result will be helpful for the diagnosis of SIS.

Effect of shoulder stability exercises on hand grip strength in patients with shoulder impingement syndrome

Background: Shoulder impingement syndrome (SIS) is the second most common musculoskeletal condition that causes shoulder pain in the general population. Shoulder girdle muscle imbalance and posterior capsule tightness have been implicated as contributing factors.Objective: The purpose of this study was to investigate the effect of shoulder stability exercises (SSEs) on hand grip strength in patients with unilateral SIS.Methods: A total of 16 patients with a mean age of 32 ± 9.3 years diagnosed with stage II unilateral SIS participated in this study. A standardized SSE programme was conducted in the clinic under the direct 1-to-1 supervision of a physical therapist thrice weekly for 4 weeks for a total of 12 sessions on the affected and non-affected shoulders. The effect of the SSE programme on isometric hand grip strength was analysed.Results: A significant difference (p = .016) was observed in the hand grip strength of the affected shoulder side before and after the intervention, but no significant difference (p = 1.0) was found in the hand grip strength of the non-affected shoulder side post-intervention.Conclusion: The reduction in isometric hand grip strength of the affected shoulder side compared to that of the non-affected shoulder side in the same subject before the intervention shows that SIS significantly affects the hand grip strength of the affected side. SSEs significantly affect the isometric hand grip strength of SIS patients.

Quality of life assessments with SF 36 in different musculoskeletal diseases

The aim of this study is to evaluate comparatively the life quality of patients with knee osteoarthritis (KO), shoulder impingement syndrome(SIS), fibromialgia(FM), or osteoporosis(OP) using SF 36 and establish the impact of these diseases on quality of life (QoL). A total of 193 patients with one of the above-mentioned different diagnoses completed SF 36 scale. The diseases were compared to each other with SF 36 subgroups scores. There were significant differences among patients with KO and SIS, SIS and FM with respect to all SF 36 subgroups scores. According to these assessments, QoL of KO and FM patients was worst than that of SIS. The QoL scores of KO patients were worse than those of FM patients considering the physical function, while QoL scores of FM patients were lower than those of KO patients with respect to their general well-being. Scores of physical function and pain in KO patients were lower than those of OP patients. In domains of social functioning, emotional role, energy, pain, and general health condition QoL of FM patients was worse than that of OP patients. Quality of life of SIS patients was less affected than the patients of the other disease groups. In spite of their young age, FM patients appear to be the group with the worst quality of life scores.

Radiological evaluation of acromial characteristic using supraspinatus outlet view in shoulder impingement syndrome

Purpose of this study was to find the association between shoulder impingement syndrome (SIS) and morphological characteristics of acromion&nbsp; (acromial&nbsp; tilt&nbsp; angle,&nbsp; typeof&nbsp; acromion,&nbsp; subacromial osteophyte).Supraspinatus&nbsp; outlet&nbsp; view&nbsp; was&nbsp; performed&nbsp; using&nbsp; fluoroscopy. There&nbsp; were&nbsp; 40&nbsp; SIS&nbsp; patients&nbsp; and&nbsp; 40&nbsp; individuals&nbsp; with&nbsp; no&nbsp; shoulder&nbsp; pain&nbsp; examined&nbsp; and&nbsp; measured&nbsp; for&nbsp; their&nbsp; acromial&nbsp; tilt&nbsp; angle,&nbsp; typeof acromion&nbsp; (according&nbsp; to&nbsp; Bigliani’s&nbsp; classification&nbsp; and&nbsp; Park’s&nbsp; criteria)&nbsp; and&nbsp; forthe&nbsp; presence&nbsp; of&nbsp; subacromial&nbsp; osteophyte.&nbsp; Average acromial tilt angle was 34.1° (SD 7.6) for SIS group and 32.1° (SD 7.7) for control group. Type II acromion was found more frequent in both groups (85% and 95%). The association between SIS and acromial tiltangle or between SIS and type of acromion were statisticallyinsignificant (p=0.241 and p=0.221). Subacromial osteophyte was found in 52.5% of SIS group compare to 12.5% among the control group,&nbsp; and&nbsp; the&nbsp; association&nbsp; with&nbsp; SIS&nbsp; was&nbsp; statistically&nbsp; significant&nbsp; (p=0.0003).Subacromial&nbsp; osteophyte&nbsp; was&nbsp; found&nbsp; to&nbsp; have&nbsp; significant association with SIS. Such association was not found in acromial tilt angle and type of acromion. (Med J Indones 2007; 16:176-80)