Shoulder Motion Research Articles

Trends in reported outcomes and patient reported outcome measures (PROMs) in humeral shaft fracture literature: a systematic review.

With a lack of standardization among outcome measures in fracture literature, cross-study comparisons remain limited. This systematic review aimed to identify trends in outcome measures reported by studies of the treatment of humeral shaft fractures. A systematic review was performed of studies reporting clinical outcomes of humeral shaft fractures indexed in PubMed. Extracted data included demographics, fracture characteristics, treatment modalities, outcomes, patient reported outcome measures (PROMs), and journal characteristics. Cochran-Armitage tests and linear regressions were used to identify data trends. Pearson chi-square and Kruskal-Wallis tests were used for comparisons between studies. This review included 197 studies with outcomes of 15,445 humeral shaft fractures. 126 studies reported PROMs and 37 different PROMs were used. The Constant Score was most commonly reported (34% of studies), followed by ASES Score (21%), MEPS (21%), and DASH Score (20%). There was a significant increase in PROM usage over time (p = 0.016) and in articles using three or more PROMs (p = 0.005). The number of PROMs were significantly greater in prospective cohort studies and RCTs (p = 0.012) compared to retrospective cohort studies and case series (p = 0.044 for both). Post-treatment shoulder motion was reported in 43% of studies and 34% reported elbow motion. 86% of studies reported complications as an outcome parameter. Time to union and nonunion rate were published in 69% and 88% of studies, respectively. This study identified increasing PROM usage over time and disparities in the reporting of outcomes in humeral shaft fracture literature requiring further validation and standardization of available outcome measures.

Efficacy of Bowen's Technique on Shoulder Range of Motion, Pain, and Disability in Patients with Frozen Shoulder

BACKGROUND Frozen shoulder is a common debilitating condition characterized by scapulohumeral pain and progressive loss of shoulder movement. The presence of intracapsular fibrosis complicates this condition by affecting range of motion, pain, and inflammation. The Bowen technique is a system of subtle and very precise mobilizations called Bowen moves applied over muscles tendons, nerves, and fascia. The moves are performed using the fingers and thumbs, applying only gentle, non-invasive pressure. OBJECTIVE The objective of the study was to evaluate the effectiveness of Bowen Therapy on range of motion, pain, and disability in patients with Frozen shoulder METHODOLOGY A 35-year old male having frozen shoulder was selected according to inclusive and exclusive criteria. Pre-test for range of motion was assessed by goniometer. Pain and disability by shoulder pain and disability index scale (SPADI). Bowen’s Therapy was given for 4weeks, 5days per week for 1hour of session. Following the intervention after 4weeks, the effect of both the components was assessed by same tool as in pre-test. RESULT There was an increase of 30-40 degrees of range of motion after the treatment compared to its pre-test values where as in pain and disability showed improvement from very severe shoulder pain and disability to moderate shoulder pain and disability. CONCLUSION Bowen Therapy was found to be effective on range of motion, pain, and disability in patients with Frozen shoulder.

Force reserve predicts compensation in reaching movement with induced shoulder strength deficit.

Following events such as fatigue or stroke, individuals often move their trunks forward during reaching, leveraging a broader muscle group even when only arm movement would suffice. In previous work, we showed the existence of a "force reserve": a phenomenon where individuals, when challenged with a heavy weight, adjusted their motor coordination to preserve approximately 40% of their shoulder's force. Here, we investigated if such reserve can predict hip, shoulder, and elbow movements and torques resulting from an induced shoulder strength deficit. We engaged 20 healthy participants in a reaching task with incrementally heavier dumbbells, analyzing arm and trunk movements via motion capture and joint torques through inverse dynamics. We simulated these movements using an optimal control model of a 3-degree-of-freedom upper body, contrasting three cost functions: traditional sum of squared torques, a force reserve function incorporating a nonlinear penalty, and a normalized torque function. Our results demonstrate a clear increase in trunk movement correlated with heavier dumbbell weights, with participants employing compensatory movements to maintain a shoulder force reserve of approximately 40% of maximum torque. Simulations showed that while traditional and reserve functions accurately predicted trunk compensation, only the reserve function effectively predicted joint torques under heavier weights. These findings suggest that compensatory movements are strategically employed to minimize shoulder effort and distribute load across multiple joints in response to weakness. We discuss the implications of the force reserve cost function in the context of optimal control of human movements and its relevance for understanding compensatory movements poststroke.NEW & NOTEWORTHY Our study reveals key findings on compensatory movements during upper limb reaching tasks under shoulder strength deficits, as observed poststroke. Using heavy dumbbells with healthy volunteers, we demonstrate how forward trunk displacement conserves around 40% of shoulder strength reserve during reaching. We show that an optimal controller employing a cost function combining squared motor torque and a nonlinear penalty for excessive muscle activation outperforms traditional controllers in predicting torques and compensatory movements in these scenarios.

Feasibility of Ultrasound-Guided Suprascapular Nerve Block in Improving Shoulder Motion and Pain Post-Surgery in Breast Cancer Survivors: A Randomized Control Trial

Feasibility of Ultrasound-Guided Suprascapular Nerve Block in Improving Shoulder Motion and Pain Post-Surgery in Breast Cancer Survivors: A Randomized Control Trial

Ultrasound-guided serratus anterior plane block enhances postoperative analgesia and recovery in thoracoscopic surgery.

The serratus anterior muscle, located in the lateral aspect of the thorax, plays a crucial role in shoulder movement and stability. Thoracoscopic surgery, while minimally invasive, often results in significant postoperative pain, complicating patient recovery and potentially extending hospital stays. Traditional anesthesia methods may not adequately address this pain, leading to increased complications such as agitation due to inadequate pain management. To evaluate the application value of ultrasound-guided serratus anterior plane block (SAPB) in patients undergoing thoracoscopic surgery, focusing on its effects on postoperative analgesia and rehabilitation. Eighty patients undergoing thoracoscopic surgery between August 2021 and December 2022 were randomly divided into two groups: An observation group receiving ultrasound-guided SAPB and a control group receiving standard care without SAPB. Both groups underwent general anesthesia and were monitored for blood pressure, heart rate (HR), oxygen saturation, and pulse. The primary outcomes measured included mean arterial pressure (MAP), HR, postoperative visual analogue scale (VAS) scores for pain, supplemental analgesic use, and incidence of agitation. The observation group showed significantly lower cortisol and glucose concentrations at various time points post-operation compared to the control group, indicating reduced stress responses. Moreover, MAP and HR levels were lower in the observation group during and after surgery. VAS scores were significantly lower in the observation group at 1 h, 4 h, 6 h, and 12 h post-surgery, and the rates of analgesic supplementation and agitation were significantly reduced compared to the control group. Ultrasound-guided SAPB significantly improves postoperative analgesia and reduces agitation in patients undergoing thoracoscopic surgery. This technique stabilizes perioperative vital signs, decreases the need for supplemental analgesics, and minimizes postoperative pain and stress responses, underscoring its high application value in enhancing patient recovery and rehabilitation post-thoracoscopy.

Transmediastinale migratie van een Kirschner-pin na fixatie van een proximale humerusfractuur: een casus

Transmediastinal migration of a Kirschner pin after fixation of a proximal humeral fracture: a case report Fractures of the proximal humerus are common lesions in the elderly population. In some cases, they are surgically stabilized via a minimally invasive technique, namely percutaneous osteosynthesis with fixation pins. Intrathoracic migration of these pins or wire is a rare complication after percutaneous osteosynthesis of a proximal humeral fracture. In this article, the authors describe an extremely rare transmediastinal migration of a Kirschner pin from the humeral head. The purpose of this case report is to call for awareness and to open a debate in which appropriate prevention can be freely discussed. The consideration of a conservative management, the choice of alternative osteosynthesis techniques, the use of a sling bandage to restrict the shoulder movement, the use of fixation pins with a threaded tip, bending of the external free end of the pin and an appropriate time to remove the pin are possible recommendations from the literature. Furthermore, it is important to provide additional information and awareness to health care providers in rehabilitation centers, geriatricians and orthopedists concerning the possibility of such a life-threatening postoperative complication. Thus, specific policies for clinical and radiographic monitoring of the position of fixation pins should be developed in hospitals and rehabilitation centers with the aim of prevention, early detection and prompt action when this life-threatening complication is suspected.

Is There a Relationship Between Grip Strength and Injuries in Professional Baseball Players?

Injuries in professional baseball players have become exceedingly common. Efforts to mitigate injury risk have focused on the kinetic chain, shoulder motion, and so forth. It is unclear whether grip strength is related to injury risk in professional baseball pitchers. The purpose of this study was to determine if grip strength was a risk factor for injury. It was hypothesized that pitchers with weaker grip strength would have a higher likelihood of sustaining a shoulder or elbow injury compared with pitchers with stronger grip strength. Case-control study; Level of evidence, 3. All professional pitchers from a single Major League Baseball organization were included. Dominant and nondominant grip strength were measured after each pitching outing throughout the 2022 season. Injuries over the course of the season were recorded, and data were compared between pitchers who sustained a shoulder or elbow injury and those who did not. Overall, 213 pitchers were included, of whom 53 (24.9%) sustained a shoulder or elbow injury during the season. The mean grip strength for all pitchers was 144.0 ± 20.8 lb (65.3 ± 9.4 kg). The mean dominant-arm grip strength was 142.6 ± 20.8 lb (64.7 ± 9.4 kg) for pitchers who did not sustain a shoulder or elbow injury and 148.2 ± 20.9 lb (67.2 ± 9.5 kg) for pitchers who did sustain an injury, with no significant group difference in grip strength (P > .05). Furthermore, there were no significant differences in change in grip strength over the course of the season between the groups. There was no significant difference in mean grip strength or change in grip strength over the course of a single season between professional baseball pitchers who sustained a shoulder or elbow injury and those who did not.

Superior Capsular Reconstruction With the Mini-open Keyhole Technique Using Achilles Allograft Shows Favorable Outcomes for Patients With Preoperative Pseudoparalysis but Worse Outcomes and Strength With Longer Duration of Pseudoparalysis

PurposeThe purpose of this study was to analyze whether unique SCR with key-hole technique using Achilles allograft can improve pseudoparalysis in patients with irreparable rotator cuff tears and additionally to identify preoperative factors that influence clinical outcomes. MethodsBetween January 2018 and October 2021, patient data from SCR with our institution's unique key-hole technique using Achilles were retrospectively collected (minimum 2-years follow up). The patients were categorized into pseudoparalysis group (P group) and no pseudoparalysis group (NP group). Active range of motion (ROM) of shoulder, clinical scores (constant and pain visual analog scale scores) and muscle strength was assessed preoperatively and at 2-years postoperatively. And the correlation between preoperative and postoperative clinical data was analyzed through simple linear regression in the P group. Results69 patients who underwent SCR with key-hole technique using Achilles, were included in the study. Group P and NP had 24 and 45 cases, respectively. Preoperative ROM (FE, ER), constant score and muscle strength (FE, ER) were significantly lower in P group than NP group. At 2-year follow-up the active ROM (FE, p<0.001, ER, p<0.001), constant score, VAS, muscle strength (FE, p<0.001, ER, p<0.001) were improved in the P group. In P group, pseudoparalysis recovered in 21 out of 24 patients (87.5%) at 2-year after surgery. The minimum clinically important difference of patient reported outcomes (Constant Score / VAS) were 8.15/1.05 for the P group and 9.47/0.92 for the NP group. Among the 3 cases of recovery failed, 2 cases were due to graft failure, and 1 case had delayed recovery. Prolonged preoperative pseudoparalysis and weaker preoperative external rotation strength were associated with worse clinical outcomes. ConclusionsSuperior capsular reconstruction with mini open key-hole technique using Achilles allograft demonstrates favorable outcomes for patients with preoperative pseudoparalysis. However, for SCR with the pseudoparalyis patients the careful attention is needed because the longer pseudoparalysis duration and the weaker external rotation strength could have the tendency of worse postoperative outcomes.

Wearable Ultrasound Imaging Device for Dynamic Dual-Direction Shear Wave Elastography of Shoulder Muscle.

The shoulder is the most mobile joint in the human body, thus requiring intricate coordination of adjacent muscles. Patients suffered from rotator cuff muscle injuries have several typical symptoms including shoulder pain and difficulty raising the arm, thus reducing work efficiency and compromising the quality of life. Ultrasound has been used widely for shoulder soft tissue imaging as well as ultrasound elastography was introduced in shoulder examination for the dilemma of treating degenerative rotator cuff tears. However, most of the ultrasound examination was performed under a static condition. Providing dynamic information from shoulder muscle is important in clinical applications because the pains sometimes come from various positions of the shoulder during moving. In this study, a customized wearable T-shaped ultrasound transducer (128 + 128 elements) was proposed for shoulder dual-direction shear wave elastography (DDSWE), which provides the SWE for both longitudinal (SW along the muscle fiber) and transverse (SW cross the muscle fiber) directions dynamically. An optical tracking system was synchronized with an ultrasound imaging system to capture shoulder movements in 3-D space with their corresponding ultrasound images. The performance of DDSWE and the accuracy of optical tracking were verified by phantom experiments. Human studies were carried out by volunteers as they are moving their arms. The experimental results show that the bias and precision for the proposed DDSWE in elastic phantom were about 6% and 1.2% for both directions, respectively. A high accuracy of optical tracking was observed using a 3-D motor stage experimental setup. Human experiments show that the shear wave velocities (SWVs) were increased with the angles of shoulder abduction, and the average transverse and longitudinal SWVs were increased from 2.24 to 3.35 m/s and 2.95 to 5.95 m/s with abduction angle from 0° to 60°, respectively, which they are anisotropic-dependent. All the experimental results indicate that the proposed wearable ultrasound DDSWE can quantify the mechanical properties of shoulder muscles dynamically, thereby helping surgeons and physical therapists determine whether the intensity of rehabilitation shoulder be tuned down or escalated in the future.

The Effect of Pain on the Quality of Life and Physical Activity Levels in Daily Living Activities for Patients with Rotator Cuff Syndrome

Pain is one of the most important factors affecting the quality of life. The quality of life can be affected in patients with Rotator Cuff Syndrome (RCS) who have pain and restricted shoulder movements. The aim of our study is to examine the effect of the pain on functional status, quality of life and physical activity levels in daily life activities of RCS patients. 40 patients (19-64 ages) with RC were included in the study. Pain severity (Visual Analogue Scale- VAS), upper extremity functional status and disability (Quick-DASH questionnaire), physical activity level (International Physical Activity Questionnaire- IPAQ) and health related quality of life (Short Form-36- SF-36) were evaluated. Statistical analyzes were made using the SPSS 25.0 program.The cases mean age was 50.40 ± 11.37 and of 26 were female and of 14 were male. In the study, significant relationship was found between the Quick-DASH score and shoulder pain at night, at rest, during activity and during heavy object carrying (p

Pharmacopuncture therapy for adhesive capsulitis: A pragmatic randomized controlled pilot study

BackgroundAlthough several studies have reported the effectiveness of acupuncture treatment for adhesive capsulitis (AC), research on pharmacopuncture therapy for AC remains limited. We compared the effectiveness and safety of pharmacopuncture and physiotherapy for AC. MethodsThis pragmatic, randomized, controlled, parallel-group pilot study enrolled patients with limitations of shoulder movement and a numeric rating scale (NRS) score for shoulder pain ≥5 randomized (1:1) to the pharmacopuncture therapy (PPT) and physiotherapy (PT) groups. Treatment sessions were administered twice weekly for 6 weeks, and the participants were followed up for 13 weeks after randomization. The primary outcome was the NRS score for shoulder pain, and the secondary outcomes were the visual analog scale (VAS), Shoulder Pain and Disability Index (SPADI), range of motion (ROM), patient global impression of change (PGIC), EuroQol 5-Dimension 5-Level (EQ-5D-5L), and Short Form 12 Health Survey (SF-12) scores. The intention-to-treat (ITT) analysis was set as the primary analysis. ResultsAmong 50 participants, for the primary endpoint (week 7) the PPT group showed a significantly superior improvement in NRS, VAS, SPADI, ROM for flexion, ROM for abduction, and EQ-5D-5L scores. The ROM for extension, ROM for adduction, physical component summary, and patient global impression of change were significantly better in the PPT than in the PT group, and these effects were sustained until week 13. ConclusionIn this pilot study, PPT showed better effects than PT, confirming the feasibility of a follow-up main study. Trial registrationClinicaltrials.gov (NCT05292482) and cris.nih.go.kr (KCT0007198).

Effects of upper limb low resistance exercises along with manual lymphatic drainage in subjects with post radical mastectomy – a pilot study

Introduction: Post radical mastectomy patients will have physical problems like reduced shoulder movements and upper limb muscles strength. The performance and overall function of upper limb and Quality of Life (QOL) will reduce followed by these muscle’s reduced activity. The aim of present study is to find the effects of manual lymphatic drainage with low resistance training of upper limb on shoulder function and QOL of post mastectomy patients. Generally, upper limb muscles like Trapezius, serratus anterior, pectoralis s group. 1 subject from experimental group withdrawal from study. The treatment duration is 12 weeks based on cancer Rehabilitation principle. Outcome measures are taken Lymph ICF (for QOL), anatomical circumferential measurements (for Lymphedema). Patients selected based on the inclusion and exclusion criteria. Experimental group patients receiving upper limb low resistance training and manual lymphatic drainage techniques and control group patients receiving only manual lymphatic drainage techniques. Both group of patients are advised to wear upper limb elastic stockings for 8 hours per day. Result: All Outcome measures taken in baseline (pre) and end of 12 weeks (post) in both groups. Data was analysed by using paired ’t’ test. Results analysed based on pre and post test values. Conclusion: The study has designed a structured low resistance upper limb exercise program for post radical mastectomy patients in improving shoulder function and QOL.

Comparison of Patients' and Surgeons' Expectations before Shoulder Arthroplasty.

Background: Patients suffering from osteoarthritis particularly complain about pain during day and night as well as loss of function. This consequently leads to impaired quality of life and therefore psychological stress. The surgical therapy of choice is joint replacement. Regarding the outcome after operation, expectations might differ between the patient and the surgeon. This can lead to dissatisfaction on both sides. This study aimed to document patients' expectations of a planned shoulder joint replacement. The results were compared with assessments made by shoulder surgeons. Methods: In total, 50 patients scheduled for operative shoulder joint replacement were included in this study, as well as 10 shoulder surgeons. Patients were requested to fill out questionnaires preoperatively to provide sociodemographic data, PROMS (Patient-Reported Outcome Measures) with regard to the pathology and their expectations about surgery in terms of pain relief, gain of range of motion, strength as well as the impact on activities of daily and professional life and sports. In addition, surgeons were asked what they thought their patients expect. Results: The most important goal to achieve for patients was to relieve daytime pain, followed by improvement of self-care and the ability to reach above shoulder level. The most important factors for patients to achieve after operation were 'pain relief' in first place, 'movement' in second and 'strength' in third. This also applied to shoulder surgeons, who ranked 'pain relief' first, followed by 'movement' and 'strength'. When patients where asked what is most important when it comes to choosing their surgeon, 68% voted for 'surgical skills', 28% for 'age/experience', followed by 'empathy', 'sympathy' and 'appearance'. For surgeons, 'age/experience' obtained rank one, 'surgical skills' was ranked second, followed by 'sympathy', 'empathy' and 'appearance'. Surgeons significantly underrated the factor 'empathy' in favor of 'sympathy'. Conclusions: This study shows that patients' expectations for shoulder joint replacement and surgeons' assessments do not differ significantly. Relief from pain and better shoulder movement were crucial for patients to achieve after operation, which was in line with surgeons' expectations. The most important factor for choosing the surgeon was 'surgical skills' for patients, while surgeons thought they would care more about 'age and experience'. This underlines that patients' expectations should be taken into account within the preoperative medical interview. This might allow an optimization of compliance of the patients and lead to a better satisfaction on both sides.

Recovery of the Total Birth Brachial Plexus Palsy without Surgical Treatment: A Single-Center, Retrospective Study and Literature Review.

Background Spontaneous recovery of a birth brachial plexus disorder is difficult to predict. Although root avulsion and total plexus injury is indicated for surgical management, early nerve surgery is still doubtful. Hand motion is obviously an important indicator for predicting the function of an affected limb. However, the timing for diagnosing a transient or true total plexus injury from hand recovery is controversial. This study aimed to report the recovery time of total birth brachial plexus palsy in patients who did not undergo surgery due to various reasons. Methods In this 15-year retrospective chart review, 45 patients of total birth brachial plexus injury with a mean follow-up time of 34.5 months, were included. Although patients met surgical indications, surgical management was abandoned for a variety of reasons. Imaging was not performed routinely and, nerve conduction study and Horner's syndrome were not consistently recorded in the past. All patients were evaluated for clinical improvement by motor power grading. The recovery time was reported as the median and interquartile range. Results Forty-five patients were diagnosed with total birth brachial plexus injury. Out of 45 patients, 36 showed clinical evidence of recovering their hand motion within a median of 3 months. The median time for the recovery of elbow flexion and shoulder abduction was 4 months. The median for achieving antigravity or full motion recovery of elbow flexion, shoulder abduction, and hand flexion were 10, 10.5, and 7 months, respectively. Conclusion In this study, spontaneous recovery of shoulder, elbow and hand motion substantially occurred in the patient diagnosed with a total birth brachial plexus palsy. True total plexus palsy can be distinguished from transient palsy by the recovery of hand motion at 3 months. Most of the patients, who had spontaneous recovery, potentially achieved antigravity or full hand movement without surgery.

Comparison of clinical and functional outcomes of physical therapy alone versus additional intraarticular injection of platelet rich plasma in treatment of frozen shoulder in Indian population

Background: Frozen shoulder (adhesive capsulitis) involves significant restriction of shoulder motion due to an inflammatory process and typically follows stages of pain, stiffness, and recovery over 2-3 years. This study explores the efficacy of platelet-rich plasma (PRP) injections, alongside conventional physiotherapy, as a non-operative treatment to enhance recovery in patients with adhesive capsulitis. Methods: This prospective, randomized, open, blinded, single-center clinical study involving 50 patients with adhesive capsulitis, comparing intra-articular PRP injections and physical therapy with physical therapy alone over 24 weeks. Primary outcomes were assessed using the shoulder pain and disability index (SPADI) and visual analog scale (VAS), with follow-ups at 6, 12, and 24 weeks to evaluate pain, function, and patient satisfaction. Results: In adhesive capsulitis (AC), intra-articular platelet-rich plasma (IA-PRP) injections with physical therapy (PT) provided superior pain relief, functional improvement, and higher treatment satisfaction after 24 weeks compared to PT alone. The IA-PRP group also showed better VAS scores and reduced acetaminophen use, indicating more effective pain management. Conclusions: In AC, IA-PRP injections showed greater pain relief and improved shoulder mobility compared to PT alone after 12 weeks. PRP's effectiveness highlights its potential, especially when corticosteroids are unsuitable, though longer-term studies are needed to confirm these results.

The validation of inertial measurement units in upper limb movement during wheelchair activity

Introduction: 3D motion capture is accepted to be the gold standard approach to all data collection for the production of accurate data, however, in recent literature the ecological validity of 3D systems has come into question. This has brought about the use of Inertial measurement units (IMU’s) and the investigation into their accuracy in enabling accurate real life scenario data collection. The depth of research on IMU’s in wheelchair data collection is limited, and at current there is limited attempts at a validation in comparison to an established data collection software. This research aims to validate basic upper body motions seen within wheelchair propulsion in an attempt to identify the current limitations of IMU’s. Methods: numerous IMU placements and calibration stances were investigated for the collection of elbow flexion and shoulder flexion. IMU’s for elbow flexion were placed at the wrist and central on the forearm. For shoulder flexion the IMU was placed 1 cm above the elbow joint. During the calibration phase, standing anatomical position with thumbs forwards, palms outwards, bent elbow and straight arms outwards at 90° for elbow and shoulder flexion, respectively. For both shoulder and elbow flexion, the participant started at a neutral position and moved through to 90° of flexion and returned to starting position. Quintic was used as the validated software. Results: the wrist placed IMU determined elbow flexion more accurately than the forearm placed IMU. Range of motion for both shoulder and elbow flexion were well calculated within several degrees when using the anatomical thumbs forwards calibration pose; with 99.97 and 89.69°, respectively compared to 88.48 and 97.32°. However, the degree of elbow flexion was overestimated with a difference of 27.78°, with the IMU being 91.11° and quintic being 63.33°. Similar results were also seen for the prediction of elbow flexion during the starting phase with a difference of 26.58°. Discussion: with range of motion accurately calculated in comparison to quintic, and shoulder flexion maximum and minimum values also being similar when segment angle was calculated. Then the differences are likely due to error in the calculation of joint angle using a calculation of global coordinate system from the IMU coordinate system during data processing. Therefore, future research should target alternate approaches to data processing in order to reduce the errors seen.

Motivational impact, self-reported fear, avoidance, and harm perception of shoulder movements pictures in people with chronic shoulder pain

Objectives (1) to represent in pictures a group of items from the International Classification of Functioning (ICF) that represent daily situations; (2) to compare valence and arousal evoked by these pictures between chronic shoulder pain and pain-free control groups and assess self-reports of fear, avoidance, and harm perception. Methods This is a cross-sectional observational study and approved by Research Ethics Committee. Selected pictures representing items from the ICF were judged by members of the general public using an online form. We used the set of International Affective Picture System and the Self-Assessment Manikin to compare valence and arousal between groups. The chronic shoulder pain group answered questions regarding self-reports of fear, avoidance, and harm perception. Results The protocol consisted of 58 pictures. A repeated measures ANOVA for valence revealed a main effect of group, F(1, 9)=24.81;p < 0.005, and no effect on the arousal, F(1,9)=2.00;p < 0.190. The shoulder pain group judged shoulder pictures more aversive. The picture that represents the movement of carrying on shoulder presented the highest medians of self-reports of fear, avoidance, and harm perception 10(8-10). Conclusion The pictures represent daily activities that correspond to the items from the ICF. The valence of the shoulder pictures was different between the groups, shoulder pictures were considered more aversive for the group with chronic shoulder pain. The responses of avoidance, fear, and harm perception showed higher median in the carrying on shoulders, hip, and back picture.

The Effect of Controlling the Relaxation of Bony Landmarks Surrounding the Anterior Shoulder in Collegiate Wrestlers on Improving Shoulder Movement

The Effect of Controlling the Relaxation of Bony Landmarks Surrounding the Anterior Shoulder in Collegiate Wrestlers on Improving Shoulder Movement

Functional Outcome of Arthroscopic Bankart Repair with Knotless Suture Anchor: A Retrospective Observational Study

Background: The soft tissue in the shoulder plays a significant role in anterior shoulder instability, leading to humeral head displacement from the glenoid fossa. Arthroscopic Bankart repair is a widely accepted method to restore the labrum to the joint rim. This study aims to evaluate the clinical outcomes of Bankart repair by knotless suture anchors at medium-term follow-up, assess the functional outcomes of the knotless suture anchor method for recurrent anterior glenohumeral instability, and conduct clinical assessment using the Rowe score at 6-week, 3-month, 6-month, and 12-month intervals in patients. Methods: In this retrospective study, patients who underwent arthroscopic Bankart repair using a 2.8 mm knotless suture anchor (MINI-VIM PK® ) were enrolled. They were assessed for shoulder stability, range of motion (ROM), and functional outcomes using the Rowe scale at the baseline, 6-week, 3-month, 6-month, and 12-month follow-up intervals as part of the planned early efficacy measures. All the statistical analyses were performed using SPSS software. Results: The mean age of the subjects was 28.10 ± 6.14. In this trial, 51 patients (69.86%) were diagnosed with recurrent shoulder dislocation on the left side, and 22 patients (30.14%) on the right side. The Rowe score demonstrated a significant improvement (P &lt; 0.0001), increasing from 44.73 ± 1.64 to 95.62 ± 18.33 at the 12-month follow-up period. This indicated better clinical outcomes and reduced recurrence of instability with the use of knotless suture anchors. Conclusion: The use of knotless suture anchors demonstrated reduced recurrence rates, improved post-operative shoulder motion, and increased stability without adding complexity to the procedure.

A CLINICAL STUDY TO EVALUATE THE EFFECT OF MASHA TAILA AND PHYSIOTHERAPY IN THE MANAGEMENT OF AVABAHUKA W.S.R.TO FROZEN SHOULDER

Introduction : Paradoxically shoulder joint privileged as the most mobile joint in the body has its nemesis be-cause of this advantage i.e. it become more vulnerable to injuries. Frozen shoulder is a clinical syndrome char-acterized by painful restriction of both active and passive shoulder movements due to abnormalities within the shoulder joint or remote. Prevalence of this disease is around 2.1 - 5% and women suffer more than men be-tween age group of 40-60 years .According to Ayurvedic principles, frozen shoulder can be taken as“Avabahuka”(Frozen shoulder), as its clinical features are almost similar. Ayurvedic principles of manage-ment for these diseases are more effective than other pathies . In modern medicine the current management has many side effects and having success rate of 58% only.Even on surgical decompression recurrence is also there. Aim:- To determine the effect of Masha Taila(oil) and physiotherapy in the management of Avabahuka w.s.r.to Frozen Shoulder. Materials and method : The study was conducted on 30 patients in two groups with symp-toms of Frozen shoulder. Statistical Analysis used : Observations of the study were analyzed, and findings were evaluated by using statistical methods. Result: Group I:-Among15 patients,11patients (73%) had markedly im-proved .Group II:-Among 15 patients, 2 patients (13.33%)had markedly improved. Conclusion: In group I: -Masah Taila (Matar Vasti(Enema) and Sthanic Snehna(Oleation) along with physiotherapy gave better results ,in less duration of time then physiotherapy alone in group II.