Shoulder Passive Range Of Motion Research Articles

A comparison of the effects of two different iontophoresis applications on pain in patients with adhesive capsulitis of the shoulder

AbstractThe aim of this study was to investigate effects of iontophoresis in patients with adhesive capsulitis. Forty-five patients participated in the study. Patients were divided equally into three groups. Group I was treated with calcium chloride (CaCl2) iontophoresis and short wave diathermy (SWD); and Group II patients with sodium chloride (NaCl) iontophoresis plus SWD; and Group III with SWD alone. All patients were allowed the same exercise program. Pain at rest and during movements of the shoulder were measured before and after the treatment. The results showed that all treatments decreased pain perception and increased shoulder passive range of motion (p 0.05). In conclusion, iontophoresis plus SWD produced results that were better than with SWD alone in the treatment o...

SHOULDER WEAKNESS - GERIATRIC GOLFER

247 HISTORY - An active 73 year old male recreational golfer presented with a chief complaint of right sided neck pain and shoulder weakness of one week duration. The pain started insidiously, was exacerbated by neck movement, and was maximally relieved by rest. He denied antecedent trauma or previous shoulder injury though related a prior history of left cervical radiculopathy twenty years ago. The right shoulder weakness significantly affected his back-swing and was most obvious when he attempted any overhead motions. Furthermore, he reported a vague numbness in the right hand and on rare occasion experienced pain radiating to the right elbow. Additional past medical history included chronic obstructive pulmonary disease, hypothyroidism, hypertension, and an elevated prostate specific antigen(PSA). PHYSICAL EXAMINATION - Neck range of motion (ROM) was full in all planes but precipitated right posterior neck and trapezius muscle pain. On palpation there was minimal cervical paraspinal and shoulder girdle muscle tenderness. Passive right shoulder ROM was normal however, active ROM was limited to 80 degrees of forward flexion and abduction. Shoulder impingement tests were mildly to moderately provocative. Reflexes were normal except for an equivocally reduced right biceps reflex. Manual muscle testing revealed moderate weakness in the right deltoid, biceps and supraspinatus. Sensory examination was normal. Foraminal compression maneuvers were negative. DIFFERENTIAL DIAGNOSIS: Cervical radiculopathy Rotator cuff tendonitis or tear Brachial plexopathy (traumatic, neoplastic, idiopathic) TESTS AND RESULTS: Serology - CBC and sTSH were normal, PSA was highly elevated at 50.9 X-rays cervical spine (with flexion/extension) - Mild degenerative changes with no evidence of instability. MRI cervical spine - No disk herniations or neuroforaminal stenosis. EMG - Consistent with right upper trunk brachial plexopathy. MRI brachial plexus - No evidence of mass lesion or traumatic plexopathy. FINAL/WORKING DIAGNOSIS: Neuralgic Amyotrophy (Idiopathic Brachial Plexopathy) Probable prostate cancer. TREATMENT: Modalities (heat and ice) for pain control as needed. Non-steroidal anti-inflammatory drugs or acetaminophen as needed. Shoulder ROM exercises. Review proper shoulder biomechanics to normalize glenohumeral and scapulothoracic rhythm. Sub-maximal rotator cuff strengthening. Sub-maximal biceps and deltoid strengthening. Recommend Urologic Consultation for prostate evaluation.

Risk Factors of Hemiplegic Shoulder Pain in Stroke Patients

Objectives: This study is designed to investigate the degree of correlation of hemiplegic shoulder pain to some clinical parameters including electrodiagnostic testing. Methods: Fifty post-stroke patients were divided into 3 groups: Group A patients had spontaneous hemiplegic shoulder pain, Group B patients had shoulder pain only during movement, and Group C patients had no shoulder pain. The correlational relationships between shoulder pain in the hemiplegic side and some clinical parameters including age, sex, side affected, duration of stroke, motor function, sensory impairment, spasticity, shoulder subluxation, shoulder contracture, peripheral nerve conduction, and the presence of spontaneous electromyographic [EMG] activity was analyzed statistically. Results: Data analysis revealed no significant correlation between the hemiplegic shoulder pain and age, sex, side affected, or duration of stroke. However, the presence of shoulder subluxation or limitation of passive shoulder range of motion [ROM] sho...

Goniometric reliability in a clinical setting. Shoulder measurements.

The purpose of this study was to examine the intratester and intertester reliabilities for clinical goniometric measurements of shoulder passive range of motion (PROM) using two different sizes of universal goniometers. Patients were measured without controlling therapist goniometric placement technique or patient position during measurements. Repeated PROM measurements of shoulder flexion, extension, abduction, shoulder horizontal abduction, horizontal adduction, lateral (external) rotation, and medial (internal) rotation were taken of two groups of 50 subjects each. The intratester intraclass correlation coefficients (ICCs) for all motions ranged from .87 to .99. The ICCs for the intertester reliability of PROM measurements of horizontal abduction, horizontal adduction, extension, and medial rotation ranged from .26 to .55. The intertester ICCs for PROM measurements of flexion, abduction, and lateral rotation ranged from .84 to .90. Goniometric PROM measurements for the shoulder appear to be highly reliable when taken by the same physical therapist, regardless of the size of the goniometer used. The degree of intertester reliability for these measurements appears to be range-of-motion specific.