Effects Of Thoracic Spinal Manipulative Therapy On Thoracic Spine And Shoulder Kinematics Thoracic Spine Flexion Extension Excursion And Pressure Pain Sensitivity In Patients With Subacromial Pain Syndrome
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Effects Of Thoracic Spinal Manipulative Therapy On Thoracic Spine And Shoulder Kinematics Thoracic Spine Flexion Extension Excursion And Pressure Pain Sensitivity In Patients With Subacromial Pain Syndrome
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Author : Joseph Rahmon Kardouni
language : en
Publisher:
Release Date : 2013
Effects Of Thoracic Spinal Manipulative Therapy On Thoracic Spine And Shoulder Kinematics Thoracic Spine Flexion Extension Excursion And Pressure Pain Sensitivity In Patients With Subacromial Pain Syndrome written by Joseph Rahmon Kardouni and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with categories.
Effects of thoracic spinal manipulative therapy on thoracic spine and shoulder kinematics, thoracic spine flexion/extension excursion, and pressure pain sensitivity in patients with subacromial pain syndrome By Joseph R. Kardouni, Ph.D., PT A dissertation submitted in partial fulfillment of the requirements for the degree of Ph. D., at Virginia Commonwealth University. Virginia Commonwealth University, 2013. Major Director: Lori A. Michener, Ph. D., PT, ATC, Professor, Department of Physical Therapy In patients with shoulder pain, the use of manual therapy directed at the spine and shoulder have been reported to provide superior outcomes to exercise based interventions or usual care without the use of manual therapy. Clinical trials have also reported improved pain and disability after thoracic spinal manipulative therapy (SMT) as a stand-alone treatment for shoulder pain. Although clinical efficacy is reported for the use of thoracic SMT for the treatment of shoulder pain, the mechanisms underlying the clinical benefits are not well understood. This limits the directed use of SMT. The benefits could be due to changes in spine or shoulder motion or neurophysiologic mechanisms of pain modulation. Elucidating the mechanism of manual therapy will aid the directed use of thoracic SMT for treating patients with shoulder pain. The research described in chapters 3 and 4 was performed to assess the effects of thoracic SMT in patients with subacromial pain syndrome with regard to biomechanical changes at the thoracic spine and shoulder and effects on central and peripheral pain sensitivity. Subjects with shoulder impingement pain symptoms were randomly assigned to receive 1 visit of thoracic SMT or sham SMT, applied to the lower, middle, and upper (cervicothoracic junction) thoracic spine. A 3-dimensional electromagnetic tracking system was used to measure thoracic and scapular kinematics during active arm elevation, and thoracic excursion at end-range of flexion and extension pre- post-treatment. Pressure pain threshold (PPT) was measured at the painful shoulder (deltoid) and unaffected regions (contralateral deltoid and bilateral lower trapezius areas) immediately pre- and post-treatment. PPT measures at the painful shoulder were used to assess peripheral and/or central pain sensitivity, and PPT at unaffected regions measured central pain sensitivity. Patient-rated outcomes measures of pain (Numeric Pain Rating Scale-NPRS), function (Pennsylvania Shoulder Score-Penn), and global rating of change (GROC) were used to assess changes in clinical symptoms following treatment. No significant differences were found between treatment groups for the thoracic kinematics or excursion, shoulder kinematics, PPT measures, or patient-rated outcomes. No differences were noted pre- to post-treatment in either group for thoracic kinematics or excursion or PPT measures. In both groups, there was a decrease in mean scapular external rotation over time during ascending arm elevation, but the change was less than measurement error. Outcome measures of NPRS, Penn and GROC indicated clinical improvements in both groups following treatment, but there were no differences between the thoracic SMT or sham SMT groups. There were no meaningful correlations between thoracic and scapular kinematics or thoracic excursion with the outcome measures of NPRS, Penn, or GROC. There was a significant positive correlation (r=0.52 , p=0.009) between change in PPT at the lower trapezius on the unaffected side and baseline Penn scores. Biomechanically, thoracic spine extension and excursion did not change following thoracic SMT, and the SMT group had no greater changes in shoulder kinematics or patient-rated pain and function than the sham SMT group. Additionally, thoracic SMT did not improve peripheral or central pain sensitivity as measured by PPT. Furthermore, improvements in patient-rated outcomes were not found to be related to changes in thoracic spine mobility, or shoulder kinematics with SMT. The single correlation between change in PPT and baseline Penn may indicate a neurophyciologic effect of SMT in patients with higher baseline function scores, but the since no other significant relationships between PPT and outcome were seen, the implications of this finding are limited. Overall, alterations in thoracic spine mobility and pressure pain sensitivity do not appear to be responsible for improved outcomes in patients with subacromial pain syndrome. Future studies should explore the effects of SMT using other measures of thoracic spine motion and experimental pain modalities, as well as greater dosing of SMT over a longer follow-up.
Postgraduate Orthopaedics
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Author : Paul A. Banaszkiewicz
language : en
Publisher: Cambridge University Press
Release Date : 2012-08-16
Postgraduate Orthopaedics written by Paul A. Banaszkiewicz and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-08-16 with Medical categories.
The must-have book for candidates preparing for the oral component of the FRCS (Tr and Orth).
Physical Examination Of The Shoulder
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Author : Ryan J. Warth
language : en
Publisher: Springer
Release Date : 2015-06-24
Physical Examination Of The Shoulder written by Ryan J. Warth and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-06-24 with Medical categories.
This text presents a comprehensive and concise evidence-based and differential-based approach to physical examination of the shoulder in a manner that promotes its successful application in clinical practice. Additionally, this book provides an integrated approach to the diagnosis of numerous shoulder pathologies by combining discussions of pathoanatomy and the interpretation of physical examination techniques and was written for any health care professional or student who may be required to evaluate patients who present with shoulder pain. This information will allow the clinician to make informed decisions regarding further testing procedures, imaging and potential therapeutic options. Physical Examination of the Shoulder will serve as an invaluable resource for practicing orthopedic surgeons, sports medicine specialists, physical therapists, residents in training and medical students interested in the field of clinical orthopedics.
Orthopaedic Manual Physical Therapy
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Author : Christopher H. Wise
language : en
Publisher: F.A. Davis
Release Date : 2015-04-10
Orthopaedic Manual Physical Therapy written by Christopher H. Wise and has been published by F.A. Davis this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-04-10 with Medical categories.
Take an eclectic, evidence-based approach to orthopaedic manual therapy. From theory through practical application of soft tissue and joint mobilization techniques—this comprehensive resource delivers the depth and breadth of coverage you need to optimize patient outcomes through informed clinical decision-making as part of a comprehensive intervention regimen.
Normal And Pathological Anatomy Of The Shoulder
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Author : Gregory I. Bain
language : en
Publisher: Springer
Release Date : 2015-05-05
Normal And Pathological Anatomy Of The Shoulder written by Gregory I. Bain and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-05-05 with Medical categories.
This cutting-edge monograph on advanced clinical anatomy and pathoanatomy of the shoulder, written by the world’s leading authors, reflects recent significant advances in understanding of anatomy and pathology. It is beautifully illustrated with exquisite photographs of anatomical specimens, and images from arthroscopy, histology, and radiology complete the picture. The accompanying text brings out the clinical, biomechanical, and functional relevance and focuses on aspects important to the high-performance athlete. In addition, the book closely assesses how each component of the normal anatomy responds to trauma, disease, and degeneration. The finer points of the pathoanatomy are demonstrated with clinical cases, histology, radiology, arthroscopy, and open surgery. The text details how the pathoanatomy affects the patient presentation, clinical examination, and imaging. It is also explained how the pathology affects the natural history and the outcome of physical therapy and influences recommendations for surgical treatments. This book will be of immense value both to trainees and to specialists who manage disorders of the shoulder, including orthopedic surgeons, sports physicians, and physiotherapists. It will also be of great interest to anatomists and pathologists.
The Midbrain Periaqueductal Gray Matter
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Author : Antoine Depaulis
language : en
Publisher: Springer Science & Business Media
Release Date : 2012-12-06
The Midbrain Periaqueductal Gray Matter written by Antoine Depaulis and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-12-06 with Medical categories.
This book constitutes the proceedings of a NATO Advanced Research Workshop held at Chateau de Bonas (France) from 10-15 July 1990 on the Midbrain Periaqueductal Gray Matter (PAG). The aim of this meeting was to review and integrate our knowledge about the functional, anatomical and neuro chemical organization of the PAG. The PAG has been the subject of many investi gations during the last decade usually on different topics (e.g., pain modulation, defensive and sexual behavior) and generally there has been little interchange between the different research areas. The main purpose of this meeting was to bring together, for the first time, scientists who have worked on the PAG from different perspectives. This book does not pretend to present an exhaustive review of the data collected during the last 20 years of research on the PAG. The contributors to this book have been selected because their data provide key elements in the search to understand both the organization of the PAG and the role of this structure in the integration of behavior. We believe that this book will provide clues that will assist in unraveling the organization of the PAG in the coming years.
Tennis Medicine
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Author : Giovanni Di Giacomo
language : en
Publisher: Springer
Release Date : 2019-01-08
Tennis Medicine written by Giovanni Di Giacomo and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-01-08 with Medical categories.
This book will serve as a key resource for all clinicians working in orthopedics, sports medicine, and rehabilitation for the sport of tennis. It provides clinically useful information on evaluation and treatment of the tennis player, covering the entire body and both general medical and orthopedic musculoskeletal topics. Individual sections focus on tennis-related injuries to the shoulder, the elbow, wrist, and hand, the lower extremities, and the core/spine, explaining treatment and rehabilitation approaches in detail. Furthermore, sufficient sport science information is presented to provide the clinical reader with extensive knowledge of tennis biomechanics and the physiological aspects of training and rehabilitation. Medical issues in tennis players, such as nutrition and hydration, are also discussed, and a closing section focuses on other key topics, including movement dysfunction, periodization, core training, and strength and conditioning specifics. The expansive list of worldwide contributors and experts coupled with the comprehensive and far-reaching chapter provision make this the highest-level tennis medicine book ever published.
Joint Range Of Motion And Muscle Length Testing
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Author : Nancy Berryman Reese
language : en
Publisher: Elsevier Health Sciences
Release Date : 2010-01-01
Joint Range Of Motion And Muscle Length Testing written by Nancy Berryman Reese and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-01-01 with Medical categories.
One of the most comprehensive texts on the market, Joint Range of Motion and Muscle Length Testing, 3rd Edition, is an easy-to-follow reference that guides you in accurately measuring range of motion and muscle length for all age groups. Written by renowned educators, Nancy Berryman Reese and William D. Bandy for both Physical Therapy and Occupational Therapy professionals, this book describes in detail the reliability and validity of each technique. A new companion web site features video clips demonstrating over 100 measurement techniques! Full-color design clearly demonstrates various techniques and landmarks. Clear technique template allows you to quickly and easily identify the information you need. Simple anatomic illustrations clearly depict the various techniques and landmarks for each joint. Coverage of range of motion and muscle length testing includes important, must-know information. Complex tool coverage prepares you to use the tape measure, goniometer, and inclinometer in the clinical setting. Over 100 videos let you independently review techniques covered in the text. Chapter on infants and children eliminates having to search through pediatric-specific books for information. Anatomical landmarks provide a fast visual reference for exactly where to place measuring devices. Chapters dedicated to length testing makes information easy to locate. UPDATED information and references includes the latest in hand and upper extremity rehabilitation.
Disorders Of The Scapula And Their Role In Shoulder Injury
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Author : W. Ben Kibler
language : en
Publisher: Springer
Release Date : 2017-05-27
Disorders Of The Scapula And Their Role In Shoulder Injury written by W. Ben Kibler and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-05-27 with Medical categories.
This unique book - the first of its kind exclusive on disorders of the scapula - is a concise but comprehensive summary of the evidence that will enable clinicians to understand the scapula from its functions to its dysfunctions and includes clinical guidelines and pearls to improve the clinician’s competencies for the treatment of shoulder disorders. Organized logically, the book opens with a review of the baseline mechanics and pathomechanics of the scapula, proceeds to evaluation, then describes in detail the association of the scapula with specific shoulder problems, including rotator cuff disease, labral injuries, glenohumeral and multidirectional instability, clavicle fractures, acromioclavicular joint separation, and shoulder arthrosis. Subsequent chapters cover scapular muscle detachment, neurological injuries and winging, scapular fractures and snapping scapula, in addition to basic and complex rehabilitation strategies. Each chapter includes a summary section with clinical pearls. In the past, in-depth research and expertise regarding the scapula was minimal, but a widening interest has resulted in a volume of literature that makes it possible and imperative that it be collected in a single volume. Disorders of the Scapula and Their Role in Shoulder Injury will be an excellent resource for orthopedic and trauma surgeons, residents and fellows.
Occupational Ergonomics
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Author : Amit Bhattacharya
language : en
Publisher: CRC Press
Release Date : 2012-03-08
Occupational Ergonomics written by Amit Bhattacharya and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-03-08 with Technology & Engineering categories.
In the fifteen years since the publication of Occupational Ergonomics: Theory and Applications significant advances have been made in this field. These advances include understanding the impact of ageing and obesity on workplace, the role of ergonomics in promoting healthy workplaces and healthy life styles, the role of ergonomic science in th