Evaluation And Treatment Of The Shoulder
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Practical Evaluation And Management Of The Shoulder
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Author : Frederick A. Matsen
language : en
Publisher:
Release Date : 1994
Practical Evaluation And Management Of The Shoulder written by Frederick A. Matsen and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1994 with Medical categories.
The practical considerations which underline the diagnosis and treatment of patients with shoulder disorders are presented in this concise, easy to understand, and informative text. Activities to help the reader master the problems, methods and mechanical principles of the shoulder are provided. Coverage includes frozen shoulder, post traumatic stiff shoulder, TUBS syndrome, glenohumeral instabliity, scapulothoracic snapping and cuff tears.
Sport Therapy For The Shoulder
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Author : Ellenbecker, Todd S.
language : en
Publisher: Human Kinetics
Release Date : 2016-10-19
Sport Therapy For The Shoulder written by Ellenbecker, Todd S. and has been published by Human Kinetics this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-10-19 with Medical categories.
Sport Therapy for the Shoulder contains best practices and evidence-based guidelines for assessing and treating patients’ shoulder injuries for re-entry into sport.
Disorders Of The Shoulder
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Author : Joseph P. Iannotti
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 2007
Disorders Of The Shoulder written by Joseph P. Iannotti and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007 with Medical categories.
Now includes a brand-new companion Website, The Iannotti & Williams Solution! Expanded to two volumes, Disorders of the Shoulder, Second Edition is a comprehensive, current, and authoritative clinical reference for residents, fellows, shoulder specialists, and general orthopaedic surgeons. This edition features greatly expanded coverage of arthroscopic treatment and hundreds of new full-color arthroscopic images. Arthroscopic and open techniques are integrated into all relevant disorder-specific chapters, so that readers can compare open to arthroscopic procedures and select the most effective treatment option. New chapters cover diagnosis of glenohumeral instability; management of bone and soft tissue loss in revision arthroplasty; minimally invasive techniques for proximal humeral fractures; hemiarthroplasty for proximal humeral fractures; and suprascapular and axillary nerve injuries. All clinical chapters include treatment algorithms and the authors' preferred treatment. More than 2,400 illustrations—743 in full color—complement the text. The new companion Website, The Iannotti & Williams Solution, gives you instant access to the fully searchable text, an Image Bank, featured clinical cases, and the Gaining Speed and Tricks of the Trade chapter of Burkhart's View of the Shoulder: A Cowboy's Guide to Advanced Shoulder Arthroscopy.
Practical Evaluation And Management Of The Shoulder
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Author : Frederick A. Matsen (III.)
language : en
Publisher:
Release Date : 1994
Practical Evaluation And Management Of The Shoulder written by Frederick A. Matsen (III.) and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1994 with categories.
The Vital Shoulder Complex
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Author : John Gibbons
language : en
Publisher: North Atlantic Books
Release Date : 2019-09-24
The Vital Shoulder Complex written by John Gibbons and has been published by North Atlantic Books this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-09-24 with Health & Fitness categories.
A comprehensive guide to understanding the complexities of the shoulder and treating shoulder injury and pain The area of the body we commonly refer to as "the shoulder" is in fact a complex of interconnected systems--bones, tendons, muscle, and joints that together work to move our arms, hands, and fingers. Because the shoulder must trade stability for mobility, it is also one of the weakest joints of the body, which explains why it is one of the most common areas of physical pain; injury located in the shoulder can affect areas throughout the entire body. The Vital Shoulder Complex is designed for anyone interested in understanding, treating, and healing shoulder-related pain. Author and renowned bodyworker John Gibbons explains and illustrates the dynamics of the shoulder complex in ways that are accessible and enlightening. The theory and principles described in this book can assist physical therapists in formulating effective treatment protocols towards quick rehabilitation for their patients. These include: Differential diagnosis of shoulder pathology The relationship of the pelvis, the SI joint, and the gluteals to the shoulder complex Pathologies of the shoulder and cervical spine Special tests associated with the shoulder complex Rehabilitation and exercise protocols for the shoulder complex
Patients With Subacromial Pain In Primary Care
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Author : Jenny Nordqvist
language : en
Publisher: Linköping University Electronic Press
Release Date : 2021-01-08
Patients With Subacromial Pain In Primary Care written by Jenny Nordqvist and has been published by Linköping University Electronic Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-01-08 with categories.
Background: Shoulder pain is a common musculoskeletal disorder and 40-74% of the patients attending primary healthcare with a shoulder disorder are diagnosed with subacromial pain. Subacromial pain is characterized by restricted and painful movement of the arm that leads to difficulties in performing arm-related activities and often affects the quality of life profoundly, with respect to everyday function, work capacity, sleep quality and mental health. It is crucial that the measurements used to evaluate shoulder function and treatment response have acceptable psychometric properties and also that they are patients-specific and time-efficient to administer. For patients with subacromial pain, exercises are recommended as first-line treatment but consensus about which exercises and dosage to recommend has not been reached. The lack of evidence for one specific exercise model may be partly due to heterogeneity among this group of patients. The overall aim of this thesis were to evaluate the efficacy of a previously tested exercise strategy for patients with subacromial pain in a primary care setting, to describe the heterogeneity with possible subcategories among patients with subacromial pain, and finally to validate and adjust the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire for more diagnosis-specific clinical assessment. Methods: The four papers in this thesis are based on two clinical studies, one randomized controlled trial (RCT) and one clinical cohort. The participants in both studies were patients with subacromial pain attending physiotherapist (PT) in a primary care setting. Two of the papers are based on psychometric analyses, with evaluation of construct validity and responsiveness for the DASH when used to evaluate shoulder function in patients with subacromial pain, and also calculation of minimal important change (MIC) for a diagnosis-specific short version of DASH (DASH 7). A third paper describe clinical presentation in patients with subacromial pain, based on the components active range of motion (AROM), rotator cuff function and scapular kinematics and the fourth paper evaluated the efficacy of a 3-month specific exercise strategy in comparison to an active control strategy. Results: Seven items from the original DASH were identified as being the most important in evaluating patients with subacromial pain (resulting in the DASH 7 questionnaire). The DASH 7 shows good responsiveness, can discriminate between patients who perceive themselves as improved and those who do not, and maintain a high level of internal consistency for the assessment of shoulder function in patients with subacromial pain, using only a quarter of the items of the original DASH. Based on clinical presentation, patients with subacromial pain in the primary care setting comprise a heterogeneous group. Rotator cuff dysfunction, defined as pain during resisted isometric muscle-testing, is very frequently present while limitation in active range of motion and scapular dyskinesia are less common. After three months of exercise, both groups in the RCT had significantly improved with no between group difference as measured with the primary CM-score. However, as measured with the DASH and the DASH 7, the patients in the specific exercise group was significantly more improved compared to those in the active control group. Conclusions: The DASH 7 questionnaire is a short patient-reported outcome measurement (PROM) with good responsiveness, specific for patients with subacromial pain. Heterogeneity was confirmed with identified variability in AROM, rotator cuff function and scapular kinematics in clinical presentation which confirms that these components are important in the clinical examination of patients with subacromial pain. Shoulder function evaluated with the CM score did not improve to a significantly different degree between the two groups studied. The specific exercises might not be necessary for all patients in the primary care setting to achieve a clinically relevant improvement. However, the specific exercise strategy was significantly better when improvement was assessed by DASH and DASH 7, and this leads us to recommend this strategy, with its progressive loading of the rotator cuff muscles and scapula stabilizers, as first choice, provided that it is tolerated by the patient. Bakgrund: Axelsmärta är ett vanligt problem i befolkningen och bland de som söker hjälp för sin axelsmärta inom primärvården är subacromial smärta den vanligaste diagnosen. Subacromial smärta karaktäriseras av smärta vid armaktivitet, främst vid aktivitet i och över axelhöjd samt bakom ryggen. Det är vanligt att denna smärta ger störd sömn och svårighet att utföra fritidsaktiviteter och dagligt arbete vilket kan bidra till försämrad psykisk hälsa och livskvalitet. Det är viktigt att kunna mäta och utvärdera skulderfunktion samt effekt av behandling på ett tillförlitligt sätt och att de instrument som används känns relevanta för patienten samt är tids-effektiva att administrera. Träning är den behandling som i första hand rekommenderas för patienter med subacromial smärta men det saknas fortfarande tydliga riktlinjer gällande vilka övningar och vilken dosering som är den bästa. En diskuterad anledning till att det är svårt att påvisa sådana riktlinjer kan vara att patientgruppen är heterogen. Det övergripande syftet med den här avhandlingen var att utvärdera effekten av en specifik träningsstrategi för patienter med subacromial smärta i primärvård, att identifiera och beskriva variationen i klinisk presentation hos patienter med subacromial smärta samt att validera och justera självskattningsformuläret DASH för dignosspecifik bedömning. Metoder: De fyra delarbeten som ingår i den här avhandlingen baseras på två kliniska studier. Samtliga studiedeltagare var patienter med subacromial smärta som sökte vård hos fysioterapeut inom primärvården i Östergötland. I två delarbeten analyseras mätegenskaper för självskattningsformulär, gällande validitet och responsiveness (förmåga att mäta förändring över tid) hos DASH för patienter med subacromial smärta samt gällande kliniskt relevant förändring hos den diagnosspecifika kortversionen, DASH 7. Ett tredje delarbete beskriver klinisk presentation hos patienterna utifrån komponenterna aktiv rörlighet, muskelfunktion i rotatorkuff samt skulderbladets rörelsemönster och det fjärde delarbetet utvärderar effekten av en specifik träningsstrategi jämfört med en aktiv kontrollstrategi för patienter med subacromial smärta i primärvård. Resultat: Sju av de ursprungliga 30 frågorna i DASH identifierades som de viktigaste för att utvärdera skulderfunktion hos patienter med subacromial smärta (vilket resulterade i ett nytt självskattningsformulär, DASH 7). DASH 7 uppvisar god responsiveness och kan skilja mellan de patienter som upplever sig förbättrade och de som inte gör det, samt bibehåller hög intern konsistens för bedömning av skulderfunktion hos patienter med subacromial smärta, med endast en fjärdedel av frågorna från DASH. Baserat på klinisk presentation, konstateras att patienter med subacromial smärta i primärvård är en heterogen grupp. Störd funktion i rotatorcuffens muskulatur, definierat som smärta vid isometriska muskeltester, är vanligt förekommande medan inskränkt aktiv rörlighet och stört rörelsemönster i skulderbladet förekommer mer sällan. Efter tre månaders träning uppvisar patienterna i båda träningsgrupperna en signifikant förbättring i skulderfunktion. Gällande funktion mätt med utvärderingsinstrumentet CM ses ingen skillnad i effekt mellan träningsgrupperna. Däremot, när skulderfunktion utvärderas med DASH och DASH 7, ses att patienterna i den specifika träningsgruppen förbättrats signifikant mer jämfört med patienterna i den aktiva kontrollgruppen. Konklusioner: DASH 7 är ett kort självskattningsformulär med god förmåga att mäta förändring över tid, specifikt utformat för patienter med subacromial smärta. Heterogenitet konstateras baserat på variationen i klinisk presentation gällande de tre komponenterna: aktiv rörlighet, muskelfunktion i rotatorkuff samt skulderbladets rörelsemönster, vilket visar på att dessa komponenter är viktiga i bedömningen av patienter med subacromial smärta. Förändrad skulderfunktion, utvärderat med CM, visar ingen skillnad i effekt mellan de två träningsgrupperna som testats. Den specifika träningen verkar därmed inte behövas för alla patienter med subacromial smärta i primärvård för att uppnå en kliniskt relevant förbättring. Utvärdering av skulderfunktion med DASH och DASH 7 däremot visar att patienterna i den specifika träningsgruppen blivit signifikant bättre jämfört med de i den aktiva kontrollgruppen. Baserat på dessa resultat rekommenderar vi den specifika träningsstrategin som förstahandsval vid behandling av subacromial smärta, förutsatt att patienten tolererar den belastade träningen för rotatorkuff- och skulderbladsmuskulatur.
The Shoulder In Sport
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Author : Andrea Fusco
language : en
Publisher: Elsevier Health Sciences
Release Date : 2007-12-19
The Shoulder In Sport written by Andrea Fusco 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 2007-12-19 with Medical categories.
The book is divided into 5 sections: the first and second sections provide introductory topics, such as anatomical variances of the articulations and soft tissues, the biomechanics of the shoulder, diagnostic imaging, specialist and functional examinations. The third section is dedicated to the description of surgical solutions in acute articular, muscle and tendinous pathologies. Rehabilitation and prevention are described in the fourth section, where the authors present exercises of post-surgical rehabilitation, techniques of mobilizing in manual therapy and load multidimensional model. The last two chapters in this section are dedicated to prevention, especially of chronic pathologies, using intervention influencing programmes, methodology of training and how to rectify incorrectly performed movements. The last section is dedicated to the use of electromyography of the surface. This method is used to register muscular activity during training; the description contains practical information and a great number of references of clinical interest.
Evaluation And Treatment Of The Shoulder
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Author : Brian J. Tovin
language : en
Publisher: F A Davis Company
Release Date : 2001-01-01
Evaluation And Treatment Of The Shoulder written by Brian J. Tovin and has been published by F A Davis Company this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001-01-01 with Medical categories.
This innovative book presents diagnostic categories of shoulder impairments (physical therapy problems) that are outlined in the Guide to Physical Therapist Practice. This approach to shoulder conditions is based on clustering common impairments and functional problems rather than the medical diagnoses, such as adhesive capsulitis, and primary and secondary impingement problems. The result is one of the first books on common orthopedic conditions that presents a specific framework for the practicing physical therapist to develop pathways for effective and consistent clinical management. The goal of the book as stated in the Guide is to be a first step toward the development of clinical guidelines, in that it classifies patients and identifies the range of current options for care.
Sport Therapy For The Shoulder
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Author : Todd S. Ellenbecker
language : en
Publisher:
Release Date : 2016
Sport Therapy For The Shoulder written by Todd S. Ellenbecker and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016 with Joints categories.
Sport Therapy for the Shoulder contains best practices and evidence-based guidelines for assessing and treating patients' shoulder injuries for re-entry into sport.
Complex And Revision Shoulder Arthroplasty
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Author : Robert Z. Tashjian
language : en
Publisher: Springer
Release Date : 2019-02-09
Complex And Revision Shoulder Arthroplasty written by Robert Z. Tashjian and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-02-09 with Medical categories.
This practical text presents the most up-to-date information on the evaluation and management of all aspects of complex and revision shoulder arthroplasty, divided into three thematic section. Chapters in part I focus on the diagnosis and management of complex primary shoulder arthroplasty, including evaluation of humeral and glenoid bone deformity, computer-assisted surgical planning, stemless arthroplasty, anatomic and reverse TSA for severe glenoid erosion, post-traumatic sequalae and deltoid deficiency. The next section describes the diagnosis and management of failed replacements, including hemiarthroplasty, anatomic and reverse total shoulder arthroplasty. These chapters will focus on the initial evaluation and management, including imaging, laboratory work-up and the role of biopsies, covering the diagnosis and revision of a failed hemiarthroplasty; diagnosis and revision of a failed total shoulder arthroplasty; diagnosis and management of the failed reverse shoulder arthroplasty; management of the unstable TSA or RSA; diagnosis and management of the infected arthroplasty; treatment of periprosthetic fractures; salvage options (resection and arthrodesis) for failed arthroplasty. Part III presents specific surgical techniques utilized during revision shoulder arthroplasty, including surgical exposure, removal techniques for failed humeral components, revision of glenoid and humeral defects with bone grafts and augments, and the role of arthroscopic procedures. Utilizing the best clinical evidence, Complex and Revision Shoulder Arthroplasty is an excellent resource for orthopedic and shoulder surgeons, residents and fellows, as well as sports medicine specialists and related professionals.