Physiotherapeutic Treatment And Clinical Evaluation Of Shoulder Disorders
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Physiotherapeutic Treatment And Clinical Evaluation Of Shoulder Disorders
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Author : Henricus Maria Vermeulen
language : en
Publisher:
Release Date : 2005
Physiotherapeutic Treatment And Clinical Evaluation Of Shoulder Disorders written by Henricus Maria Vermeulen and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2005 with categories.
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.
Clinical And Radiological Examination Of The Shoulder Joint
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Author : Helen Razmjou
language : en
Publisher: Springer Nature
Release Date : 2022-09-27
Clinical And Radiological Examination Of The Shoulder Joint written by Helen Razmjou and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-09-27 with Medical categories.
The extended role physiotherapy has been given increased attention over the past decade in North America and Europe. New models of care with expanded scope of practice for allied health professionals have emerged to respond to a continuous increase in the cost of health care and physician and surgeon shortages, especially in settings that provide services to patients with musculoskeletal disorders in rural areas. This text book provides detailed information on history, etiology, clinical findings, and most importantly imaging characteristics of major conditions of the shoulder joint, which clinicians often face in the clinic. At present, there are no books that have incorporated the shoulder joint's different pathologies for extended role therapists, physician assistants, or family physicians in one place. This book facilitates practical learning for busy clinicians who wish to improve their expertise without having to read multiple books on the subject. The first nine chapters of the book incorporate the historical perspective of the common shoulder conditions with details on the pioneers who first introduced the pathology in the medical journals. The clinical and imaging hallmarks of each disorder then follow the historical perspective section to assist with identifying the pathology and selecting the best management. Chapters 10-12 provide detailed information on indications and contraindications for different modes of procedural imaging and the specific presentation of common shoulder pathologies on plain radiographs. Written by the experts in the field, Clinical and Radiological Examination of the Shoulder Joint is a valuable resource for advanced level physiotherapists, family medicine physicians, and specialized physician assistants.
Physical Therapy Of The Shoulder
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Author : Robert Donatelli
language : en
Publisher: Churchill Livingstone
Release Date : 2011
Physical Therapy Of The Shoulder written by Robert Donatelli and has been published by Churchill Livingstone this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011 with Medical categories.
The leading reference on shoulder rehabilitation, Physical Therapy of the Shoulder, 5th Edition provides complete information on the functional anatomy of the shoulder, the mechanics of movement, and the evaluation and treatment of shoulder disorders. It promotes current, evidence-based practice with coverage of the latest rehabilitation and surgical techniques. Case studies show the clinical application of key principles, and follow the practice patterns from the APTA Guide to Physical Therapist Practice, 2nd Edition, relating to shoulder disorders. Edited by Robert Donatelli, a well-known lecturer and consultant for professional athletes, this book includes a companion website with video clips demonstrating shoulder therapy techniques and procedures. State-of-the-art coverage details the latest rehabilitation and surgical techniques and procedures of shoulder disorders. The integration of practice patterns from the APTA Guide to Physical Therapist Practice, 2nd Edition, demonstrates APTA guidelines for managing shoulder disorders. Case studies in each clinical chapter show the management of real-life situations. Video clips on the companion website demonstrate examination techniques, function tests, treatment techniques, and exercises. Updated neurology and surgery sections provide the most current, evidence-based practice parameters. New case studies are added to show the clinical application of therapy principles. Video clips on the companion Evolve website demonstrate additional techniques, exercises, and tests.
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.
Physical Therapy Of The Shoulder
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Author : Robert A Donatelli, PhD, PT, OCS
language : en
Publisher: Churchill Livingstone
Release Date : 2011-03-16
Physical Therapy Of The Shoulder written by Robert A Donatelli, PhD, PT, OCS and has been published by Churchill Livingstone this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-03-16 with Medical categories.
This is a Pageburst digital textbook; The leading reference on shoulder rehabilitation, Physical Therapy of the Shoulder, 5th Edition provides complete information on the functional anatomy of the shoulder, the mechanics of movement, and the evaluation and treatment of shoulder disorders. It promotes current, evidence-based practice with coverage of the latest rehabilitation and surgical techniques. Case studies show the clinical application of key principles, and follow the practice patterns from the APTA Guide to Physical Therapist Practice, 2nd Edition, relating to shoulder disorders. Edited by Robert Donatelli, a well-known lecturer and consultant for professional athletes, this book includes a companion website with video clips demonstrating shoulder therapy techniques and procedures. State-of-the-art coverage details the latest rehabilitation and surgical techniques and procedures of shoulder disorders. The integration of practice patterns from the APTA Guide to Physical Therapist Practice, 2nd Edition, demonstrates APTA guidelines for managing shoulder disorders. Case studies in each clinical chapter show the management of real-life situations. Video clips on the companion website demonstrate examination techniques, function tests, treatment techniques, and exercises. Updated neurology and surgery sections provide the most current, evidence-based practice parameters. New case studies are added to show the clinical application of therapy principles. Video clips on the companion Evolve website demonstrate additional techniques, exercises, and tests.
Shoulder Rehabilitation
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Author : Todd S. Ellenbecker
language : en
Publisher: Thieme
Release Date : 2011-01-01
Shoulder Rehabilitation written by Todd S. Ellenbecker and has been published by Thieme this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-01-01 with Medical categories.
Clear treatment guidelines for a range of shoulder disorders This book presents the latest evidence-based information on current non-operative treatment recommendations for shoulder rehabilitation. Addressing a range of shoulder disorders, including glenohumeral joint instability, glenohumeral joint impingement, and frozen shoulder, Shoulder Rehabilitation: Non-Operative Treatment provides easy-to-follow guidelines on how to develop rehabilitation plans tailored to the specific needs of the patient. It also covers special topics in shoulder rehabilitation, such as how to modify traditional exercises for shoulder rehabilitation; the use of taping and external devices in rehabilitation; and the use of interval-based sport return programs. Highlights of this text: In-depth coverage of specific shoulder pathologies with key basic science information Detailed descriptions of specific exercise modifications that will help return the active shoulder patient to full activity following physical therapy Extensive use of photographs and figures that illustrate recommended exercise and mobilization techniques An ideal clinical reference, this book will benefit specialists in orthopedics, sports medicine, and physical therapy, as well as students in graduate-level physical therapy and athletic training programs.
Shoulder Rehabilitation
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Author : Todd S. Ellenbecker
language : en
Publisher: Thieme
Release Date : 2011-01-01
Shoulder Rehabilitation written by Todd S. Ellenbecker and has been published by Thieme this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-01-01 with Medical categories.
Clear treatment guidelines for a range of shoulder disorders This book presents the latest evidence-based information on current non-operative treatment recommendations for shoulder rehabilitation. Addressing a range of shoulder disorders, including glenohumeral joint instability, glenohumeral joint impingement, and frozen shoulder, Shoulder Rehabilitation: Non-Operative Treatment provides easy-to-follow guidelines on how to develop rehabilitation plans tailored to the specific needs of the patient. It also covers special topics in shoulder rehabilitation, such as how to modify traditional exercises for shoulder rehabilitation; the use of taping and external devices in rehabilitation; and the use of interval-based sport return programs. Highlights of this text: In-depth coverage of specific shoulder pathologies with key basic science information Detailed descriptions of specific exercise modifications that will help return the active shoulder patient to full activity following physical therapy Extensive use of photographs and figures that illustrate recommended exercise and mobilization techniques An ideal clinical reference, this book will benefit specialists in orthopedics, sports medicine, and physical therapy, as well as students in graduate-level physical therapy and athletic training programs.
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.
Therapeutic Exercise
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Author : Carolyn Kisner
language : en
Publisher: F.A. Davis
Release Date : 2022-10-17
Therapeutic Exercise written by Carolyn Kisner 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 2022-10-17 with Medical categories.
The premier text for therapeutic exercise Here is all the guidance you need to customize interventions for individuals with movement dysfunction. You’ll find the perfect balance of theory and clinical technique—in-depth discussions of the principles of therapeutic exercise and manual therapy and the most up-to-date exercise and management guidelines.