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Electromagnetic Field Effects on Soft Tissues – Muscles and Tendons
Published in Marko S. Markov, James T. Ryaby, Erik I. Waldorff, Pulsed Electromagnetic Fields for Clinical Applications, 2020
Erik I. Waldorff, Nianli Zhang, James T. Ryaby, Andrew F. Kuntz
In Turkey, Aktas, Akgun et al. (2007) investigated PEMF for adjunctive use for conservative treatment of shoulder impingement syndrome which showed signs of early improvements in shoulder strength and pain but ultimately was inconclusive. Specifically a double-blind, randomized, and controlled study examined 46 patients with unilateral shoulder pain due to impingement. All patients received a 3-week conservative treatment regimen of Codman’s pendulum exercise and cold applications. In addition, half the patients received PEMF treatment (Magnetoterapia model MG/3P, Elettromed, Roma, Italy; 3 mT at 50 Hz) of the shoulder 5 times/week (25 min/session) for the entire 3 weeks with the other half receiving a placebo PEMF treatment. No adverse events were noted for any patients. Shoulder pain and function was recorded using VAS and Constant score, respectively. In addition, daily living activities were evaluated using a shoulder disability questionnaire (SDQ). All assessments were done before and after treatment. Although significant improvements occurred over the 3 weeks for both the placebo and PEMF group, no differences were found between the placebo and PEMF group for any of the outcome measures.
Shoulder problems
Published in Richard Graveling, Ergonomics and Musculoskeletal Disorders (MSDs) in the Workplace, 2018
The name Shoulder Impingement Syndrome indicates an assumed role for impingement in the causation of the disorders included within this collective term. As noted previously (and expanded upon later in relation to biological plausibility), this is certainly the case for the supraspinatus muscle and, according to Giaroli et al. (2004), at least part of the infraspinatus muscle. Similarly, Lo and Burkhart (2003) have described subscapularis impingement (suggesting what they rather graphically describe as a ‘roller-wringer effect’). It would therefore seem that these disorders do have a common aetiological pathway; however, as the cause of the impingement may be different, the specific movements associated with each disorder (creating the impingement) will also be expected to differ.
Emerging Perspectives of Virtual Reality Techniques
Published in Christopher M. Hayre, Dave J. Muller, Marcia J. Scherer, Virtual Reality in Health and Rehabilitation, 2020
A recent systematic review and meta-analysis by Gumaa and Youssef (2019) determined that the evidence of VR effectiveness is quite promising in patients with chronic neck pain and shoulder impingement syndrome. They also concluded that VR and exercises have similar effects in patients with ankle instability, anterior cruciate ligament reconstruction, knee osteoarthritis, and rheumatoid arthritis. For patients with fibromyalgia and low back pain, as well as those that have undergone total knee arthroplasty, the evidence of VR effectiveness compared with exercise is either inconclusive or absent.
Efficacy of Kinesio Taping Compared to Other Treatment Modalities in Musculoskeletal Disorders: A Systematic Review and Meta-Analysis
Published in Research in Sports Medicine, 2023
Linh Tran, Abdelrahman M Makram, Omar Mohamed Makram, Muhammed Khaled Elfaituri, Sara Morsy, Sherief Ghozy, Ahmed Helmy Zayan, Nguyen Hai Nam, Marwa Mostafa Mohamed Zaki, Elizabeth L Allison, Truong Hong Hieu, Loc Le Quang, Dang The Hung, Nguyen Tien Huy
Studies surrounding kinesiology tape application provide controversial results regarding its efficacy according to the location, severity, and duration/timing of use in MSK disorders. For instance, Kaya et al. discuss the use of KT for shoulder impingement syndrome, and results demonstrated that it was most effective when used within the first week post-presentation, and as such, is recommended for cases in which urgent relief of symptoms is indicated (Kaya et al., 2011). Conversely, Thelen et al. argue that KT, when used for shoulder pain specifically, results in only minor improvement with regards to ROM while its efficacy on pain-free ROM is indeed proven after initial taping but not in long-term pain relief (Thelen et al., 2008). This controversy in option is further supported by a few studies, trials, and research that differ in their conclusions surrounding the efficacy of kinesiology tape. Namely, a trial utilizing KT for lateral epicondylitis found that there is no significant effect on pain regardless of the tape’s application method (Shakeri et al., 2018). A systematic review found that KT lacked efficacy in clinical practice regardless of the affected joint (Kalron & Bar-Sela, 2013). Furthermore, a study suggested that the use of KT in combination with targeted shoulder exercise aids in the relief of shoulder impingement syndrome (Kaya et al., 2011). Comparable results were noted in a meta-analysis conducted by Ghozy et al. in which they concluded that combination therapy of exercise and KT results in major recovery of shoulder pain and disability (Ghozy et al., 2020).
Evidence for taping in overhead athlete shoulders: a systematic review
Published in Research in Sports Medicine, 2023
Elif Turgut, Ezgi Nur Can, Cigdem Demir, Annelies Maenhout
The characteristics of the studies included are summarized in Table 2. The sample size of the studies varied from 9 to 81 participants. Thirteen studies recruited asymptomatic overhead athletes (Bradley et al., 2009; Gulpinar et al., 2019; Harput et al., 2016; McConnell et al., 2011, 2012; McConnell & McIntosh, 2009; Müller & Brandes, 2015; Ozer et al., 2018; Tanoori et al., 2016; Tooth, Schwartz, Colman et al., 2020; Tooth, Schwartz, Fransolet et al., 2020; Van Herzeele et al., 2013; Yun et al., 2020), six studies recruited symptomatic overhead athletes (shoulder impingement syndrome (SIS), rotator cuff tendinopathy, or non-specific shoulder pain) (Fong et al., 2018; Hsu et al., 2009; Intelangelo et al., 2016; Leong et al., 2017; Shih et al., 2018; Smith et al., 2009), and one study (Leong & Fu, 2019) recruited both asymptomatic and symptomatic (rotator cuff tendinopathy) athletes and analysed them separately. The studies reviewed included samples involving different types of overhead athletes. The majority of the participants were volleyball, handball, and tennis players.
Development of a more biofidelic musculoskeletal model with humeral head translation and glenohumeral ligaments
Published in Computer Methods in Biomechanics and Biomedical Engineering, 2022
Sujata Khandare, Meghan E. Vidt
The shoulder complex is an intricate combination of four joints, including the glenohumeral joint, acromioclavicular joint, sternoclavicular joint, and scapulothoracic joint. The glenohumeral (GH) joint which possesses 6 degrees of freedom (DOF), 3 rotations and 3 translations, is often considered as an ingenious compromise between stability and mobility (Veeger and van der Helm 2007; Wilk et al. 1997). The glenoid fossa, a relatively flat surface, does very little to limit humeral head translation (HHT), given that the surface area of the humeral head is ∼3 times that of the glenoid fossa (Soslowsky et al. 1992). HHT in healthy shoulders is believed to be small in magnitude, due to the centering effect of rotator cuff forces positioning the humeral head on the glenoid (Graichen et al. 2000). However, abnormal HHT, specifically superior and anterior translations, or abnormal scapular motions are often proposed as detrimental kinematics responsible for subacromial space reductions in shoulder impingement syndrome (Sharkey and Marder 1995; Wong et al. 2003), leading to impingement of the rotator cuff muscles (Paletta et al. 1997; Ludewig and Cook 2002). However, Michener et al. (2003) stated that it is uncertain whether rotator cuff injury causes subacromial impingement, or if reduced subacromial space causes rotator cuff injury.