China
Africa
Explore chapters and articles related to this topic
The shoulder and pectoral girdle
Published in Ashley W. Blom, David Warwick, Michael R. Whitehouse, Apley and Solomon’s System of Orthopaedics and Trauma, 2017
Hawkins–Kennedy test The patient’s arm is placed in 90 degrees of elevation in the scapular plane with the elbow also flexed to 90 degrees. The examiner then stabilizes the upper arm with one hand while using the other hand to internally rotate the arm fully. Pain around the anterolateral aspect of the shoulder is noted as a positive test. As with the Neer sign, this test is highly sensitive but weakly specific.
Reliability, validity, and responsiveness of a Canadian French adaptation of the pain self-efficacy questionnaire (PSEQ)
Published in Disability and Rehabilitation, 2023
Marc-Olivier Dubé, Marianne Roos, François Desmeules, Jean-Sébastien Roy
Adults (>18 years of age) presenting with subacute or chronic (>3 months) RCRSP were recruited from a convenience sample through the electronic mailing lists of Université Laval (>40 000 individuals) and private practice physiotherapy clinics located in Quebec City (Canada). To be eligible to participate, patients had to fulfill the following inclusion criteria: 1) presence of a painful arc in flexion or abduction, 2) presence of a positive Neer sign or Hawkins Kennedy Test, and 3) presence of pain when resisting humeral external rotation or abduction, or a positive Jobe Test. A positive cluster of criteria 1, 2 and 3 represents a valid diagnostic cluster for RCRSP [30]. Participants were excluded if they presented any of the following: 1) clinical signs of massive rotator cuff tears (marked weakness in the absence of limiting pain and/or external rotation lag sign), 2) other shoulder disorders, e.g., frozen shoulder, severe osteoarthritis, fracture, dislocation, severe acromioclavicular joint pathology, 3) symptomatic cervical spine pathology, defined as the reproduction of symptoms with active physiological cervical spine movements, 4) current or past carcinoma, 5) presence of significant co-morbidity, e.g., neurological disorders, rheumatoid arthritis, 6) previous shoulder surgery, and 7) corticosteroid injection in the shoulder in the past 6 weeks.
Ultrasound-guided platelet-rich plasma injection for the treatment of recalcitrant rotator cuff disease in wheelchair users with spinal cord injury: A pilot study
Published in The Journal of Spinal Cord Medicine, 2022
Trevor A. Dyson-Hudson, Nathan S. Hogaboom, Reina Nakamura, Alon Terry, Gerard A. Malanga
Inclusion criteria included: (1) between 18 and 60 years of age, inclusive; (2) SCI with neurological level of injury between C6 and L5, inclusive, that occurred at least 12 months prior to the Screening Visit; (3) use of a manual or power wheelchair as primary means of mobility (> 40 h/week); (4) presence of chronic shoulder pain due to rotator cuff disease in spite of at least six months of conservative treatment; (5) presence of average shoulder pain of 5 or above on an 11-point numerical rating scale (NRS; 0, no pain; 10, maximum pain imaginable) during the week leading up to the Screening Visit; and (6) ability and willingness to comply with the protocol. Rotator cuff disease was defined as pain over the anterolateral shoulder with direct palpation and pain at the shoulder with provocative tests for rotator cuff disease, and was confirmed after identifying tendinopathic changes on ultrasound imaging. Provocative tests included palpation of the supraspinatus tendon over the greater tuberosity, supraspinatus (“empty can”, Jobe's) test,25 painful arc,26 and Hawkins–Kennedy test,27 and Neer's test.28 Ultrasound signs include edema, tendon thickening, and hypoechoic areas within the tendon consistent with the absence of tendon tissue (e.g. a tear).29
Interrater agreement and reliability of clinical tests for assessment of patients with shoulder pain in primary care
Published in Physiotherapy Theory and Practice, 2021
Adri T Apeldoorn, Marjolein C Den Arend, Ruud Schuitemaker, Dick Egmond, Karin Hekman, Tjeerd Van Der Ploeg, Steven J Kamper, Maurits W Van Tulder, Raymond W Ostelo
The selection of shoulder tests was mainly based on the classification algorithm of Cools, Cambier, and Witvrouw (2008). This algorithm uses not only generally accepted symptom-provoking shoulder tests like the Neer Test, Hawkins-Kennedy Test, and the Empty Can Test, but also relatively new symptom altering tests based on movement dysfunction like the mSAT and the SRT. There is very little or no information about the agreement or reliability of these latter tests available (Lewis, 2009).