Força do manguito rotador em indivíduos com síndrome do impacto comparado ao lado assintomático

Marcondes, Freddy Beretta; Gonçalves, Rosa Sabrina; Vasconcelos, Rodrigo Antunes de; Basta, Andréia; Freitas, Diego Galace de; Fukuda, Thiago Yukio

doi:10.1590/s1413-78522011000600002

Cited by 12 publications

(6 citation statements)

References 23 publications

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“… 1 Its complete tear is associated to traumatic situations in young individuals, whereas it has the tendon fragility as an etiology in old patients, with repetitive micro traumas associated with acromial anatomy and poor tendon vascularization. 2 , 3 , 4 …”

Section: Introductionmentioning

confidence: 99%

Rotator cuff injuries and factors associated with reoperation

Carvalho

Martinelli

Tramujas

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo evaluate the prevalence of rotator cuff tears and describe the profile of reoperated patients, causes of repeated tendon tears, tear evolution and range of times between surgical procedures.MethodThis was a cross-sectional study involving 604 surgical procedures performed at two regional referral hospitals between January 2006 and December 2012. After approval by the ethics committee, data describing the patients’ epidemiological profile were gathered at a single time, using Cofield's classification to measure the extent of the tears, all of which underwent arthroscopic surgery. The data were entered into Epi Info 3.5.3 and were analyzed using SPSS version 18.0.ResultsAmong the 604 surgical procedures, females were affected in more cases (351; 58.1%). When the dominant limb was the right limb, it was affected in 90% of the cases (p < 0.05). The supraspinatus tendon was affected in 574 cases (95%) and the tears were of medium size in 300 cases (49.7%). Eighteen reoperations were performed (2.98%) and the upper right limb was the most affected (66.6%). The cause was non-traumatic in 12 patients. The repeated tears were mostly smaller (44%), and the length of time between the two surgical procedures ranged from 6 to 298 weeks.ConclusionFemale gender, smaller extent in the second procedure and non-traumatic cause were found in most of the cases analyzed.

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Section: Introductionmentioning

confidence: 99%

Rotator cuff injuries and factors associated with reoperation

Carvalho

Martinelli

Tramujas

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

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“…Decreased ER was reported in shoulders with SPS. 21 This was attributed to the fact that the supraspinatus is the most affected muscle which has an essential role in dynamic control of the SAS in SPS, 6 and also contributes to ER. 21 Therefore, it is clinically important to improve ER strength in SPS.…”

Section: Discussionmentioning

confidence: 99%

Novel Posterior Shoulder Stretching With Rapid Eccentric Contraction and Static Stretching in Patients With Subacromial Pain Syndrome: A Randomized Trial

Turksan

Yeşilyaprak

Erduran

et al. 2023

Sports Health: A Multidisciplinary Approach

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Background: In subacromial pain syndrome (SPS), it is unknown whether posterior shoulder stretching exercises (PSSE) with rapid eccentric contraction, a muscle energy technique, improve clinical and ultrasonographic outcomes more than no stretching or static PSSE. Hypothesis: PSSE with rapid eccentric contraction is superior to no stretching and static PSSE in improving clinical and ultrasonographic outcomes in SPS. Study Design: Randomized controlled trial. Level of Evidence: Level 1. Methods: Seventy patients with SPS and glenohumeral internal rotation deficit were randomized into the modified cross-body stretching with rapid eccentric contraction group (EMCBS; n = 24), static MCBS group (SMCBS; n = 23), or control group (CG; n = 23). In addition to 4-week physical therapy, EMCBS received PSSE with rapid eccentric contraction, SMCBS static PSSE, and CG no PSSE. The primary outcome was internal rotation range of motion (ROM). Secondary outcomes were posterior shoulder tightness, external rotation ROM (ERROM), pain, modified Constant-Murley score, short form of the disabilities of the arm, shoulder, and hand questionnaire (QuickDASH), rotator cuff strength, acromiohumeral distance (AHD), supraspinatus tendon thickness, and supraspinatus tendon occupation ratio (STOR). Results: Shoulder mobility, pain, function and disability, strength, AHD, and STOR improved in all groups ( P < 0.05). Conclusion: In patients with SPS, PSSE with rapid eccentric contraction and static PSSE were superior to no stretching in improving clinical and ultrasonographic outcomes. Stretching with rapid eccentric contraction was not superior to static stretching, but improved ERROM compared with no stretching. Clinical Relevance: In SPS, both PSSE with rapid eccentric contraction and static PSSE included in physical therapy program are beneficial to improve posterior shoulder mobility and other clinical and ultrasonographic outcomes. In the case of ERROM deficiency, rapid eccentric contraction might be preferred.

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“…Complementary exams (magnetic resonance imaging, radiography, ultrasound) help to visualize the integrity and compromise of local structures, being necessary to close the diagnosis. 7 During the physical examination, with Neer's test, the greater tubercle of the humerus projects against the anterointerior surface of the acromion and reproduces the impact, with the characteristic pain caused by irritation of the serous bursa and the supraspinatus tendon. 8 The positive sign for the Yergason test occurs when pain or tenderness to palpation in the tendon of the biceps brachii when supinating the forearm against resistance and lateral rotation of the shoulder, tensioning the biceps brachii tendon and the transverse humerus ligament.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Shoulder Impact Syndrome With Treatment Complications Due to Uncontrolled Type Ii Diabetes Mellitus

Bosso¹,

Ferreira²,

Nascimento³

et al. 2022

JHS

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Justification: Shoulder impingement syndrome (SIO) is a degenerative inflammatory disease, which occurs due to mechanical damage caused to structures located in the subacromial space of the shoulder joint and whose conservative treatment is mainly performed through physical therapy, with muscle strengthening. However, the presence of uncontrolled type II diabetes mellitus (DM II) makes this treatment ineffective due to the muscle degeneration it causes. Goals: From the report of a patient with OIS, to highlight the difficulty of conservative treatment when DM II is decompensated. Case report: O.L.G., 46 years old, male. Diabetic for 16 years, without adherence to treatment, he started to have pain in both shoulders, sought a doctor and was diagnosed with OIS and started conservative treatment, but he did not improve. Conclusion: The approach of a patient with decompensated OIS and DM II is relevant, as it makes the treatment ineffective, leading to aggravation of the condition and reduction of the individual's quality of life.

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Força do manguito rotador em indivíduos com síndrome do impacto comparado ao lado assintomático

Cited by 12 publications

References 23 publications

Rotator cuff injuries and factors associated with reoperation

Rotator cuff injuries and factors associated with reoperation

Novel Posterior Shoulder Stretching With Rapid Eccentric Contraction and Static Stretching in Patients With Subacromial Pain Syndrome: A Randomized Trial

Case Report: Shoulder Impact Syndrome With Treatment Complications Due to Uncontrolled Type Ii Diabetes Mellitus

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