Shoulder strengthening exercises adapted to specific shoulder pathologies can be selected using new simulation techniques: a pilot study

Charbonnier, Caecilia; Lädermann, Alexandre; Kevelham, Bart; Chagué, Sylvain; Hoffmeyer, Pierre; Holzer, Nicolas

doi:10.1007/s11548-017-1668-4

Cited by 11 publications

(6 citation statements)

References 37 publications

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“…Regarding pressure, humeral cartilage and labral compression evaluated by motion simulation only occurred in the superior half of the glenoid during exercises. 78 This indicates that postoperative exercises do not lead to important pressure changes on an inferior labral repair. Concerning soft tissue tension, rehabilitation should be performed in the scapular plane, which lies about 30 degrees anterior to the coronal plane of the body.…”

Section: Instabilitymentioning

confidence: 94%

Shoulder biomechanics in normal and selected pathological conditions

et al. 2020

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The stability of the glenohumeral joint depends on soft tissue stabilizers, bone morphology and dynamic stabilizers such as the rotator cuff and long head of the biceps tendon. Shoulder stabilization techniques include anatomic procedures such as repair of the labrum or restoration of bone loss, but also non-anatomic options such as remplissage or tendon transfers. Rotator cuff repair should restore the cuff anatomy, reattach the rotator cable and respect the coracoacromial arch whenever possible. Tendon transfer, superior capsular reconstruction or balloon implantation have been proposed for irreparable lesions. Shoulder rehabilitation should focus on restoring balanced glenohumeral and scapular force couples in order to avoid an upward migration of the humeral head and secondary cuff impingement. The primary goal of cuff repair is to be as anatomic as possible and to create a biomechanically favourable environment for tendon healing. Cite this article: EFORT Open Rev 2020;5:508-518. DOI: 10.1302/2058-5241.5.200006

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Section: Instabilitymentioning

confidence: 94%

Shoulder biomechanics in normal and selected pathological conditions

et al. 2020

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“…Indeed, subscapularis elongation during postoperative mobilization may display a maximal excursion of up to 122%, as opposed to the supraspinatus which is systematically shortened when mobilized. 36 Furthermore, younger categories of age are more demanding and may thus report lower subjective scores such as SSV. 54 …”

Section: Discussionmentioning

confidence: 99%

“…Patients with massive posterosuperior RCRs were immobilized in an abduction pillow sling for the same period of time according to the same criteria. 36 No sling was recommended to patients with superior small-to-large RCRs. 37 For the latter group, active-assisted mobilization was proposed during the first 4 postoperative weeks.…”

Section: Methodsmentioning

confidence: 99%

Traumatic and Atraumatic Rotator Cuff Tears Have the Same Rates of Healing

Guevara-Alvarez,

Valencia-Ramon,

Bothorel

et al. 2024

Arthroscopy, Sports Medicine, and Rehabilitation

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“…The study showed how the glenohumeral joint, the labrum and the subacromial space were affected during the different exercises. That kind of knowledge may contribute to the development of better training regimens [ 61 ].…”

Section: Discussionmentioning

confidence: 99%

Comprehensive supervised heavy training program versus home training regimen in patients with subacromial impingement syndrome: a randomized trial

Schydlowsky

Szkudlarek

Madsen

2022

BMC Musculoskelet Disord

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Background There is no consensus on the best training regimen for subacromial impingement syndrome (SIS). Several have been suggested, but never tested. The purpose of the study is to compare a comprehensive supervised training regimen (STR) based on latest evidence including heavy slow resistance training with a validated home-based regimen (HTR). We hypothesized that the STR would be superior to the HTR. Methods Randomised control trial with blinded assessor. 126 consecutive patients with SIS were recruited and equally randomised to 12 weeks of either supervised training regimen (STR), or home-based training regimen (HTR). Primary outcomes were Constant Score (CS) and Shoulder Rating Questionnaire (SRQ) from baseline and 6 months after completed training. Results were analyzed according to intention-to treat principles. The study was retrospectively registered in ClinicalTrials.gov. Date of registration: 07/06/2021. Identification number: NCT04915430. Results CS improved by 22.7 points for the STR group and by 23,7 points for the HTR (p = 0.0001). The SRQ improved by 17.7 and 18.1 points for the STR and the HTR groups respectively (p = 0.0001). The inter-group changes were non-significant. All secondary outcomes (passive and active range of motion, pain on impingement test, and resisted muscle tests) improved in both groups, without significant inter-group difference. Conclusion We found no significant difference between a comprehensive supervised training regimen including heavy training principles, and a home-based training program in patients with SIS.

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Shoulder strengthening exercises adapted to specific shoulder pathologies can be selected using new simulation techniques: a pilot study

Cited by 11 publications

References 37 publications

Shoulder biomechanics in normal and selected pathological conditions

Shoulder biomechanics in normal and selected pathological conditions

Traumatic and Atraumatic Rotator Cuff Tears Have the Same Rates of Healing

Comprehensive supervised heavy training program versus home training regimen in patients with subacromial impingement syndrome: a randomized trial

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