Bilateral shoulder proprioception deficit in unilateral anterior shoulder instability

Lubiatowski, Przemysław; Ogrodowicz, Piotr; Wojtaszek, Marcin; Romanowski, Leszek

doi:10.1016/j.jse.2018.08.034

Cited by 23 publications

(20 citation statements)

References 58 publications

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“…10,13,15 It is therefore understandable that proprioceptive deficits are affiliated with recurring physical limitations and disability. 10,27,28 Even though there is a relationship between shoulder pathologies, functional limitations, 10 and a decreased sense of proprioception, there is a lack of research suggesting specific rehabilitation strategies for the optimization of shoulder proprioception. At present, the treatments of shoulder musculoskeletal disorders are often surgical or conservative in nature.…”

mentioning

confidence: 99%

Can a Conservative Rehabilitation Strategy Improve Shoulder Proprioception? A Systematic Review

Ager¹,

Borms²,

Bernaert³

et al. 2021

Journal of Sport Rehabilitation

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Context: Proprioception deficits contribute to persistent and recurring physical disability, particularly with shoulder disorders. Proprioceptive training is thus prescribed in clinical practice. It is unclear whether nonsurgical rehabilitation can optimize shoulder proprioception. Objectives: To summarize the available evidence of conservative rehabilitation (ie, nonsurgical) on proprioception among individuals with shoulder disorders. Evidence Acquisition: PubMed, Web of Science, and EBSCO were systematically searched, from inception until November 24, 2019. Selected articles were systematically assessed, and the methodological quality was established using the Dutch Cochrane Risk of Bias Tool and the Newcastle-Ottawa Quality Assessment Scale. The Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines were utilized for this review. The conservative treatments were categorized as follows: (1) conventional therapy, (2) proprioceptive training, (3) elastic kinesiology tape, and (4) other passive therapies. Evidence Synthesis: Twelve articles were included, yielding 58 healthy control shoulders and 362 shoulders affected by impingement syndrome, glenohumeral dislocations, nonspecific shoulder pain, rotator cuff dysfunction, or subluxation poststroke. The level of agreement between the evaluators was excellent (84.9%), and the studies were evaluated to be of fair to excellent quality (risk of bias: 28.5%–100%). This review suggests, with moderate evidence, that proprioceptive training (upper-body wobble board or flexible foil training) can improve proprioception in the midterm. No decisive evidence exists to suggest that conventional therapy is of added value to enhance shoulder proprioception. Conflicting evidence was found for the improvement of proprioception with the application of elastic kinesiology tape, while moderate evidence suggests that passive modalities, such as microcurrent electrical stimulation and bracing, are not effective for proprioceptive rehabilitation of the shoulder. Conclusions: Proprioceptive training demonstrates the strongest evidence for the effective rehabilitation of individuals with a shoulder proprioceptive deficit. Elastic kinesiology tape does not appear to affect the sense of shoulder proprioception. This review suggests a possible specificity of training effect with shoulder proprioception.

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mentioning

confidence: 99%

Can a Conservative Rehabilitation Strategy Improve Shoulder Proprioception? A Systematic Review

Ager¹,

Borms²,

Bernaert³

et al. 2021

Journal of Sport Rehabilitation

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show abstract

“…These adaptations could alter muscle stiffness (posterior deltoid, subscapularis and teres minor), glenohumeral (GH) joint flexibility, posterior capsular stiffness, rotator cuff ER:IR strength ratio and joint position sense in the dominant shoulder [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of throwing exercise with TheraBand in male volleyball players with shoulder internal rotation deficit: a randomized controlled trial

Moradi

Hadadnezhad

Letafatkar

et al. 2020

BMC Musculoskelet Disord

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Background The Glenohumeral internal-rotation deficit (GIRD) is related to the altered eccentric external-rotator (ER), the concentric internal-rotator (IR), muscle strength, and the ER: IR ratio. GIRD has been documented as a risk factor for shoulder injuries. However, few studies have investigated the effect of an exercise training on these parameters in athletes with GIRD. Therefore, the purpose of this study was to evaluate the effects of an 8-week throwing exercise with a TheraBand for retraining the rotator cuff on Electromyography (EMG) activity of selected muscles, rotator cuff muscle strength, the glenohumeral (GH) joint IR range of motion (ROM) and GH joint position sense in asymptomatic male volleyball players with GIRD. Methods Sixty male volleyball players with GIRD were randomized into either a training group or a control group. The experimental group underwent an 8-week throwing exercise with a TheraBand including 5 sessions of stretching and 3 sessions of strengthening exercises per week. The control group received an active self-exercise program. EMG (onset time and muscle activation), shoulder range of motion (ROMs), strength and GH joint position sense were all assessed pre and post trainings. Results There were statistically significant within-group differences in the EMG activity of the anterior deltoid (p = 0.005), middle deltoid (p = 0.007), posterior deltoid (p = 0.004), infraspinatus (p = 0.001) and supraspinatus (p = 0.001) muscles, IR ROM (p = 0.001), rotator cuff muscle strength ratio (p = 0.001), and GH joint position sense (p = 0.033) in the experimental group. A 2 × 2 analysis of variance with a mixed model design and independent and paired t-tests were used for statistical analysis. Conclusions Throwing exercise with a TheraBand improved shoulder muscle activation, IR ROM, rotator cuff muscle strength ratio and GH joint position sense in participants with GIRD. These findings may improve the treatment of GIRD in a clinical setting. Although the results are significant, further studies should follow up the long-term effects of the Throwing exercise with a TheraBand on GIRD. Trial registration Current Controlled Trials using the UMIN-RCT website with ID number of, UMIN000038416 “Retrospectively registered” at 2019/10/29.

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“…It supports the stability and the coordination of the shoulder movements. Joint position sense (JPS) is one of the elements of proprioception defining the ability to sense and feel the position and movement of the joint in space [2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Shoulder proprioception following reverse total shoulder arthroplasty

Wałecka

Lubiatowski

Consigliere

et al. 2020

International Orthopaedics (SICOT)

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Joint replacement affects the proprioception, as shown in knees, elbows, and shoulder studies. Aim The aim was to evaluate shoulder joint position sense (JPS) following reverse total shoulder arthroplasty (rTSA) for patients with cuff arthropathy. Methods Twenty-nine patients that underwent unilateral rTSA (19 females, 10 males) and 31 healthy volunteers evaluated for JPS of shoulder using a dedicated high accuracy electronic goniometer. Error of active reproduction of joint position (EARJP) was assessed at the following reference positions: 30°, 60°, 90°, and 120°for forward flexion and abduction and 15°, 30°, and 45°f or internal and external rotation in rTSA, contralateral non-operated, and control shoulders. Results Results of EPRJP for rTSA, contralateral, and control (respectively) are as follows:

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Bilateral shoulder proprioception deficit in unilateral anterior shoulder instability

Cited by 23 publications

References 58 publications

Can a Conservative Rehabilitation Strategy Improve Shoulder Proprioception? A Systematic Review

Can a Conservative Rehabilitation Strategy Improve Shoulder Proprioception? A Systematic Review

Efficacy of throwing exercise with TheraBand in male volleyball players with shoulder internal rotation deficit: a randomized controlled trial

Shoulder proprioception following reverse total shoulder arthroplasty

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