Comparison of glenohumeral and humerothoracical range of motion in healthy controls, osteoarthritic patients and patients after total shoulder arthroplasty performing different activities of daily living

Bruttel, Hendrik; Spranz, David M.; Bülhoff, Matthias; Aljohani, Nasser; Wolf, Sebastian I.; Maier, Michael W.

doi:10.1016/j.gaitpost.2019.04.001

Cited by 12 publications

(26 citation statements)

References 26 publications

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“…Enthesophytes were also prevalent at the acromioclavicular joint of the shoulder complex. Together with glenohumeral joint OA, limited ROM and pain will restrict the completion of ADL such as work and household activities ( 40 ).…”

Section: Discussionmentioning

confidence: 99%

Osteoarthritis, Osteophytes, and Enthesophytes Affect Biomechanical Function in Adults With X-linked Hypophosphatemia

Steele

González

Garbalosa

et al. 2020

The Journal of Clinical Endocrinology &Amp; Metabolism

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Context X-Linked hypophosphatemia (XLH) is a lifelong metabolic disease with musculoskeletal comorbidities that dominate the adult clinical presentation. Objective The adult XLH disorder has yet to be quantified on the basis of the physical and functional limitations that can affect activities of daily living. Our goal was to report the impact of the musculoskeletal manifestations on physical function. Design and setting Musculoskeletal function was evaluated by validated questionnaires and in an interdisciplinary clinical space where participants underwent full-body radiologic imaging, goniometric range of motion (ROM) measurements, general performance tests, and kinematic gait analysis. Patients Nine adults younger than 60 years with a diagnosis of XLH and self-reported musculoskeletal disability, but able to independently ambulate, were selected to participate. Passive ROM and gait analysis were also performed on age-approximated controls to account for differences between individual laboratory instrumentation. Results Enthesophytes, degenerative arthritis, and osteophytes were found to be consistently bilateral and diffusely present at the spine and synovial joints across participants, with predominance at weight-bearing joints. Passive ROM in adults with XLH was decreased at the cervical spine, hip, knee, and ankle compared to controls. Gait analysis relative to controls revealed increased step width, markedly increased lateral trunk sway, and physical restriction at the hip, knees, and ankle joints that translated into limitations through the gait cycle. Conclusions The functional impact of XLH musculoskeletal comorbidities supports the necessity for creating an interprofessional health-care team with the goal of establishing a longitudinal plan of care that considers the manifestations of XLH across the lifespan.

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Section: Discussionmentioning

confidence: 99%

Osteoarthritis, Osteophytes, and Enthesophytes Affect Biomechanical Function in Adults With X-linked Hypophosphatemia

Steele

González

Garbalosa

et al. 2020

The Journal of Clinical Endocrinology &Amp; Metabolism

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“…Keeping movement consistent may not reflect what naturally occurs with musculoskeletal changes. For example, kinematic differences during activities of daily living have been observed between elderly individuals with symptomatic rotator cuff impingements versus asymptomatic individuals; 15 as well as patients with glenohumeral osteoarthritis and those who have undergone total shoulder arthroplasty compared to healthy controls 16 . Predictive simulations that are generated de novo (i.e., without experimental data) can assist in identifying cause and effect relationships between changes to the musculoskeletal system, and movement and neuromuscular strategies.…”

Section: Introductionmentioning

confidence: 99%

Simulating the effect of glenohumeral capsulorrhaphy on kinematics and muscle function

Fox

Bonacci

Gill

et al. 2020

Journal Orthopaedic Research

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This study aimed to use a predictive simulation framework to examine shoulder kinematics, muscular effort, and task performance during functional upper limb movements under simulated selective glenohumeral capsulorrhaphy. A musculoskeletal model of the torso and upper limb was adapted to include passive restraints that simulated the changes in shoulder range of motion stemming from selective glenohumeral capsulorrhaphy procedures (anteroinferior, anterosuperior, posteroinferior, posterosuperior, and total anterior, inferior, posterior, and superior). Predictive muscle-driven simulations of three functional movements (upward reach, forward reach, and head touch) were generated with each model. Shoulder kinematics (elevation, elevation plane, and axial rotation), muscle cost (i.e., muscular effort), and task performance time were compared to a baseline model to assess the impact of the capsulorrhaphy procedures. Minimal differences in shoulder kinematics and task performance times were observed, suggesting that task performance could be maintained across the capsulorrhaphy conditions. Increased muscle cost was observed under the selective capsulorrhaphy conditions, however this was dependent on the task and capsulorrhaphy condition. Larger increases in muscle cost were observed under the capsulorrhaphy conditions that incurred the greatest reductions in shoulder range of motion (i.e., total inferior, total anterior, anteroinferior, and total posterior conditions) and during tasks that required shoulder kinematics closer to end range of motion (i.e., upward reach and head touch). The elevated muscle loading observed could present a risk to joint capsule repair. Appropriate rehabilitation following glenohumeral capsulorrhaphy is required to account for the elevated demands placed on muscles, particularly when a significant range of motion loss presents.

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“…Upper-extremity restriction is typical of advanced XLH due to the bony changes described and translate into a number of functional limitations involving movement of the shoulder joint in all planes, including reaching overhead, toward the ground, and personal hygiene and grooming activities [ 20 ]. Limitations are also exacerbated by involvement of the elbow and hand joints [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

An Evidence-based Physical Therapy Prescription for Adults With X-linked Hypophosphatemia

Kanamalla

Fuchs

Herzog

et al. 2022

Journal of the Endocrine Society

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Context X-linked hypophosphatemia (XLH) is a rare and progressive metabolic phosphate-wasting disorder characterized with lifelong musculoskeletal comorbidities. Despite significant physical disability, there are currently no disease-specific PT recommendations for XLH designed to improve engagement and confidence in performing activities of daily living (ADLs). Objective The objective of this patient-centered study was to develop an evidence-based PT program to address gaps in the management of adult XLH without imposing unintended harm. Methods Creation of the program was informed by a prior controlled clinical study to evaluate the physical and functional impact of XLH in adulthood, and guided by the physical presentation of subjects, subjective data and patient goals acquired at intake and by performance on multiple active ROM movements from the standing position. A weekly standardized interview process was used to assess progression of physical and functional abilities, gains and concerns, and to obtain timely feedback to inform future exercise modifications. Outcomes were evaluated using validated functional tools and subjective data obtained throughout the study. Results A remote 12-week PT program was created based on collected data. Open and closed kinetic-chain exercises were developed and implemented. Functional improvements were documented, and weekly surveys indicated improved abilities and confidence to engage in ADLs. Minimal improvements were observed in active upper and lower extremity ROM, reflective of significant bony restrictions characteristic of XLH. Conclusions This study represents the first disease-specific PT recommendations for XLH to mitigate the unique physical challenges of the adult disorder that can be modified to adapt to the current progression status of the adult disorder.

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Comparison of glenohumeral and humerothoracical range of motion in healthy controls, osteoarthritic patients and patients after total shoulder arthroplasty performing different activities of daily living

Cited by 12 publications

References 26 publications

Osteoarthritis, Osteophytes, and Enthesophytes Affect Biomechanical Function in Adults With X-linked Hypophosphatemia

Osteoarthritis, Osteophytes, and Enthesophytes Affect Biomechanical Function in Adults With X-linked Hypophosphatemia

Simulating the effect of glenohumeral capsulorrhaphy on kinematics and muscle function

An Evidence-based Physical Therapy Prescription for Adults With X-linked Hypophosphatemia

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