Is limited shoulder abduction associated with poor scapulothoracic mobility after reverse shoulder arthroplasty?

Friesenbichler, Bernd; Grassi, Andrea; Grobet, Cécile; Audigé, Laurent; Wirth, Barbara

doi:10.1007/s00402-020-03445-z

Cited by 6 publications

(14 citation statements)

References 23 publications

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“…Fifteen full-text articles were then screened, leading to the elimination of four studies. At the end of the selection process, a total of 11 articles were considered eligible for this study [17][18][19][23][24][25][26][27][28][29][30]. The PRISMA flowchart of the literature search is reported in Figure 1.…”

Section: Search Resultsmentioning

confidence: 99%

“…Among the 11 included studies, 6 were cohort studies (CS) of III LOE [17,23,25,27,29,30], 1 was a case series (CAS) of III LOE [18], 2 were retrospective cohort (RCS) studies of III LOE [19,26], 1 was a cross sectional study (CRS) of IV LOE [28], and 1 was a Prospective Laboratory Study (PLS) of III LOE [24]. No RCTs were included in this review.…”

Section: Study Characteristics and Populationmentioning

confidence: 99%

“…Patients presented the following conditions: glenohumeral osteoarthritis (GOA) in 33 patients [17,18], SAI in 12 patients [24], scapular dyskinesis in 51 patients [28], and RCTA in 34 patients [27,30]. Moreover, studies included 26 patients who underwent aTSA [17,23,26] and 47 patients who underwent RTSA [19,25,29]. Five studies included a healthy control group [17,23,26,27,30], for a total of 55 healthy subjects to compare 3D shoulder kinematics with patients with shoulder musculoskeletal disorders.…”

Section: Study Characteristics and Populationmentioning

confidence: 99%

“…No RCTs were included in the review. RCCs were identified as low risk of bias studies [28,30] or moderate risk of bias studies [17,23,27]; RCS were overall of good quality [18,19,24,25,29]. The risk of bias assessments for RCTs, NRCTs, and CSs is reported in Figures 2 and 3.…”

Section: Quality Assessmentmentioning

confidence: 99%

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Optical Motion Capture Systems for 3D Kinematic Analysis in Patients with Shoulder Disorders

Longo

Salvatore

Carnevale

et al. 2022

IJERPH

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Shoulder dysfunctions represent the third musculoskeletal disorder by frequency. However, monitoring the movement of the shoulder is particularly challenging due to the complexity of the joint kinematics. The 3D kinematic analysis with optical motion capture systems (OMCs) makes it possible to overcome clinical tests’ shortcomings and obtain objective data on the characteristics and quality of movement. This systematic review aims to retrieve the current knowledge about using OMCs for 3D shoulder kinematic analysis in patients with musculoskeletal shoulder disorders and their corresponding clinical relevance. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were used to improve the reporting of the review. Studies employing OMCs for 3D kinematic analysis in patients with musculoskeletal shoulder disorders were retrieved. Eleven articles were considered eligible for this study. OMCs can be considered a powerful tool in orthopedic clinical research. The high costs and organizing complexities of experimental setups are likely outweighed by the impact of these systems in guiding clinical practice and patient follow-up. However, additional high-quality studies on using OMCs in clinical practice are required, with standardized protocols and methodologies to make comparing clinical trials easier.

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Section: Search Resultsmentioning

confidence: 99%

Section: Study Characteristics and Populationmentioning

confidence: 99%

Section: Study Characteristics and Populationmentioning

confidence: 99%

Section: Quality Assessmentmentioning

confidence: 99%

See 2 more Smart Citations

Optical Motion Capture Systems for 3D Kinematic Analysis in Patients with Shoulder Disorders

Longo

Salvatore

Carnevale

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…1,4,5,11,18,24,30,31 A possible explanation for this inconsistency may be related to rTSA patients having a reduced glenohumeral to scapulothoracic joint contribution ratio compared with patients without a shoulder replacement (1.3:1 versus 3:1). 32,33 Friesenbichler et al 34 determined that greater postoperative abduction strength was associated with increased glenohumeral contribution to ROM, which was necessary for good-to-excellent shoulder abduction. These findings suggest that abduction strength may be crucial to achieving satisfactory ROM.…”

Section: Discussionmentioning

confidence: 99%

Association Between Preoperative Shoulder Strength and Clinical Outcomes After Primary Reverse Total Shoulder Arthroplasty

Hao

Wright

Schoch

et al. 2022

J Am Acad Orthop Surg

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Introduction:We aimed to determine whether preoperative shoulder strength predicts postoperative values and improvement in strength, range of motion (ROM), and outcome scores after primary reverse total shoulder arthroplasty (rTSA).Methods:We retrospectively reviewed 264 shoulders with a minimum of 2-year follow-up after primary rTSA. Preoperative external rotation (ER) strength, supraspinatus strength, and abduction strength were analyzed to establish their correlation with postoperative values and improvement in strength, ROM, and outcome scores (Constant score, American Shoulder and Elbow Surgeons Shoulder score, Shoulder Pain and Disability Index, Simple Shoulder Test, and the University of California, Los Angeles score). Multiple linear regression models were used to identify the preoperative shoulder strength measures that most affected postoperative outcomes and improvement in outcomes.Results:Preoperative measures of shoulder strength were positively correlated with all measures of postoperative shoulder strength, active abduction and elevation, and all outcome scores studied. On multivariate analysis, greater preoperative ER, supraspinatus, and abduction strength were significantly associated with greater corresponding postoperative values (P = 0.009, P = 0.041, and P = 0.008, respectively); however, they were also associated with less respective improvement (P < 0.001 for all) because the weakest patients tended to see the largest improvements. Notably, preoperative values of ER and supraspinatus strength exceeding 17.5 and 20.5 lbs were associated with a decline in their respective values postoperatively, but no limit was identified for ROM or outcome score measures. On multivariate analysis, reduced preoperative abduction strength was markedly associated with greater improvement in 3 of 4 ROM measures and 4 of 5 outcome scores.Conclusion:Preoperative shoulder strength, especially abduction strength, predicts superior postoperative outcomes and greater improvement in shoulder strength, ROM, and outcome scores after primary rTSA. However, a minority of patients with well-preserved strength may lose strength after surgery, and patients who are weaker preoperatively tend to see larger improvements in postoperative outcomes.Level of Evidence:Ⅳ, prognostic study

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Radiologische vs. klinisch-motorische Diagnostik

Geraedts

2023

Trainingskonzeption Für Patienten Mit Rückenschmerz

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Is limited shoulder abduction associated with poor scapulothoracic mobility after reverse shoulder arthroplasty?

Cited by 6 publications

References 23 publications

Optical Motion Capture Systems for 3D Kinematic Analysis in Patients with Shoulder Disorders

Optical Motion Capture Systems for 3D Kinematic Analysis in Patients with Shoulder Disorders

Association Between Preoperative Shoulder Strength and Clinical Outcomes After Primary Reverse Total Shoulder Arthroplasty

Radiologische vs. klinisch-motorische Diagnostik

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