Palpation tests versus impingement tests in Neer stage I and II subacromial impingement syndrome

Toprak, Uğur; Üstüner, Evren; Özer, Derya Güleç; Uyanık, Sadık Ahmet; Baltacı, Gül; Sakizlioğlu, Seçil Sezgin; Karademir, Mehmet Alp; Atay, Ahmet Özgür

doi:10.1007/s00167-012-1969-7

Cited by 17 publications

(11 citation statements)

References 28 publications

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“…The presence of SAPS was determined by the presence of a positive result for at least three of the following criteria: the Neer impingement test, the HawkinsKennedy impingement test, the empty can test, pain with resisted external rotation, palpable tenderness at the insertion of the supraspinatus or infraspinatus, or painful arc from 60° to 120° during active abduction. [24][25][26] Moreover, the onset of shoulder pain had to be greater than three months so only individuals with non-acute shoulder pain were included. Participants were recruited from the local community with publicly displayed flyers.…”

Section: Participantsmentioning

confidence: 99%

Shoulder External Rotator Eccentric Training Versus General Shoulder Exercise for Subacromial Pain Syndrome: A Randomized Controlled Trial

Chaconas

Kolber

Hanney

et al. 2017

Intl J Sports Phys Ther

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Background: Shoulder pain affects up to 67% of the population at some point in their lifetime with subacromial pain syndrome (SAPS) representing a common etiology. Despite a plethora of studies there remains conflicting evidence for appropriate management of SAPS.Purpose: To compare outcomes, for individuals diagnosed with SAPS, performing a 6-week protocol of eccentric training of the shoulder external rotators (ETER) compared to a general exercise (GE) protocol. Study Design: Randomized controlled trialMethods: Forty-eight individuals (mean age 46.8 years +/-17.29) with chronic shoulder pain, and a clinical diagnosis of SAPS were randomized into either an experimental group performing ETER or a control group performing a GE program. The intervention lasted for six weeks, and outcomes were measured after three weeks, six weeks, and again at six months post intervention.

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Section: Participantsmentioning

confidence: 99%

Shoulder External Rotator Eccentric Training Versus General Shoulder Exercise for Subacromial Pain Syndrome: A Randomized Controlled Trial

Chaconas

Kolber

Hanney

et al. 2017

Intl J Sports Phys Ther

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“…Nine studies were judged at high risk because of restricted population (n = 5) (23-27), inappropriate exclusions (n = 3) (28-30) and case-control study design (n = 1) (31). In addition, three of them did not enrol patients in a consecutive manner (26,27,30). For index test, beside inadequate test description (n = 1) (23) and unknown blinding to the reference standard (n = 2) (26, 32), all were assessed as low risk of bias.…”

Section: Methodological Quality Of Included Studiesmentioning

confidence: 99%

“…S4 1 ). The Sn and Sp were for each test, respectively: from 0.57 to 0.85 and from 0.49 to 0.72 for the palpation test, (30,47), from 0.47 to 0.83 and from 0.36 to 0.75 for Speed test (47)(48)(49), and from 0.32 to 0.86 and from 0.74 to 0.82 for Yergason's manoeuvre (47)(48)(49). from 0.32 to 0.86 and from 0.78 to 0.88 for Yergason's manoeuvre (37,(47)(48)(49)51) Data from studies assessing Speed test and Yergason's manoeuvre were pooled (Table V, Fig.…”

Section: Hrus Accuracymentioning

confidence: 99%

Accuracy of examination of the long head of the biceps tendon in the clinical setting: A systematic review

Bélanger¹,

Dupuis²,

Leblond³

et al. 2019

J Rehabil Med

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LAY ABSTRACTPeople with shoulder pain seek medical attention in order to relieve their symptoms and improve their quality of life. However, given the complexity of the shoulder girdle, making the right diagnosis can be challenging. Clinicians and other healthcare practitioners base their approach on the findings of current medical history, as well as physical and ultrasound examinations. Once a structure is identified as a potential pain-generator, a specific therapy can be used. The biceps tendon is one such structure. The aim of this study is to assess the accuracy of physical and ultrasound examinations in diag nosing biceps tendon pathologies. This will help to guide clinical decision-making and may prevent delay in seeking specific treatment approaches. Objective: To determine the diagnostic validity of high-resolution ultrasound and orthopaedic special tests in diagnosing long head of the biceps tendon pathologies in patients with shoulder pain. Design: Systematic review with meta-analysis tools. Data sources: MEDLINE, CINAHL and EMBASE. Data extraction: Included studies had to report on the diagnostic validity of orthopaedic special tests or high-resolution ultrasound (HRUS) compared with a reference standard for diagnosing long head of the biceps tendon target conditions (superior labrum anterior and posterior lesions, long head of the biceps tendon tendinopathy, dislocation, effusion or rupture). Risk of bias was assessed using the Quality Assessment Tool for Diagnostic Accuracy Studies (QUADAS-2) tool. Results: Of the 30 included studies, 8 focused on high-resolution ultrasound and 22 on orthopaedic special tests. High-resolution ultrasound proved highly specific for the diagnosis of long head of the biceps tendon pathologies. Pooled positive (LR+) and negative (LR-) likelihood ratios were 38.00 and 0.24 for dislocation, respectively, and 35.50 and 0.30 for complete rupture, respectively. The accuracy of orthopaedic special tests varied greatly across studies. The only test of value was Yergason's ma noeuvre in confirming proximal long head of the biceps tendon pathologies except superior labrum anterior and posterior lesion (high specificity): the summary LR+ and LR-were 2.56 and 0.70, respectively. Conclusion: High-resolution ultrasound is reliable to confirm suspected long head of the biceps tendon pathologies. There is insufficient evidence to recommend individual orthopaedic special tests. JRM Journal of Rehabilitation Medicine 480 V. Bélanger et al. SLAP lesion: histopathology, open surgery, arthroscopy and MR arthrography; LHBT tendinopathy: histopathology and open surgery; LHBT rupture or dislocation: histopathology, open surgery, arthroscopy, MR imaging/arthrography and HRUS.If the reference standard used in the study was not in this list, it was considered an unclear risk of bias. Flow and timingA 1-month period in between the index test and reference standard was considered adequate. We chose this cut-off to minimize disease progression bias, since tendon condition can evolve over time. We ar...

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“…While many clinicians palpate in an effort to detect sideto-side differences in bony and soft tissue architecture, there is no research at present to support the value of this approach at either the shoulder or elbow. However, there is value in palpation of the long head of the biceps (tendinopathy) [ 9 ], the supraspinatus (tendinopathy) [ 9 ], and the acromioclavicular (AC) joint (AC pathology) [ 10 ]. Palpation of these structures is a sensitive test and therefore, an absence of pain when palpating contributes to ruling out the associated pathologies.…”

Section: Palpationmentioning

confidence: 99%

Physical Examination of the Shoulder and Elbow with a Focus on Orthopedic Special Tests

Hegedus

2015

Sports Injuries to the Shoulder and Elbow

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Palpation tests versus impingement tests in Neer stage I and II subacromial impingement syndrome

Abstract: I.

Cited by 17 publications

References 28 publications

Shoulder External Rotator Eccentric Training Versus General Shoulder Exercise for Subacromial Pain Syndrome: A Randomized Controlled Trial

Shoulder External Rotator Eccentric Training Versus General Shoulder Exercise for Subacromial Pain Syndrome: A Randomized Controlled Trial

Accuracy of examination of the long head of the biceps tendon in the clinical setting: A systematic review

Physical Examination of the Shoulder and Elbow with a Focus on Orthopedic Special Tests

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