Shoulder Injuries

Manske, Robert C.

doi:10.1016/b978-0-323-05590-1.00003-6

Clinical Orthopaedic Rehabilitation 2011

DOI: 10.1016/b978-0-323-05590-1.00003-6

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Shoulder Injuries

Robert C. Manske¹

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2019

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“…Scapular mobilization has been shown to play a role in prevention of shoulder pain in people with a variety of conditions. A review of the literature supports the efficacy of scapular mobilization in the reduction of pain in the shoulder complex, with multiple reports that this technique has provided relief of pain and returned mobility to patients with adhesive capsulitis, frozen shoulder, hemiplegic shoulder pain, and subacromial impingement (Davis, 2012;Dean et al, 2013;Donatelli et al, 2014;Kibler & Sciascia, 2016;Lucado, 2011;Manske, 2011;Paine & Voight, 2013). To our knowledge, no published studies have examined the efficacy of scapular mobilization of the painful shoulder among people with ALS.…”

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confidence: 95%

Shoulder Pain Among Patients With Amyotrophic Lateral Sclerosis: A Case Series

Gicalone

Heckman

Otto

et al. 2019

The American Journal of Occupational Therapy

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Importance: Evidence has demonstrated that shoulder pain constitutes a functional impairment for patients with amyotrophic lateral sclerosis (ALS). No studies have yet examined the efficacy of scapular mobilization of the painful shoulder among patients with ALS. Objective: Our retrospective case series evaluated the effects of scapular mobilization on pain and shoulder motion among patients with ALS. Design: Retrospective case series over 2 yr. Setting: A multidisciplinary outpatient clinic at an academic medical institution. Participants: Twenty-eight patients with ALS who had shoulder pain and range of motion (ROM) limitations. Patients were excluded if information on visual analog scale (VAS) score for pain and shoulder ROM was not available. Intervention: Scapular mobilization, ROM, and caregiver education. All patients also received standard occupational therapy treatment for this patient population. Outcomes and Measures: The primary outcome was VAS shoulder pain scores; the secondary outcome was shoulder flexion ROM. Results: The median VAS pain score was 2 before treatment and 0 after treatment, with a significant median reduction of 2. Median shoulder flexion ROM was 100°before mobilization treatment and 130°after treatment, with a significant median increase of 25°. Conclusion and Relevance: The results provide strong evidence that both VAS pain score and shoulder ROM noticeably improve after mobilization treatment. What This Article Adds: Occupational therapists can effectively promote shoulder care techniques such as scapular mobilization to both patients and care providers to reduce pain and improve quality of life for patients with ALS. M anagement of shoulder pain has been studied in people with many neurological conditions, including Parkinson's disease, cerebrovascular accident, and traumatic brain injury (

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confidence: 95%

Shoulder Pain Among Patients With Amyotrophic Lateral Sclerosis: A Case Series

Gicalone

Heckman

Otto

et al. 2019

The American Journal of Occupational Therapy

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Shoulder Injuries

Cited by 1 publication

References 313 publications

Shoulder Pain Among Patients With Amyotrophic Lateral Sclerosis: A Case Series

Shoulder Pain Among Patients With Amyotrophic Lateral Sclerosis: A Case Series

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