Therapeutic exercises for the shoulder region

McEvoy, Johnson; O’Sullivan, Kieran; Bron, Carel

doi:10.1016/b978-0-7020-3528-9.00022-4

Cited by 4 publications

(2 citation statements)

References 94 publications

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“…In fact, the knowledge of connective tissue properties, mechanotransduction, types of lesions, and tissue healing are important aspects for the correct and safe development of an exercise program [87] . However, this guide has not always been attended, and nowadays more questions than sidered a guiding principal of the rehabilitation [87,105] . The high forces produced eccentrically seem to induce remodeling response when applied chronically and progressively [100] .…”

Section: Conservative Treatment Of Shoulder Tendinopathymentioning

confidence: 99%

Eccentric training as a new approach for rotator cuff tendinopathy: Review and perspectives

Camargo

Alburquerque‐Sendín

Salvini

2014

WJO

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Excessive mechanical loading is considered the major cause of rotator cuff tendinopathy. Although tendon problems are very common, they are not always easy to treat. Eccentric training has been proposed as an effective conservative treatment for the Achilles and patellar tendinopathies, but less evidence exists about its effectiveness for the rotator cuff tendinopathy. The mechanotransduction process associated with an adequate dose of mechanical load might explain the beneficial results of applying the eccentric training to the tendons. An adequate load increases healing and an inadequate (over or underuse) load can deteriorate the tendon structure. Different eccentric training protocols have been used in the few studies conducted for people with rotator cuff tendinopathy. Further, the effects of the eccentric training for rotator cuff tendinopathy were only evaluated on pain, function and strength. Future studies should assess the effects of the eccentric training also on shoulder kinematics and muscle activity. Individualization of the exercise prescription, comprehension and motivation of the patients, and the establishment of specific goals, practice and efforts should all be considered when prescribing the eccentric training.In conclusion, eccentric training should be used aiming improvement of the tendon degeneration, but more evidence is necessary to establish the adequate doseresponse and to determine long-term follow-up effects. Key words: Cellular; Mechanotransduction; Rehabilitation; Shoulder Impingement; Supraspinatus; Tendon injuries Core tip: Eccentric training can be considered a new and ambitious treatment approach for several tendinopathies. The paper establishes the basic principles for explaining the effects on the tendon of an intense mechanical load, as the eccentric training. Further, the authors bring other possible explanations of the success of this training for tendinopathies, as the individualization of the exercise programs and the motivation of the patients who reach specific goals. Negative and side effects are also identified. Finally, the main evidence afforded by original articles is commented and future research purposes are defined.Camargo PR, Alburquerque-Sendín F, Salvini TF. Eccentric training as a new approach for rotator cuff tendinopathy: Review and perspectives. World J Orthop 2014; 5(5): 634-644 Available from:

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Section: Conservative Treatment Of Shoulder Tendinopathymentioning

confidence: 99%

Eccentric training as a new approach for rotator cuff tendinopathy: Review and perspectives

Camargo

Alburquerque‐Sendín

Salvini

2014

WJO

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“…Surprisingly, these underlying physiological mechanisms have predominantly been investigated under dynamic contraction modes [7,[14][15][16][17] although the advantages of LL-BFR training come into play when prescribed during rehabilitation [18] or training of older individuals [1]. In these settings, isometric contraction modes are often preferred over dynamic exercises in the very early phase of rehabilitation where joint movements are often limited [19,20].…”

Section: Introductionmentioning

confidence: 99%

Isometric blood flow restriction exercise: acute physiological and neuromuscular responses

Lauber

König

Gollhofer

et al. 2021

BMC Sports Sci Med Rehabil

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Background Numerous studies have demonstrated that the addition of blood flow restriction (BFR) to low-load (LL) resistance exercise leads to elevated levels of muscle hypertrophy and strength gains. In terms of main underlying mechanisms, metabolic accumulation and increased neuromuscular adaptations seem to play a primary role. However, this evidence is largely based on dynamic exercise conditions. Therefore, the main objective was to investigate the acute physiological adaptations following isometric LL-BFR exercise. Methods Fifteen males participated in this cross-over trial and completed the following sessions in a random and counterbalanced order: isometric LL-BFR exercise (20% maximum voluntary contraction, MVC) and load matched LL exercise without BFR. Lactate levels, muscle activation as well as muscle swelling were recorded during the whole exercise and until 15 min post completion. Additionally, changes in maximal voluntary torque and ratings of perceived exertion (RPE) were monitored. Results During exercise, EMG amplitudes (72.5 ± 12.7% vs. 46.3 ± 6.7% of maximal EMG activity), muscle swelling and RPE were significantly higher during LL-BFR compared to LL (p < 0.05). Lactate levels did not show significant group differences during exercise but revealed higher increases 15 min after completion in the LL-BFR condition (LL-BFR: + 69%, LL: + 22%) (p < 0.05). Additionally, MVC torque significantly decreased immediately post exercise only in LL-BFR (~ − 11%) (p < 0.05) but recovered after 15 min. Conclusions The present results demonstrate that isometric LL-BFR causes increased metabolic, neuromuscular as well as perceptual responses compared to LL alone. These adaptations are similar to dynamic exercise and therefore LL-BFR represents a valuable type of exercise where large joint movements are contraindicated (e.g. rehabilitation after orthopedic injuries).

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Myofascial Trigger Points of the Shoulder

McEvoy¹,

Dommerholt²

2012

Physical Therapy of the Shoulder

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Therapeutic exercises for the shoulder region

Cited by 4 publications

References 94 publications

Eccentric training as a new approach for rotator cuff tendinopathy: Review and perspectives

Eccentric training as a new approach for rotator cuff tendinopathy: Review and perspectives

Isometric blood flow restriction exercise: acute physiological and neuromuscular responses

Myofascial Trigger Points of the Shoulder

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