PURPOSE We investigated the best position for shoulder retractor strengthening exercise to maximize middle trapezius activity and minimize rhomboid major activity. Although both trapezius and rhomboids are scapular retractors, rhomboids also act as downward rotators of the scapula, which can worsen subacromial impingement. METHODS Twelve healthy participants (age 30 [SD 6] y) with no history ...

background :dysfunction in the kinetic chain caused by poor scapula stabilization can contribute to shoulder injuries and shoulder impingement syndrome (sis). the purpose of this study was to compare the effectiveness of two treatment approaches scapular stabilization based exercise therapy and physical therapy in patients with sis.   methods : the study is a randomized clinical trial in which ...

The time-course covered by the original definition of scapulo-humeral periarthritis suggested by Duplay through the more recent term of subacromial impingement syndrome coined by Neer, follows the identification of the pathogenetic mechanisms leading to chronic subacromial impingement and degenerative tears of the rotator cuff. The Authors recall the functional-anatomic development evolution of...

UNLABELLED Clavicle fracture is commonly treated conservatively. However uncommon complication can arise causing impingement. We report a patient who sustained distal clavicle fracture and was treated conservatively. However he developed persistent shoulder pain that affected his daily life. Shoulder impingement was diagnosed and arthroscopic subacromioclavicular decompression was done. Followi...

Background and purpose - Arthroscopic acromioplasty is still commonly used in the treatment of shoulder impingement syndrome, even though its benefits are questioned; randomized controlled studies have not shown any benefits when compared to non-operative treatment. In this randomized study, we investigated whether operative treatment protects from later rotator cuff rupture and whether it has ...

Shoulder impingement syndrome (SIS), a chronic shoulder pain condition, often stems from repetitive overhead activities. In the current report, the author presents 2 cases of SIS. In the first, a woman with a history of SIS found that physical therapy and subacromial steroid injections, while effective, were problematic for long-term use. Previous use in the author's practice demonstrated conve...

BACKGROUND Shoulder complaints, and especially the outlet-impingement syndrome, are a common condition. Among other things, poor posture has been discussed as a cause. A correlation between impingement syndrome and restricted mobility of the thoracic spine (T) has been described earlier, but there has been no motion analysis of the thoracic spine to show these correlations. In the present prosp...

OBJECTIVES To investigate the effect of manual physiotherapy and exercises compared with exercises alone in patients with shoulder impingement syndrome one year after inclusion. DESIGN Randomized controlled trial. SUBJECTS Patients with shoulder impingement of more than 4 weeks. METHODS The intervention group received individualized manual physiotherapy plus individualized exercises; the ...

Shoulder pain is the third most common presentation complain in primary care practice. Age is a factor which plays an important role in predicting injuries. Clavicular fracture is due to traumatic mostly seen in children and adults whereas fractures of the head of the humerus are most commonly seen in the elderly. Shoulder dislocations are more common in teens to the fourth decade. Other condit...

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