Shoulder impingement is a common condition presumed to contribute to rotator cuff disease. Impingement can occur externally with the coracoacromial arch or internally with the glenoid rim. Normal scapulothoracic motions that occur during arm elevation include upward rotation, posterior tilting, and either internal or external rotation. These scapulothoracic motions and positions are the result ...

Shoulder impingement is a progressive orthopedic condition that occurs as a result of altered biomechanics and/or structural abnormalities. An effective nonoperative treatment for impingement syndrome is aimed at addressing the underlying causative factor or factors that are identified after a complete and thorough evaluation. The clinician devises an effective rehabilitation program to regain ...

OBJECTIVE To investigate the effect of individualized manual physiotherapy and exercises compared with individualized exercises alone in patients with shoulder impingement syndrome. DESIGN Randomized controlled trial. SUBJECTS Patients with shoulder impingement of more than 4 weeks' duration. METHODS Patients in the intervention group were treated with individually adapted exercises and e...

PURPOSE To evaluate the association of acromial morphology and subacromial impingement. METHODS Bilateral shoulder computed tomography was performed in 138 patients who received shoulder arthroscopy. Measured parameters included: acromial tilt (AT), modified acromial tilt (mAT), acromial slope (AS), acromiohumeral interval (AHI), lateral acromial angle (LAA), acromial index (AI), critical sho...

STUDY DESIGN Random allocation of subjects into a placebo-controlled, crossover study. OBJECTIVES To investigate the effect of changing thoracic and scapular posture on shoulder flexion and scapular plane abduction range of motion in asymptomatic subjects, and in subjects with subacromial impingement syndrome. BACKGROUND Changes in upper body posture and concomitant imbalance of the muscle ...

The study was an exploratory, one group pretest/post-test study, with the objective of investigating the short-term effects of thoracic spine thrust manipulations (TSTMs) on patients with shoulder impingement syndrome (SIS). There is evidence that manual physical therapy that includes TSTM and non-thrust manipulation and exercise is effective for the treatment of patients with SIS. However, the...

BACKGROUND This study investigated the clinical and radiographic factors that influence outcome after arthroscopic subacromial decompression (ASAD) for shoulder impingement syndrome. The goal was to develop a new preoperative scoring system to identify patients who would have a prompt and sustained benefit from ASAD. METHODS We prospectively reviewed 112 consecutive patients with impingement ...

Acromioplasty is a well-described technique used throughout the wide spectrum of treatment options for shoulder impingement and rotator cuff pathology. Several randomized prospective studies have described clinical outcomes that are statistically similar when comparing patients undergoing rotator cuff repair either with or without concomitant acromioplasty. This article reviews the current evid...

methods a cross sectional survey of 156 archers (m = 91, f = 65) mean age = 20.27 ± 2.31 (range 15 - 28 years) was conducted during all india inter university archery tournament 2013. study consisted of two parts - schedule interview and clinical examination of both shoulders. t test, odds ratio and cross tabulation with chi square (χ2) test were the tool of statistical analysis. results the po...