This randomized clinical trial investigated the effectiveness of exercise versus exercise plus trigger point (TrP) dry needling (TrP-DN) in subacromial pain syndrome. A randomized parallel-group trial, with 1-year follow-up was conducted. Fifty subjects with subacromial pain syndrome were randomly allocated to receive exercise alone or exercise plus TrP-DN. Participants in both groups were aske...

BACKGROUND Shoulder pain from inflammatory arthritis and/or degenerative disease is a common cause of morbidity in the community. It is difficult to treat and there are limited data on the efficacy of most interventions. Suprascapular nerve block has shown promise in limited trials in reducing shoulder pain. There have been no large randomised placebo controlled trials examining the efficacy of...

OBJECTIVE To identify baseline risk factors associated with hemiplegic shoulder pain during the first 6 months after a stroke and to investigate changes in these risk factors over time. DESIGN Longitudinal observational study. PATIENTS A total of 94 patients with first-ever unilateral stroke lesion within 1 month after stroke. METHODS Clinical, radiological and sonographic evaluations wer...

There is evidence for the efficacy of acupuncture treatment for chronic shoulder pain, but it remains unclear which acupuncture modes are most effective. We compared the effect of trigger point acupuncture (TrP), with that of sham (SH) acupuncture treatments, on pain and shoulder function in patients with chronic shoulder pain. The participants were 18 patients (15 women, 3 men; aged 42-65 year...

Musculoskeletal disorders such as neck pain have been related to computer use in adults and an association between computer use, neck posture and neck pain has been suggested. Computer use in increasing in children and thus the potential for related neck pain and postural changes is increasing. This study evaluated the neck pain, neck posture and computer use of 884 adolescents. Over one third ...

BACKGROUND/HYPOTHESIS Shoulder pain in elite swimmers is common, and its pathogenesis is uncertain. HYPOTHESIS/STUDY DESIGN: The authors used a cross-sectional study design to test Jobe's hypothesis that repetitive forceful swimming leads to shoulder laxity, which in turn leads to impingement pain. METHODS Eighty young elite swimmers (13-25 years of age) completed questionnaires on their swim...

BACKGROUND It is unclear whether the presence of scapular dyskinesis increases the risk of developing shoulder pain in asymptomatic athletes. OBJECTIVES To determine whether the presence of scapular dyskinesis in asymptomatic athletes increases the risk of developing shoulder pain by systematic review and meta-analysis. METHODS A systematic search was conducted in the Cochrane Library, Emba...

Musculoskeletal disorders (MSDs) and musculoskeletal complaints are a major cause of morbidity at work in Europe and North America and the leading causes of compensated occupational diseases in several European countries. The body regions most often affected are the lower back, the neck and the shoulders. Shoulder pain (SP) is common both in the general population, with 1-year prevalence rates ...

For answer see page 130 Figure: Axial (A) and coronal (B) T2-weighted fat-suppressed and large-field-of-view coronal short tau inversion recovery (C) magnetic resonance images of the right shoulder. A 41-year-old man presented with moderate right shoulder pain on abduction. He had a history of sudden-onset right shoulder pain (10/10 in intensity) at rest and profound weakness on right shoulder ...

RATIONALE The use of musculoskeletal ultrasound (MU) method in the diagnosis of shoulder pain and injury and guidance of injection and pain blocking has been established. However, the treatment of posthemiplegic shoulder pain (HSP) with MU-guided precise physical therapy has not been reported. PATIENT CONCERNS Here, we present the first case report of a 64-year-old man with a right basal gang...