An evidence-based review of current perceptions with regard to the subacromial space in shoulder impingement syndromes: Is it important and what influences it?

Mackenzie, Tanya Anne; Herrington, Lee; Horlsey, Ian; Cools, Ann

doi:10.1016/j.clinbiomech.2015.06.001

Cited by 51 publications

(40 citation statements)

References 100 publications

(129 reference statements)

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“…The consequences of RCT are pain and functional loss. Whether RCT is caused by degeneration, or by extrinsic mechanical compression, is still under debate [2,3]. Narrowing of the subacromial space can lead to impingement, which is considered to be the cause of rotator cuff tear progression [4,5].…”

Section: Introductionmentioning

confidence: 99%

Correlation between acromiohumeral distance and the severity of supraspinatus tendon tear by ultrasound imaging in a Chinese population

Tian

et al. 2020

BMC Musculoskelet Disord

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Background: The aim of this study was twofold: (i) to investigate the intrarater reliability of acromiohumeral distance measurement; (ii) to assess the level of association between acromiohumeral distance measured by ultrasonography, and the degree of supraspinatus tendon tear, in patients suffering from chronic shoulder pain. Methods:A cross-sectional, case-control study was carried out. A convenience sample comprising 59 patients with a unilateral supraspinatus tendon tear was assessed. Both shoulders of each patient were scanned by ultrasound, with the contralateral asymptomatic shoulders serving as the control group for comparison. Acromiohumeral distances of each shoulder were measured and analysed. Results: Intrarater reliability was excellent for the ultrasound method of acromiohumeral distance measurement. The acromiohumeral distance of shoulders with full-thickness supraspinatus tendon tear was significantly smaller than that of joints with partial-thickness supraspinatus tendon tear and an intact supraspinatus tendon. There was a significant positive correlation between reduced acromiohumeral distance and the severity of a supraspinatus tendon tear. Conclusions:Ultrasound is a reliable tool to measure acromiohumeral distance. A positive relationship was found between a narrowed acromiohumeral distance and the severity grading of a supraspinatus tendon tear. Reduced acromiohumeral distance can be considered a predictive parameter for a full-thickness supraspinatus tendon tear.Trial registration: The study was prospectively registered with the Chinese Clinical Trial Registry. Registration number: ChiCTR-ROC-17013550. Date of registry: 26 November 2017.

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Section: Introductionmentioning

confidence: 99%

Correlation between acromiohumeral distance and the severity of supraspinatus tendon tear by ultrasound imaging in a Chinese population

Tian

et al. 2020

BMC Musculoskelet Disord

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“…Intrinsic factors are degenerative processes in tendons, which cause biomechanical, metabolic, and functional changes. Extrinsic factors are anatomically incorrect forms of acromion, kinematic changes between humerus and scapula bones, incorrect posture, incorrect force couples in shoulder and upper back, tight pectoral muscles, decreased mobility in posterior shoulder capsule (Mackenzie, Herrington, Horlsey, & Cools, 2015).…”

Section: Introductionmentioning

confidence: 99%

Effect of Visual and Auditory Feedback Exercises on Shoulder Function in Rotator Cuff Tendonitis Patients

Jasnauskaitė-Gedrimė

Gedrimas

Karpavičienė

et al. 2018

Baltic Journal of Sport and Health Sciences

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Background. There is a lot of information in literature about rotator cuff strengthening, stretching, and postural correction exercises, which are recommended as a complex for tendonitis rehabilitation (Dong et al., 2015). There is lack of information about visual and auditory feedback exercises for shoulder functions in rotator cuff tendonitis. Methods. The purpose of the study was to evaluate the effect of visual (VF) and auditory (AF) feedback exercises for shoulder functions in rotator cuff tendonitis patients. Thirty patients of Šiauliai rehabilitation centre were included in this study. Diagnostic tests, shoulder proprioception, posture, muscle strength (Lovett), functional muscle strength (Kendall), quality of life evaluations were performed before and after the study to evaluate the effect of VF and AF exercises. Results. VF exercise group had a greater increase (p < .05) in shoulder flexion abduction, internal and external rotation range of motion, proprioception, muscle strength results, also increased physical functioning, and decreased role- physical and bodily pain in the quality of life evaluation. AF exercise group demonstrated a greater increase (p < .05) in shoulder flexion abduction range of motion and muscle strength, bodily pain decreased in the quality of life evaluation. Conclusions. After comparing the results we concluded that shoulder extension, abduction, internal and external rotation range of motion and proprioception, muscle strength and the quality of life increased (p < .05) more in VF exercise group than in AF group. All in all, visual feedback exercises had greater effect onr shoulder functions and the quality of life compared to auditory feedback group. We would recommend including this type of exercises in rotator cuff tendonitis rehabilitation program.

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“…The subacromial space is bordered by the undersurface of the acromion, coracoacromial ligament, and acromioclavicular joint superiorly and the humeral head inferiorly1. The structures passing through the space are the supraspinatus and subscapularis tendons, the long head of the biceps tendon, and the subdeltoid bursa2.…”

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Association of Bicipital Peritendinous Effusion with Subacromial Impingement: A Dynamic Ultrasonographic Study of 337 Shoulders

Chang

Özçakar

2016

Sci Rep

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Bicipital peritendinous effusion (BPE) is the most common biceps tendon abnormality and can be related to various shoulder ultrasonographic findings. Since the association of BPE with subacromial impingement is unclear, our study aimed to explore its association with the dynamic subacromial impingement test during ultrasound (US) imaging. We included 337 shoulders referred for US examinations and quantified the amount of BPE. Effusion more than 1 mm in thickness was considered a positive finding. A comparison of three grades of subacromial impingement, adjusted by patient demographics, static sonographic shoulder pathology, and physical findings, by using multivariate regression models revealed that the odds ratio of subacromial impingement (with 95% confidence intervals) in the presence of BPE was 6.54 (3.21–13.32) in grade 1, 6.93 (3.05–15.76) in grade 2 and 3.18 (1.48–6.80) in grade 3. An increase in age, subdeltoid bursitis, full-thickness supraspinatus tendon tear, and shoulder stiffness were also associated with BPE. Since our study demonstrated a positive association of BPE with all grades of impingement, a US dynamic subacromial impingement test is suggested when BPE is present. Future prospective studies are needed to identify changes in BPE after treatment.

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An evidence-based review of current perceptions with regard to the subacromial space in shoulder impingement syndromes: Is it important and what influences it?

Cited by 51 publications

References 100 publications

Correlation between acromiohumeral distance and the severity of supraspinatus tendon tear by ultrasound imaging in a Chinese population

Correlation between acromiohumeral distance and the severity of supraspinatus tendon tear by ultrasound imaging in a Chinese population

Effect of Visual and Auditory Feedback Exercises on Shoulder Function in Rotator Cuff Tendonitis Patients

Association of Bicipital Peritendinous Effusion with Subacromial Impingement: A Dynamic Ultrasonographic Study of 337 Shoulders

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