Effect of Desensitization Methods During the Early Mobilization Phase in Post-Fracture Conditions of Upper Extremity

Shah, Poonam; Shinde, Sandeep

doi:10.22159/ajpcr.2018.v11i7.25297

Cited by 9 publications

(2 citation statements)

References 11 publications

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“…Six degrees of freedom, three rotations, and three translations are available in the glenohumeral joint. For physical functioning, the upper extremity is a crucial component of our body [ 12 ]. The upper extremity is used for a number of daily tasks, including writing, picking up objects, transferring objects from one location to another, eating, combing, bathing, and many other tasks [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of Mobilization With Movement on the Glenohumeral Joint Positional Fault in Subacromial Impingement

Dalvi,

Shinde,

Mishra

2024

Cureus

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Introduction Subacromial impingement (SAI) is a prevalent shoulder condition characterized by mechanical compression within the subacromial region. It presents with symptoms like shoulder pain and restricted motion, impacting a significant portion of the population. Neer's classification delineates three progressive stages of SAI, ranging from bursa edema to chronic rotator cuff tears. The etiology involves intrinsic and extrinsic factors, leading to altered kinematics and impingement. The study aims to determine the effect of mobilization with movement (MWM) on the glenohumeral joint positional fault in patients with SAI. Materials and methods The study comprised 80 participants diagnosed with SAI, selected based on the inclusion and exclusion criteria, and randomly divided into two groups, each consisting of 40 subjects. Group A received conventional therapy, while Group B received MWM in addition to conventional therapy. Treatment sessions, lasting 45 minutes, were administered five times weekly for four weeks. Pre- and post-treatment assessments included the visual analog scale (VAS), range of motion (ROM), acromion humeral distance (AHD), and acromion tuberosity index (ATI). Results The results demonstrated that there was an extremely significant improvement in VAS, shoulder ROM, and ADH in both groups, with a p-value of 0.0001, except for the ATI, which showed significant improvement in Group B with a p-value of 0.0001 compared to Group A. Conclusions Based on statistical analysis, the study found that MWM significantly improved joint positioning fault and has been beneficial in reducing pain and improving ROM.

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Section: Introductionmentioning

confidence: 99%

Effect of Mobilization With Movement on the Glenohumeral Joint Positional Fault in Subacromial Impingement

Dalvi,

Shinde,

Mishra

2024

Cureus

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“…[21] In kyphotic posture, there is scapular muscle weakness due to which there is altered scapulohumeral rhythm which may lead to scapulothoracic dysfunction. [22] The scapulothoracic kinematics are also affected by abnormality in thoracic and cervical spine posture. [23] These postural problems leads to weakness and fatigue of scapular musculature, tightness of pectoral muscles and upper back pain.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Scapulothoracic Dysfunction in Primipara after One Year of Delivery

et al. 2022

APJHS

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Background: During pregnancy, there are various physiological, biomechanical, postural, and emotional changes taking place. The changes in posture which occurs during pregnancy are even maintained in postpartum period if they remain uncorrected. Due to the enlargement of breasts, size of the uterus, and mother’s weight, there is increase in lumbar and cervical lordosis and there is compensatory thoracic kyphosis, the shoulder and upper back become rounded. There is scapular protraction and internal rotation of the upper extremity; these adaptations of posture may also persist in the postpartum period due to infant care demands. Pectoralis muscles tightness and weakness of the scapular stabilizers may be pre-existing to or may occur due to pregnancy postural changes. Hence, there is a need of evaluating the upper quadrant musculoskeletal involvement during the postpartum period and its correlation with changes that occur during pregnancy. Objective: The objective of this study was to study the prevalence of scapulothoracic dysfunction in primipara after 1 year of delivery. Methods: A total 150 primipara women who had completed 1 year of delivery were randomly selected from the Krishna Institute of Medical Sciences, Karad in this analytical observational study. Scapulothoracic dysfunction was assessed using postural examination chart in the anterior, lateral and posterior views by plumb line, manual muscle testing for muscle strength, and special tests for scapular dysfunction. Results: The result showed that 71% found to be positive for scapulothoracic dysfunction through YES/NO test, respectively. Majority of the subjects (45%) had type II scapular dyskinesis, while 18% subjects had type I, 11% had type III, and 22% had type IV. On postural examination, 27% had forward head posture, 55% had protracted shoulder, and 60% had kyphotic posture. The strength test showed that 57% subjects had weak trapezius, 60% had serratus anterior weak and significant amount of weakness with gradings in the range of −3–+3 for 57% subjects in trapezius, 60% in serratus anterior, and 65% had weak rhomboid’s major with gradings in the range of −3–+3, respectively. Conclusion: The study concludes that, statistically, there was high prevalence of scapulothoracic dysfunction in primipara women after 1 year of delivery. This was due of the slouched posture that the women’s adapted due to increase in breast size, increased size of the uterus, breast feeding positioning, and also infant care which demanded hunched back posture. It was also found that women had lack of knowledge about posture.

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Interventions for treating proximal humeral fractures in adults

Handoll

Elliott

Thillemann

et al. 2022

Cochrane Database of Systematic Reviews

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Analysis 1.11. Comparison 1 Early mobilisation (within or up to 1 week) versus immobilisation for 3 or 4 weeks, Outcome 11 Changes in pain intensity (mm) from baseline: 100 mm visual analogue scale (positive change = less pain). . Analysis 1.12. Comparison 1 Early mobilisation (within or up to 1 week) versus immobilisation for 3 or 4 weeks, Outcome 12 Range of motion at 6 months (degrees): difference between two shoulders. . . . . . . . . . . . . Analysis 1.13. Comparison 1 Early mobilisation (within or up to 1 week) versus immobilisation for 3 or 4 weeks, Outcome

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Effect of Desensitization Methods During the Early Mobilization Phase in Post-Fracture Conditions of Upper Extremity

Cited by 9 publications

References 11 publications

Effect of Mobilization With Movement on the Glenohumeral Joint Positional Fault in Subacromial Impingement

Effect of Mobilization With Movement on the Glenohumeral Joint Positional Fault in Subacromial Impingement

Prevalence of Scapulothoracic Dysfunction in Primipara after One Year of Delivery

Interventions for treating proximal humeral fractures in adults

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