Glenohumeral and scapulohumeral kinematic analysis of patients with traumatic anterior instability wearing a shoulder brace: a prospective laboratory study

Dellabiancia, F.; Parel, I.; Filippi, M.V.; Porcellini, Giuseppe; Merolla, Giovanni

doi:10.1007/s12306-017-0494-8

Cited by 6 publications

(24 citation statements)

References 37 publications

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“…Similarly, Mcleod et al 26 investigated 4 shoulder braces (SAWA shoulder brace, Sully brace, SaundersGroup; Douglas shoulder sling, Douglas Protective Equipment), and a homemade elastic restraint (shoulder strap) and found that all 4 braces, again, initially limited active shoulder ROM but loosened after exercise, resulting in a significant increase in active shoulder abduction and external rotation. Dellabiancia et al, 14 in a prospective laboratory study investigating shoulder joint excursion while wearing the S2 Shoulder Stabilizer (Dual Sanitaly SpA), demonstrated significantly limited joint excursion in all planes of movement, except internal rotation, as well as narrower humeral head translation. The authors concluded that the S2 Shoulder Stabilizer improves joint stability during movements that are at risk for dislocation.…”

Section: Biomechanicsmentioning

confidence: 99%

“…The authors concluded that the S2 Shoulder Stabilizer improves joint stability during movements that are at risk for dislocation. 14…”

Section: Biomechanicsmentioning

confidence: 99%

“…The authors concluded that the S2 Shoulder Stabilizer improves joint stability during movements that are at risk for dislocation. 14 The positive effect of lower extremity bracing on joint position sense and injury prevention has been well described [4][5][6]17,19,21,22,27,33,36 ; however, only 2 previous studies have investigated the effect of shoulder bracing on joint proprioception. In a biomechanical study measuring shoulder joint position sense, Chu et al 11 demonstrated that shoulder bracing significantly improved joint position sense in individuals with a history of shoulder instability, but they reported no significant difference in joint position sense in individuals with no history of shoulder instability.…”

Section: Biomechanicsmentioning

confidence: 99%

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Protective Sport Bracing for Athletes With Mid-Season Shoulder Instability

Baker

Krishnan

Meghani

et al. 2022

Sports Health: A Multidisciplinary Approach

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Context: In-season glenohumeral instability is a common clinical dilemma faced by physicians who care for athletes. Both nonoperative and operative management of athletes with in-season glenohumeral instability have been well described. Functional bracing remains less understood as a treatment modality. This review aims to provide an update on the most recent literature regarding the use of functional bracing for shoulder instability. Evidence Acquisition: MEDLINE (PubMed and Ovid platforms), Web of Science, Embase, and Cochrane Database of Systemic Reviews were searched for articles available in English through June 1, 2021. The search terms shoulder brace, shoulder instability, athlete, in-season, glenohumeral instability, anterior shoulder instability, posterior shoulder instability, and bracing were used. Study Design: Clinical review. Level of Evidence: Level 3. Results: Research on the clinical outcomes of functional bracing remains mixed for patients with shoulder instability. Two studies have demonstrated improved return to play with functional bracing, while 1 study demonstrated no difference in return to play between braced athletes and nonbraced athletes with anterior instability. One previous study demonstrated that prophylactic use of bilateral shoulder stabilizing braces significantly decreased time lost due to injury in athletes with posterior instability. Previous biomechanical studies have demonstrated improved proprioception with brace wear as well as successful limitation of active shoulder range of motion. Conclusion: Bracing in athletes with shoulder instability remains an important nonoperative treatment modality. While clinical benefits are yet to be validated through high-quality studies, preliminary results suggest a potential benefit to recovery, with minimal downsides. Nevertheless, the use of bracing remains an individual choice but is especially recommended in settings of high-risk sports for shoulder instability, such as football.

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Section: Biomechanicsmentioning

confidence: 99%

“…The authors concluded that the S2 Shoulder Stabilizer improves joint stability during movements that are at risk for dislocation. 14…”

Section: Biomechanicsmentioning

confidence: 99%

Section: Biomechanicsmentioning

confidence: 99%

See 1 more Smart Citation

Protective Sport Bracing for Athletes With Mid-Season Shoulder Instability

Baker

Krishnan

Meghani

et al. 2022

Sports Health: A Multidisciplinary Approach

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“…However, they are not practical for overhead throwing athletes or for athletes with injuries to the dominant shoulder. Instead, less restrictive neoprene sleeves may be considered 42 . Additional and higher-level studies are needed to assess the efficacy of prophylactic sports bracing to prevent recurrent instability in athletes.…”

Section: Sports Brace Usementioning

confidence: 99%

Management and Outcomes of In-Season Anterior Shoulder Instability in Athletes

et al. 2019

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Anterior shoulder dislocation is a common problem in athletes and has serious implications due to the rate of injury recurrence and the resulting extended time out of play.» There are a variety of management options that address shoulder instability in an in-season athlete, and the decision-making approach should be individualized to the athlete. » Although nonoperative management and return to play in the same season may be a suitable option for a subset of athletes who wish to return to play as soon as possible (during a recruiting season, for an upcoming Combine, or if they are in the last season of their career), given the high risk of recurrence, we recommend that immediate surgical intervention should be considered to decrease the risk of further damage to the glenohumeral joint.» Arthroscopic stabilization currently is the most commonly performed intervention for athletes with anterior shoulder instability in the United States, but open repair remains an excellent option for high-risk patients.» In collision athletes with subcritical glenoid bone loss between 13.5% and 25%, early open anterior capsulolabral reconstruction or a Latarjet procedure is recommended. If glenoid bone loss exceeds 25%, the Latarjet or another glenoid osseous augmentation procedure should be performed to reduce the risk of recurrent anterior instability.

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“…Due to this high rate or recurrence, athletes should take steps to reduce risks such as: warming up their muscles adequately prior to activity, not participating if normal function is compromised and, wearing a brace in cases of recurrent shoulder instability ("Gunderson Clinic", n.d.). Dellabiancia et al (2017) used VICON TM motion capture technology to measure the range of motion of the glenohumeral joint of athletes suffering from anterior shoulder instability with, and without, a brace being worn. The group concluded that "the immobilizer achieves the goal of preserving joint stability in the movements that are at risk of dislocation" (Dellabiancia, et al, 2019, p. S159) after observing reduced range of motion when the brace was worn.…”

mentioning

confidence: 99%

A Review of Common Shoulder Injuries

Rathje

Begg²,

Helland³

et al. 2020

muse

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The shoulder complex is an intricate combination of bones, muscles, and ligaments that function synergistically to move the arm. While the shoulder is a very mobile joint, allowing for movement in all planes, it is not an apparatus known for stability. The injuries that can be sustained by the shoulder are often extensive and could give rise to further injuries in other aspects of the body, including the arm, back, and sternum. Two of the most common injuries that can be sustained by the shoulder include clavicular fractures and anterior shoulder dislocations. Clavicular fractures are most commonly sustained by direct compressive force directed towards the sternum and applied to the ipsilateral shoulder, while anterior dislocations commonly occur as a result of direct force projected anteriorly while the arm is externally rotated and abducted. The mechanism of injury for both clavicular fractures and anterior dislocations dictates the injuries' severity which subsequently determines the extent of treatment and rehabilitation that is needed. Both conservative and surgical methods are effective in treating shoulder injuries depending upon an individual's activity level and the extent of the injury. Following treatment, proper rehabilitation of the injury is crucial to regain the shoulder's active pain-free range of motion, strength of surrounding muscles, and neuromuscular control, while ensuring a timely return to daily activities.

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Glenohumeral and scapulohumeral kinematic analysis of patients with traumatic anterior instability wearing a shoulder brace: a prospective laboratory study

Cited by 6 publications

References 37 publications

Protective Sport Bracing for Athletes With Mid-Season Shoulder Instability

Protective Sport Bracing for Athletes With Mid-Season Shoulder Instability

Management and Outcomes of In-Season Anterior Shoulder Instability in Athletes

A Review of Common Shoulder Injuries

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