Impact of spine alignment on the rotator cuff in long-term wheelchair users

Kentar, Y.; Brunner, Manuela; Brückner, Thomas; Hug, Andreas; Raiss, Patric; Zeifang, Felix; Loew, Markus; Almansour, Haidara

doi:10.1016/j.jse.2017.12.002

Cited by 3 publications

(2 citation statements)

References 41 publications

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“…9 In the same vein, poor trunk control is linked to rotator cuff pathology. 77 Scapular retraction and elevation are reduced in patients with insidious onset neck pain and whiplash-associated disorder, which may result from diminished function of the trapezius. 78 Gumina et al reported increased cervical kyphosis and Northwick Park neck pain questionnaire scores in patients with chronic type 3 AC joint dislocations.…”

Section: Causative Shoulder and Neck Pathologymentioning

confidence: 99%

Overlapping, Masquerading, and Causative Cervical Spine and Shoulder Pathology: A Systematic Review

Katsuura

Bruce

Taylor

et al. 2019

Global Spine Journal

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Study Design: Systematic review. Objective: To assess the current literature regarding the relationship between the shoulder and the spine with regard to (1) overlapping pain pathways; (2) differentiating history, exam findings, and diagnostic findings; (3) concomitant pathology and optimal treatments; and (4) cervical spine-based etiology for shoulder problems. Methods: A systematic literature search was performed according to the guidelines set forth by the Cochrane Collaboration. Studies were included if they examined the clinical, anatomical, or physiological overlap between the shoulder and cervical spine. Two reviewers screened and selected full texts for inclusion according to the objectives of the study. Quality of evidence was graded using OCEBM (Oxford Center for Evidence Based Medicine) and MINORS (Methodological Index for Nonrandomized Studies) scores. Results: Out of 477 references screened, 76 articles were included for review and grouped into 4 main sections (overlapping pain pathways, differentiating exam findings, concomitant/masquerading pathology, and cervical spine-based etiology of shoulder pathology). There is evidence to suggest cervical spine pathology may cause shoulder pain and that shoulder pathology may cause neck pain. Specific examination tests used to differentiate shoulder and spine pathology are critical as imaging studies may be misleading. Diagnostic injections can be useful to confirm sources of pain as well as predicting the success of surgery in both the shoulder and the spine. There is limited evidence to suggest alterations in the relationship between the spine and the scapula may predispose to shoulder impingement or rotator cuff tears. Moreover, cervical neurological lesions may predispose patients to developing rotator cuff tears. The decision to proceed with shoulder or spine surgery first should be delineated with careful examination and the use of shoulder and spine diagnostic injections. Conclusion: Shoulder and spine pathology commonly overlap. Knowledge of anatomy, pain referral patterns, shoulder kinematics, and examination techniques are invaluable to the clinician in making an appropriate diagnosis and guiding treatment. In this review, we present an algorithm for the identification and treatment of shoulder and cervical spine pathology.

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Section: Causative Shoulder and Neck Pathologymentioning

confidence: 99%

Overlapping, Masquerading, and Causative Cervical Spine and Shoulder Pathology: A Systematic Review

Katsuura

Bruce

Taylor

et al. 2019

Global Spine Journal

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“…The thoracic kyphosis angle and mobility affect the movement of the scapula and upper limbs [ 13 , 14 ]. A hyperkyphotic thoracic alignment has been suggested to play a role in rotator cuff tears, shoulder pain, little league shoulder, and limitation of upper limb elevation [ 15 , 16 ]. It has been reported that shoulder pain and upper limb function improve after correction of excessive thoracic kyphosis [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Spinal alignment measurement with Kinect sensor is valid for thoracic kyphosis but not for lumbar lordosis

et al. 2023

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Background Spinal alignment evaluation is commonly performed in the clinical setting during rehabilitation. However, there is no simple method for its quantitative measurement. Recently, the depth cameras in Kinect sensors have been employed in various commercial and research projects in the healthcare field. We hypothesized that the time-of-flight technology of the Kinect sensor could be applied to quantitatively evaluate spinal alignment. The purpose of this study was to develop a simple and noninvasive evaluation for spinal alignment using the Kinect sensor and to investigate its validity. Methods Twenty-four healthy men participated in the study. Measurement outcomes were the thoracic kyphosis and lumbar lordosis angles in the standing position, using a Spinal Mouse, the validity of which has been previously reported, and the Kinect sensor. In the measurement by the Kinect sensor, a program was created to obtain the three-dimensional coordinates of each point within an area marked on the monitor, and the sums of the angles at each vertebral level were calculated for the thoracic and lumbar areas. Pearson's correlation coefficient was used to analyze the relationship between the Kinect sensor and Spinal Mouse measurements of thoracic kyphosis and lumbar lordosis angles. Results There was a significant positive and moderate correlation between the thoracic kyphosis measurements taken by each device. Contrarily, there was no significant correlation in the lordosis angle between measurements using the Kinect sensor and Spinal Mouse. Conclusions Our results demonstrated the validity of measuring the thoracic kyphosis angle using the Kinect sensor. This indicates that the depth camera in the Kinect sensor is able to perform accurate thoracic alignment measurements quickly and noninvasively.

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Impact of cervical spine pathology on outcomes after total shoulder arthroplasty

Colasanti¹,

Lin²,

Simovitch³

et al. 2023

Journal of Shoulder and Elbow Surgery

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Impact of spine alignment on the rotator cuff in long-term wheelchair users

Cited by 3 publications

References 41 publications

Overlapping, Masquerading, and Causative Cervical Spine and Shoulder Pathology: A Systematic Review

Overlapping, Masquerading, and Causative Cervical Spine and Shoulder Pathology: A Systematic Review

Spinal alignment measurement with Kinect sensor is valid for thoracic kyphosis but not for lumbar lordosis

Impact of cervical spine pathology on outcomes after total shoulder arthroplasty

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