Measurement of shoulder joint kinaesthesia

Alvemalm, A.; Furness, Anne; Wellington, Louise

doi:10.1054/math.1996.0262

Cited by 17 publications

(5 citation statements)

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“…For the ROM measurements, only the second and third recordings from each repetition were used in order to avoid any learning effect often observed between the first and second repetition [66]. A mean difference of 1.2° flexion was detected in favor of the SNAG intervention when compared to the sham group (Table 2) though this difference did not reach statistical significance (p = 0.673).…”

Section: Resultsmentioning

confidence: 99%

The initial effects of a Mulligan's mobilization with movement technique on range of movement and pressure pain threshold in pain-limited shoulders

2008

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There is little known about the specific manual therapy techniques used to treat painfully limited shoulders and their effects on range of movement (ROM) and pressure pain threshold (PPT). The objective of this study was to investigate the initial effects of a Mulligan's mobilization with movement (MWM) technique on shoulder ROM in the plane of the scapula and PPT in participants with anterior shoulder pain. A repeated measures, double-blind randomized-controlled trial with a crossover design was conducted with 24 subjects (11 males and 13 females). ROM and PPT were measured before and after the application of MWM, sham and control conditions. Significant and clinically meaningful improvements in both ROM (15.3%, F (2,46)=16.31 P=0.00) and PPT (20.2%, F(2,46)=3.44, P=0.04) occurred immediately after post treatment. The results indicate that this specific manual therapy treatment has an immediate positive effect on both ROM and pain in subjects with painful limitation of shoulder movement. Further study is needed to evaluate the duration of such effects and the mechanism by which this occurs.

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Section: Resultsmentioning

confidence: 99%

The initial effects of a Mulligan's mobilization with movement technique on range of movement and pressure pain threshold in pain-limited shoulders

2008

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“…This is the first study to confirm that the anatomical structure of the anterior (capsule, MGHL, ABIGHL) and posterior (capsule and PBIGHL) passive shoulder restraints has no impact on the range of PJPS for either ER or IR, and that their potential for spontaneous healing affects the recovery of proprioception after arthroscopic release of idiopathic frozen shoulder. Previous studies of shoulder proprioception have used various sets of equipment and a range of arm positions [ 1 – 10 , 19 – 24 ]. One of the devices used to study proprioception is the isokinetic dynamometer [ 1 , 6 , 10 , 20 ], which allows measurement of the peak torque of the muscle responsible for shoulder stability and injury prevention [ 18 , 24 ,].…”

Section: Discussionmentioning

confidence: 99%

“…The most frequently studied forms of shoulder joint proprioception are passive and active joint position sense (PJPS and AJPS) [ 1 – 10 ]. However, knowledge regarding proprioception dysfunctions remains incomplete, and the potential for passive shoulder stabilizers to spontaneously heal, as well as the relationship between the healing process and the position senses, is not fully understood [ 1 , 3 , 4 , 6 , 7 ,].…”

Section: Introductionmentioning

confidence: 99%

“…Hence, the precise relationship between the anatomical structure of the anterior and posterior passive shoulder stabilizers and PJPS or AJPS remains unclear, and relationship between them and the isokinetic muscle performance demands further clarification. Similarly, previous studies have been unable to reach consensus on the optimal position and equipment which should be used for measurement and normative PJPS and AJPS values [ 1 – 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Shoulder proprioception – lessons we learned from idiopathic frozen shoulder

Fabiś

Rzepka

Fabiś

et al. 2016

BMC Musculoskelet Disord

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BackgroundOf all the most frequent soft tissue disorders of the shoulder, idiopathic frozen shoulder (IFS) offers the greatest potential for studying proprioception. Studies concerning the presence of proprioception dysfunctions have failed to determine the potential for spontaneous healing of passive shoulder stabilizers (anterior and posterior capsule, middle and inferior gleno-humeral ligaments), its relationship with passive (PJPS) and active (AJPS) shoulder proprioception for internal and external rotation (IR, ER), as well as the isokinetic muscle performance of the internal and external rotators. This study investigates these dependencies in the case of arthroscopic release of IFS.MethodsThe study group comprised 23 patients (average aged 54.2) who underwent arthroscopic release due to IFS and 20 healthy volunteers. The average follow-up time was 29.2 months. The Biodex system was used for proprioception measurement in a modified neutral arm position and isokinetic evaluation. The results were analysed using the T-test, Wilcoxon and interclass correlation coefficient. P-values lower than 0.05 were considered significant.ResultsStatistically significant differences were found between involved (I) and uninvolved (U) shoulders only in the cases of PJPS and AJPS, peak torque, time to peak torque and acceleration time for ER (p < 0.05). No statistically significant difference was noted between PJPS IR and PJPS ER or between AJPS IR and AJPS ER (p > 0.05) for the U shoulders.ConclusionsThe anatomical structure of anterior (capsule, middle and anterior band of inferior gleno-humeral ligament) and posterior (capsule and posterior band of inferior gleno-humeral ligament) passive shoulder restraints has no impact on the difference in PJPS values between ER and IR in a modified neutral shoulder position. The potential for spontaneous healing of the anterior and posterior passive shoulder restraints influences PJPS recovery after arthroscopic release of IFS. ER peak torque deficits negatively affect AJPS values. PJPS and AJPS of ER and IR can be measured with a high level of reproducibility using an isokinetic dynamometer with the arm in a modified neutral shoulder position. Differences greater than 15 % for PJPS and >24 % for AJPS for ER and IR can be helpful for future studies as baseline data for identification of particular passive and active shoulder stabilizers at risk.

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“…The poor test-retest ICC values in the present study and previous studies are probably reflective of the increased number of joints involved in producing spinal movement. Greater errors have been produced in the spine than at the extremity joints reflecting spine complexity [ 78 - 81 ]. Also memory becomes important when subjects are expected to reproduce the two-third's full flexion position expected within the test-retest portion of this study one week later.…”

Section: Discussionmentioning

confidence: 99%