Shoulder structure and function: The impact of osteoarthritis and rehabilitation strategies

Vocelle, Amber R.; Weidig, Garrett; Bush, Tamara Reid

doi:10.1016/j.jht.2022.06.008

Cited by 6 publications

(4 citation statements)

References 127 publications

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“…Restricted ROM in shoulder abduction and flexion worsens impingement and increases pain [42]. Limited shoulder ROM also contributes to muscle imbalances and altered movement patterns, resulting in compensatory mechanisms, altered muscle recruitment, and changes in joint biomechanics [43]. These compensatory mechanisms can further impair function, weaken muscles, and increase instability, perpetuating the cycle of pain and disability [43][44][45][46][47][48][49].…”

Section: Discussionmentioning

confidence: 99%

“…Limited shoulder ROM also contributes to muscle imbalances and altered movement patterns, resulting in compensatory mechanisms, altered muscle recruitment, and changes in joint biomechanics [ 43 ]. These compensatory mechanisms can further impair function, weaken muscles, and increase instability, perpetuating the cycle of pain and disability [ 43 , 44 , 45 , 46 , 47 , 48 , 49 ]. Addressing limited shoulder ROM through targeted rehabilitation interventions such as stretching, mobilization, and strengthening exercises is crucial for managing pain, restoring normal joint mechanics, and improving functional outcomes in SAIS [ 50 ].…”

Section: Discussionmentioning

confidence: 99%

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Shoulder Proprioception and Its Correlation with Pain Intensity and Functional Disability in Individuals with Subacromial Impingement Syndrome—A Cross-Sectional Study

et al. 2023

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Subacromial Impingement Syndrome (SAIS) is a common shoulder condition characterized by pain and functional impairment. Proprioception, the sense of joint position and movement, is crucial in maintaining joint stability and coordinating movements. The relationship between shoulder proprioception, pain intensity, and functional disability in individuals with SAIS remains unclear, with conflicting findings in the literature. This cross-sectional study aimed to evaluate shoulder proprioception, examine its correlation with pain intensity and functional disability, and contribute to our understanding of the clinical implications of proprioceptive deficits in individuals with SAIS. Forty-two individuals were diagnosed with SAIS, and an equal number of asymptomatic controls were recruited. Shoulder proprioception was assessed using a digital inclinometer, measuring joint position sense at various angles of flexion and rotation. Pain intensity was measured using the Visual Analog Scale (VAS), and functional disability was assessed using the Shoulder Pain and Disability Index (SPADI). Results: Individuals with SAIS exhibited significantly higher joint position error (JPE) values compared to asymptomatic controls in all measured angles of flexion and rotation (p < 0.001). Strong positive correlations were observed between JPE and pain intensity (r = 0.61 to 0.71, p < 0.01) and disability (r = 0.56 to 0.68, p < 0.01). These findings suggest impaired shoulder proprioception is associated with higher pain intensity and functional disability in SAIS. This study provides evidence of impaired shoulder proprioception in individuals with SAIS and its correlation with pain intensity and functional disability. The results highlight the clinical relevance of proprioceptive deficits in SAIS and emphasize the importance of incorporating proprioceptive assessment and targeted rehabilitation interventions into managing this condition. Future research should focus on longitudinal studies with larger and more diverse samples to further understand the underlying mechanisms and evaluate the effectiveness of proprioceptive interventions in improving outcomes for individuals with SAIS.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Shoulder Proprioception and Its Correlation with Pain Intensity and Functional Disability in Individuals with Subacromial Impingement Syndrome—A Cross-Sectional Study

et al. 2023

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“…The shoulder OA disabling conditions lead to musculoskeletal pain and impairment in the reaching function of the upper limb [77]. Despite HA injections being explored as a treatment option for shoulder OA, strong evidence supporting this therapeutic intervention is still lacking [78].…”

Section: Shoulder Jointmentioning

confidence: 99%

Multidisciplinary Rehabilitation after Hyaluronic Acid Injections for Elderly with Knee, Hip, Shoulder, and Temporomandibular Joint Osteoarthritis

Lippi,

Ferrillo,

Turco

et al. 2023

Medicina

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Osteoarthritis (OA) is a prevalent degenerative joint condition characterized by cartilage deterioration, joint inflammation, and functional limitations, particularly impacting the elderly population. Rehabilitation and hyaluronic acid (HA) injections are common therapeutic approaches routinely used in clinical practice, but their synergistic potential is far from being fully characterized. Thus, the aim of this narrative review was to elucidate the multilevel benefits and synergies of integrating these two approaches in multidisciplinary OA rehabilitation. This narrative review follows the scale for the assessment of narrative review articles (SANRA) criteria and involves a comprehensive literature search from July to August 2023. Two independent reviewers screened studies, including those involving human subjects with OA, rehabilitation strategies, and outcomes following HA injection, published in English. Results: HA injections might improve joint biomechanics, reducing friction, absorbing shocks, and potentially regulating inflammation. Rehabilitation plays a pivotal role in strengthening muscles, increasing the range of motion, and enhancing overall function. Optimizing rehabilitation following HA injection might provide additional benefits in joint health. OA management requires a multidisciplinary approach integrating HA injections, rehabilitation, and personalized care. Challenges in patient adherence and healthcare resources currently exist, but emerging technologies offer opportunities to enhance patient engagement and monitoring optimizing sustainability and outcomes of patients with knee, hip, shoulder, and temporomandibular joint OA.

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“…Coordinated movement between the humerus, scapula, clavicle, thoracic wall, and thoracic spine is vital for optimal shoulder function, and injuries to these structures can significantly impair shoulder motion [ 2 ]. With advancing age, the incidence of common shoulder pathologies, including tendinopathy and osteoarthritis, rises progressively, affecting a substantial portion of individuals aged 65 and above [ 3 , 4 , 5 ]. Notably, rotator cuff tears pose a significant concern, afflicting approximately one-fifth of the global adult population and up to half of those aged 66 years and above [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Home-Based Rehabilitation of the Shoulder Using Auxiliary Systems and Artificial Intelligence: An Overview

Cunha

Ferreira

Sousa

2023

Sensors

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Advancements in modern medicine have bolstered the usage of home-based rehabilitation services for patients, particularly those recovering from diseases or conditions that necessitate a structured rehabilitation process. Understanding the technological factors that can influence the efficacy of home-based rehabilitation is crucial for optimizing patient outcomes. As technologies continue to evolve rapidly, it is imperative to document the current state of the art and elucidate the key features of the hardware and software employed in these rehabilitation systems. This narrative review aims to provide a summary of the modern technological trends and advancements in home-based shoulder rehabilitation scenarios. It specifically focuses on wearable devices, robots, exoskeletons, machine learning, virtual and augmented reality, and serious games. Through an in-depth analysis of existing literature and research, this review presents the state of the art in home-based rehabilitation systems, highlighting their strengths and limitations. Furthermore, this review proposes hypotheses and potential directions for future upgrades and enhancements in these technologies. By exploring the integration of these technologies into home-based rehabilitation, this review aims to shed light on the current landscape and offer insights into the future possibilities for improving patient outcomes and optimizing the effectiveness of home-based rehabilitation programs.

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Shoulder structure and function: The impact of osteoarthritis and rehabilitation strategies

Cited by 6 publications

References 127 publications

Shoulder Proprioception and Its Correlation with Pain Intensity and Functional Disability in Individuals with Subacromial Impingement Syndrome—A Cross-Sectional Study

Shoulder Proprioception and Its Correlation with Pain Intensity and Functional Disability in Individuals with Subacromial Impingement Syndrome—A Cross-Sectional Study

Multidisciplinary Rehabilitation after Hyaluronic Acid Injections for Elderly with Knee, Hip, Shoulder, and Temporomandibular Joint Osteoarthritis

Home-Based Rehabilitation of the Shoulder Using Auxiliary Systems and Artificial Intelligence: An Overview

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