Tests for diagnosing subacromial impingement syndrome and rotator cuff disease

Phillips, Nick

doi:10.1177/1758573214535368

“…The patients present with pain and restricted movements of the shoulder joint. On examination, a positive Hawkins-Kennedy test and Neer's impingement sign can be seen [9]. Ultrasound has been widely used for the diagnosis of shoulder impingement syndrome.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Single Injection of Platelet-Rich Plasma in Shoulder Impingement Syndrome

Saurav¹,

Aggarwal²,

Shahi³

et al. 2022

Cureus

1

0

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IntroductionTo analyze the change in Visual Analog Scale (VAS), QuickDASH score, and the range of motion at the shoulder joint following a single injection of platelet-rich plasma (PRP) in shoulder impingement syndrome. MethodsTwenty patients (21 shoulders) of either sex above the age of 18 years with a clinical diagnosis of shoulder impingement having a positive shoulder impingement test (positive Hawkins-Kennedy impingement test and/or positive Neer's impingement sign), ultrasonographic confirmation of shoulder impingement, and a failure to respond to standard non-operative methods for a minimum period of four weeks were included in this prospective interventional study. PRP was injected at the proposed site. At three months after the injection, the changes in the VAS, QuickDASH score, and the range of motion at the shoulder joint were analyzed. ResultsThere were significant changes in the VAS, QuickDASH score, and range of motion at the shoulder joint following a single injection of PRP. ConclusionsPlatelet-rich plasma (PRP) injection results in a significant decrease in pain and improvement in the range of motion and an overall excellent functional outcome in shoulder impingement syndrome. However, future studies with a bigger sample size and longer follow-up are needed.

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“…Various provocative test maneuvers have been created to help identify biceps tendon lesions. The Yergason, Neer, Hawkins, and Speed tests are often used to isolate biceps tendon pathology by creating an impingement below the coracoacromial arch [ 29 , 30 ].…”

Section: Discussionmentioning

confidence: 99%

The Applicability of Provocative Functional Tests in the Diagnosis of Rotator Cuff Muscle Injuries of the Best University Athletes

Ujsasi

¹

,

Filipović²,

Zvekic-Svorcan

³

et al. 2022

BioMed Research International

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Rotator cuff disease, external and internal impingement syndromes, low shoulder stability, various types of trauma, and overuse injuries are all related to sports activities. In order to check symptoms in patients with disability and shoulder pain, clinicians use different methods and diagnostic imaging assessment. The research is aimed at evaluating whether there is a difference between provocation function tests (PFT) and ultrasonographic (US) testing of muscles within the rotator cuff in elite collegiate athletes. Patients ( n = 184 ) were recruited from university team sports selections and tested with a standardized US examination of the shoulder and five PFTs (Speed’s test, Neer’s test, Hawkins test, lift-off test, Yergason’s test). Based on the VAS pain assessment scale, 60 subjects had some pain, which was taken for further processing in the work (124 subjects did not have the presence of pain and were excluded from further processing). The US examination was conducted using Voluson 730 apparatus, by a linear probe, with the frequency in the range of 6-12 MHz. The chi-square test showed significant differences between PFT and the occurrence of shoulder muscle tendinitis for the following variables: Speed’s test and subscapularis tendinitis ( p = 0.02 ) and Speed’s test and infraspinatus tendinitis ( p = 0.01 ); Neer test and biceps brachii caput longum tendinitis ( p = 0.01 ), Neer test and supraspinatus tendinitis ( p = 0.02 ) and Neer test and infraspinatus tendinitis ( p = 0.01 ); lift-off test and subscapularis tendinitis ( p = 0.05 ); and Yergason’s test and biceps brachii caput longum tendinitis ( p = 0.03 ) and Yergason’s test and subscapitis tendinitis ( p = 0.01 ). The greatest effect of differences was observed in Neer’s test and biceps brachii caput longum tendinitis ( φ = 0.60 ), while the other effects can be described as medium and small in most cases. It can be concluded that functional tests are good predictors of soft tissue changes in the muscles of the rotator cuff of the shoulder. Further monitoring and analysis are needed on a larger number of athletes.

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“…Sixty-five potentially eligible patients were recruited from IS associations from February 2015 through December 2016. Inclusion criteria for this study were: Patients aged between 18 and 85 years and diagnosed previously with IS, who fulfil at least three of the following criteria: (a) pain in active abduction (70°–120°), considered impingement +; (b) pain on palpation of any of the following osteotendinous insertions: infraspinatus, teres minor, supraspinatus, subscapularis, and biceps; (c) pain in any of the following isometric contractions: abduction (first 10°), internal rotation (in the anatomical position and with 90° elbow flexion), and shoulder flexion; (d) positive on the Neer and Hawkins tests ( Phillips, 2014 ); or (e) night-time shoulder pain. Patients were excluded from enrolment if they had signs of a full-thickness rotator cuff tear; acute inflammation or cervical radicular pain; calcification of the cuff tendons; glenohumeral instability; previous shoulder surgery; limited passive joint balance; pain due to suspected visceral or infectious process; shoulder pain of neurological origin; bilateral involvement; physiotherapeutic treatment in the past 6 months; aged <18; or physical and/or psychological dependence.…”

Section: Methodsmentioning

confidence: 99%

“…Both complexes provoke coordinated, rhythmic activation of the skeletal musculature throughout the entire body ( Juarez-Albuixech et al, 2020 ). This enables a change from pathological patterns to alternative physiological patterns that are painless, efficient, and functional, by means of generating significant global effects, including the axial extension of the spine, correct positioning of the shoulder girdle, and activation of the abdominal musculature ( Phillips, 2014 ), all of which are altered by shoulder pathologies. We hypothesise that VT is a safe and efficient conservative alternative.…”

Section: Introductionmentioning

confidence: 99%

Feasibility and efficacy of the Vojta therapy in subacromial impingement syndrome: a randomized controlled trial

González²,

et al. 2021

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Subacromial impingement syndrome (IS) is a common disorder associated with functional impairment and disability of the shoulder. The aim of this study was to evaluate the efficacy of Vojta therapy (VT) techniques compared with standard therapy (ST) in patients with subacromial IS. A randomized controlled trial was performed, with 60 patients with IS (mean age, 61±12 years) randomized into two groups: ST (n=30) and ST plus Vojta therapy (SVT, n=30). Both received 15 treatment sessions over 4 weeks. Outcome measures included pain intensity, functionality, joint range of motion (RoM), strength, and quality of life measurements. The efficacy of both treatments was analysed, both comparatively and separately, immediately after completion of treatment and after 3 months. After the intervention, both groups showed statistically significant differences in visual analogue scale (P=0.001), RoM (P<0.01), and strength (P<0.001), which were also seen 3 months after the intervention. SVT is more efficient in both the short and medium term in reducing pain, improving functionality, increasing articular RoM and strength, and offering a better quality of life in IS patients.

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Tests for diagnosing subacromial impingement syndrome and rotator cuff disease

Abstract: Clinical examination techniques need to allow the physician to determine the underlying pathology of a patient's condition with confidence. This review examines the evidence for two common conditions: impingement and rotator cuff disease

Cited by 15 publications

References 28 publications

Efficacy of Single Injection of Platelet-Rich Plasma in Shoulder Impingement Syndrome

Efficacy of Single Injection of Platelet-Rich Plasma in Shoulder Impingement Syndrome

The Applicability of Provocative Functional Tests in the Diagnosis of Rotator Cuff Muscle Injuries of the Best University Athletes

Feasibility and efficacy of the Vojta therapy in subacromial impingement syndrome: a randomized controlled trial

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