The impact of rotator cuff tendinopathy on proprioception, measuring force sensation

Maenhout, Annelies; Palmans, Tanneke; Muynck, Martine De; Wilde, Lieven F. De; Cools, Ann

doi:10.1016/j.jse.2011.07.006

Cited by 44 publications

(43 citation statements)

References 35 publications

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“…Many studies investigated the changes in shoulder proprioception in patients with idiopathic frozen shoulder [23], suprascapular nerve neuropathy [38], anterior shoulder instability [21,22], glenohumeral arthritis needing shoulder [39,40], and after rotator cuff tear repair [41,42]: impaired shoulder proprioception, at different level of severity, was found by all these authors. Focusing on the subacromial space pathology, both Anderson et al [43] and Maenhout et al [44] investigated patients with rotator cuff pathology, founding a significant decrease in joint proprioception. Unfortunately, both the studied samples were composed of a small number of patients, and they do not include patients with RCT.…”

Section: Discussionmentioning

confidence: 99%

“…Different methods have been used for the assessment of joint position sense [22,43,[45][46][47][48]: the active/active, activeassisted, and passive/active protocols evaluating one or more between shoulder forward flexion, abduction, and internal and external rotation have been reported. Regarding the equipment used, proprioception has been investigated through isokinetic dynamometer [44,[49][50][51], inclinometer [51,52], laser pointer [52], goniometer [52], continuous passive motion device [53], fabricated laboratory equipment [54][55][56][57], and motion analysis system [58,59].…”

Section: Discussionmentioning

confidence: 99%

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The effects of rotator cuff tear on shoulder proprioception

Gumina

Camerota

Celletti

et al. 2018

International Orthopaedics (SICOT)

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The effects of rotator cuff tear on shoulder proprioception

Gumina

Camerota

Celletti

et al. 2018

International Orthopaedics (SICOT)

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“…In the overhead athlete with isolated infraspinatus atrophy caused by SSN compression, impaired sense of movement associated with different brain activation pattern has been reported suggesting an important contribution of RC muscle to shoulder proprioception 131 . Decreased sense of movement 88; 4; 130 and a tendency to overestimate the target during force reproduction tests 89 have been reported in patients with RC tendinopathy but no data exist in patients with RC tendon tears. In conditions such as knee disorders, functional brain MRI demonstrated reduced activation of sensorimotor cortical areas and increased activation in proprioception-related brain regions, however no data exist in patients with RC disease 69 .…”

Section: Central Processing Of Proprioceptive Informationmentioning

confidence: 98%

The role of the peripheral and central nervous systems in rotator cuff disease

Bachasson

Singh

Shah

et al. 2015

Journal of Shoulder and Elbow Surgery

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Rotator cuff (RC) disease is an extremely common condition associated with shoulder pain, reduced functional capacities and impaired quality of life. It primarily involves alterations in tendon health and mechanical properties that can ultimately lead to tendon failure. RC tendon tears induce progressive muscular changes that negatively impact surgical reparability of the RC tendons and clinical outcomes. At the same time, a significant base of clinical data suggests a relatively weak relationship between RC integrity and clinical presentation, emphasizing the multifactorial aspects of RC disease. This review aims to summarize the potential contribution of peripheral, spinal and supraspinal neural factors that may: (i) exacerbate structural and functional muscle changes induced by tendon tear, (ii) compromise the reversal of these changes during surgery and rehabilitation, (iii) contribute to pain generation and persistence of pain, iv) impair shoulder function through reduced proprioception, kinematics and muscle recruitment, and iv) help to explain interindividual differences and response to treatment. Given the current clinical and scientific interest in peripheral nerve injury in the context of RC disease and surgery, we carefully reviewed this body of literature with a particular emphasis for suprascapular neuropathy that has generated a large number of studies in the past decade. Within this process, we highlight the gaps in current knowledge and suggest research avenues for scientists and clinicians.

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“…Consistent with this proposal, individuals with rotator cuff tendinopathy have been shown to consistently overestimate a set force when visual feedback was removed, which contrasts the consistent underestimation of force by pain-free controls (Maenhout et al, 2012). Altered proprioception/overestimation of activity in tendinopathy, would challenge accurate control of muscle activity.…”

Section: Interpretation Of Neuromuscular Control Of Forearm Muscles Imentioning

confidence: 82%

“…In this case they may use a greater proportion of muscle activity to compensate and this may differ from a simple wrist extension task. In support, individuals with rotator cuff tendinopathy consistently over estimated force relative to pain-free controls (who consistently underestimated force) when asked to contract to a set force without visual feedback (Maenhout, Palmans, De Muynck, De Wilde, & Cools, 2012). Additionally, it is possible that a greater EMG activation during tennis strokes in the LE group than pain-free controls was explained by differences in the level of skill of each group.…”

Section: Interpretation Of Neuromuscular Control Of Forearm Muscles Imentioning

confidence: 82%

Towards an understanding of motor system impairments in individuals with unilateral lateral epicondylalgia

Heales¹

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Human grip is commonly used in sport and recreational activities and involves the coordinated activation of forearm muscles. Lateral epicondylalgia (LE) is a common musculoskeletal disorder that involves pathology of the tendon of extensor carpi radialis brevis (ECRB) at its insertion onto the lateral epicondyle of the humerus. LE presents clinically as pain provoked by gripping activities and has a major impact on function. This results in days off work and time off sport. Despite considerable research into the pathophysiology of LE, it remains poorly understood whether forearm muscles activity is altered during gripping in individuals with LE. This thesis aimed to comprehensively understand the extent of current knowledge and provide new data of activity of the wrist/forearm muscles in LE.Study 1 clarifies the current understanding of muscle activity in LE by way of systematic review with quantitative analysis. This review identified that studies of individuals with LE revealed altered motor unit morphology, abnormal patterns of muscle activity during resisted wrist extension and tennis strokes, fewer cortical peaks and less distance between cortical representation of muscles (mapped with transcranial magnetic stimulation), and delayed activation of wrist extensor muscles during gripping, when contrasted to pain-free controls. The latter finding was also present on the asymptomatic limb.Importantly, this systematic review identified limited understanding of gripping despite the clinical importance of this task in provocation of LE. The only study that had investigated muscle activity during this task had severe limitations that compromise the interpretation of the results. Limitations included the use of surface electromyography (which does not record from individual muscles), and performance of sustained contraction with high grip force (50% maximum voluntary contraction), which is likely to be provocative of pain in some individuals with LE.On the basis of some evidence of sensorimotor changes in the asymptomatic limb of individuals with unilateral LE, Study 2 was conducted as a systematic review with meta-analysis to determine the extent bilateral differences in sensorimotor function between individuals with unilateral tendinopathy and pain-free controls. Study 2 identified evidence for several sensory and motor system differences, ii and evidence for tendon pathology in the asymptomatic limb of individuals with other unilateral tendinopathies (Achilles tendinopathy) but not LE when contrasted to pain-free controls.On the foundation that tendon pathology was present in asymptomatic limb of individuals with Achilles tendinopathy, Study 3 investigated whether there was a greater prevalence of tendon pathology of the asymptomatic common extensor tendon of individuals with LE than pain-free controls. Unlike the findings in the Achilles tendon, Study 3 did not identify greater tendon pathology in the asymptomatic limb of individuals with unilateral LE than that present in the tendons of pain-free individ...

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The impact of rotator cuff tendinopathy on proprioception, measuring force sensation

Cited by 44 publications

References 35 publications

The effects of rotator cuff tear on shoulder proprioception

The effects of rotator cuff tear on shoulder proprioception

The role of the peripheral and central nervous systems in rotator cuff disease

Towards an understanding of motor system impairments in individuals with unilateral lateral epicondylalgia

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