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Shoulder Crossover Maneuver

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1. Shoulder Crossover Maneuver

Shoulder Crossover Maneuver Shoulder Crossover Maneuver Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Shoulder Crossover Maneuver (...) Shoulder Crossover Maneuver Aka: Shoulder Crossover Maneuver II. Indication Differentiates AC joint disease from impingement III. Technique Adduct arm across front of chest Touch opposite IV. Interpretation: Pain indicates a positive test Acromioclavicular joint disease Sternoclavicular joint disease Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Shoulder Crossover Maneuver." Click on the image (or right click) to open the source

2018 FP Notebook

2. Shoulder Crossover Maneuver

Shoulder Crossover Maneuver Shoulder Crossover Maneuver Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Shoulder Crossover Maneuver (...) Shoulder Crossover Maneuver Aka: Shoulder Crossover Maneuver II. Indication Differentiates AC joint disease from impingement III. Technique Adduct arm across front of chest Touch opposite IV. Interpretation: Pain indicates a positive test Acromioclavicular joint disease Sternoclavicular joint disease Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Shoulder Crossover Maneuver." Click on the image (or right click) to open the source

2015 FP Notebook

3. Comparing FARES Method With SPASO Method for Reduction of Anterior Shoulder Dislocation: a Prospective Randomized Trial

to compare these two methods as a prospective randomized design, and furthermore, to show that combining these two methods could get higher successful reduction rate. Condition or disease Intervention/treatment Phase Shoulder Anterior Dislocation Procedure: SPASO method and FARES method Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 100 participants Allocation: Randomized Intervention Model: Crossover Assignment (...) Comparing FARES Method With SPASO Method for Reduction of Anterior Shoulder Dislocation: a Prospective Randomized Trial Comparing FARES Method With SPASO Method for Reduction of Anterior Shoulder Dislocation: a Prospective Randomized Trial - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum

2013 Clinical Trials

4. Shoulder problem

. The Apley scratch test is the most useful: touch opposite scapular by reaching behind the head for adduction and external rotation and behind the back for abduction and internal rotation. Finally, there are more specific maneuvers that can home in on a diagnosis, however their accuracy is limited. Diagnostic tests [ ] Tests to confirm the diagnosis of certain conditions. Some of these tests include: —Diagnostic record that can be seen on an X-ray after injection of a contrast fluid into the shoulder (...) be a consideration < >. Arthritis or osteolysis of the AC (acromioclavicular) joint [ ] Description [ ] The consists of the and a small disk of cartilage located in between the acromion and the clavicle. This disk can wear down through , extreme joint stress (via ) or normal wear. Signs and diagnosis [ ] Pain is perceived on shoulder motion, especially on certain movements. Often a crossover arm test is utilized in diagnosis because this compresses the AC joint, exacerbating the symptoms. X-rays of the shoulder

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2012 Wikipedia

5. Management of Stroke Rehabilitation

offering functional electrical stimulation to manage shoulder subluxation. Weak for Not Reviewed, Amended 13. For patients with foot drop, we suggest offering either functional electrical stimulation or traditional ankle foot orthoses to improve gait speed, as both are equally effective. Weak for Reviewed, New- added 14. We suggest offering robot-assisted movement therapy as an adjunct to conventional therapy in patients with deficits in upper limb function to improve motor skill. Weak for Reviewed

2019 VA/DoD Clinical Practice Guidelines

7. Multidisciplinary guidelines for the management of paediatric tracheostomy emergencies

and tracheostomy. Depending on the age of the child, different positioning may be required to open the upper airway, although a chin lift (‘sniffing the morning air’) with or without jaw thrust is likely to be useful in children of all ages . A more neutral position may be useful in children under two years of age and a pillow or rolled towel under the child's shoulders may improve airway patency and access to the tracheostomy , , . The lateral position may be of benefit in some children, especially (...) patency , , . Using a tube that is one half‐size smaller than the original may make insertion easier and as the tube is smaller in length, the tip may then sit above any partial obstruction or granuloma in the trachea. Changing the child's position may be helpful, further extending the neck to bring the trachea anteriorly with a pillow or towel under the shoulders (Fig. ) . A new tracheostomy will have stay sutures which can be used to aid re‐insertion by widening the stoma and bringing the trachea

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2018 Association of Paediatric Anaesthetists of Great Britain and Ireland

8. Constipation in older adults: Stepwise approach to keep things moving

, or appetite change. Her past medical history includes osteoarthritis of her shoulders, knees, and hips. She also has hypertension, chronic atrial fibrillation, type 2 diabetes mellitus, osteoporosis, and depression. Her past surgical history includes cholecystectomy and appendectomy. She is a social drinker and denies any history of smoking. There are no concerns regarding her cognition. There is no personal or family history of colon cancer. She occasionally tries to walk for exercise but is unable to do (...) constipation, but are used more in research than in clinical practice. Constipation is diagnosed when 25% of bowel movements are associated with at least 2 of the following symptoms, occurring in the previous 3 mo with an onset of symptoms of at least 6 mo: -straining -hard or lumpy stools -a sense of incomplete evacuation -a sense of anorectal obstruction -the need for manual maneuvers -fewer than 3 defecations per wk loose stools are rarely present without the use of laxatives there are insufficient

2016 RxFiles

9. Neck Muscle Strain in Air Force Pilots Wearing Night Vision Goggles. (PubMed)

flight session in air force pilots.In this post hoc randomized crossover trial, four senior air force pilots each completed two identical 1.5-h dynamic flight simulations in a human centrifuge: one with a standard helmet and NVG, and one with a standard helmet only. Simulations included repeated exposure to 3-7 Gz, during which neck muscle activity was recorded bilaterally from the anterior neck, the upper and lower posterior neck, and the upper shoulders. The number of muscle activities surpassing (...) Neck Muscle Strain in Air Force Pilots Wearing Night Vision Goggles. Flight-induced neck pain is common in high performance jet pilots, with incidents frequently attributed to high Gz flight maneuvers. The additional load of helmet-mounted night vision goggles (NVG) is believed to increase the risk, possibly from neck muscle strain in counteracting muscles. Hence, the aim was to investigate the effect of NVG on neck muscle strain as well as on the activity level distribution through a simulated

2017 Aerospace medicine and human performance

10. The Non-Surgical Management of Hip & Knee Osteoarthritis (OA)

and judgment to master the prescribed aid. Before a patient uses an ambulation aid, contractures may need to be overcome or muscles strengthened. These factors speak to the skill required to effectively evaluate a patient for the most appropriate assistive device and ensure proper fit and training is performed. The upper extremity muscle groups used most often are the shoulder girdle depressors, elbow extensors, wrist Clinical Practice Guideline for the Non-Surgical Management of Osteoarthritis Page 29

2014 VA/DoD Clinical Practice Guidelines

11. Diagnosis and treatment of limb-girdle and distal dystrophies

of hereditary myopathies characterized by predominantly proximal muscle weakness (pelvic and shoulder girdles). Initially described as a clinical phenotype, they are now recognized as a heterogeneous group of myopathies that vary in severity and may affect persons at all ages from childhood through adulthood. The LGMDs are classified into 2 main groups depending on the inheritance pattern: LGMD1, autosomal dominant; and LGMD2, autosomal recessive. Appended to this numeric division is a letter designating (...) study of a neutralizing antibody (MYO-029) to an endogenous inhibitor of muscle growth (myostatin) performed in 116 participants with different types of muscular dystrophies provided evidence that MYO-029 is probably safe and tolerable in patients with BMD, LGMD2A–E, and LGMD2I. The study was not designed to assess efficacy or long-term safety. e236 Corticosteroids for BMD. A 12-month randomized crossover study e237 in 4 boys with BMD provided evidence that prednisolone 0.35 g/kg/day is probably

2014 American Academy of Neurology

12. A Call To Reconsider The Heimlich Experiment: Let’s Scientifically Determine The Best Approach To Choking Victims

to abdominal thrusts in generating air flow out of the trachea and presumably more effective at clearing foreign bodies obstructing the airway of choking victims. Guildner’s results are supported by a study by Audun Langhelle of Oslo, Norway, published in 2000 by the journal . Langhelle compared peak airway pressure with standard chest compressions versus Heimlich maneuvers done by emergency physicians in cadavers with simulated complete airway obstruction in a randomized crossover design. Mean peak airway (...) blows between the shoulder blades with the heel of your other hand Give abdominal thrusts. Heimlich Maneuver: Time For A Reconsideration Thus, it is clear the Heimlich maneuver was recommended by Henry Heimlich for general usage without any human clinical studies to support its safety and efficacy. With Heimlich’s aggressive promoting of the technique it became the recommended way to treat choking conscious individuals despite experimental evidence showing it inferior to chest thrusts

2018 The Skeptical Cardiologist

14. Evidence-Based Guideline: Diagnosis and Treatment of Limb-Girdle and Distal Dystrophies

to care for patients with neuromuscular disorders (Level B). Clinicians should not offer patients with LGMD gene therapy, myoblast transplantation, neutralizing antibody to myostatin, or growth hormone outside of a research study designed to determine efficacy and safety of the treatment (Level R). 11 INTRODUCTION Limb-girdle muscular dystrophies (LGMDs) are a group of myopathies characterized by predominantly proximal muscle weakness (pelvic and shoulder girdles). e1 Initially described as a clinical (...) atrophy of the biceps has been observed in both the Miyoshi and limb-girdle phenotypes, e189 and selective atrophy of the shoulder girdle muscles producing a “double calf’s head on a trophy” sign has been described. e195 Scapular winging, dysphagia, dysarthria, and contractures were not reported. Some dysferlinopathy patients can present with asymptomatic hyperCKemia or recurrent myoglobinuria e192 ; symptomatic carriers have also been described. Respiratory and cognitive dysfunction have not been

2013 American Association of Neuromuscular & Electrodiagnostic Medicine

15. Guidelines on Diagnosis and Management of Syncope

’ refers to symptoms and signs in the upright position due to a circulatory abnormality. Syncope is one symptom, and others are: (i) dizziness/ lightheadedness, pre-syncope; (ii) weakness, fatigue, lethargy; (iii) palpitations, sweating; (iv) visual disturbances (including blurring, enhanced brightness, tunnel vision); (v) hearing disturbances (including impaired hearing, crackles, and tinnitus); and (vi) pain in the neck (occipital/paracervical and shoulder region), low back pain, or precordial pain

2009 European Society of Cardiology

16. Pursed-lips Breathing and Dynamic Hyperinflation

measures: At baseline and immediately after the tests, the inspiratory capacity (IC) will be assessed by the slow vital capacity (SVC) maneuver. Condition or disease Intervention/treatment Phase Chronic Obstructive Pulmonary Disease Other: Pursed-lips breathing Other: No pursed-lips breathing Not Applicable Detailed Description: Pulmonary function testing Lung function will be tested using an Easy One spirometer (NDD Medical Technologies Inc., Zurich, Switzerland), and calibration checked before each (...) evaluation. Spirometry will be performed in accordance with ATS/ERS standards (Miller et al, 2005). The predicted values will be calculated from the equations proposed by Pereira et al. (2007). Inspiratory capacity (IC) measurement IC will be measured with the patient in the sitting position, using an Easy One portable spirometer (NDD Medical Technologies Inc., Zurich, Switzerland), before and immediately after the tests, by the slow vital capacity maneuver starting from a stable end-expiratory volume

2014 Clinical Trials

17. Cerebral Blood Flow During Flexion and Rotation of the Cervical Spine

was reestablished after each position and next maneuver started after blood velocities in neutral position had normalized to velocities in starting neutral position. Study Design Go to Layout table for study information Study Type : Observational Actual Enrollment : 80 participants Observational Model: Case-Crossover Time Perspective: Prospective Official Title: Cerebral Blood Flow During Flexion and Rotation of the Cervical Spine Study Start Date : March 2010 Actual Primary Completion Date : April 2010 Actual (...) ): Axel Fudickar, University of Schleswig-Holstein Study Details Study Description Go to Brief Summary: Rotation or flexion of the cervical spine is unavoidable during positioning for some surgical procedures as carotid endarterectomy, thyroidectomy and surgery of the shoulder. Rotation or flexion may reduce blood flow in the carotid or vertebral arteries and induce intraoperative cerebral ischemia with impact on the neurological outcome of surgery. Predominantly if the circulus willisii is incomplete

2014 Clinical Trials

18. Botulinum Toxin in Pain Management (Follow-up)

type A. Br J Oral Maxillofac Surg . 1994 Feb. 32(1):26-8. . National Institutes of Health. Consensus conference. Clinical use of botulinum toxin. National Institutes of Health. Conn Med . 1991 Aug. 55(8):471-7. . Noftal F. The piriformis syndrome. Can J Surg . 1988 Jul. 31(4):210. . Ojala T, Arokoski JP, Partanen J. The effect of small doses of botulinum toxin a on neck-shoulder myofascial pain syndrome: a double-blind, randomized, and controlled crossover trial. Clin J Pain . 2006 Jan. 22(1):90-6 (...) into the thigh or down the leg. The Beatty maneuver (see image below) also is a helpful clinical method of reproducing the patient's pain in this condition. [ ] The patient is asked to lie on the nonpainful side and abduct the thigh by moving the painful leg off the table. This maneuver effectively contracts the piriformis muscle and should reproduce the patient's pain in the buttocks; however, since the syndrome essentially causes sciatic nerve compression at the level of the hip, other causes of sciatica

2014 eMedicine.com

19. Botulinum Toxin in Pain Management (Diagnosis)

type A. Br J Oral Maxillofac Surg . 1994 Feb. 32(1):26-8. . National Institutes of Health. Consensus conference. Clinical use of botulinum toxin. National Institutes of Health. Conn Med . 1991 Aug. 55(8):471-7. . Noftal F. The piriformis syndrome. Can J Surg . 1988 Jul. 31(4):210. . Ojala T, Arokoski JP, Partanen J. The effect of small doses of botulinum toxin a on neck-shoulder myofascial pain syndrome: a double-blind, randomized, and controlled crossover trial. Clin J Pain . 2006 Jan. 22(1):90-6 (...) into the thigh or down the leg. The Beatty maneuver (see image below) also is a helpful clinical method of reproducing the patient's pain in this condition. [ ] The patient is asked to lie on the nonpainful side and abduct the thigh by moving the painful leg off the table. This maneuver effectively contracts the piriformis muscle and should reproduce the patient's pain in the buttocks; however, since the syndrome essentially causes sciatic nerve compression at the level of the hip, other causes of sciatica

2014 eMedicine.com

20. Massage, Traction, and Manipulation (Diagnosis)

of the research on the use of manipulation focuses on its application to the cervical and lumbar spine, as well as on treating painful conditions in these areas with either mobilization or thrust-type maneuvers. It is important to realize that there are many other types of manipulative techniques, and which one is chosen should be based on a thorough examination of the patient and on the particular musculoskeletal lesion to be treated. Definition A consensus definition of manipulation is "the use of the hands (...) applied to the patient incorporating the use of instructions and maneuvers to achieve maximal painless movement and posture of the musculoskeletal system." Most common types of manipulation involve passive mechanical forces applied to specific vertebral segments, regions, or other joint segments of the musculoskeletal system, with a primary goal of restoration of diminished range of motion (ROM). Availability of manipulation care The availability of manipulation care varies significantly, depending

2014 eMedicine.com

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