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Shoulder Strength Exam

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1. Exam Series: Guide to the Shoulder Exam

Exam Series: Guide to the Shoulder Exam Exam Series: Guide to the Shoulder Exam - CanadiEM Exam Series: Guide to the Shoulder Exam In , by Kathryn Chan August 7, 2018 A 58 year old right hand dominant painter presents to the emergency department with right shoulder pain. The pain started after he returned a particularly forceful serve during a tennis match earlier that afternoon. He states that it has a similar quality to the shoulder pain he typically feels at night, but more intense (...) of shoulder pain referred from the chest or diaphragm. Ask about other joint symptoms to exclude a polyarticular arthritis. Social history : Chronic shoulder injuries are often due to overuse from employment or recreational sports activities. Ask about the patient’s level involvement in sports and exercise as they may require guidance on ‘return to play.’ Approach to the Physical Examination – ‘Look, Feel, Move’ Begin with an assessment of the patient’s vitals and overall appearance to exclude

2018 CandiEM

2. Shoulder Strength Exam

Shoulder Strength Exam Shoulder Strength Exam 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 Strength Exam Shoulder Strength (...) Exam Aka: Shoulder Strength Exam II. Technique Compare with opposite arm Test isometric strength (resisted) Use standard in III. Interpretation Pain suggests Weakness suggests IV. Exam: Specific Muscle Tests Subscapularis Muscle ( ) with Testing Teres Minor Muscle ( ) with (Teres Minor) Muscle ( ) or Bicipital Tendon Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Shoulder Strength Exam." Click on the image (or right click

2018 FP Notebook

3. Significantly Increased Odds of Reporting Previous Shoulder Injuries in Female Marines Based on Larger Magnitude Shoulder Rotator Bilateral Strength Differences Full Text available with Trip Pro

Significantly Increased Odds of Reporting Previous Shoulder Injuries in Female Marines Based on Larger Magnitude Shoulder Rotator Bilateral Strength Differences Musculoskeletal injuries to the extremities are a primary concern for the United States (US) military. One possible injury risk factor in this population is side-to-side strength imbalance.To examine the odds of reporting a previous shoulder injury in US Marine Corps Ground Combat Element Integrated Task Force volunteers based on side (...) -to-side strength differences in isokinetic shoulder strength.Cohort study; Level of evidence, 3.Male (n = 219) and female (n = 91) Marines were included in this analysis. Peak torque values from 5 shoulder internal/external rotation repetitions were averaged and normalized to body weight. The difference in side-to-side strength measurements was calculated as the absolute value of the limb difference divided by the mean peak torque of the dominant limb. Participants were placed into groups based

2018 Orthopaedic journal of sports medicine

4. Early return to baseline range of motion and strength after anterior shoulder instability surgery: a Multicenter Orthopaedic Outcomes Network (MOON) shoulder group cohort study. (Abstract)

Early return to baseline range of motion and strength after anterior shoulder instability surgery: a Multicenter Orthopaedic Outcomes Network (MOON) shoulder group cohort study. Patients often return to higher-level activities and sports at 4 to 8 months after anterior shoulder stabilization procedures. It is unknown what percentage of patients have regained normal function at this time frame and what factors predict residual deficits, range of motion (ROM), and strength after anterior shoulder (...) instability surgery.Ten participating sites throughout the United States enrolled patients in a prospective cohort study including primary, revision, arthroscopic, and open anterior stabilization procedures. Baseline demographic data and patient outcomes questionnaires were collected with initial physical examination, treatment, surgical findings, and surgical repair details. At the 6-month follow-up visit, ROM and strength measurements were collected and compared with preoperative measurements.There were

2018 Journal of Shoulder and Elbow Surgery

5. A COMPARATIVE STUDY OF PASSIVE SHOULDER ROTATION RANGE OF MOTION, ISOMETRIC ROTATION STRENGTH AND SERVE SPEED BETWEEN ELITE TENNIS PLAYERS WITH AND WITHOUT HISTORY OF SHOULDER PAIN Full Text available with Trip Pro

A COMPARATIVE STUDY OF PASSIVE SHOULDER ROTATION RANGE OF MOTION, ISOMETRIC ROTATION STRENGTH AND SERVE SPEED BETWEEN ELITE TENNIS PLAYERS WITH AND WITHOUT HISTORY OF SHOULDER PAIN Glenohumeral internal rotation deficit and external rotation strength have been associated with the development of shoulder pain in overhead athletes.To examine the bilateral passive shoulder rotational range of motion (ROM), the isometric rotational strength and unilateral serve speed in elite tennis players (...) with and without shoulder pain history (PH and NPH, respectively) and compare between dominant and non-dominant limbs and between groups.Cohort study.Fifty-eight elite tennis players were distributed into the PH group (n = 20) and the NPH group (n = 38). Serve velocity, dominant and non-dominant passive shoulder external and internal rotation (ER and IR) ROM, total arc of motion (TAM: the sum of IR and ER ROM), ER and IR isometric strength, bilateral deficits and ER/IR strength ratio were measured in both

2018 International journal of sports physical therapy

6. Acute effects of cyclic versus static stretching on shoulder flexibility, strength, and spike speed in volleyball players. Full Text available with Trip Pro

Acute effects of cyclic versus static stretching on shoulder flexibility, strength, and spike speed in volleyball players. This study aims to examine the acute effects of cyclic stretching versus static stretching on the shoulder flexibility, rotator cuff muscle strength, spike speed, and spike hit rate on target in adolescent volleyball players.A total of 36 female volleyball players aged between 13 and 15 years were included in this study. Volleyball players were randomly divided into three (...) groups: cyclic stretching group, static stretching group, and control group. Shoulder flexibility, rotator cuff muscle strength, spike speed, and spike hit rate on target were measured before and after the intervention.Shoulder flexibility increased in cyclic stretching and static stretching groups after the intervention. Internal rotation strength increased in cyclic stretching group after the stretching intervention, compared to the control group. A significant reduction was observed

2017 Turkish journal of physical medicine and rehabilitation Controlled trial quality: uncertain

7. Subacromial decompression surgery for adults with shoulder pain Full Text available with Trip Pro

). This recommendation addresses the role of surgery for adults with symptoms lasting more than three months, who approach health professionals for treatment. Box 1 Details of subacromial pain syndrome (SAPS) Common symptoms— Pain at the upper outer arm when lifting the arm (classically a painful arc through shoulder abduction), difficulty moving the arm (especially with forward flexion, external rotation, and abduction), reduced strength in the arm, and sleep problems due to pain Key differential diagnoses (...) workers . van der Windt DA , Thomas E , Pope DP , et al . Occupational risk factors for shoulder pain: a systematic review . Hermans J , Luime JJ , Meuffels DE , Reijman M , Simel DL , Bierma-Zeinstra SM . Does this patient with shoulder pain have rotator cuff disease?: The Rational Clinical Examination systematic review . Whittle S , Buchbinder R . In the clinic. Rotator cuff disease . Brox JI . Regional musculoskeletal conditions: shoulder pain . Gill TK , Shanahan EM , Allison D , Alcorn D , Hill

2019 BMJ Rapid Recommendations

8. Effect of 8-week Nordic walking training on nondominant hand grip and shoulder strength in middle-aged women. Full Text available with Trip Pro

Effect of 8-week Nordic walking training on nondominant hand grip and shoulder strength in middle-aged women. Nordic walking (NW) is a full body training that can be performed with special pole, and has been recognized as an effective out-door activity which can improve the strength of upper extremity. Most previous studies mainly analyzed the effect of NW on the strength of dominant (DN) hand-grip strength, however, a clear scientific examination is needed whether nondominant (NDN) extremity (...) can also be ameliorated by the NW. Therefore, the aim of our study is to investigate the effectiveness of 8 weeks NW training on the NDN handgrip and shoulder strength in healthy middle-aged women. 29 subjects were randomly divided into three groups: Nordic walking group (NWG, n=10), brisk walking group (BWG, n=11), and control group (CG, n=8). Handgrip and shoulder strength were measured by the hand dynamometer and isokinetic machine. NW training was performed 3 times a week, and had 10-min warm

2019 Journal of exercise rehabilitation Controlled trial quality: uncertain

9. Neck/shoulder function in tension-type headache patients and the effect of strength training Full Text available with Trip Pro

Neck/shoulder function in tension-type headache patients and the effect of strength training Muscle pain has been associated with reduced maximal muscle strength, and reduced rate of force development (RFD). Strength training (ST) has shown an effect in not only normalizing muscle function but also reducing neck muscle pain.The aims of this study were to compare muscle function in terms of strength, force steadiness in neck flexion, as well as extension, and rate of RFD of the shoulder (...) in tension-type headache (TTH) patients and healthy controls and to examine the correlation to tenderness. Furthermore, the aim of the study was to examine the effect of ST on neck and shoulder functions in TTH patients.In all, 60 TTH patients and 30 sex- and age-matched healthy controls were included for a case-control comparison. The 60 patients with TTH were randomized into an ST and an ergonomic and posture correction (EP) control group. The ST group trained for 10 weeks with elastic bands.TTH

2018 Journal of pain research Controlled trial quality: uncertain

10. Prolonged reduction in shoulder strength after TENS treatment of exercise-induced acute muscle pain. (Abstract)

Prolonged reduction in shoulder strength after TENS treatment of exercise-induced acute muscle pain. Transcutaneous electrical nerve stimulation (TENS) is commonly used for reducing musculoskeletal pain to improve function. However, peripheral nerve stimulation using TENS can alter muscle motor output. Few studies examine motor outcomes following TENS in a human pain model. Therefore, this study investigated the influence of TENS sensory stimulation primarily on motor output (strength (...) ) and secondarily on pain and disability following exercise-induced delayed-onset muscle soreness (DOMS).Thirty-six participants were randomized to a TENS treatment, TENS placebo, or control group after completing a standardized DOMS protocol. Measures included shoulder strength, pain, mechanical pain sensitivity, and disability. TENS treatment and TENS placebo groups received 90 minutes of active or sham treatment 24, 48, and 72 hours post-DOMS. All participants were assessed daily.A repeated measures analysis

2018 Pain Practice Controlled trial quality: uncertain

11. Deficits of Strength of the Rotator Muscles of the Shoulder in Children

Deficits of Strength of the Rotator Muscles of the Shoulder in Children Deficits of Strength of the Rotator Muscles of the Shoulder in Children - 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 number of saved studies (100). Please remove one or more studies before adding more. Deficits (...) of Strength of the Rotator Muscles of the Shoulder in Children (ROTPOPB) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03440658 Recruitment Status : Active, not recruiting First Posted : February 21, 2018 Last Update Posted : November 28, 2018 Sponsor: University Hospital, Montpellier Information

2018 Clinical Trials

12. Nordic walking and specific strength training for neck- and shoulder pain in office workers: a pilot-study. (Abstract)

Nordic walking and specific strength training for neck- and shoulder pain in office workers: a pilot-study. More than half of all adults have experienced neck pain during the last six months. Studies have demonstrated reduced pain in the neck-and shoulder region after specific strength training of the affected muscles, but specific endurance training of neck and shoulder muscles has not been properly examined.To examine the impact of Nordic walking (NW) compared to specific strength training (...) (ST) and a non-training control group (Con) on self-reported neck-and shoulder pain among office workers.Randomized intervention trial with a stratified control group.University research laboratory.Thirty-four female office workers with neck- and shoulder pain.The participants were allocated to NW, ST or Con. Pain intensity (0-100 mm Visual Analog Scale), isometric abduction strength and a Six-Minute Walk Test (6MWT) were assessed pre, post and 10 weeks postintervention. Both training groups

2018 European journal of physical and rehabilitation medicine Controlled trial quality: uncertain

13. Shoulder Conditions Diagnosis and Treatment Guideline

to be damaged by overuse. IV. Making the Diagnosis A case definition for a shoulder condition includes appropriate symptoms, objective physical findings and abnormal imaging. A presumptive diagnosis may be based on symptoms and objective findings, but the diagnosis usually requires confirmation by clinical imaging prior to proceeding to surgery. A. History and clinical exam A thorough occupational history is essential for determining whether a shoulder condition is work-related, and whether it is due (...) symptom associated with most rotator cuff tears is weakness: with elevation, internal/external rotation, and/or abduction testing. Some shoulder conditions, like dislocations, show marked deformity. Washington State Department of Labor and Industries Medical Treatment Guideline for Shoulder Diagnosis and Treatment –updated May 2018 Physical examination should consist of accepted test and examination techniques applicable to the joint area being examined. Clinical judgment should be applied when

2018 Washington State Department of Labor and Industries

14. Relation between the Disability of the Arm, Shoulder and Hand Score and Muscle Strength in Post-Cardiac Surgery Patients Full Text available with Trip Pro

Relation between the Disability of the Arm, Shoulder and Hand Score and Muscle Strength in Post-Cardiac Surgery Patients Background: The Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire is a valid and reliable patient-reported outcome measure. DASH can be assessed by self-reported upper extremity disability and symptoms. We aimed to examine the relationship between the physiological outcome of muscle strength and the DASH score after cardiac surgery. Methods: This cross (...) -sectional study assessed 50 consecutive cardiac patients that were undergoing cardiac surgery. Physiological outcomes of handgrip strength and knee extensor muscle strength and the DASH score were measured at one month after cardiac surgery and were assessed. Results were analyzed using Spearman correlation coefficients. Results: The final analysis comprised 43 patients (men: 32, women: 11; age: 62.1 ± 9.1 years; body mass index: 22.1 ± 4.7 kg/m²; left ventricular ejection fraction: 53.5 ± 13.7

2017 Diseases

15. Glenohumeral and scapulothoracic strength impairments exists in patients with subacromial impingement, but these are not reflected in the shoulder pain and disability index. Full Text available with Trip Pro

shoulder function is not well described, even though testing of strength is recommended in clinical guidelines. The purpose of this study was, first, to investigate impairments in glenohumeral and scapulothoracic strength and in abduction and internal rotation ROM in patients with SIS. Secondly, to investigate the influence of these impairments on patient-reported shoulder function.Cross-sectional study based on a consecutive cohort of 157 patients referred to specialist examination and diagnosed (...) with shoulder impingement (SIS) using predefined validated diagnostic criteria. Prior to specialist examination, questionnaires regarding shoulder function (Shoulder Pain And Disability Index, SPADI) demographics and kinesiophobia (TSK-11) were collected, and shoulder strength and ROM was measured by trained testers, with the patient reporting pain levels during testing and for the last week. Impairments in strength (abduction, external-rotation, (protraction and horizontal-extension) and ROM (abduction

2017 BMC Musculoskeletal Disorders

16. Increased Glenoid Retroversion Is Associated With Increased Rotator Cuff Strength in the Shoulder. (Abstract)

Increased Glenoid Retroversion Is Associated With Increased Rotator Cuff Strength in the Shoulder. The rotator cuff muscles are critical secondary stabilizers in the shoulder. Increased glenoid retroversion and rotator cuff strength have been associated with the risk of posterior shoulder instability; however, the effect of increased glenoid retroversion on rotator cuff strength remains unclear.The purpose was to examine the association between glenoid version and rotator cuff strength (...) in the shoulder in a young and healthy population with no history of shoulder instability. The hypothesis was that increased glenoid retroversion would be associated with increases in rotator cuff muscle strength.Cross-sectional study; Level of evidence, 3.A prospective cohort study was conducted over a 4-year period within a high-risk population to identify the risk factors for shoulder instability. Analyzed participants included 574 freshmen entering a United States service academy. Baseline data collected

2019 American Journal of Sports Medicine

17. Do strength, coordination and mobility change following exercise therapy in patients with shoulder pain? a systematic review of secondary outcome measures

Do strength, coordination and mobility change following exercise therapy in patients with shoulder pain? a systematic review of secondary outcome measures Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith (...) be considered hypothesis-generating. Ideally, a threshold describing the number of studies per subgroup required for analysis should be specified. For further guidance please refer to the and to pre-clinical meta-analysis. Example: The following study characteristics will be examined as potential source of heterogeneity: species (stratified per species); sex (stratified per sex); duration of index ischemia (linear); stem cell dose (linear); blinding of outcome assessment reported (stratified yes vs

2018 PROSPERO

18. Shoulder Pain-Traumatic

Be Appropriate ???? CT shoulder without IV contrast May Be Appropriate ??? CT shoulder with IV contrast Usually Not Appropriate ??? CT shoulder without and with IV contrast Usually Not Appropriate ??? FDG-PET/CT skull base to mid-thigh Usually Not Appropriate ???? MRI shoulder without and with IV contrast Usually Not Appropriate O Tc-99m bone scan shoulder Usually Not Appropriate ??? US shoulder Usually Not Appropriate O Variant 6: Traumatic shoulder pain. Radiographs normal. Physical examination and history (...) Not Appropriate ???? MRI shoulder without and with IV contrast Usually Not Appropriate O Tc-99m bone scan shoulder Usually Not Appropriate ??? US shoulder Usually Not Appropriate O ACR Appropriateness Criteria ® 4 Shoulder Pain–Traumatic Variant 7: Traumatic shoulder pain. Radiographs normal. Physical examination findings consistent with labral tear. Next imaging study. Procedure Appropriateness Category Relative Radiation Level MR arthrography shoulder Usually Appropriate O CT arthrography shoulder Usually

2017 American College of Radiology

19. Does this patient with shoulder pain have rotator cuff disease?: The Rational Clinical Examination systematic review. Full Text available with Trip Pro

Does this patient with shoulder pain have rotator cuff disease?: The Rational Clinical Examination systematic review. Rotator cuff disease (RCD) is the most common cause of shoulder pain seen by physicians.To perform a meta-analysis to identify the most accurate clinical examination findings for RCD.Structured search in MEDLINE, EMBASE, and CINAHL from their inception through May 2013.For inclusion, a study must have met the following criteria: (1) description of history taking, physical (...) scores assigned using the Rational Clinical Examination score and bias evaluated with the Quality Assessment of Diagnostic Accuracy Studies tool.Twenty-eight studies assessed the examination of referred patients by specialists. Only 5 studies reached Rational Clinical Examination quality scores of level 1-2. The studies with quality scores of level 1-2 included 30 to 203 shoulders with the prevalence of RCD ranging from 33% to 81%. Among pain provocation tests, a positive painful arc test result

2013 JAMA

20. Clinical Outcomes, Tendon Integrity, and Shoulder Strength After Revision Rotator Cuff Reconstruction: A Minimum 2 Years' Follow-up. (Abstract)

Clinical Outcomes, Tendon Integrity, and Shoulder Strength After Revision Rotator Cuff Reconstruction: A Minimum 2 Years' Follow-up. The retear rate after primary rotator cuff (RC) reconstruction is high and commonly leads to poorer clinical outcomes and shoulder function. In the case of primary failure, revision RC reconstruction (RCR) has become increasingly important to re-create RC integrity and improve outcomes. To date, clinical and structural outcomes after RCR have not been sufficiently (...) assessed by a clinical examination, a visual analog scale for pain (VAS), the Constant Score (CS), the American Shoulder and Elbow Surgeons (ASES) score, and the Disabilities of the Arm, Shoulder and Hand (DASH) score. Tendon integrity was determined using 3-T MRI and graded according to the Sugaya classification.Thirty-one of 40 patients (77.5%) were available for the final assessment at a mean follow-up of 50.3 ± 20.4 months. Clinical outcome scores significantly improved from preoperatively

2018 American Journal of Sports Medicine

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