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Shoulder Rehabilitation

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1. Robotic-Assisted Shoulder Rehabilitation Therapy Effectively Improved Poststroke Hemiplegic Shoulder Pain: A Randomized Controlled Trial. (PubMed)

Robotic-Assisted Shoulder Rehabilitation Therapy Effectively Improved Poststroke Hemiplegic Shoulder Pain: A Randomized Controlled Trial. The purpose of this study was to investigate the therapeutic effects of a newly developed shoulder robot on poststroke hemiplegic shoulder pain.Prospective, single-blind randomized controlled trial.Inpatient department of a tertiary university hospital.Hemiplegic shoulder pain patients (N=38) were consecutively recruited and randomly assigned (...) to an intervention or control group.A newly developed robot was designed to perform joint mobilization and stretching exercises with patients lying in the supine position. Conventional physical therapy directed at both improving upper extremity mechanics and reducing neurologic injury was performed twice per day in both groups. In the intervention group, additional robotic-assisted shoulder rehabilitation therapy was administered for 30 minutes per day, 5 times per week for 4 weeks.The visual analog scale

2019 Archives of physical medicine and rehabilitation Controlled trial quality: predicted high

2. Effect of smartphone application-supported self-rehabilitation for frozen shoulder: a prospective randomized control study

Effect of smartphone application-supported self-rehabilitation for frozen shoulder: a prospective randomized control study To evaluate the clinical efficacy of smartphone-assisted self-rehabilitation in patients with frozen shoulder.A single-center, randomized controlled trial.Orthopedic department of a university hospital.A total of 84 patients with frozen shoulder were recruited.Patients were randomly divided into two groups: a smartphone-assisted exercise group ( n = 42) and a conventional (...) self-exercise group ( n = 42). The study was performed over three months, during which each group performed home-based rehabilitation.Visual analogue scale for pain and passive shoulder range of motion were assessed at baseline and after 4, 8, and 12 weeks of treatment. Technology Acceptance Model-2 and Usefulness, Satisfaction, and Ease of Use scores were evaluated in the smartphone group.Initial visual analogue scale for pain of the smartphone group was 6.0 ± 2.2 and ended up with 1.8 ± 2.5 after

2019 EvidenceUpdates

3. Does a core stabilization exercise program have a role on shoulder rehabilitation? A comparative study in young females. (PubMed)

Does a core stabilization exercise program have a role on shoulder rehabilitation? A comparative study in young females. This study aims to evaluate the effect of core stabilization exercises and to explore the immediate effect of core muscles-activated posture on shoulder maximal voluntary isometric contraction (MVIC) strength.Between November 2016 and January 2015, a total of 75 healthy female volunteers (mean age 25.36 years; range, 18 to 30 years) were included. Of these, 42 consecutive (...) of core muscles during the measurement significantly decreased the MVIC values in both groups (p<0.05). The MVIC values significantly increased after home-based exercise program in both conditions (p<0.05).Our study showed that six-week core stabilization exercise program had a significant positive effect on the shoulder MVIC strength. This result may support the use of core stabilization exercises in the early periods of shoulder rehabilitation when the shoulder muscle strengthening exercises

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

4. Rehabilitation following rotator cuff repair: A work of the Commission Rehabilitation of the German Society of Shoulder and Elbow Surgery e. V. (DVSE) in collaboration with the German Association for Physiotherapy (ZVK) e. V., the Association Physical (PubMed)

Rehabilitation following rotator cuff repair: A work of the Commission Rehabilitation of the German Society of Shoulder and Elbow Surgery e. V. (DVSE) in collaboration with the German Association for Physiotherapy (ZVK) e. V., the Association Physical Tears and lesions of the rotator cuff are a frequent cause of shoulder pain and disability. Surgical repair of the rotator cuff is a valuable procedure to improve shoulder function and decrease pain. However, there is no consensus concerning (...) the rehabilitation protocol following surgery.To review and evaluate current rehabilitation contents and protocols after rotator cuff repair by reviewing the existing scientific literature and providing an overview of the clinical practice of selected German Society of Shoulder and Elbow Surgery e. V. (DVSE) shoulder experts.A literature search for the years 2004-2014 was conducted in relevant databases and bibliographies including the Guidelines International Network, National Guidelines, PubMed, Cochrane

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2018 Obere Extremitat

5. The use of biofeedback on shoulder rehabilitation: a systematic review

The use of biofeedback on shoulder rehabilitation: a systematic review 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. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation

2019 PROSPERO

6. Need to ‘stabilize’ your shoulder rehabilitation skills? Come listen to Jo Gibson deliver her pearls of wisdom

Need to ‘stabilize’ your shoulder rehabilitation skills? Come listen to Jo Gibson deliver her pearls of wisdom Need to ‘stabilize’ your shoulder rehabilitation skills? Come listen to Jo Gibson deliver her pearls of wisdom | BJSM blog - social media's leading SEM voice by By Paul Blazey Jo Gibson a renowned specialist physiotherapist from the UK is coming to Vancouver this month. Jo is the author of multiple chapters on the management of shoulder instability 1-3 and is a highly respected clinic (...) leader working closely with Mr Peter Brownson, a specialist shoulder surgeon based in Liverpool, England. This close relationship has allowed Jo to develop evidence-based rehabilitation programs for the management of shoulder instability, amongst other shoulder conditions, incorporating her 30+ years of professional experience. Jo and colleagues have garnered a lot of positive attention with their successful approach to accelerated rehabilitation of elite athletes post Bankart repair. 4 This program

2018 British Journal of Sports Medicine Blog

7. Effectiveness of a tailored rehabilitation versus standard strengthening programme for patients with shoulder pain: a protocol for a feasibility randomised controlled trial (the Otago MASTER trial). (PubMed)

Effectiveness of a tailored rehabilitation versus standard strengthening programme for patients with shoulder pain: a protocol for a feasibility randomised controlled trial (the Otago MASTER trial). Exercise therapy is the treatment of choice for the management of patients with shoulder subacromial pain. However, we do not know whether a tailored rehabilitation programme is more effective than a standardised strengthening programme. The aim of this feasibility trial is to assess: (1 (...) of Subacromial disorders of The shouldER (MASTER) trial, is a two-arm, patient-blinded and assessor-blinded, randomised controlled feasibility trial. Participants will be randomly allocated into one of the interventions group: tailored or standardised rehabilitation. To obtain estimates of intervention effects, we will compare changes in pain and shoulder-related disability scores between the two intervention groups using a repeated mixed-model analysis of variance, with alpha set at 0.05, and power at 80

2019 BMJ open Controlled trial quality: uncertain

8. Analgesic gas for rehabilitation of frozen shoulder: Protocol for a randomized controlled trial. (PubMed)

Analgesic gas for rehabilitation of frozen shoulder: Protocol for a randomized controlled trial. There is little evidence regarding the best way to treat adhesive capsulitis. Physical therapy can reduce pain and improve function and range of motion. However, we lack clear indications on the regimen, techniques or intensity of physical therapy to achieve better results. Intensive physical therapy seems to be confined to the later stages of adhesive capsulitis (chronic stage) given (...) that rehabilitation-induced pain could worsen the outcomes. Here we describe a protocol for a study comparing the efficacy of a standardized program of intensive mobilization under analgesic gas to a similar program under placebo gas and questioning the impact of pain.A randomized, double-blind, multicenter study - the MEOPA Trial - was designed to include adults with strictly defined clinical adhesive capsulitis for a 14-day intensive physical rehabilitation program under an equimolar mixture of oxygen

2019 Annals of physical and rehabilitation medicine Controlled trial quality: predicted high

9. Immediate self-rehabilitation after open Latarjet procedures enables recovery of preoperative shoulder mobility at 3 months. (PubMed)

Immediate self-rehabilitation after open Latarjet procedures enables recovery of preoperative shoulder mobility at 3 months. To evaluate short-term clinical outcomes of shoulders treated for anterior instability by open Latarjet procedures (OLP) followed by immediate self-rehabilitation. The hypothesis was that patients would recover preoperative function at 3 months with no adverse events related to self-rehabilitation.The authors retrieved clinical and radiographic records of 307 consecutive (...) shoulders treated by the same surgeon for anterior instability by OLP with immediate self-rehabilitation. Four shoulders did not meet eligibility criteria and 38 were lost to follow-up, leaving a study cohort of 265 shoulders. Patients performed self-rehabilitation exercises at home from the first postoperative day. Follow-ups at 1 and 3 months evaluated recurrence of instability, postoperative complications, pain, active forward elevation (AFE), passive forward elevation (PFE), external rotation (ER

2019 Knee Surgery, Sports Traumatology, Arthroscopy

10. The effect of electroacupuncture merged with rehabilitation for frozen shoulder syndrome: A single-blind randomized sham-acupuncture controlled study. (PubMed)

The effect of electroacupuncture merged with rehabilitation for frozen shoulder syndrome: A single-blind randomized sham-acupuncture controlled study. Frozen shoulder syndrome (FSS) causes pain and reduces the range of motion in the shoulder joint. To investigate the short and medium-term effects of electroacupuncture in people with FSS, we evaluated the therapeutic effects of true and sham electroacupuncture on pain relief and improvement of shoulder function.In this randomized, single-blind (...) controlled clinical trial, 21 subjects with FSS were randomly assigned to two groups: a true electroacupuncture group (TEAG) and a sham electroacupuncture group (SEAG). The two groups underwent 18 sessions of treatment over approximately 6-9 weeks and were then followed up at 1, 3, and 6 months. Their effectiveness for alleviating the intensity of shoulder pain was evaluated with a visual analog scale (VAS), while improved shoulder mobility was evaluated by the active range of motion (AROM) and passive

2019 Journal of the Formosan Medical Association = Taiwan yi zhi Controlled trial quality: uncertain

11. [Effectiveness of a self-administered rehabilitation program for shoulder pain syndrome in primary health care]. (PubMed)

[Effectiveness of a self-administered rehabilitation program for shoulder pain syndrome in primary health care]. Shoulder pain syndrome (SPS) is frequent and management in primary care is precarious, with a high rate of referral without adequate treatment, overloading rehabilitation and orthopedic services.To assess the effectiveness of a self-administered rehabilitation program in adults with shoulder pain syndrome in primary care.A randomized, single-blind clinical trial (evaluators (...) ) with an experimental group (self-administered rehabilitation) and a control group (standard physical therapy) was carried out in 271 adult patients aged 18 or older with unilateral shoulder pain lasting more than six weeks and less than three months. The primary outcome was the recovery perceived by the patient. Constant score for function, quality of life using SF-36, simple shoulder test (SST) and the Disabilities of the Arm, Shoulder, and Hand (DASH) score were also calculated at six, 12 and 24 weeks of follow

2019 Revista Medica De Chile Controlled trial quality: uncertain

12. Effects of transcranial direct current stimulation on the rehabilitation of painful shoulder following a stroke: protocol for a randomized, controlled, double-blind, clinical trial. (PubMed)

Effects of transcranial direct current stimulation on the rehabilitation of painful shoulder following a stroke: protocol for a randomized, controlled, double-blind, clinical trial. Shoulder pain is reported to be one of the major challenges faced in the functional recovery of patients in rehabilitation following a stroke. In such cases, transcranial direct current stimulation (tDCS) has been used as an additional therapeutic tool for improvements in central and peripheral pain. The aim (...) of the proposed study is to evaluate the effect of tDCS when combined with upper limb physical therapy on pain intensity and functional improvement in stroke survivors with shoulder pain in the hemiplegic limb.A randomized, placebo-controlled, double-blind, clinical trial is proposed. The volunteers will be randomly allocated to receive passive movement on the upper limb, which will be performed by the therapist for 20 min followed by either active tDCS or sham tDCS (current stimulation for 30 s) during

2019 Trials Controlled trial quality: predicted high

13. Design and Evaluation of Passive Shoulder Joint Tracking Module for Upper-Limb Rehabilitation Robots (PubMed)

Design and Evaluation of Passive Shoulder Joint Tracking Module for Upper-Limb Rehabilitation Robots As the number of people suffering from shoulder movement disabilities increases, there is a rising demand for shoulder rehabilitation. The natural motion of the shoulder joint [glenohumeral (GH) joint] includes not only three-degrees-of-freedom (DOF) rotation but also three-DOF translation of the joint center due to simultaneous motion of the shoulder girdle. If the motion of the shoulder girdle (...) is restricted, then the arm cannot be raised above a certain posture. This paper presents a passive shoulder joint tracking device that allows three-DOF translation of the shoulder joint while compensating for gravity. The single-DOF vertical tracker with a constant-force spring compensates for the gross weight of the user's arm, the upper limb rehabilitation device, and the tracker itself while allowing vertical tracking motion. The two-DOF horizontal tracker consists of two linear guides arranged

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2018 Frontiers in neurorobotics

14. A New Skeleton Model and the Motion Rhythm Analysis for Human Shoulder Complex Oriented to Rehabilitation Robotics (PubMed)

A New Skeleton Model and the Motion Rhythm Analysis for Human Shoulder Complex Oriented to Rehabilitation Robotics Rehabilitation robotics has become a widely accepted method to deal with the training of people with motor dysfunction. In robotics medium training, shoulder repeated exercise training has been proven beneficial for improving motion ability of human limbs. An important and difficult paradigm for motor function rehabilitation training is the movement rhythm on the shoulder, which (...) is not a single joint but complex and ingenious combination of bones, muscles, ligaments, and tendons. The most robots for rehabilitation were designed previously considering simplified biomechanical models only, which led to misalignment between robots and human shoulder. Current biomechanical models were merely developed for rehabilitation robotics design. This paper proposes a new hybrid spatial model based on joint geometry constraints to describe the movement of the shoulder skeletal system and establish

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2018 Applied bionics and biomechanics

15. Rehabilitation Outcomes of Shoulder Function in Oral Cancer Survivors Cancer Survivors

Rehabilitation Outcomes of Shoulder Function in Oral Cancer Survivors Cancer Survivors Rehabilitation Outcomes of Shoulder Function in Oral Cancer Survivors Cancer Survivors - 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. Rehabilitation Outcomes of Shoulder Function in Oral Cancer Survivors Cancer Survivors 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. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03545100 Recruitment Status : Recruiting First Posted : June 4

2018 Clinical Trials

16. The use of assistive technology in shoulder exercise rehabilitation - a qualitative study of acceptability within a pilot project. (PubMed)

The use of assistive technology in shoulder exercise rehabilitation - a qualitative study of acceptability within a pilot project. Painful shoulders pose a substantial socioeconomic burden accounting for 2.4% of all primary care consultations in the UK. There is a strong evidence to indicate that the majority of this shoulder pain can be managed successfully with exercise based treatments and that common surgical procedures provide no extra benefit. Patient adherence and engagement is cited (...) as an important factor in gaining positive outcomes. The MUJO System has been designed to help target the rehabilitation of the rotator cuff muscles which are commonly recommended for the management of shoulder pain. The purpose of this qualitative study was to evaluate the acceptability of the MUJO System amongst clinicians and patients.A qualitative study was undertaken to look at the usability of the MUJO System both from clinicians' and patients' perspectives. Patients with shoulder problems were

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2018 BMC Musculoskeletal Disorders

17. Effect of smartphone application-supported self-rehabilitation for frozen shoulder: a prospective randomized control study. (PubMed)

Effect of smartphone application-supported self-rehabilitation for frozen shoulder: a prospective randomized control study. To evaluate the clinical efficacy of smartphone-assisted self-rehabilitation in patients with frozen shoulder.A single-center, randomized controlled trial.Orthopedic department of a university hospital.A total of 84 patients with frozen shoulder were recruited.Patients were randomly divided into two groups: a smartphone-assisted exercise group ( n = 42) and a conventional (...) self-exercise group ( n = 42). The study was performed over three months, during which each group performed home-based rehabilitation.Visual analogue scale for pain and passive shoulder range of motion were assessed at baseline and after 4, 8, and 12 weeks of treatment. Technology Acceptance Model-2 and Usefulness, Satisfaction, and Ease of Use scores were evaluated in the smartphone group.Initial visual analogue scale for pain of the smartphone group was 6.0 ± 2.2 and ended up with 1.8 ± 2.5 after

2018 Clinical rehabilitation Controlled trial quality: uncertain

18. [Penetration acupuncture at Baxie(EX-UE 9) combined with rehabilitation for swelling hand of post-stroke shoulder-hand syndrome]. (PubMed)

[Penetration acupuncture at Baxie(EX-UE 9) combined with rehabilitation for swelling hand of post-stroke shoulder-hand syndrome]. To compare the effects between penetration acupuncture at Baxie (EX-UE 9) combined with rehabilitation and simple rehabilitation for swelling hand in post-stroke shoulder-hand syndrome.Sixty patients were randomly assigned into an observation group and a control group,30 cases in each one. Penetration acupuncture at Baxie (EX-UE 9) combined with rehabilitation were (...) treatment in the two groups(all P<0.01),with better effects in the observation group(both P<0.01). The total effective rate was 93.3%(28/30) in the observation group,which was better than 73.3%(22/30) in the control group(P<0.01).Penetration acupuncture at Baxie (EX-UE 9) combined with rehabilitation can effectively and timely alleviate the swelling hand and motor function of post-stroke shoulder-hand syndrome,which are better than simple rehabilitation.

2018 Zhongguo zhen jiu = Chinese acupuncture & moxibustion Controlled trial quality: uncertain

19. [The Effect of Activation of the Shoulder Girdle Muscles on Functional Outcomes of Rehabilitation in Patients with Surgically Treated Distal Radius Fractures]. (PubMed)

[The Effect of Activation of the Shoulder Girdle Muscles on Functional Outcomes of Rehabilitation in Patients with Surgically Treated Distal Radius Fractures]. PURPOSE OF THE STUDY The aim of the study was to assess the functional outcomes of rehabilitation in patients with surgically treated distal radius fractures in the early postoperative period. We compared the functional outcomes of patients undergoing standard rehabilitation with the group of patients whose postoperative rehabilitation (...) according to the selected method of rehabilitation. The tested subjects with standard rehabilitation extended with shoulder girdle muscles activation were labelled as group I. It included patients (n = 20) of the mean age 59.8 (age range 42-73 years) with immobilized wrist (i.e. for 3-4 weeks) performing shoulder girdle muscles exercises at the same time. Furthermore, standard kinesiotherapy continued after their fixation was removed. The other tested group, labelled as group II (n = 20), the mean age

2018 Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca Controlled trial quality: uncertain

20. Effects of Gabapentinoids Premedication on Shoulder Pain and Rehabilitation Quality after Laparoscopic Cholecystectomy: Pregabalin versus Gabapentin (PubMed)

Effects of Gabapentinoids Premedication on Shoulder Pain and Rehabilitation Quality after Laparoscopic Cholecystectomy: Pregabalin versus Gabapentin Gabapentinoids are increasingly used in preoperative premedication despite controversial results. The aim of our study was to evaluate the effects of preemptive use of gabapentin or pregabalin on postoperative shoulder pain and rehabilitation quality after laparoscopic cholecystectomy.This is a clinical trial comparing the effects of a preoperative (...) , gabapentin, and placebo groups (p < 0.05). The delay for the first standing position was 14.9 ± 4.9 hours in the pregabalin group, 9.7 ± 3.6 hours in the gabapentin group, and 21.6 ± 2.1 hours in the placebo group. No superiority was found between gabapentin and pregabalin.Preemptive premedication with gabapentinoids can enhance postoperative rehabilitation quality after laparoscopic cholecystectomy by reducing postoperative shoulder pain, decreasing PONV incidence, and improving sleep quality during

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2018 Pain research & management Controlled trial quality: uncertain

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