8 research outputs found
Arthroscopic treatment for cuff tear: strength recovery at 12Â months of follow-up
The rotator cuff tear is one of the most frequent
musculoskeletal disorders, but the real incidence is not
clearly known because it’s usually asymptomatic, even if
it’s more common in patients with shoulder pain (36 %).
The prevalence of the complete tear among general population
is estimated approximately around 20.7 % and it is
more usual with the increasing of the age. The aim of this
study is to evaluate a group of patients with any size of
full-thickness cuff tear treated by arthroscopic technique,
comparing the clinical and functional recovery (isokinetic,
isotonic and isometric strength) with the un-operated side.
Between October 2009 and June 2011, 74 patients, mean
age 59 (20–72) years old, underwent arthroscopic treatment
for rotator cuff tear. Forty-two patients were finally
included in the study, 20 men and 22 women, mean age of
55 (20–68) years old. The mean follow-up was 12 months
(6–23 months). The strength of each patient’s shoulder,
both operated and un-operated, was evaluated using isokinetic,
isotonic and isometric tests (BIODEX Medical
System). The functional outcome showed no significant
differences between operated and un-operated shoulder,
confirmed by Constant–Murley score and DASH score.
The isokinetic, isotonic and isometric tests are valid support
to clinical evaluation in order to obtain an objective
data on shoulder recovery
Towards an integrated clinical framework for patient with shoulder pain
Abstract Background Shoulder pain (SP) represents a common musculoskeletal condition that requires physical therapy care. Along the years, the usual evaluation strategies based on clinical tests and diagnostic imaging has been challenged. Clinical tests appear unable to clearly identify the structures that generated pain and interpretation of diagnostic imaging is still controversial. The current patho-anatomical diagnostic categories have demonstrated poor reliability and seem inadequate for the SP treatment. Objectives The present paper aims to (1) describe the different proposals of clinical approach to SP currently available in the literature; to (2) integrate these proposals in a single framework in order to help the management of SP. Conclusion The proposed clinical framework, based on a bio-psychosocial vision of health, integrates symptoms characteristics, pain mechanisms and expectations, preferences and psychosocial factors of patients that may guide physiotherapist to make a diagnostic triage and to choose the right treatment for the individual patient