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Analgesic gas for rehabilitation of frozen shoulder: Protocol for a randomized controlled trial / Arnaud Dupeyron in Annals of physical and rehabilitation medicine, Vol. 62 n° 1 (January 2019)
[article] Analgesic gas for rehabilitation of frozen shoulder: Protocol for a randomized controlled trial [texte imprimé] / Arnaud Dupeyron, Auteur ; Marie Dénarié, Auteur ; Dominique Richard, Auteur . - 2019 . - p. 43-48.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 62 n° 1 (January 2019) . - p. 43-48
Catégories : THÉRAPEUTIQUE
Médicament analgésique , Protocole thérapeutique
PRATIQUE MÉDICALE
Rééducation fonctionnelle
Thesaurus Santé Publique
ÉpauleTags : Adhesive capsulitis Shoulder Physical therapy Rehabilitation Analgesia Résumé : Background: 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.
Method/Design: 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 and nitrous oxide or sham gas administration. Efficacy will be assessed by the Constant-Murley score. Data for secondary criteria including pain, disability, quality of life and perceived efficacy by the patient or physiotherapist will be collected over 6 months.
Discussion: This randomized controlled trial has been designed to test the effectiveness of intensive physical therapy under a simple and safe analgesic method. This study will also address the effect of pain during rehabilitation in adhesive capsulitis. Furthermore, results from the 6-month multidimensional follow-up of painful mobilization for this condition could be extrapolated to other musculoskeletal conditions.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=16634 [article]High-intensity stretch treatment for severe postoperative adhesive capsulitis of the shoulder / Preston M. Wolin in Annals of physical and rehabilitation medicine, Vol. 59 n° 4 (September 2016)
[article] High-intensity stretch treatment for severe postoperative adhesive capsulitis of the shoulder [texte imprimé] / Preston M. Wolin, Auteur ; Amy Ingraffia-Welp, Auteur ; Carlos E. Moreyra, Auteur . - 2016 . - p. 242-247.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 59 n° 4 (September 2016) . - p. 242-247
Catégories : PRATIQUE MÉDICALE
Rééducation fonctionnelle
Thesaurus Santé Publique
ÉpauleTags : Adhesive capsulitis Shoulder Stretching High intensity stretching Physical therapy Résumé : Background: Some patients with postoperative adhesive capsulitis reach a plateau in their recovery with a standard protocol of physical therapy (PT), which puts them at risk for further surgical intervention.
Objectives: We aimed to evaluate therapy for postoperative adhesive capsulitis of the shoulder in 2 groups of patients: (1) those who used a high-intensity stretch (HIS) device after reaching a plateau in their recovery with a standard protocol of traditional PT (PT+HIS) and (2) those who showed no plateau in their recovery with a standard protocol of traditional PT alone (PT only).
Methods: We retrospectively reviewed the records for 60 patients (51 males; mean age 46.7±12.6years) with postoperative adhesive capsulitis who received treatment between March 2007 and May 2010. Forward elevation and combined internal/external rotation at the initial postoperative visit and final visit were measured. The measurements from group 2 patients were used as an observational benchmark.
Results: The PT+HIS (n =42) and PT-only (n =18) patients did not differ in total follow-up time. Initial elevation was worse for PT+HIS than PT-only patients (22.1° lower, P =0.02), but the final elevation was equivalent. Initial rotation was worse for PT+HIS than PT-only patients (16.6° lower, P =0.04), but the final rotation was higher for PT+HIS patients (10.6° higher, P =0.04). Gains in elevation and rotation were greater for the PT+HIS than PT-only patients (P =0.04 and P =0.01).
Conclusions: Patients with postoperative adhesive capsulitis of the shoulder who are unable to reach their PT treatment goals with a standard protocol of PT may benefit from the addition of HIS to their treatment regimen. HIS could be a valuable adjunct to PT for treating postoperative adhesive capsulitis in appropriate patients.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=13867 [article]Kinematic patterns in normal and degenerative shoulders. Part II: Review of 3-D scapular kinematic patterns in patients with shoulder pain, and clinical implications / Marie-Martine Lefèvre-Colau in Annals of physical and rehabilitation medicine, Vol. 61 n° 1 (January 2018)
[article] Kinematic patterns in normal and degenerative shoulders. Part II: Review of 3-D scapular kinematic patterns in patients with shoulder pain, and clinical implications [texte imprimé] / Marie-Martine Lefèvre-Colau, Auteur ; Christelle Nguyen, Auteur ; Clémence Palazzo, Auteur . - 2018 . - p. 46-53.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 61 n° 1 (January 2018) . - p. 46-53
Catégories : PRATIQUE MÉDICALE
Rééducation fonctionnelle
SYMPTÔME
Symptôme
PHYSIQUE
Énergie mécanique
Thesaurus Santé Publique
ÉpauleTags : Shoulder Kinematics Scapula Degenerative shoulders pathology Subacromial impingement syndrome Adhesive capsulitis Osteoarthritis Rehabilitation Résumé : Background: The global range of motion of the arm is the result of a coordinated motion of the shoulder complex including glenohumeral (GH), scapulothoracic, sternoclavicular and acromioclavicular joints.
Methods: This study is a non-systematic review of kinematic patterns in degenerated shoulders. It is a based on our own research on the kinematics of the shoulder complex and clinical experience.
Results: For patients with subacromial impingement syndrome without rotator-cuff tears, most kinematic studies showed a small superior humeral translation relative to the glenoid and decreased scapular lateral rotation and posterior tilt. These scapular kinematic modifications could decrease the subacromial space and favor rotator-cuff tendon injury. For patients with shoulder pain and restricted mobility, the studies showed a significant increase in scapular lateral rotation generally seen as a compensation mechanism of GH decreased range of motion. For patients with multidirectional GH instability, the studies found an antero-inferior decentering of the humeral head, decreased scapular lateral rotation and increased scapular internal rotation.
Conclusion: The clinical or instrumented assessment of the shoulder complex with a degenerative pathology must include the analysis of scapula-clavicle and trunk movements complementing the GH assessment. Depending on the individual clinical case, scapular dyskinesis could be the cause or the consequence of the shoulder degenerative pathology. For most degenerative shoulder pathologies, the rehabilitation program should take into account the whole shoulder complex and include first a scapular and trunk postural-correcting strategy, then scapulothoracic muscle rehabilitation (especially serratus anterior and trapezius inferior and medium parts) and finally neuromotor techniques to recover appropriate upper-limb kinematic schemas for daily and/or sports activities.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=15555 [article]Role of pain in measuring shoulder strength abduction and flexion with the Constant–Murley score / Cyrille Burrus in Annals of physical and rehabilitation medicine, Vol. 60 n° 4 (July 2017)
[article] Role of pain in measuring shoulder strength abduction and flexion with the Constant–Murley score [texte imprimé] / Cyrille Burrus, Auteur ; Olivier Dériaz, Auteur ; François Luthi, Auteur . - 2017 . - p. 258-262.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 60 n° 4 (July 2017) . - p. 258-262
Catégories : SYMPTÔME
Douleur
THÉRAPEUTIQUE
Renforcement musculaire
MOTS OUTILS
Échelle
VARIABLE ÉPIDÉMIOLOGIQUE
Échelle douleur
Thesaurus Santé Publique
ÉpauleTags : Shoulder Functional assessment Strength measures Induced pain Constant–Murley score Résumé : Objectives: The Constant–Murley score (CS) has been used for more than 25 years to assess shoulder function. Strength by itself accounts for 25% of the total score. The measurement at 90° abduction seems to be sometimes limited by pain, particularly with tendinopathy or subacromial impingement. We compared the assessment of isometric strength in anterior forward flexion and abduction and its effect on pain and total CS.
Methods: Strength was assessed by CS at both 90° forward flexion and abduction in the scapular plane by using an Isobex dynamometer, the first position tested being randomized. Pain was assessed on a 100-mm visual analog scale (VAS) and total CS was assessed.
Results: We included 54 patients with unilateral shoulder problems; 50% had rotator cuff injury. Mean strength on the affected side was 4.7±2.5kg in forward flexion and 4.6±2.8kg in abduction. Induced pain and total CS did not differ between the 2 positions tested.
Conclusions: Strength can be measured by the CS in forward flexion or abduction, because the measurement does not affect strength, pain intensity or total score. The choice of direction for measurement should be based on the underlying pathology, related contraindications and patient preference.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=14975 [article]Surgical treatments for osteoarthritis / Nicolas de l' Escalopier in Annals of physical and rehabilitation medicine, Vol. 59 n° 3 (June 2016)
[article] Surgical treatments for osteoarthritis [texte imprimé] / Nicolas de l' Escalopier, Auteur ; Philippe Anract, Auteur ; David Biau, Auteur . - 2016 . - p. 227-233.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 59 n° 3 (June 2016) . - p. 227-233
Catégories : PATHOLOGIE
Arthrose
ANATOMIE
Articulation
SPÉCIALITÉ
Chirurgie orthopédique
Thesaurus Santé Publique
Épaule , Genou , HancheTags : Osteoarthritis Joint arthroplasty Conservative surgery Hip Knee Shoulder Résumé : There are two main surgical treatments for osteoarthritis: conservative treatments, where the damaged cartilage is left in place, and radical treatments, where the cartilage is replaced by an artificial endoprosthesis; this latter procedure is termed joint arthroplasty. These treatments are only offered to symptomatic patients. Arthrodesis is yet another surgical intervention in cases of osteoarthritis. It will sacrifice the joint's articular function and is performed on small osteoarthritic joints, such as wrists and ankles, for instance. Osteoarthritis symptoms are usually the consequence of an imbalance between the load applied to a joint and the surface available to support that load. Therefore, conservative treatments will either tend to decrease the load exerted on the joint, such as in a tibial valgus osteotomy for instance, or to improve the articular surface supporting that load. Sometimes, both can be provided at the same time; the peri-acetabular osteotomy for hip dysplasia is an example of such a procedure. Conservative treatments are usually offered to young patients in order to delay, if not avoid, the need for a joint prosthesis. They are usually performed before osteoarthritis appears or at an early stage. Joint arthroplasties have overwhelmingly excellent functional results and today's research is directed towards providing rapid recovery, very long-term stability, and the assurance of a good functionality in extreme conditions. However, complications with joint arthroplasties can be serious with little, if any, reasonable salvage solution. Therefore, these procedures are offered to patients who have failed adequate medical treatment measures. En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=13695 [article]