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Shoulder Physiotherapy: A Surgeon’s Perspective

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The Shoulder Made Easy

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Abstract

This chapter discusses principles of shoulder physiotherapy to aid the choice of specific therapy techniques and the communication between surgeons and therapists.

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References

  1. Uhl TL, Muir TA, Lawson L. Electromyographical assessment of passive, active assistive, and active shoulder rehabilitation exercises. PM R. 2010;2(2):132–41.

    Article  Google Scholar 

  2. Active assisted shoulder exercises—Oxford University Hospitals. Accessed at http://www.ouh.nhs.uk/patient-guide/leaflets/files/10874Pshoulder.pdf on 19/3/18

  3. Dillman CJ, Murray TA, Hintermeister RA. Biomechanical differences of open and closed chain exercises with respect to the shoulder. J Sport Rehabil. 1994;3:228–38.

    Article  Google Scholar 

  4. Gowitzke BA, Milner M. Scientific bases of human movement. Baltimore, MD: Williams and Wilkins; 1988.

    Google Scholar 

  5. Padulo J, Laffaye G, Chamari K, Concu A. Concentric and eccentric: muscle contraction or exercise? Sports Health. 2013;5(4):306. https://doi.org/10.1177/1941738113491386.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Melzack R, Wall PD. Pain mechanisms: a new theory. Science. 1965;150(3699):971–9.

    Article  CAS  Google Scholar 

  7. Katz J, Rosenbloom BN. The golden anniversary of Melzack and Wall’s gate control theory of pain: celebrating 50 years of pain research and management. Pain Res Manag. 2015;20(6):285–6.

    Article  Google Scholar 

  8. Sluka KA, Walsh D. Transcutaneous electrical nerve stimulation: basic science mechanisms and clinical effectiveness. J Pain. 2003;4(3):109–21.

    Article  Google Scholar 

  9. Rawe IM. The case for over-the-counter shortwave therapy: safe and effective devices for pain management. Pain Manag. 2014;4(1):37–43.

    Article  Google Scholar 

  10. Goats GC. Pulsed electromagnetic (short-wave) energy therapy. Br J Sports Med. 1989;23(4):213–6.

    Article  CAS  Google Scholar 

  11. Ondrejkovicova A, Petrovics G, Svitkova K, Bajtekova B, Bangha O. Why acupuncture in pain treatment? Neuro Endocrinol Lett. 2016;37(3):163–8.

    CAS  PubMed  Google Scholar 

  12. Christensen BH, Andersen KS, Rasmussen S, Andreasen EL, Nielsen LM, Jensen SL. Enhanced function and quality of life following 5 months of exercise therapy for patients with irreparable rotator cuff tears—an intervention study. BMC Musculoskelet Disord. 2016;17:252. https://doi.org/10.1186/s12891-016-1116-6.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Levy O, Mullett H, Roberts S, Copeland S. The role of anterior deltoid reeducation in patients with massive irreparable degenerative rotator cuff tears. J Shoulder Elb Surg. 2008;17(6):863–70.

    Article  Google Scholar 

  14. Collin PG, Gain S, Nguyen Huu F, Lädermann A. Is rehabilitation effective in massive rotator cuff tears? Orthop Traumatol Surg Res. 2015;101(4 Suppl):S203–5.

    Article  CAS  Google Scholar 

  15. Huxel Bliven KC, Anderson BE. Core stability training for injury prevention. Sports Health. 2013;5(6):514–22.

    Article  Google Scholar 

  16. Willson JD, Dougherty CP, Ireland ML, Davis IM. Core stability and its relationship to lower extremity function and injury. J Am Acad Orthop Surg. 2005;13(5):316–25.

    Article  Google Scholar 

  17. Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med. 2006;36(3):189–98.

    Article  Google Scholar 

  18. Rosemeyer JR, Hayes BT, Switzler CL, Hicks-Little CA. Effects of core-musculature fatigue on maximal shoulder strength. J Sport Rehabil. 2015;24(4):384–90.

    Article  Google Scholar 

  19. Radwan A, Francis J, Green A, Kahl E, Maciurzynski D, Quartulli A, Schultheiss J, Strang R, Weiss B. Is there a relation between shoulder dysfunction and core instability? Int J Sports Phys Ther. 2014;9(1):8–13.

    PubMed  PubMed Central  Google Scholar 

  20. Magnusson SP. Passive properties of human skeletal muscle during stretch maneuvers. A review. Scand J Med Sci Sports. 1998;8(2):65–77.

    Article  CAS  Google Scholar 

  21. Bandy WD, Irion JM. The effect of time on static stretch on the flexibility of the hamstring muscles. Phys Ther. 1994;74(9):845–50.

    Article  CAS  Google Scholar 

  22. Myers JB, Lephart SM. Sensorimotor deficits contributing to glenohumeral instability. Clin Orthop Relat Res. 2002;400:98–104.

    Article  Google Scholar 

  23. Warner JJ, Lephart S, Fu FH. Role of proprioception in pathoetiology of shoulder instability. Clin Orthop Relat Res. 1996;330:35–9.

    Article  Google Scholar 

  24. Jerosch J, Prymka M. Proprioception and joint stability. Knee Surg Sports Traumatol Arthrosc. 1996;4(3):171–9.

    Article  CAS  Google Scholar 

  25. Nyland JA, Caborn DN, Johnson DL. The human glenohumeral joint. A proprioceptive and stability alliance. Knee Surg Sports Traumatol Arthrosc. 1998;6(1):50–61.

    Article  CAS  Google Scholar 

  26. Galloway MT, Lalley AL, Shearn JT. The role of mechanical loading in tendon development, maintenance, injury, and repair. J Bone Joint Surg Am. 2013;95(17):1620–8.

    Article  Google Scholar 

  27. Jerosch J, Steinbeck J, Clahsen H, Schmitz-Nahrath M, Grosse-Hackmann A. Function of the glenohumeral ligaments in active stabilisation of the shoulder joint. Knee Surg Sports Traumatol Arthrosc. 1993;1(3-4):152–8.

    Article  CAS  Google Scholar 

  28. Lephart SM, Warner JJ, Borsa PA, Fu FH. Proprioception of the shoulder joint in healthy, unstable, and surgically repaired shoulders. J Shoulder Elb Surg. 1994;3(6):371–80.

    Article  CAS  Google Scholar 

  29. Smith TO, Jerman E, Easton V, Bacon H, Armon K, Poland F, Macgregor AJ. Do people with benign joint hypermobility syndrome (BJHS) have reduced joint proprioception? A systematic review and meta-analysis. Rheumatol Int. 2013;33(11):2709–16.

    Article  Google Scholar 

  30. Partin NB, Stone JA, Ryan EJ, Lueken JS, Timm KE. Upper extremity proprioceptive training. J Athl Train. 1994;29(1):15–8.

    CAS  PubMed  PubMed Central  Google Scholar 

  31. Borsa PA, Lephart SM, Kocher MS, Lephart SP. Functional assessment and rehabilitation of shoulder proprioception for glenohumeral instability. J Sport Rehabil. 1994;3:84–104.

    Article  Google Scholar 

  32. Lim OB, Kim JA, Song SJ, Cynn HS, Yi CH. Effect of selective muscle training using visual EMG biofeedback on infraspinatus and posterior deltoid. J Hum Kinet. 2014;44:83–90.

    Article  Google Scholar 

  33. Huang HY, Lin JJ, Guo YL, Wang WT, Chen YJ. EMG biofeedback effectiveness to alter muscle activity pattern and scapular kinematics in subjects with and without shoulder impingement. J Electromyogr Kinesiol. 2013;23(1):267–74.

    Article  Google Scholar 

  34. Lewis JS. Rotator cuff tendinopathy/subacromial impingement syndrome: is it time for a new method of assessment? Br J Sports Med. 2009;43(4):259–64.

    Article  CAS  Google Scholar 

  35. Rodeo SA, Arnoczky SP, Torzilli PA, Hidaka C, Warren RF. Tendon-healing in a bone tunnel. A biomechanical and histological study in the dog. J Bone Joint Surg Am. 1993;75(12):1795–803.

    Article  CAS  Google Scholar 

  36. St Pierre P, Olson EJ, Elliott JJ, O’Hair KC, McKinney LA, Ryan J. Tendon-healing to cortical bone compared with healing to a cancellous trough. A biomechanical and histological evaluation in goats. J Bone Joint Surg Am. 1995;77(12):1858–66.

    Article  CAS  Google Scholar 

  37. Lee BG, Cho NS, Rhee YG. Effect of two rehabilitation protocols on range of motion and healing rates after arthroscopic rotator cuff repair: aggressive versus limited early passive exercises. Arthroscopy. 2012;28(1):34–42.

    Article  Google Scholar 

  38. Eliasson P, Andersson T, Aspenberg P. Achilles tendon healing in rats is improved by intermittent mechanical loading during the inflammatory phase. J Orthop Res. 2012;30(2):274–9.

    Article  Google Scholar 

  39. Eliasson P, Andersson T, Aspenberg P. Rat Achilles tendon healing: mechanical loading and gene expression. J Appl Physiol (1985). 2009;107(2):399–407.

    Article  Google Scholar 

  40. Andersson T, Eliasson P, Aspenberg P. Tissue memory in healing tendons: short loading episodes stimulate healing. J Appl Physiol (1985). 2009;107(2):417–21.

    Article  Google Scholar 

  41. Hettrich CM, Gasinu S, Beamer BS, Stasiak M, Fox A, Birmingham P, Ying O, Deng XH, Rodeo SA. The effect of mechanical load on tendon-to-bone healing in a rat model. Am J Sports Med. 2014;42(5):1233–41.

    Article  Google Scholar 

  42. Killian ML, Cavinatto L, Galatz LM, Thomopoulos S. The role of mechanobiology in tendon healing. J Shoulder Elb Surg. 2012;21(2):228–37.

    Article  Google Scholar 

  43. Galatz LM, Charlton N, Das R, Kim HM, Havlioglu N, Thomopoulos S. Complete removal of load is detrimental to rotator cuff healing. J Shoulder Elb Surg. 2009;18(5):669–75.

    Article  Google Scholar 

  44. Kim YS, Chung SW, Kim JY, Ok JH, Park I, Oh JH. Is early passive motion exercise necessary after arthroscopic rotator cuff repair? Am J Sports Med. 2012;40(4):815–21.

    Article  Google Scholar 

  45. Cuff DJ, Pupello DR. Prospective randomized study of arthroscopic rotator cuff repair using an early versus delayed postoperative physical therapy protocol. J Shoulder Elb Surg. 2012;21(11):1450–5. https://doi.org/10.1016/j.jse.2012.01.025. Epub 2012 May 2.

    Article  Google Scholar 

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Authors and Affiliations

  1. Blackpool Teaching Hospitals NHS Foundation Trust and School of Medicine, University of Central Lancashire, Blackpool, Lancashire, UK

    Charalambos Panayiotou Charalambous

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  1. Charalambos Panayiotou Charalambous
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Panayiotou Charalambous, C. (2019). Shoulder Physiotherapy: A Surgeon’s Perspective. In: The Shoulder Made Easy . Springer, Cham. https://doi.org/10.1007/978-3-319-98908-2_10

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  • DOI: https://doi.org/10.1007/978-3-319-98908-2_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-98907-5

  • Online ISBN: 978-3-319-98908-2

  • eBook Packages: MedicineMedicine (R0)

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