Associations between range of motion, strength, tear size, patient-reported outcomes, and glenohumeral kinematics in individuals with symptomatic isolated supraspinatus tears.
Associations between range of motion, strength, tear size, patient-reported outcomes, and glenohumeral kinematics in individuals with symptomatic isolated supraspinatus tears.
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DOI：
10.1016/j.jse.2021.12.032
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发表时间：
2022-06
影响因子：
3
通讯作者：
Debski, Richard E.
中科院分区：
文献类型：
--
作者：
Mattar, Luke T.;Popchak, Adam J.;Anderst, William J.;Musahl, Volker;Irrgang, James J.;Debski, Richard E.
与肩袖撕裂非手术治疗相关的临床失败可能是由于对个体功能障碍的描述不足。在临床上，被动活动度（ROM）受限（受限意味着关节囊紧缩）、肌力受限和肩袖撕裂较大被假设与盂肱运动学改变相关。了解这些关系，以及盂肱运动学和运动治疗前患者报告结果（PRO）之间的关系，可能有助于描述肩袖撕裂患者的功能障碍。本研究的目的是描述孤立性冈上肌撕裂患者的基线表现，包括被动ROM、肩袖肌力、撕裂大小、PRO和盂肱运动学，并确定这些变量之间的相关性。研究招募了101名有症状的孤立性冈上肌撕裂患者，并进行了被动盂肱关节活动度、等长肌力和超声检查评估，以评估前后撕裂大小。使用双平面X线摄影测量肩胛平面外展过程中的盂肱运动学。此外，还收集了PRO，包括美国肩肘外科医生（ASES）评分和西部安大略肩袖指数（WORC）评分。与未受累侧相比，个体表现为活动度降低、外旋无力、疼痛和残疾（通过ASES和WORC评分测量）。这些发现与盂肱关节运动学无关，除了盂肱关节接触路径长度与WORC评分之间存在弱正相关性（ρ = 0.25，P = 0.03）。撕裂尺寸为11.7 ± 5.7 mm，最大前向平移、上级平移和接触路径长度分别为关节盂宽度的3.0% ± 3.8%、关节盂高度的3.5% ± 3.8%和关节盂尺寸的38.2% ± 20.7%。有症状的孤立性冈上肌撕裂的个体表现为活动度降低、外旋无力、疼痛和残疾，通过ASES和WORC评分进行测量。然而，没有观察到与这些限制相关的异常运动学。因此，考虑到撕裂是孤立的冈上肌腱，没有囊限制，盂肱关节的正常功能可能在肩胛平面外展。基础科学研究;运动学
Clinical failure associated with nonoperative treatment of rotator cuff tears may be due to inadequate characterization of the individual’s functional impairments. Clinically, restricted passive range of motion (ROM) (restrictions imply capsular tightness), limitations in muscle strength, and larger rotator cuff tears are hypothesized to be related to altered glenohumeral kinematics. Understanding these relationships, as well as the relationship between glenohumeral kinematics and patient-reported outcomes (PROs) prior to exercise therapy, may help characterize functional impairments in individuals with rotator cuff tears. The objectives of the study were to describe the baseline presentation of individuals with an isolated supraspinatus tear, including passive ROM, rotator cuff muscle strength, tear size, PROs, and glenohumeral kinematics, and to determine associations among these variables. One hundred one individuals with symptomatic isolated supraspinatus tears were recruited for the study and underwent assessments of passive glenohumeral ROM, isometric muscle strength, and ultrasonography to assess anterior-posterior tear size. Glenohumeral kinematics during scapular-plane abduction were measured using biplane radiography. Furthermore, PROs including the American Shoulder and Elbow Surgeons (ASES) score and the Western Ontario Rotator Cuff Index (WORC) score were collected. Individuals presented with decreased ROM, external rotation weakness compared with the uninvolved side, and pain and disability as measured by the ASES and WORC scores. These findings were not associated with glenohumeral kinematics, with the exception of a weak positive association between glenohumeral contact path lengths and WORC scores (ρ = 0.25, P = .03). Tear size was 11.7 ± 5.7 mm, and maximum anterior translation, superior translation, and contact path length were 3.0% ± 3.8% of glenoid width, 3.5% ± 3.8% of glenoid height, and 38.2% ± 20.7% of glenoid size, respectively. Individuals with a symptomatic isolated supraspinatus tear presented with decreased ROM, external rotation weakness, and pain and disability as measured by the ASES and WORC scores. However, no abnormal kinematics associated with these limitations were observed. Thus, given that the tear is isolated to the supraspinatus tendon and no capsular restrictions are present, normal function of the glenohumeral joint may be possible during scapular-plane abduction. Basic Science Study; Kinesiology
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DOI：
10.2106/00004623-199072090-00009
发表时间：
1990-10-01
影响因子：
5.3
作者：
HARRYMAN, DT;SIDLES, JA;MATSEN, FA
通讯作者：
MATSEN, FA
影响因子：
3
作者：
Kuhn, John E.;Dunn, Warren R.;Wright, Rick W.
通讯作者：
Wright, Rick W.
DOI：
10.1115/1.2206199
发表时间：
2006-08-01
影响因子：
1.7
作者：
Bey, Michael J.;Zauel, Roger;Tashman, Scott
通讯作者：
Tashman, Scott
影响因子：
4.8
作者：
de Witte, Pieter Bas;Henseler, Jan Ferdinand;Nelissen, Rob G. H. H.
通讯作者：
Nelissen, Rob G. H. H.
影响因子：
1.8
作者：
Konrad, Gerhard G.;Markmiller, Max;Debski, Richard E.
通讯作者：
Debski, Richard E.