The Experts below are selected from a list of 2487 Experts worldwide ranked by ideXlab platform
S Haugen - One of the best experts on this subject based on the ideXlab platform.
-
sclerosing polidocanol injections to treat chronic painful Shoulder Impingement Syndrome results of a two centre collaborative pilot study
Knee Surgery Sports Traumatology Arthroscopy, 2006Co-Authors: Herlof Harstad, S HaugenAbstract:Sclerosing polidocanol injections to treat chronic painful Shoulder Impingement Syndrome-results of a two-centre collaborative pilot study.
-
sclerosing polidocanol injections to treat chronic painful Shoulder Impingement Syndrome results of a two centre collaborative pilot study knee surg sports traumatol arthrosc
2006Co-Authors: S HaugenAbstract:The histological changes found in the supraspinatus tendon have similarities with the findings in Achilles-, patellar- and extensor carpi radialis brevis (ECRB)-tendinopathy. In recent studies, we have found a vasculo-neural ingrowth in chronic painful Achilles and patellar tendinopathy, and demonstrated good short-term clinical effects with injections of the sclerosing substance polidocanol. In this collaborative two-centre pilot study, 15 patients (10 males and 5 females, mean age 46 years) with a long duration of Shoulder pain (mean 28 months), and given the diagnosis chronic painful Shoulder Impingement Syndrome, were included. They had tried rest, traditional rehabilitation exercises and multiple subacromial corticosteroid injections, without effect. We found vascularity (neovessels) in chronic painful, but not in pain-free, supraspinatus tendons, and prospectively studied the clinical effects of ultrasound (US) and colour Doppler (CD)-guided injections of polidocanol, targeting the area with neovessels. The patients evaluated the amount of Shoulder pain during horizontal Shoulder activity on a visual analogue scale (VAS), and satisfaction with treatment. Two (median) (range 1-5) polidocanol treatments (with 4-8 weeks in between) were given. In four patients (considered treatment failure), cortisone was injected into an inflamed subacromial bursa at one separate occasion weeks after the last polidocanol injection. At follow-up, 8 (median) (range 4-17)
Tania F Salvini - One of the best experts on this subject based on the ideXlab platform.
-
immediate effects of mobilization with movement vs sham technique on range of motion strength and function in patients with Shoulder Impingement Syndrome randomized clinical trial
Journal of Manipulative and Physiological Therapeutics, 2016Co-Authors: Joao Flavio Guimaraes, Paula R Camargo, Tania F Salvini, Aristides Leite Siqueira, Ivana Leao Ribeiro, Francisco AlburquerquesendinAbstract:Abstract Objective The purpose of this study was to compare the immediate effects of mobilization with movement (MWM) with sham technique on range of motion (ROM), muscle strength, and function in patients with Shoulder Impingement Syndrome. Methods A randomized clinical study was performed. Participants (mean age ± standard deviation, 31 ± 8 years; 56% women) were divided into 2 groups: group 1 (n = 14), which received the MWM technique in the first 4 sessions and the sham technique in the last 4 sessions; and group 2 (n = 13), which was treated with the opposite order of treatment conditions described for group 1. Shoulder ROM, isometric peak force assessed with a handheld dynamometer, and function as determined through the Disabilities of the Arm, Shoulder and Hand and Shoulder Pain and Disability Index (SPADI) questionnaires were collected at preintervention, interchange, and postintervention moments. Results Two-way analysis of variance revealed no significant group-by-time interaction for any outcome but did reveal a main time effect for Shoulder external rotation ( P = .04) and abduction ( P = .01) ROM, Disabilities of the Arm, Shoulder and Hand ( P P P P Conclusion The MWM technique was no more effective than a sham intervention in improving Shoulder ROM during external rotation and abduction, pain, and function in patients with Shoulder Impingement Syndrome.
-
bilateral myofascial trigger points and pressure pain thresholds in the Shoulder muscles in patients with unilateral Shoulder Impingement Syndrome a blinded controlled study
The Clinical Journal of Pain, 2013Co-Authors: Francisco Alburquerquesendin, Paula R Camargo, Amilton Vieira, Tania F SalviniAbstract:Objectives:To identify the presence of myofascial trigger points (TrPs) and pressure pain threshold (PPT) levels in the Shoulder muscles of both involved and uninvolved sides in patients with unilateral Shoulder Impingement Syndrome (SIS).Methods:Twenty-seven patients with SIS and 20 matched control
-
joint position sense is not altered during Shoulder medial and lateral rotations in female assembly line workers with Shoulder Impingement Syndrome
Physiotherapy Theory and Practice, 2013Co-Authors: Melina N Haik, Paula R Camargo, Gisele Garcia Zanca, Francisco Alburquerquesendin, Tania F Salvini, Stela M G MattiellorosaAbstract:This study evaluated joint position sense (JPS) during medial and lateral rotations of the Shoulder in female workers with and without Shoulder Impingement Syndrome (SIS). Three groups were assessed. The case group consisted of 15 female assembly line workers (35.5, SD 5.8 years) with unilateral SIS. Control group 1 consisted of 15 female assembly line workers asymptomatic for SIS (34.4, SD 5.5 years) and control group 2 consisted of 15 female subjects (33.1, SD 6.2 years) asymptomatic for SIS and with no exposure to activities with the upper limbs. The JPS was evaluated bilaterally during passive (2°/sec) and active (5°/sec) repositioning tests using an isokinetic dynamometer. The target angles were 45° of lateral rotation (achieved by medially rotating the Shoulder from 90° of lateral rotation) and 75° of lateral rotation (achieved by laterally rotating the Shoulder from neutral rotation). There were no differences between sides for all groups (p > 0.05). There were no differences in any of the variables between the case group and the control groups (p > 0.05). The results of this study suggest that JPS during medial and lateral rotations of the Shoulder is not altered in female assembly line workers with SIS.
-
eccentric training for Shoulder abductors improves pain function and isokinetic performance in subjects with Shoulder Impingement Syndrome a case series
Revista Brasileira De Fisioterapia, 2011Co-Authors: Paula R Camargo, Francisco Alburquerquesendin, Mariana Arias Avila, Naoe Aline Asso, Larissa H Hashimoto, Tania F SalviniAbstract:BACKGROUND: Conservative treatments have been proposed for people with Shoulder Impingement Syndrome (SIS), such as strengthening of the rotator cuff and scapular muscles and stretching of the soft tissues of the Shoulder. However, there is a lack of studies analyzing the effectiveness of eccentric training in the treatment of SIS. OBJECTIVES: To evaluate the effects of eccentric training for Shoulder abductors on pain, function, and isokinetic performance during concentric and eccentric abduction of the Shoulder in subjects with SIS. METHODS: Twenty subjects (7 females, 34.2 SD 10.2 years, 1.7 SD 0.1 m, 78.0 SD 16.3 kg) with unilateral SIS completed the study protocol. Bilateral isokinetic eccentric training at 60o/s for Shoulder abductors was performed for six consecutive weeks, twice a week, on alternate days. For each training day, three sets of 10 repetitions were performed with a 3-minute rest period between the sets for each side. The range of motion trained was 60° (ranging from 80° to 20°). The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire was used to evaluate functional status and symptoms of the upper limbs. Peak torque, total work and acceleration time were measured during concentric and eccentric abduction of the arm at 60o/s and 180o/s using an isokinetic dynamometer. RESULTS: DASH scores, peak torque, total work and acceleration time improved (p<0.05) after the period of intervention. CONCLUSIONS: This study suggests that isokinetic eccentric training for Shoulder abductors improves physical function of the upper limbs in subjects with SIS.
-
pain in workers with Shoulder Impingement Syndrome an assessment using the dash and mcgill pain questionnaires
Revista Brasileira De Fisioterapia, 2007Co-Authors: Paula R Camargo, Melina N Haik, Stela M G Mattiellorosa, Raul B Filho, Tania F SalviniAbstract:Objective: This study assessed physical function and pain in male and female workers with Shoulder Impingement Syndrome using the Brazilian Portuguese versions of the Disabilities of the Arm, Shoulder and Hand (DASH) and McGill pain questionnaires. Methods: Twenty-seven assembly line workers (18 men and 9 women; mean age of 33.26 ± 6.49 years) in the school supply industry were evaluated. The duration of the Shoulder Impingement pain was 31.74 ± 32.92 months and the amount of time of the workers in this industry was 11.08 ± 6.41 years. The DASH questionnaire was used to evaluate functional status and symptoms of the upper limbs of the workers. Using the McGill Pain Questionnaire, the pain was quantified by the number of words chosen and by the pain rating index (PRI). Results: The women presented higher scores (P< 0.05) than the men for both DASH overall and DASH work scores. The women chose more words (17.00 ± 2.59) than the men (13.33 ± 3.16) and also presented the highest total PRI (P< 0.05). Conclusions: The results obtained in this group of Brazilian workers with Shoulder Impingement identify the most commonly used descriptors of Shoulder pain. Further, this study shows that females are more likely than males to refer physical disability and pain. Also, the DASH and McGill pain questionnaires are important and helpful tools in the clinical evaluation of Shoulder Impingement Syndrome.
Herlof Harstad - One of the best experts on this subject based on the ideXlab platform.
-
sclerosing polidocanol injections to treat chronic painful Shoulder Impingement Syndrome results of a two centre collaborative pilot study
Knee Surgery Sports Traumatology Arthroscopy, 2006Co-Authors: Herlof Harstad, S HaugenAbstract:Sclerosing polidocanol injections to treat chronic painful Shoulder Impingement Syndrome-results of a two-centre collaborative pilot study.
Richard Radnovich - One of the best experts on this subject based on the ideXlab platform.
-
predicting response to subacromial injections and lidocaine tetracaine patch from pretreatment pain quality in patients with Shoulder Impingement Syndrome
Pain Medicine, 2015Co-Authors: Arnold R Gammaitoni, Richard Radnovich, Jeremiah J Trudeau, Bradley S Galer, Mark P JensenAbstract:Objectives No existing pain treatment is effective for all pain problems, and response to pain treatment is highly variable. Knowledge regarding the patient factors that predict response to different treatments could benefit patients by providing an empirical foundation for patient-treatment matching. This study sought to test the hypothesis that improvements following two treatments thought to operate via similar mechanisms would be predicted by similar baseline pain qualities. Design Prospective prediction analysis using data from a previously published open label trial comparing a heated lidocaine/tetracaine patch versus subacromial corticosteroid injection for the treatment of pain in individuals with Shoulder Impingement Syndrome. Results Consistent with the study hypothesis, the response to the two treatments were predicted by similar baseline pain qualities; specifically, higher baseline levels of unpleasant, electric, and sensitive pain predicted subsequent improvements in sleep interference, work/activity interference, and patient global ratings of improvement, respectively. Conclusions The findings are consistent with the combined ideas that (1) those who have the most to gain (i.e., those reporting the highest levels of various pain qualities) can expect the best response to effective treatments and (2) different pain qualities may be associated with different types of outcomes. The findings support further research to examine how pain quality measures may be used to improve patient-treatment matching, and therefore, ultimately improve the efficiency, efficacy, and overall benefit-risk of pain treatment.
-
the pain quality response profile of a corticosteroid injections and heated lidocaine tetracaine patch in the treatment of Shoulder Impingement Syndrome
The Clinical Journal of Pain, 2015Co-Authors: Mark P Jensen, Richard Radnovich, Jeremiah J Trudeau, Bradley S Galer, Arnold R GammaitoniAbstract:OBJECTIVES: To describe the effects of 2 pain treatments for Shoulder Impingement Syndrome (SIS), and illustrate how investigators can use pain quality information to understand treatment response differences. MATERIALS AND METHODS: This study presents pain quality data from a randomized open-label study comparing the effects of an injection of triamcinolone and up to twice daily application of a heated lidocaine/tetracaine (Trilexis) patch in individuals with SIS. Study participants completed a measure of pain quality at baseline and again on study days 14, 28, and 42 following initiation of 2 treatments for SIS. Baseline and posttreatment pain quality scores were graphed to provide a visual representation of treatment-associated changes. Analyses of variance were used to examine the differences between treatment conditions in changes in pain quality with treatment. RESULTS: Both treatments resulted in substantial (and similar) pretreatment to posttreatment improvements in many pain qualities. However, differences in the time course of treatment effects were observed for itchy and heavy qualities. DISCUSSION: Although 2 different pain treatments appear to have the same effects when only pretreatment to posttreatment changes are examined, treatment differences emerged when the time course of treatment is examined. The findings support the importance of assessing both pain qualities and time course of treatment as outcome domains. The results illustrate how investigators can use data from clinical trials to provide a more fine-tuned description of treatment effects, providing knowledge that could be helpful in selecting treatment options at the individual patient level. SUMMARY: Examination of the effects of pain treatments on pain qualities over time will help researchers and clinicians understand if certain pain quality domains respond faster to one treatment versus another, and may identify differences between treatments that would not be observed by measures of global pain intensity alone.
-
utility of the heated lidocaine tetracaine patch in the treatment of pain associated with Shoulder Impingement Syndrome a pilot study
International Journal of General Medicine, 2013Co-Authors: Richard Radnovich, Thomas B MarriottAbstract:Introduction Pain control is an important first step in the treatment of Shoulder Impingement Syndrome (SIS) because fear of pain must be removed as an obstacle to participation in an appropriate physical therapy program.
Paula R Camargo - One of the best experts on this subject based on the ideXlab platform.
-
immediate effects of mobilization with movement vs sham technique on range of motion strength and function in patients with Shoulder Impingement Syndrome randomized clinical trial
Journal of Manipulative and Physiological Therapeutics, 2016Co-Authors: Joao Flavio Guimaraes, Paula R Camargo, Tania F Salvini, Aristides Leite Siqueira, Ivana Leao Ribeiro, Francisco AlburquerquesendinAbstract:Abstract Objective The purpose of this study was to compare the immediate effects of mobilization with movement (MWM) with sham technique on range of motion (ROM), muscle strength, and function in patients with Shoulder Impingement Syndrome. Methods A randomized clinical study was performed. Participants (mean age ± standard deviation, 31 ± 8 years; 56% women) were divided into 2 groups: group 1 (n = 14), which received the MWM technique in the first 4 sessions and the sham technique in the last 4 sessions; and group 2 (n = 13), which was treated with the opposite order of treatment conditions described for group 1. Shoulder ROM, isometric peak force assessed with a handheld dynamometer, and function as determined through the Disabilities of the Arm, Shoulder and Hand and Shoulder Pain and Disability Index (SPADI) questionnaires were collected at preintervention, interchange, and postintervention moments. Results Two-way analysis of variance revealed no significant group-by-time interaction for any outcome but did reveal a main time effect for Shoulder external rotation ( P = .04) and abduction ( P = .01) ROM, Disabilities of the Arm, Shoulder and Hand ( P P P P Conclusion The MWM technique was no more effective than a sham intervention in improving Shoulder ROM during external rotation and abduction, pain, and function in patients with Shoulder Impingement Syndrome.
-
bilateral myofascial trigger points and pressure pain thresholds in the Shoulder muscles in patients with unilateral Shoulder Impingement Syndrome a blinded controlled study
The Clinical Journal of Pain, 2013Co-Authors: Francisco Alburquerquesendin, Paula R Camargo, Amilton Vieira, Tania F SalviniAbstract:Objectives:To identify the presence of myofascial trigger points (TrPs) and pressure pain threshold (PPT) levels in the Shoulder muscles of both involved and uninvolved sides in patients with unilateral Shoulder Impingement Syndrome (SIS).Methods:Twenty-seven patients with SIS and 20 matched control
-
joint position sense is not altered during Shoulder medial and lateral rotations in female assembly line workers with Shoulder Impingement Syndrome
Physiotherapy Theory and Practice, 2013Co-Authors: Melina N Haik, Paula R Camargo, Gisele Garcia Zanca, Francisco Alburquerquesendin, Tania F Salvini, Stela M G MattiellorosaAbstract:This study evaluated joint position sense (JPS) during medial and lateral rotations of the Shoulder in female workers with and without Shoulder Impingement Syndrome (SIS). Three groups were assessed. The case group consisted of 15 female assembly line workers (35.5, SD 5.8 years) with unilateral SIS. Control group 1 consisted of 15 female assembly line workers asymptomatic for SIS (34.4, SD 5.5 years) and control group 2 consisted of 15 female subjects (33.1, SD 6.2 years) asymptomatic for SIS and with no exposure to activities with the upper limbs. The JPS was evaluated bilaterally during passive (2°/sec) and active (5°/sec) repositioning tests using an isokinetic dynamometer. The target angles were 45° of lateral rotation (achieved by medially rotating the Shoulder from 90° of lateral rotation) and 75° of lateral rotation (achieved by laterally rotating the Shoulder from neutral rotation). There were no differences between sides for all groups (p > 0.05). There were no differences in any of the variables between the case group and the control groups (p > 0.05). The results of this study suggest that JPS during medial and lateral rotations of the Shoulder is not altered in female assembly line workers with SIS.
-
eccentric training for Shoulder abductors improves pain function and isokinetic performance in subjects with Shoulder Impingement Syndrome a case series
Revista Brasileira De Fisioterapia, 2011Co-Authors: Paula R Camargo, Francisco Alburquerquesendin, Mariana Arias Avila, Naoe Aline Asso, Larissa H Hashimoto, Tania F SalviniAbstract:BACKGROUND: Conservative treatments have been proposed for people with Shoulder Impingement Syndrome (SIS), such as strengthening of the rotator cuff and scapular muscles and stretching of the soft tissues of the Shoulder. However, there is a lack of studies analyzing the effectiveness of eccentric training in the treatment of SIS. OBJECTIVES: To evaluate the effects of eccentric training for Shoulder abductors on pain, function, and isokinetic performance during concentric and eccentric abduction of the Shoulder in subjects with SIS. METHODS: Twenty subjects (7 females, 34.2 SD 10.2 years, 1.7 SD 0.1 m, 78.0 SD 16.3 kg) with unilateral SIS completed the study protocol. Bilateral isokinetic eccentric training at 60o/s for Shoulder abductors was performed for six consecutive weeks, twice a week, on alternate days. For each training day, three sets of 10 repetitions were performed with a 3-minute rest period between the sets for each side. The range of motion trained was 60° (ranging from 80° to 20°). The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire was used to evaluate functional status and symptoms of the upper limbs. Peak torque, total work and acceleration time were measured during concentric and eccentric abduction of the arm at 60o/s and 180o/s using an isokinetic dynamometer. RESULTS: DASH scores, peak torque, total work and acceleration time improved (p<0.05) after the period of intervention. CONCLUSIONS: This study suggests that isokinetic eccentric training for Shoulder abductors improves physical function of the upper limbs in subjects with SIS.
-
pain in workers with Shoulder Impingement Syndrome an assessment using the dash and mcgill pain questionnaires
Revista Brasileira De Fisioterapia, 2007Co-Authors: Paula R Camargo, Melina N Haik, Stela M G Mattiellorosa, Raul B Filho, Tania F SalviniAbstract:Objective: This study assessed physical function and pain in male and female workers with Shoulder Impingement Syndrome using the Brazilian Portuguese versions of the Disabilities of the Arm, Shoulder and Hand (DASH) and McGill pain questionnaires. Methods: Twenty-seven assembly line workers (18 men and 9 women; mean age of 33.26 ± 6.49 years) in the school supply industry were evaluated. The duration of the Shoulder Impingement pain was 31.74 ± 32.92 months and the amount of time of the workers in this industry was 11.08 ± 6.41 years. The DASH questionnaire was used to evaluate functional status and symptoms of the upper limbs of the workers. Using the McGill Pain Questionnaire, the pain was quantified by the number of words chosen and by the pain rating index (PRI). Results: The women presented higher scores (P< 0.05) than the men for both DASH overall and DASH work scores. The women chose more words (17.00 ± 2.59) than the men (13.33 ± 3.16) and also presented the highest total PRI (P< 0.05). Conclusions: The results obtained in this group of Brazilian workers with Shoulder Impingement identify the most commonly used descriptors of Shoulder pain. Further, this study shows that females are more likely than males to refer physical disability and pain. Also, the DASH and McGill pain questionnaires are important and helpful tools in the clinical evaluation of Shoulder Impingement Syndrome.