Medicine and Health Sciences Commons^™

A Comparison Of Shoulder Complex Osteokinematicsto Function In Individuals Who Have Undergone An Anatomic Total Shoulder Arthroplasty, Peter J. Rundquist Pt, Phd, K Dunn, M Jordan, J Sarris, A Wallner, Linsey Hamilton Pt, Dpt, Scs

DPT Capstone Posters

Introduction

• Background: The anatomic total shoulder arthroplasty (aTSA) is a prevalent procedure used to reduce pain and restore range of motion in patients with an osteoarthritic shoulder.^1-45 Since 2017, over 800,000 people have received an aTSA. Yet to date, no research has been conducted investigating the relationship between osteokinematicsof the post-surgical shoulder to function.
• Purpose: To explore the correlation between osteokinematicmotions in multiple planes to perceived function.
• Hypothesis: Higher peak movement of the shoulder correlates to improved Disabilities of the Arm, Shoulder, and Hand (DASH) scores and improved upper extremity function.

Methods

• Participants: 15 individuals (10 females and 5 …

Effect Of Kinesio®Tape On Scapular Kinematics Of The Asymptomatic Shoulder In Healthy Younger Adults, Peter J. Rundquist Pt, Phd, Cormick Eaton Spt, Sam Lemminger Spt, Bella Lott Spt, Ryan Smith Spt, Natalie Zitzer Spt

DPT Capstone Posters

Introduction

• Limited scapular upward rotation and posterior tilting during upper extremity elevation are correlated with subacromial impingement syndrome (SAIS)
• Previous research found significant increases in scapular posterior tilting with Kinesio®tape (KT) application
• Purpose: To find a taping method that increases scapular upward rotation and posterior tilting
• Hypothesis: KT application for mechanical facilitation will increase scapular upward rotation during upper extremity elevation

Objective

• Investigate the effects of KT on scapular kinematics during upper extremity elevation

Participants

• Twenty asymptomatic participants aged 23-36 years old (mean 25.45)
• No cervical, thoracic, or shoulder conditions affecting shoulder ROM
• Right hand dominant

Methods

• Kinesio ® tape …

Effects Of External Vibration Stimulation On Internal Rotation Range Of Motion And Hamstring Strength, Shani Johnson Pt, Dscpt, Comt, A. Aiello Spt, M. Beranek Spt, S. Goos Spt, R. Kelly Spt, C. Klemme Spt

DPT Capstone Posters

Introduction

• Whole body and localized vibration therapy have gained increased use in the fitness community, clinical setting, and research
• Efficacy as a modality option is yet to be determined

Objective

• Evaluate the effects of localized vibration treatment (LVT) to the sacral region on shoulder internal rotation (IR) range of motion (ROM) and isometric hamstring strength

Participants

• 50 Concordia University DPT Students
  • 28 females
  • 22 males
  • Age: 22-33 (Avg. 24)

Methods

• Baseline dominant extremity shoulder IR ROM measured in supine with manual goniometry
• Baseline hamstring strength measurements in prone using MicroFET^TM (hand held dynamometer), taken post 1 practice test
• Therapeutic …

Comparing Dominant To Non-Dominant Shoulder Complex Kinematics In Collegiate Volleyball Players, Peter J. Rundquist Pt, Phd, Jacob Brackett Spt, Michael Hensch Spt, Lauren Herland Spt, Erik Monson Spt

DPT Capstone Posters

Introduction

• Mobility and function of the shoulder may impact performance and injury in volleyball.
• Most previous research identifying humerothoracic (HT), glenohumeral (GH), and scapulothoracic (ST) kinematics is limited through measurements with a goniometer or inclinometer.

Objective

• To identify HT, GH, and/or ST differences between DOM and NDOM shoulders of asymptomatic volleyball players.

Participants

• 22 asymptomatic female NCAA Division II volleyball players from Concordia University St. Paul (CSP)

Methods

• Demographics: age, height, weight, player position, injury history within past 5 years, years of participation
• Screen: ROM, MMT, special tests for radiculopathy, scapular dyskinesis, impingement, and instability
• The G4 electromagnetic motion capture …

Self-Reported Throwing Volumes Are Not A Valid Tool For Monitoring Throwing Loads In Elite Australian Cricket Players: An Observational Cohort Study, Zachariah Hoyne, Ashley Cripps, Andrea Britt Mosler, Christopher Joyce, Paola Chivers, Rob Chipchase, Myles Murphy

Physiotherapy Papers and Journal Articles

Objectives

To determine the concurrent validity of player self-reported and independently observed throwing volume. Examine whether sex, playing position, or time to upload self-reported data post training influences the accuracy of self-reported throwing loads.

Design

Cross-sectional cohort study.

Methods

A total of 8 female and 18 male elite cricket players participated in the study. Overarm throws from 12 training sessions during the 2020–21 cricket year were observed. Player self-reported throwing volume data were retrieved post training, with the time difference between session completion and self-reported data upload recorded.

Results

A moderate positive correlation was found between self-reported and observed …

Comparison Of Pre- And Post-Operative Shoulder Muscle Emg Profiles In Reverse Total Shoulder Arthroplasty Patients, Emily Lau, Sreten Franovic, Noah Kuhlmann, Eric C. Makhni Md, Stephanie Muh Md

Medical Student Research Symposium

Background: Deltoid muscle function is central in reverse total shoulder arthroplasty (RTSA) function; however, there is limited information available regarding changes in deltoid activity before and after surgery. Few tests exist to evaluate specific muscle metrics pre and post operatively. Surface Electromyographic (EMG) is non-invasive and allows for observation of motions with multifaceted analysis of movement with minimal patient demand. Understanding the changes in shoulder muscle activation, namely in the deltoid, in patients pre and post-RTSA can further advance understanding of the procedure and rehabilitation efforts.

Methods: Nine individuals were recruited for this study: all patients underwent RTSA by a …

Blood Flow Restriction Training For The Rotator Cuff: A Randomized Controlled Trial, Jason Brumitt, Marcey Keefer Hutchison, Daniel Kang, Zach Klemmer, Mike Stroud, Edward Cheng, Neil Patrick Cayanan, Sheldon Shishido

Faculty Publications - College of Physical Therapy

Context: Blood flow restriction (BFR) training utilizes a tourniquet, applied to the proximal portion of one or more extremities, to occlude blood flow during exercise. Significant gains in strength and cross-sectional area can be achieved in muscles, both distal and proximal to BFR cuff application. Purpose: To compare strength gains of the rotator cuff and changes in tendon size in subjects who performed side-lying external-rotation exercise with or without BFR. Methods: Forty-six subjects (mean age 25.0 [2.2] y) were randomized to either a BFR + exercise group or to the exercise-only group. Subjects performed 4 sets of the exercise (30/15/15/15 …

A Comprehensive Rehabilitation Program For Treating Lateral Elbow Tendinopathy, Joseph M. Day, Ann M. Lucado, Timothy L. Uhl

Physical Therapy Faculty Publications

Scapular muscle weakness in patients with lateral elbow tendinopathy is an identified impairment and is part of a multimodal rehabilitation approach. The published literature provides little information regarding specific rehabilitation guidelines that address both the proximal scapular muscle weakness and local elbow/ wrist dysfunctions common in patients with lateral elbow tendinopathy. The purpose of this clinical commentary is to describe a comprehensive rehabilitation strategy for individuals with lateral elbow tendinopathy. This program emphasizes a phased therapeutic strategy that addresses proximal and local dysfunction along the kinetic chain. This clinical protocol is currently being tested for efficacy as part of a …

Volleyball Overhead Swing Volume And Injury Frequency Over The Course Of A Season, Heather Wolfe, Katherine Poole, Alejandro G. Villasante Tezanos, Robert A. English, Timothy L. Uhl

Statistics Faculty Publications

Background: Overuse injuries are common in volleyball; however, few studies exist that quantify the workload of a volleyball athlete in a season. The relationship between workload and shoulder injury has not been extensively studied in women's collegiate volleyball athletes.

Hypothesis/Purpose: This study aims to quantify shoulder workloads by counting overhead swings during practice and matches. The purpose of the current study is to provide a complete depiction of typical overhead swings, serves, and hits, which occur in both practices and matches. The primary hypothesis was that significantly more swings will occur in practices compared to matches. The secondary hypothesis was …

Reliability And Relationship Of The Fear-Avoidance Beliefs Questionnaire With The Shoulder Pain And Disability Index And Numeric Pain Rating Scale In Patients With Shoulder Pain, Sean P. Riley, Vincent Tafuto, Mark Cote, Jean-Michel Brismée, Alexis Wright, Chad Cook

Physical Therapy Faculty Publications

Purpose: The purpose of this study was to determine: 1) the test–retest reliability of Fear-Avoidance Beliefs Questionnaire (FABQ) Work (FABQW) subscale, FABQ Physical Activity (FABQPA) subscale, Shoulder Pain and Disability Index (SPADI) Pain subscale, SPADI Disability subscale, and Numeric Pain Rating scale (NPRS); and 2) the relationship between the FABQPA, FABQW, SPADI pain, SPADI disability, and NPRS after 4 weeks of pragmatically applied physical therapy (PT) in patients with shoulder pain. Design: Prospective, single-group observational design. Methods: Data were collected at initial evaluation, the first follow-up visit prior to the initiation of treatment, and after 4 weeks of treatment. …

National Athletic Trainers' Association Position Statement: Evaluation, Management, And Outcomes Of And Return-To-Play Criteria For Overhead Athletes With Superior Labral Anterior-Posterior Injuries, Lori A. Michener, Jeffrey S. Abrams, Kellie C. Huxel Bliven, Sue Falsone, Kevin G. Laudner, Edward G. Mcfarland, James E. Tibone, Charles A. Thigpen, Timothy L. Uhl

Physical Therapy Faculty Publications

Objective: To present recommendations for the diagnosis, management, outcomes, and return to play of athletes with superior labral anterior-posterior (SLAP) injuries.

Background: In overhead athletes, SLAP tears are common as either acute or chronic injuries. The clinical guidelines presented here were developed based on a systematic review of the current evidence and the consensus of the writing panel. Clinicians can use these guidelines to inform decision making regarding the diagnosis, acute and long-term conservative and surgical treatment, and expected outcomes of and return-to-play guidelines for athletes with SLAP injuries.

Recommendations: Physical examination tests may aid diagnosis; 6 tests are recommended …

Effect Of Stable And Unstable Surfaces On The Serratus Anterior Muscle Activation In A Kinetic-Chain Exercise Among Healthy Adults, Navpreet Kaur, Kunal Bhanot, Germaine Ferreira

Physical Therapy Collection

PURPOSE/HYPOTHESIS: The stabilizing action of the serratus anterior (SA) muscle is vital in maintaining proper scapulothoracic rhythm.^1,2 Poor activation of SA muscle could lead to many shoulder dysfunctions.^1,3 This warrants for exercises that are best to activate the SA muscle. Kinetic-chain recruitment during exercises has demonstrated increased SA activation due to the myofascial connections between various segments of the body.^4–6 Variation of surfaces during an exercise has been shown to alter the muscle recruitment patterns.^7–9 The primary purpose of this study was to determine if the unstable surface can influence SA muscle activity during the kinetic …

Conservative Treatment For Patients With Suspected Slap Tears: A Case Series, Stephanie D. Moore-Reed, Kelley A. Seekins, W. Ben Kibler, Aaron D. Sciascia, Timothy L. Uhl

Physical Therapy Faculty Publications

Objective: Outcome following non-operative management of superior labral anterior to posterior (SLAP) lesions has been under reported with little empirical data demonstrating the effectiveness of conservative treatment. Material and Methods: 10 patients, 5 matched pairs, presenting with symptoms consistent with a SLAP lesion performed a standardized phased rehabilitation program completing patient reported outcome (PRO) and pain measures before and following rehabilitation. Physical therapy notes and home exercise logs were reviewed and all exercises were recorded and coded using the phased rehabilitation protocol as a guide. At followup, patients were divided into two groups; responders and non-responders to treatment based on …

Influence Of Posture-Cuing Shirt On Tennis Serve Kinematics In Division Iii Tennis Players, Joseph Zappala, Caroline Orrego, Emily Boe, Heather Fechner, Derek Salminen, Daniel Cipriani

Physical Therapy Faculty Articles and Research

Objective: Injuries to the shoulder complex are common in overhead athletes, often related to kinematics of the shoulder complex. This study evaluated the influence of a posture-cuing shirt on internal rotation velocity of the shoulder during a tennis swing and to determine this influence on shoulder external rotation position. Methods: Nine healthy competitive college tennis players from a Division III college participated in this study. High speed motion capture allowed for 3-D analysis of shoulder kinematics during a tennis serve. Two conditions were evaluated while the athletes performed a high velocity tennis serve: standard tennis shirt and a …

Wearable Imu For Shoulder Injury Prevention In Overhead Sports, Samir A. Rawashdeh, Derek A. Rafeldt, Timothy L. Uhl

Physical Therapy Faculty Publications

Body-worn inertial sensors have enabled motion capture outside of the laboratory setting. In this work, an inertial measurement unit was attached to the upper arm to track and discriminate between shoulder motion gestures in order to help prevent shoulder over-use injuries in athletics through real-time preventative feedback. We present a detection and classification approach that can be used to count the number of times certain motion gestures occur. The application presented involves tracking baseball throws and volleyball serves, which are common overhead movements that can lead to shoulder and elbow overuse injuries. Eleven subjects are recruited to collect training, testing, …

The Effectiveness Of Electromyographic Biofeedback, Mirror Therapy, And Tactile Stimulation In Decreasing Chronic Residual Limb Pain And Phantom Limb Pain For A Patient With A Shoulder Disarticulation: A Case Report, Stephanie Thomas, Kayla Smith

Physical Therapy Collection

PURPOSE: Approximately 1.3 million people in the United States live with limb loss, and most experience some form of residual limb pain or phantom limb pain (PLP). The purpose of this case report was to determine the effectiveness of mirror therapy, biofeedback, and tactile stimulation in decreasing chronic residual limb pain and PLP in a patient with an upper limb traumatic amputation.

CASE DESCRIPTION: A 48-year-old male employed as a mechanical construction worker was working on a conveyer belt when the belt caught his arm resulting in a traumatic shoulder disarticulation. According to the International Classification of Functioning, Disability, …

The Painful Long Head Of The Biceps Brachii: Nonoperative Treatment Approaches, Kevin E. Wilk, Todd R. Hooks

Physical Therapy Faculty Research and Publications

Pain associated with the long head of the biceps (LHB) brachii seems to be increasingly recognized in the past 4 to 5 years. The LHB has long been considered a troublesome pain generator in the shoulder. Abnormality involving the LHB brachii has long been an area of debate, with Codman in 1934 even questioning the specificity of the diagnosis of biceps tendinitis. Biceps tendon abnormality is often associated with rotator cuff impingement. Shoulder pain originating from the biceps tendon can be debilitating, causing a severe decrease in shoulder function. As a result of the frequent clinical presentation of biceps pain, …

Upper Extremity Strength Characteristics In Female Recreational Tennis Players With And Without Lateral Epicondylalgia, Ann M. Lucado, Morey J. Kolber, M. Samuel Cheng, John L. Echternach Sr.

Rehabilitation Sciences Faculty Publications

STUDY DESIGN: Descriptive, cross-sectional.

OBJECTIVES: To compare static strength characteristics of the upper extremity musculature in female recreational tennis players with lateral epicondylalgia to those of nonsymptomatic tennis players and a control group of women who did not play tennis.

BACKGROUND: There is a paucity of research describing the relationship between lateral epicondylalgia and strength characteristics of the upper extremity musculature, despite the functional relationship between the shoulder, elbow, and wrist.

METHODS: Sixty-three women were recruited into 3 groups (n = 21 per group): symptomatic tennis players (SIP) with lateral epicondylalgia, nonsymptomatic tennis players, and controls. Data collection was performed …

Integrating Shoulder And Core Exercises When Rehabilitating Athletes Performing Overhead Activities, Jason Brumitt, R. Barry Dale

Faculty Publications - College of Physical Therapy

Athletes performing overhead activities are at risk of sustaining both overuse and traumatic shoulder injuries. Research studies utilizing electromyography have identified therapeutic exercises that are effective in the muscular activation of the rotator cuff and the scapular stabilizers. Sports medicine professionals routinely prescribe these traditional therapeutic exercises when rehabilitating athletes. Failing to identify and address contributing musculoskeletal dysfunctions may delay an athlete’s successful return to sport. Integrating shoulder and core exercises can address potential musculoskeletal dysfunctions while serving as a transitional program between the initial therapeutic exercises and the terminal return to sport rehabilitation program.

In-Season Functional Shoulder Training For High School Baseball Pitchers, Jason Brumitt, Erik Meira, Greg Davidson

Faculty Publications - College of Physical Therapy

The overhead throwing motion is used in numerous sports including track, football, and baseball. Among these sports, the baseball pitch is unique in the demands placed upon the shoulder. The forces created in the shoulder can potentially lead to pathology affecting the athlete's career. To enhance performance and decrease the risk of injury, it is important that the athlete participate in a year-round periodized program. Inappropriate or deficient training combined with the stress that the shoulder experiences during a season can lead to strains, impingement, tendon or labral tears, and instabilities.

Safe At The Shoulder, Daniel Cipriani

Physical Therapy Faculty Articles and Research

The key to preventing shoulder injuries is understanding the anatomy of the shoulder complex and how the body's other muscles affect the throwing motion