It is essential to investigate patients post-surgery using functional surveys like the American Shoulder and Elbow Surgeons Shoulder (ASES) and the Constant-Murley shoulder (CMS) scores, as well as clinical tests, such as the Internal Rotation and Shift (IRO/Shift) and Jobe tests. In this study, 51 out of an initial 87 patients underwent an arthroscopic supraspinatus repair (22 single-row, 16 double-row, 13 debridement). Testing occurred pre-surgery, and 3 and 6 months post-surgery.
View Article and Find Full Text PDFPurpose: Sarcomas are a heterogeneous group of malignant neoplasms with a wide range of histological types and occur in almost any anatomic site and side. This study evaluated the prognostic factors in sarcoma patients based on German clinical cancer registry data.
Methods: The German clinical cancer register of Saxony-Anhalt was used for all data analyses.
(1) Background: The aim of this study was to investigate and compare the effect of sensorimotor training on transversus abdominis activation. (2) Methods: Seventy-five patients with chronic low back pain were randomly assigned to one of three groups (whole body vibration training using Galileo, coordination training using Posturomed, or physiotherapy (control)). Transversus abdominis activation was measured by using sonography pre- and post-intervention.
View Article and Find Full Text PDFThe aim of this study was to compare three sensorimotor training forms in patients with chronic low back pain to determine their effects on the reduction of pain-related impairment and changes in posturography. Over two weeks, during the multimodal pain therapy (MMPT) period, six sessions of sensorimotor physiotherapy or training in the Galileo or Posturomed (n = 25 per group) were performed. A significant reduction in pain-related impairment after the intervention phase was shown across all groups (time effect: < 0.
View Article and Find Full Text PDFAlthough the use of clinical tests to diagnose superior rotator cuff pathology is common, there is paucity in the research regarding the accuracy of such tests following arthroscopic repair. The aim of this study was to determine the accuracy of the IRO/Shift test compared to the Jobe test at 3 months and 6 months post-surgery for superior rotator cuff repair. Arthroscopic repair was conducted on 51 patients who were subsequently seen for clinical evaluation at 3 and 6 months following surgery.
View Article and Find Full Text PDFTo determine how the internal rotation and shift (IRO/shift) test compares to the gold standard of clinical tests (Jobe test) for diagnosing supraspinatus lesions and to confirm these clinical results with surgical findings, 100 symptomatic patients were clinically examined between October 2018 and November 2019. All 100 patients were evaluated using both the IRO/shift test and Jobe test. A total of 48 of these patients received surgical intervention.
View Article and Find Full Text PDFWong, R, Laudner, K, Amonette, W, Vazquez, J, Evans, D, and Meister, K. Relationships between lower extremity power and fastball spin rate and ball velocity in professional baseball pitchers. J Strength Cond Res 37(4): 823-828, 2023-Lower extremity power has been hypothesized to increase ball spin and velocity during pitching in baseball.
View Article and Find Full Text PDFBackground: Using reliable and valid clinical tests are essential for proper diagnosis and clinical outcomes among injuries involving the rotator cuff. The addition of a new clinical examination test could improve the clinical diagnosis and informative value of the sensitivity and specificity of pathology. This study of diagnostic accuracy evaluated the use of a new rotator cuff test, called the internal rotation and shift-test (IRO/shift-test), to determine its reliability and clinical performance (sensitivity, specificity, positive (PPV)/negative predictive value (NPV)).
View Article and Find Full Text PDFWong, R, Laudner, K, Evans, D, Miller, L, Blank, T, and Meister, K. Relationships between clinically measured upper-extremity physical characteristics and ball spin rate in professional baseball pitchers. J Strength Cond Res 35(5): 1331-1337, 2021-During baseball pitching, physical characteristics of the shoulder, elbow, wrist, hand, and fingers have been hypothesized to be critical to creating ball spin.
View Article and Find Full Text PDFBackground: The baseball-throwing motion requires a sequential order of motions and forces initiating in the lower limbs and transferring through the trunk and ultimately to the upper extremity. Any disruption in this sequence can increase the forces placed on subsequent segments. No research has examined if baseball pitchers with less lumbopelvic control are more likely to develop upper extremity injury than pitchers with more control.
View Article and Find Full Text PDFBackground: The patellofemoral joint (PFJ) provides extremely low kinetic friction, which results in optimal arthrokinematic motion quality. Previous research showed that these friction-reducing properties may be diminished due to the increase in articular contact forces. However, this phenomenon has not been analyzed in vivo during functional daily-living activities The aim of this study was the vibroarthrographic assessment of changes in PFJ arthrokinematics during squats with variated loads.
View Article and Find Full Text PDFBackground: Decreased glenohumeral (GH) horizontal adduction range of motion (ROM) among baseball pitchers has been associated with the development of various shoulder and elbow pathologies. No research has examined how this tightness may affect the forces placed on the shoulder and elbow during the pitching motion.
Methods: Fifty-five asymptomatic National Collegiate Athletic Association Division I baseball pitchers participated.
Background: Baseball pitchers frequently develop varying levels of posterior shoulder tightness (PST) and often present with characteristics associated with subacromial impingement.
Purpose: To determine if a group of baseball pitchers with excessive PST (bilateral internal rotation ROM difference >18 ° and bilateral total arc of motion difference >5 °) have differences in subacromial joint space, forward scapular posture, or glenohumeral elevation range of motion (ROM) when compared to a control group.
Study Design: Descriptive, cross-sectional study.
The purpose of this study was to determine the effects of 12 weeks of circuit training on physical fitness in handball players. Subjects were randomly divided into a circuit strength training group (CT, n = 10) and a control group (CG, n = 9). Training sessions and matches were performed together, but during the 12-week intervention, the experimental group replaced part of the regular regimen with circuit strength training.
View Article and Find Full Text PDFObjectives: The purpose of this study was to compare the effect of combined resistance training including handball-specific drill (CRT) with resistance training excluding handball-specific drill training (NSDT).
Materials And Methods: Twenty-two male handball players who studied physical education were randomly assigned to two groups: CRT (combined resistance training with sport-specific drill; n = 12) and NSDT (resistance training without any sport-specific drill training; n = 10). Over a 10-week period during the competitive season, the players performed a specific training program twice per week, which replaced their normal team handball training.
This study investigated the differences in running velocities at specific lactate thresholds among male German soccer players. One hundred fifty-two professional (3rd league: = 78; 4th league: = 74) male soccer players (mean ± SD; age: 24.7 ± 4.
View Article and Find Full Text PDFThe primary aim of the study was to examine the anthropometric characteristics, as well as the physical performance of professional handball players classified by playing position and competition level. Twenty male players (age: 20.4 ± 0.
View Article and Find Full Text PDFThe aim of this study was to examine the intraobserver reliability of a posturographic assessment in patients with low back pain. We investigated 24 symptomatic subjects with defined low back pain (mean: 57.9 years) and a pair-matched control group including 24 asymptomatic persons (mean: 58.
View Article and Find Full Text PDFObjective: To evaluate the influence of viscosupplementation on osteoarthritic knee arthrokinematics analyzed by VAG. It is considered that intra-articular hyaluronic acid injection may improve the function of synovial joints by recovery of friction-reducing properties of articular environment.
Design: Thirty-five patients with knee osteoarthritis (grade II according to the Kellgren-Lawrence system) and 50 asymptomatic subjects were enrolled in the study.
Objectives: To evaluate postural regulation and stability among patients who underwent anterior cruciate ligament reconstruction (ACLR) and rehabilitation over a two-year follow-up period.
Design: Longitudinal; SETTING: Biomechanics laboratory; PARTICIPANTS: 30 ACLR patients (32.0 ± 12.
Context: Tightness of the pectoralis minor is a common characteristic that has been associated with aberrant posture and shoulder pathology. Determining conservative treatment techniques for maintaining and lengthening this muscle is critical. Although some gross stretching techniques have been proven effective, there are currently no empirical data regarding the effectiveness of self-myofascial release for treating tightness of this muscle.
View Article and Find Full Text PDFBackground: Posterior shoulder tightness (PST), defined as limited glenohumeral (GH) horizontal adduction and internal rotation motion, is a common occurrence in overhead athletes, particularly baseball and softball players, as a result of the extreme forces on the GH joint and the high number of throwing repetitions. Despite clinical evidence suggesting the use of joint mobilizations and muscle energy techniques (MET) for treating PST, there currently are no data examining the overall effectiveness of joint mobilizations and MET to determine optimal treatment for posterior shoulder tightness.
Purpose: To compare the acute effectiveness of MET and joint mobilizations for reducing posterior shoulder tightness, as measured by passive GH horizontal adduction and internal rotation ROM, among high school baseball and softball players.
J Shoulder Elbow Surg
February 2019
Background: Research has shown that diminished lumbopelvic control has a negative effect on pitching performance and can lead to more days on the disabled list. Despite the identified correlation between lumbopelvic control and injury, there is no research that has shown whether insufficient lumbopelvic control increases the force placed on the throwing arm.
Methods: Forty-three asymptomatic, National Collegiate Athletic Association Division I and professional minor league baseball pitchers participated.
Background: This study assessed the intra-rater reliability of an ice hockey-specific complex test (IHCT) that reflects the intense multidirectional and intermittent efforts required in ice hockey.
Methods: Twenty professional players executed the IHCT twice over an interval of 2 days. Load parameters included a 10-m sprint, a 30-m transition with and without a puck, as well as slap and wrist shots.