| Shoulder impingement: biomechanical considerations in rehabilitation. | |
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MedLine Citation:
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PMID: 20888284 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Shoulder impingement is a common condition presumed to contribute to rotator cuff disease. Impingement can occur externally with the coracoacromial arch or internally with the glenoid rim. Normal scapulothoracic motions that occur during arm elevation include upward rotation, posterior tilting, and either internal or external rotation. These scapulothoracic motions and positions are the result of coupled interactions between sternoclavicular and acromioclavicular joints. The sternoclavicular and acromioclavicular joints both contribute to scapulothoracic upward rotation. Posterior tilting is primarily an acromioclavicular joint motion. The sternoclavicular and acromioclavicular joint motions offset one another regarding final scapulothoracic internal/external rotation position. This manuscript discusses these coupled interactions in relation to shoulder muscle function. Two case examples are presented to demonstrate application of understanding these interactions and potential mechanisms of movement abnormalities in targeting treatment interventions for movement based subgroups of impingement patients. |
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Authors:
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Paula M Ludewig; Jonathan P Braman |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: Manual therapy Volume: 16 ISSN: 1532-2769 ISO Abbreviation: Man Ther Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2010-12-24 Completed Date: 2011-05-04 Revised Date: 2012-03-19 |
Medline Journal Info:
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Nlm Unique ID: 9610924 Medline TA: Man Ther Country: Scotland |
Other Details:
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Languages: eng Pagination: 33-9 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Physical Medicine & Rehabilitation, Programs in Physical Therapy & Rehabilitation Sciences, The University of Minnesota, Minneapolis, MN 55455,USA. Ludew001@umn.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Biomechanics Clavicle / physiopathology Exercise Therapy / methods Humans Muscle, Skeletal / physiopathology Scapula / physiopathology Shoulder Impingement Syndrome / physiopathology*, rehabilitation* Shoulder Joint / physiopathology |
| Grant Support | |
ID/Acronym/Agency:
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K01 HD042491-01A1/HD/NICHD NIH HHS; K01 HD042491-02/HD/NICHD NIH HHS; K01 HD042491-03/HD/NICHD NIH HHS; K01 HD042491-04/HD/NICHD NIH HHS; K01 HD042491-05/HD/NICHD NIH HHS; K01HD042491/HD/NICHD NIH HHS; R03 HD053399-01A1/HD/NICHD NIH HHS; R03 HD053399-02/HD/NICHD NIH HHS; R03ND053399/ND/ONDIEH CDC HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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