Background: Fear-avoidance beliefs and kinesiophobia can contribute to shoulder pain-related avoidance behavior. In athletes, symptoms may only become apparent during training and competition. To identify shoulder pain-related avoidance behaviors, a standardized screening tool is needed.
View Article and Find Full Text PDFJ Orthop Sports Phys Ther
July 2025
To compare the effect of combining proprioceptive exercises with strengthening exercises versus strengthening exercises alone, on shoulder pain and disability in individuals with chronic rotator cuff-related shoulder pain (RCRSP). Parallel group randomized controlled trial. : Seventy individuals with chronic RCRSP were randomly assigned to either the control group (n = 35; muscle strengthening exercises) or the experimental group (n = 35; muscle strengthening combined with proprioceptive exercises) for a 2-month program of supervised and home-based exercises.
View Article and Find Full Text PDFJ Bodyw Mov Ther
September 2025
Background: Physical Performance Tests (PPTs) assess functional impairment and measure the performance of athletes and physical activity practitioners. Unlike lower extremities PPTs, upper extremities tests have been less studied and are not widely used by physical therapists, possibly due to limited dissemination.
Purpose: This study aimed to determine the frequency of use and barriers to implementing upper extremity PPTs among Brazilian physical therapists working with athletes and physically active practitioners.
Musculoskelet Sci Pract
August 2025
Objective: To compare cervical range of motion (ROM) between asymptomatic individuals and those with subacromial pain syndrome (SAPS), and to investigate its relationship with shoulder pain, disability, and other clinical factors.
Methods: A cross-sectional study was conducted with 50 individuals with SAPS and 50 asymptomatic controls (both sexes, aged 32-66). The Shoulder Pain and Disability Index (SPADI) assessed shoulder disability, and cervical ROM was measured using a cervical range of motion (CROM) device.
Purpose: To explore patients' experiences, identify barriers and facilitators to recovery, and analyze their perceptions of treatment following upper limb fractures.
Materials And Methods: A qualitative study using semi-structured interviews was conducted with 25 patients (10 men, 15 women) at a tertiary referral hospital. A purposive sampling approach was used, and data analysis followed Braun and Clarke's thematic analysis method.
Objectives: This study aimed to investigate the knowledge and strategies used by Brazilian physical therapists in assessing and promoting self-efficacy and self-management in musculoskeletal rehabilitation.
Methods: A nationwide cross-sectional online survey was conducted with licenced physical therapists recruited through professional networks and social media. The questionnaire, developed based on the CHERRIES checklist, assessed participants' knowledge, clinical strategies, and perceived barriers related to self-efficacy and self-management interventions.
Shoulder Elbow
January 2025
Objective: This study aimed to assess reachable workspace (RWS) in patients post-osteosynthesis of shoulder, elbow, or wrist fractures and explore correlations with self-reported function and kinesiophobia.
Design: An observational case-control study compared patients with fractures to a control group, utilizing questionnaires and 3D kinematic data.
Participants: The sample included 66 individuals who had undergone osteosynthesis: 21 with shoulder fractures, 10 with elbow fractures, and 22 with wrist fractures.
Background: Upper limb fractures significantly alter movement, impacting function and recovery. Three-dimensional motion analysis allows precise assessment of these changes.
Methods: Sixty patients were divided into four groups: shoulder, elbow, wrist fractures, and controls.
Background: Physical performance tests are reliable tools to assess aspects related to strength, power, and mobility. Unfortunately, few studies were performed with older adults. The main goal of this study was to describe reference values for the Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST) and Upper Quarter Y Balance Test (UQYBT) in older adults and to determine differences based on sex.
View Article and Find Full Text PDFThe aim of this study was to compare the kinematics of reaching tasks at different speeds between children with neonatal brachial plexus palsy (NBPP) and unaffected controls. This cross-sectional study included thirteen children with NBPP (10 ± 2 years old, of which six had upper Erb's palsy and seven had extended Erb's palsy) matched for age and sex with thirteen unaffected controls. Kinematic data were acquired using a Motion Monitor unit with a 3D motion tracking electromagnetic system (Liberty, Polhemus).
View Article and Find Full Text PDFMusculoskelet Sci Pract
November 2024
Context: People with chronic or long-term pain may develop various psychosocial symptoms such as fear and avoidance of behavior due to pain. Reliable and valid quality of life tools must be available in Turkish to specifically assess avoidance of behavior in people with shoulder pain.
Objectives: This study aimed to translate and culturally adapt the Avoidance of Daily Activities Photo Scale for Patients with Shoulder Pain and to evaluate the psychometric properties of its Turkish version (ADAP-Tr) in patients with shoulder pain.
Recent studies highlight an interplay between pain perception and emotional responses. This necessitates a thorough investigation into how beliefs and motivational influences respond to visual stimuli of movements. Such an analysis is crucial for understanding the extent to which these factors contribute to disability levels associated with shoulder pain.
View Article and Find Full Text PDFBackground: home exercise booklets offer several benefits to individuals with shoulder pain. However, it is necessary to investigate the factors that determine adherence to home exercises.
Objectives: 1) To investigate the level of adherence of individuals with chronic shoulder pain to a home exercise booklet conducted without the mediation of a healthcare professional, 2) To describe the barriers and facilitators to adherence, and 3) to determine if shoulder disability, self-efficacy, and treatment expectations are predictors of the level of adherence.
J Bodyw Mov Ther
January 2024
Introduction: Lymphedema in the upper limb as a complication of breast cancer may lead to shoulder pain and dysfunctions.
Objective: To compare the scapular positioning, the shoulder range of motion, and muscle strength among women undergoing treatment for breast cancer with and without lymphedema and a control group.
Methods: This cross-sectional study evaluated women undergoing treatment for breast cancer (N = 25) and without lymphedema (N = 25), and a control group (N = 25).
Objective: This systematic review aimed to answer the question: "What are the risk and protective factors for shoulder complaints (pain, injury, or problem) in indoor volleyball players?".
Methods: Searches were conducted in electronic databases: PubMed/MEDLINE, Embase, CINAHL, and SPORTDiscus, as well as reference lists of the included studies. We included studies evaluating potential intrinsic and extrinsic factors associated with shoulder complaints in indoor volleyball players of any country, age, sex, and competitive level.
Objective: The Avoidance of Daily Activities Photo Scale for Patients With Shoulder Pain (ADAP Shoulder Scale) was developed to assess pain-related avoidance behavior during daily activities in people with shoulder pain. However, its measurement properties must be verified according to international guidelines. As such, this study investigated the following 4 measurement properties of the ADAP Shoulder Scale: reliability, measurement errors, convergent validity, and floor and ceiling effects.
View Article and Find Full Text PDFPhys Ther Sport
May 2023
Purpose: Scapular protraction strength can be evaluated using a hand-held dynamometer (HHD). However, it is necessary to measure the reliability of HHD in individuals with shoulder pain and to minimize the limitations related to the evaluator and the low methodological quality cited in previous studies. This study assessed, with methodological enhancement, the intra- and interrater reliability of belt-stabilized HHD in the assessment of scapular protraction strength in individuals with shoulder pain.
View Article and Find Full Text PDFInt J Environ Res Public Health
December 2022
Autonomic dysfunction, such as reduced vagally mediated heart rate variability, has been suggested in headache patients but is still uncertain when considering primary headache disorders. This study aims to compare the heart rate and blood pressure variability and baroreflex sensitivity between women with migraine and controls. A migraine (n = 20) and a control group (n = 20) of age-matched women without headache were evaluated.
View Article and Find Full Text PDFArch Physiother
June 2022
PLoS One
February 2022
Background: Patients with sepsis and immobility in the intensive care unit are associated with muscle weakness, and early mobilisation can counteract it. However, during septic shock, mobilisation is often delayed due to the severity of the illness. Neuromuscular electrical stimulation (NMES) may be an alternative to mobilise these patients early.
View Article and Find Full Text PDFThis cross-sectional study aimed to compare the waveform morphology through noninvasive intracranial pressure (ICP-NI) measurement between patients with migraine and controls, and to analyze the association with clinical variables. Twenty-nine women with migraine, age 32.4 (11.
View Article and Find Full Text PDFObjectives: The purpose of this study was to develop the Avoidance of Daily Activities Photo Scale (ADAP Shoulder Scale) to measure shoulder pain-related avoidance behavior in patients with shoulder pain and evaluate and report the structural validity and internal consistency of the scale.
Methods: Potential daily activities involving the shoulder were selected from the activities and participation domain of the International Classification of Functioning, Disability and Health. The selected activities were presented to an expert panel, health care professionals, and patients with shoulder pain with the question "How much do you think it is important to ask patients with shoulder pain about this activity?" Activities attaining a content validity index (CVI) ≥ 0.
J Bodyw Mov Ther
October 2021
Background: Functional performance tests are inexpensive, accessible, and easy to apply tools that can be used to help practitioners in daily decision making process. The purpose of this study was to evaluate the reliability and validity of the One Arm Hop Test (OAHT) and Seated Medicine Ball Throw Test (SBMT) in young adults.
Methods: Cross-sectional study with a sample consisted of 59 young adults.
J Biomech
December 2021
Subacromial shoulder pain (SSP) accounts for 44-65% of all cases of shoulder pain. Kinematic alterations in the upper limbs have been observed in individuals with SSP, although there is no consensus on such alterations in the literature. Therefore, the present study aimed to compare the three-dimensional kinematics of the scapula, trunk, and arm during shoulder flexion-extension and abduction-adduction movements in individuals with SSP and a control group using statistical parametric mapping (SPM).
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