Navegando por Palavras-chave "shoulder pain"

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    Análise do SICK Scapula em jogadores de handebol com e sem dor no ombro durante o arremesso
    (Sociedade Brasileira de Medicina do Exercício e do Esporte, 2014-07-01) Almeida, Gabriel Peixoto Leão; Silveira, Paula Fiquetti; Rosseto, Nathália Polisello; Barbosa, Gisele; Ejnisman, Benno [UNIFESP]; Cohen, Moises [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Federal do Ceará
    INTRODUCTION:The scapular dyskinesia is defined as a change in scapular position, both dynamic and static, resulting from periscapular imbalances secondary to muscle fatigue, trauma or neurological injury. The SICK Scapula statically evaluates and characterizes the scapular changes, ranging from 0 to 20 (0 = best). This exam addressed three aspects: objective pain, subjective pain and scapular malposition.OBJECTIVE:To compare the SICK Scapula in symptomatic and asymptomatic handball players.METHODS:The sample consisted of 57 handball athletes divided into two groups according to the presence of shoulder pain: asymptomatic group (AG) (N = 27) and symptomatic group (SG) (N = 30). The SICK Scapula score has been reported among athletes, both in relation to the total score and its subscales. The GS had a significantly higher score than the GA (8±2.3 vs. 2.7±1.8; p<0.001).RESULTS:In the subscales, GA and SG also showed significant differences in subjective pain (0 vs. 1.73±0.83, p<0.001), objective pain (0.41±0.64 vs. 2.5±0.86, p<0.001) and scapular malposition (2.3±1.9 vs. 3.7±1.5, p=0.002).CONCLUSION:The handball athletes with throwing-related pain have a higher score with respect to pain and changes of scapular positioning, as assessed by SICK Scapula, compared with those who did not have symptoms.
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    Cinesioterapia previne ombro doloroso em pacientes hemiplégicos/paréticos na fase sub-aguda do acidente vascular encefálico
    (Academia Brasileira de Neurologia - ABNEURO, 2003-09-01) Horn, Agnes Irna [UNIFESP]; Fontes, Sissy Veloso [UNIFESP]; Carvalho, Sebastião Marcos Ribeiro de [UNIFESP]; Silvado, Rubens Augusto Brazil; Barbosa, Pedro Marco Karan; Durigan Jr, Alcides; Atallah, Álvaro Nagib [UNIFESP]; Fukujima, Marcia Maiumi [UNIFESP]; Prado, Gilmar Fernandes do [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de Marília; Faculdade de Medicina de Marília
    BACKGROUND: Painful shoulder is considered the most common complication of hemiplegic/parethic (H/P) stroke patients. It is a negative factor for neuromotor recovery. PURPOSE: To study the effects of kinesiotherapy treatment on shoulder pain prevention, and as a secondary endpoints, to analyze muscle strength of H/P shoulder looking at basic functional active mobility. METHOD: Twenty one inpatients (12 men, 9 women) aged 26 to 87 years, with post-stroke H/P were submitted to thirty minutes daily program kinesiotherapy, started at 48 hours post-stroke up to their hospital discharge. Patients were evaluated pre and post treatment according to the presence or absence of shoulder pain, movements and shoulder strength, and for presence or absence of basic functional movements. RESULTS: No patient complaining of shoulder pain at the hospital discharge (p<0.001). The muscle strength improved signifcantly for elevation, protusion, abduction and flexion of the shoulder (p<0.001). There was improvement also for functional mobility on moving from dorsal to lateral recumb, from lateral recumb to a seated position and in keeping the seated position (p<0.001). CONCLUSION: Kinesiotherapy in acute phase of stroke prevented shoulder pain.
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    O ombro em uma linha de produção: estudo clínico e ultrassonográfico
    (Sociedade Brasileira de Reumatologia, 2009-08-01) Maeda, Ernesto Youiti [UNIFESP]; Helfenstein Junior, Milton [UNIFESP]; Ascencio, João Eduardo Barile; Pollak, Daniel Feldman [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    INTRODUCTION: The correlation among shoulder pain, abnormal physical examination and ultrasonography is controversial in the occupational scenario. OBJECTIVE: Establish the association between pain, physical examination and ultrasounds in workers of a pharmaceutical industry. PATIENTS AND METHODS: One hundred workers were invited to take part in the study and submitted to the inclusion and exclusion criteria, and 93 were included. All enrolled patients gave written informed consent, and had a physical examination performed by one of the authors. Ultrasound examination was performed, at the latest one month of the physical examination, by an experienced operator who was blind to the clinical setting. RESULTS: There was statistical correlation between pain and clinical maneuvers in 57 shoulders for supraspinatus tendon (SE) (P = 0,000) and no correlation with biceps tendon maneuvers (P > 0,05). In the comparison between clinical findings and ultrasonography, the maneuvers of Neer, Hawkins and Jobe had statistical association (P < 0,05). The association between pain and altered ultrasonography was statistically significant (16 among 57 individuals with pain, with P < 0,05), but there was significant false-positive ultrasound findings in asymptomatic shoulders (7 individuals). CONCLUSION: The precise diagnosis is a complex process, which requires the association of clinical and occupational anamnesis, accurate physical examination and ultrasonography performed by an experienced operator.