Search Our Scientific Publications & Authors

Lasers Med Sci 2020 Jul 7. Epub 2020 Jul 7.

Faculty of Medicine, Physical Medicine and Rehabilitation, Kafkas University, Kars Merkez, Kars, Turkey.

The aim of this study was to compare the efficacy of low-level laser treatment (LLLT) and extracorporeal shock wave therapy (ESWT) in the treatment of subacromial impingement syndrome (SIS). Seventy-one patients with subacromial impingement were randomly assigned to LLLT (n = 37) and ESWT (n = 34) groups. The patients received a total of 15 sessions of LLLT or once a week for 3 sessions of ESWT. Read More

Eur J Sport Sci 2020 Jul 7:1-11. Epub 2020 Jul 7.

Laboratoire d'Analyse du Mouvement Humain, University of Liège, Liège, Belgium.

A tightness of the posterior structures of the throwing shoulder has been hypothesised to be associated with injuries and pain because of alterations of the scapular kinematics and muscular imbalances. The aims of this study were to identify the clinical and biomechanical profile of symptomatic and asymptomatic overhead athletes with a tight shoulder and to evaluate the efficiency of a self-applied stretching program. Twenty male overhead athletes were recruited. Read More

J Shoulder Elbow Surg 2020 Jun 16. Epub 2020 Jun 16.

Department of Orthopaedic Surgery, Brown University, Warren Alpert School of Medicine. Providence, RI , USA.

Background: Coracoid impingement syndrome is an increasingly recognized etiology of anterior shoulder pain. Numerus studies have documented the coracohumeral distance (CHD) as a primary or secondary measurement in symptomatic individuals, but there lacks an evaluation of CHD in a large cohort of asymptomatic individuals. The purpose of this study is to quantify a normative distribution of the coracohumeral distance in a large cohort of healthy, asymptomatic subjects with no history of impingement or shoulder instability. Read More

Musculoskelet Sci Pract 2020 Aug 30;48:102161. Epub 2020 Mar 30.

Department of Physioterapy, School of Health Sciences, TecnoCampus-Pompeu Fabra University, Mataró, Barcelona, Spain.

This study examines neuromuscular firing patterns in healthy and subjects diagnosed with SIS of the periscapular, prime-moving, and rotator cuff muscles during "clinical" cardinal plane physiological movements at different speeds and loads. EMG recordings were taken in 34 healthy and 34 subjects diagnosed with Subacromial Impingement Syndrome (SIS) of the prime movers, periscapular, and rotator cuff muscles during flexion, scaption, and abduction performed at fast, medium, and slow speeds with a loaded (3 kg) and unloaded arm. Differences in firing patterns between groups were analyzed by fitting mixed linear models with random intercepts per subject, and fixed factors for group, muscle, movement type, speed, and load. Read More

MMW Fortschr Med 2020 Jun;162(11):44-47

Klinik und Poliklinik für Orthopädie, Physikalische Medizin und Rehabilitation, Klinikum der Ludwig-Maximilians-Universität München, Deutschland.

J Bodyw Mov Ther 2020 Apr 7;24(2):109-117. Epub 2019 Oct 7.

Departamento de Educação Física, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.

Objective: To investigate the effects of Kinesio Taping® (KT) on scapular kinematics and electromyographic (EMG) activity in subjects with shoulder impingement syndrome (SIS).

Methods: Twenty subjects with a diagnosis of SIS performed abduction, scaption, and flexion movements in two load conditions: (1) without load and (2) holding a dumbbell. The same movements were evaluated again with the use of KT over the deltoid muscle with a 20% tension. Read More

Arthroscopy 2020 06;36(6):1493-1495

Department of Orthopaedic Sports Medicine, School of Medicine and Sports Science, Technical University of Munich, Klinikum Rechts der Isar, Munich, Germany.

Pak J Med Sci 2020 May-Jun;36(4):596-602

Dr. Ashfaq Ahmad, Ph.D-PT. University Institute of Physiotherapy, The University of Lahore, Lahore, Pakistan.

Background & Objective: Routine physiotherapy has been advocated was an effective treatment for internal shoulder impingement syndrome. However, there is lack of best exercise treatment and lots of studies are under consideration. The objective of the study was to compare the effects of Neuromobilization and routine physiotherapy on pain in patients having shoulder internal impingement syndrome. Read More

Hong Kong Physiother J 2020 Jun 28;40(1):51-62. Epub 2020 Jan 28.

Faculty of Physical Therapy, Mahidol University, Nakhon Pathom 73170, Thailand.

Background: Other than pathoanatomical diagnosis, physical therapy managements need the diagnosis of movement-related impairments for guiding treatment interventions. The classification system of the Movement System Impairment (MSI) has been adopted to label the musculoskeletal disorders in physical therapy practice. However, reliability study of this classification system in individuals with shoulder pain has not been reported in the literature. Read More

Musculoskelet Surg 2020 May 22. Epub 2020 May 22.

Department of Orthopaedics, All India Institute of Medical Sciences, AIIMS, Virbhadra Marg, Rishikesh, Uttarakhand, 249201, India.

Purpose: Local subacromial infiltration with steroids is a common method of treatment of subacromial impingement syndrome. However, the use of steroids has concerns like tendon rupture, articular cartilage changes and infections. Local NSAIDs infiltration has recently been tried in literature. Read More

Surg Radiol Anat 2020 May 16. Epub 2020 May 16.

Human Anatomy Department, School of Medicine, Universidad Autonoma de Nuevo Leon, Ave. Madero y Dr. Aguirre Pequeño s/n, Col. Mitras Centro, CP. 64460, Monterrey, Nuevo León, Mexico.

Purpose: The acromial and coracoid process morphology is of clinical relevance due to associations with functional limitations and shoulder pathology. Our objective was to describe the anatomical characteristics of the acromial and coracoid process using computed tomography (CT).

Methods: Descriptive, observational, transversal and retrospective study. Read More

Gait Posture 2020 Jun 4;79:162-169. Epub 2020 May 4.

School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taiwan; Division of Physical Therapy, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taiwan. Electronic address:

Background: Round shoulder posture (RSP) is one of the potential risks for shoulder impingement syndrome (SIS) due to alignment deviation of the scapula. Evidence on how the characteristics of a shoulder brace affecting the degree of RSP, shoulder kinematics, and associated muscle activity during movements is limited.

Research Question: The purposes of this study were (1) to compare the effects of a shoulder brace on clinical RSP measurements, muscle activities and scapular kinematics during arm movements in subjects with shoulder impingement syndrome (SIS) and RSP; and (2) to compare the effects of two configurations (parallel and diagonal) and two tensions (comfortable and forced tension) of the brace straps on muscle activities and scapular kinematics during arm movements in subjects with SIS and RSP. Read More

J Shoulder Elbow Surg 2020 May 12. Epub 2020 May 12.

Department of Orthopedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan.

Background: The gross pathology of the acromial undersurface in shoulders with rotator cuff tears with subacromial impingement is not completely understood. Many researchers have focused on damage to the anterior one-third area of the acromial undersurface, but few have studied the middle and posterior one-third areas. The purpose of this study was to clarify where and what damage occurs at the acromial undersurface in patients with rotator cuff tears. Read More

World J Orthop 2020 Apr 18;11(4):206-212. Epub 2020 Apr 18.

Department of Orthopedics, Rasul-e Akram Hospital, Iran University of Medical Sciences, Tehran 1445613131, Iran.

Background: Shoulder gradient has been associated with shoulder pathologies such as shoulder impingement syndrome.

Aim: To investigate if there is an association between shoulder gradient and incidence of rotator cuff tear (RCT).

Methods: A total of 61 patients with a confirmed diagnosis of RCT were included in this retrospective study. Read More

Front Bioeng Biotechnol 2020 21;8:302. Epub 2020 Apr 21.

Department of Public Health, Experimental and Forensic Medicine, The University of Pavia, Pavia, Italy.

Alterations of scapular kinematics affect the whole kinematic chain, potentially leading to the impingement syndrome. This is crucial in overhead sports, where athletes perform frequent and quick upper limb actions. In this manuscript, we aimed to assess the extent to which fatigue alters scapulo-thoracic and scapulo-humeral ranges of motion (RoM), as well as scapulo-humeral movement onset during different upper limb actions. Read More

Arch Orthop Trauma Surg 2020 Apr 30. Epub 2020 Apr 30.

Department of Physical Medicine and Rehabilitation, Kocaeli Government Hospital, Gunes Street 41300, Kocaeli, Turkey.

Introduction: Efforts are recently focused on the management of shoulder impingement syndrome (SIS) with a conservative and targeted approach because of its psychosocial impact, reduction in the quality of life, the cost to the economy and its negative effect on daily activities. Therefore, many studies have been designed to evaluate and compare the effectiveness of different treatments. The main purpose of this study was to identify the effect of combination of subacromial corticosteroid injection (SCI) and suprascapular nerve block (SSNB) on shoulder impingement syndrome (SIS). Read More

Knee Surg Sports Traumatol Arthrosc 2020 Apr 30. Epub 2020 Apr 30.

Department of Research and Development, NU-Hospital Group Trollhättan/Uddevalla, 451 80, Uddevalla, Sweden.

Purpose: To analyze biopsy samples from the subscapularis tendon and from the joint capsule from male patients with subacromial impingement syndrome and compare them with samples from male patients with post-traumatic recurrent shoulder instability, to detect increased inflammatory activity that might be present inside the humeroscapular joint.

Methods: Twenty male patients scheduled for surgery for either subacromial decompression or Bankart reconstruction were included. Four biopsies from each patient were obtained during surgery from the capsule and the subscapularis tendon. Read More

FP Essent 2020 Apr;491:11-16

WellSpan York Hospital Sports Medicine Fellowship, 1001 S George St, York, PA 17403.

Subacromial impingement/pain syndrome is a common cause of shoulder pain that encompasses a spectrum of pathology of the subacromial bursa and rotator cuff tendons. Pathology of the rotator cuff tendons can range from inflammation to fibrotic changes to partial- and full-thickness tears. Biomechanical dysfunction of the rotator cuff and glenohumeral complex contributes to the pathophysiology and progression of subacromial impingement/pain syndrome. Read More

Acupunct Med 2020 Apr 20:964528419895529. Epub 2020 Apr 20.

Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea.

Objective: This retrospective propensity score-matched cohort study aimed to examine the frequency of acromioplasty among patients with shoulder disorders receiving and not receiving acupuncture, based on Korea National Health Insurance Service-National Sample Cohort (NHIS-NSC) data.

Methods: We included cases of high-frequency shoulder disorders-adhesive capsulitis, rotator cuff syndrome, shoulder impingement syndrome, and sprain and strain of the shoulder joint-stratified from the Korea NHIS-NSC database between 2002 and 2013; cases were classified into two groups based on a history of acupuncture treatment performed at least twice within 6 weeks (acupuncture group:  = 111,561; control group:  = 71,340). We examined propensity scores and hazard ratios (HRs) for the frequency of acromioplasty, within 2 years of the first treatment or first examination in the acupuncture and control groups, respectively; cumulative survival rates were estimated using Kaplan-Meier survival analysis. Read More

Physiother Res Int 2020 Apr 13. Epub 2020 Apr 13.

Department of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, Netherlands.

Objectives: To identify if a plausible theoretical construct exists for a test cluster in a group of patients with subacromial pain syndrome presenting with glenohumeral internal rotation deficit (GIRD); determine the intertester agreement and reliability of the proposed test cluster; determine if there are any meaningful relationships between the test cluster and the component tests for the entire sample; and determine if there are any differences in disability on the Dutch version of the shoulder pain and disability index between participants with a positive and negative test cluster.

Methods: This study is a retrospective secondary analysis of data that were collected to determine the interrater agreement and reliability of clinical tests for assessment of patients with shoulder pain in primary care.

Results: The test cluster total agreement and negative specific agreement was 87. Read More

Med Hypotheses 2020 Mar 24;140:109693. Epub 2020 Mar 24.

Spinal Research Laboratory, Department of Physical Therapy, Stanley Steyer School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Israel.

In this paper we attempt to explain the problems that can arise when assumptions made by experts in their respective fields of Medicine become widely accepted as established knowledge. Our hypothesis is that these problems are in large part attributable to a failure of the experts to follow the principles of logical argument. Empirical data to evaluate our hypothesis derives from an analysis of the reasoning processes employed in the generation of three syndromes drawn from the clinical discipline of Pain Medicine: myofascial pain, shoulder impingement and central sensitisation. Read More

J Orthop Surg (Hong Kong) 2020 Jan-Apr;28(1):2309499020913348

Department of Orthopaedic Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, China.

Purpose: Several radiographic parameters describe humeral head coverage by the acromion. We describe a new radiographic measurement, the acromion-greater tuberosity impingement index (ATI), and its ability to predict rotator cuff pathology.

Methods: The ATI was measured with magnetic resonance imaging (MRI) and X-ray analysis in 83 patients with rotator cuff pathology and 76 patients with acute rotator cuff tears. Read More

Acta Radiol 2020 Mar 22:284185120911188. Epub 2020 Mar 22.

Department of Rehabilitation Medicine, Bucheon St. Mary's Hospital, Catholic University of Korea, Bucheon, Republic of Korea.

Jt Dis Relat Surg 2020 ;31(1):115-22

Department of Physical and Rehabilitation Medicine, Başkent University Faculty of Medicine, Ankara, Turkey.

Objectives: This study aims to compare the effects of ultrasound (US)-guided and blind subacromial corticosteroid and local anesthetic (LA) injection in the treatment of subacromial impingement syndrome (SIS) on shoulder pain, range of motion (ROM), and functionality.

Patients And Methods: The prospective study was conducted between 01 February 2017 and 31 May 2017. A total of 29 patients with clinical findings and magnetic resonance imaging (MRI) consistent with SIS were randomized into two groups: 14 patients received US-guided subacromial corticosteroid and LA injection and 15 patients received a blind subacromial corticosteroid and LA injection. Read More

Trials 2020 Mar 6;21(1):248. Epub 2020 Mar 6.

MetroHealth Rehabilitation Institute, MetroHealth System, 4229 Pearl Rd, N5-27, Cleveland, OH, 44109, USA.

Background: Shoulder impingement syndrome is one of the most common causes of shoulder pain, accounting for approximately 30% of all shoulder pain. Approximately 35% of patients with shoulder impingement syndrome are refractory to conservative treatment. For patients who fail conservative treatment, there is no established treatment to successfully treat their chronic pain. Read More

J Orthop Sports Phys Ther 2020 Mar;50(3):142

Shoulder pain is common, especially as we age. Pain that limits your ability to raise your arm above your head or rotate your shoulder is called "subacromial shoulder pain." The good news is that most people with subacromial shoulder pain improve with physical therapy. Read More

Int J Environ Res Public Health 2020 02 14;17(4). Epub 2020 Feb 14.

Division of Occupational Health, Department of Occupational Safety and Environment, Regional Government of South Hesse, 65197 Wiesbaden, Germany.

Several epidemiological studies have found an association between shoulder-loaded work activities and specific shoulder diseases. No study has derived the dose-response relationship and resulting doubling dose, important for the recognition of occupational diseases. This systematic review is an update of the van der Molen et al. Read More

J Shoulder Elbow Surg 2020 Mar;29(3):471-482

Department of Orthopaedic Surgery, Royal Prince Alfred Hospital, Camperdown, NSW, Australia.

Background: Subacromial analgesia (SAA) is hypothesized to reduce pain after arthroscopic shoulder surgery by delivering a continuous infusion of local anesthetic directly to the surgical site. The purpose of this systematic review and meta-analysis was to evaluate the efficacy of SAA vs. placebo for pain relief after arthroscopic subacromial shoulder procedures. Read More

J Manipulative Physiol Ther 2020 Jan 13;43(1):57-67. Epub 2020 Feb 13.

Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil. Electronic address:

Objective: The purpose of this study was to determine the relative and absolute reliability of the pressure pain threshold (PPT) in the shoulder muscles of participants with and without unilateral subacromial impingement syndrome.

Methods: Study of intraday intra- and interrater and interday intrarater reliability. Fifty-two participants symptomatic for unilateral subacromial impingement syndrome were divided into 2 groups (SG1 and SG2) of 26 participants each, and 26 participants asymptomatic for shoulder pain took part in the study. Read More

Phys Ther 2020 03;100(3):429-437

Department of Exercise Science, Creighton University.

Background: Decreased pectoralis minor muscle length is common after primary breast cancer treatment and can result in an abnormal position of the scapula. This position can contribute to shoulder pain and pathomechanics and can lead to problems such as impingement syndrome, rotator cuff tears, and frozen shoulder. Currently, there are limited reliable methods for measuring pectoralis minor length. Read More

J Orthop 2020 Jul-Aug;20:144-146. Epub 2020 Jan 21.

University of Toledo Medical Center, 3000 Arlington Ave. Toledo, OH, 43614, USA.

The teres minor is one of four rotator cuff muscles that is involved in many shoulder pathologies. The integrity of the teres minor can be indicative of treatment success for disorders including rotator cuff tears, impingement syndrome, and quadrangular space syndrome. Quadrangular or quadrilateral space syndrome is a debilitating disorder that may require surgical intervention in chronic cases and can lead to atrophy of the teres minor. Read More

Sports Health 2020 Mar/Apr;12(2):139-148. Epub 2020 Feb 4.

School of Physical Therapy and Rehabilitation, Dokuz Eylül University, Izmir, Turkey.

Background: Posterior shoulder stretching exercises (PSSEs) aim to reduce posterior shoulder tightness (PST). Position modification of traditional PSSEs has been suggested to minimize inadequate control of scapular and glenohumeral rotation, possibly leading to increased subacromial impingement.

Hypothesis: Modified PSSEs will have positive effects on shoulder mobility, pain, and dysfunction. Read More

Arch Phys Med Rehabil 2020 Jul 31;101(7):1233-1242. Epub 2020 Jan 31.

Maisonneuve-Rosemont Hospital Research Center, University of Montréal Affiliated Research Center, Montréal, Québec, Canada; School of Rehabilitation, Faculty of Medicine, University of Montréal, Montréal, Québec, Canada. Electronic address:

Objectives: To perform a systematic review of clinical practice guidelines (CPGs) and semantic analysis of specific clinical recommendations for the management of rotator cuff disorders in adults.

Data Sources: A systematic bibliographic search was conducted up until May 2018 in Medline, Embase, and Physiotherapy Evidence Database, or PEDro, databases, in addition to 12 clinical guidelines search engines listed on the Appraisal of Guidelines for Research and Evaluation (AGREE) website.

Study Selection: Nine CPGs on the management of rotator cuff disorders in adults or workers, available in English or French, and published from January 2008 onward, were included and screened by 2 independent reviewers. Read More

Health Qual Life Outcomes 2020 Jan 29;18(1):17. Epub 2020 Jan 29.

Collaborative Program in Musculoskeletal Health Research, Bone and Joint Institute, Western University, London, ON, Canada.

Background: To evaluate the translations, cross-cultural adaptation procedures and measurement properties of the Western Ontario Rotator Cuff Index (WORC), when it is adapted for different cultures.

Methods: A systematic review was performed, considering different cultural adaptions of the WORC accessible through MEDLINE, CINAHL, EMBASE and/or Google Scholar. Included were prospective cohort studies that used an adapted version of the WORC to measure QoL in patients with rotator cuff disorders. Read More

J Bodyw Mov Ther 2020 Jan 2;24(1):93-99. Epub 2019 Jul 2.

Society of Musculoskeletal Medicine (SOMM), Liverpool, UK.

Aims: This study's primary aim is to address two questions. Firstly; what evidence exists regarding the inclusion of increasing thoracic movement within the management of subacromial impingement syndrome SIS?; and secondly, what proportion of Society of Musculoskeletal Medicine (SOMM) physiotherapists use this form of treatment within SIS management?

Methods: An online survey was conducted using a questionnaire incorporating a vignette describing a patient with chronic SIS. The SOMM physiotherapy members were sampled using convenience sampling. Read More

Disabil Rehabil 2020 Jan 26:1-7. Epub 2020 Jan 26.

Department of Building and Real Estate, Hong Kong Polytechnic University, Kowloon, Hong Kong Special Administrative Region.

The current study aimed to evaluate the internal consistency, test-retest reliability, and construct validity of the translated and adapted Arabic version of the Oxford shoulder score in patients with shoulder disorders. One hundred four patients (average age 45.9 ± 15. Read More

Hum Factors 2020 Jan 21:18720819896191. Epub 2020 Jan 21.

7991 York University, Canada.

Objective: The aim was to review the biomechanical origins of occupational shoulder damage, while considering the complexity of shoulder mechanics and musculoskeletal consequences of diverse task demands.

Background: Accessible measures of physical exposures are the primary focus of occupational shoulder assessments and analyses. This approach has led to guidelines and intervention strategies that are often inadequate for mitigating shoulder disorders amongst the complexity of modern workplace demands. Read More

Neuromodulation 2020 Jan 13. Epub 2020 Jan 13.

International Spine Pain & Performance Center, Washington, DC, USA.

Objective: The objective of this study was to determine the effect of axillary peripheral nerve stimulation (PNS) on pain reduction in patients with chronic shoulder pain. Chronic shoulder pain was defined as pain greater than six months originating from any of the following and not the result of a stroke: subacromial impingement syndrome/rotator cuff pathology, glenohumeral joint arthritis, acromioclavicular joint arthritis, adhesive capsulitis, or biceps tendinopathy.

Materials And Methods: Eight adult patients with chronic shoulder pain, as defined above, who either did not respond to surgical intervention or who were deemed not ideal surgical candidates underwent permanent axillary PNS therapy. Read More

J Back Musculoskelet Rehabil 2019 Dec 30. Epub 2019 Dec 30.

Toledo Physiotherapy Research Group, Department of Nursing, Physical Therapy and Occupational Therapy, Castilla-La Mancha University, Toledo, Spain.

Background And Purpose: This case report describes the long-term effect of the high-intensity laser therapy (HILT) in a patient with chronic shoulder pain refractory in comparison to other treatments.

Case Description: Ten sessions of HILT were applied in a thirty-one-year-old woman diagnosed with subacromial syndrome. Assessment was carried out through different tests: Shoulder Pain and Disability Index (SPADI), Numeric Pain Rating Scale (NPRS) and pressure pain threshold (PPT). Read More

Medicine (Baltimore) 2020 Jan;99(2):e18716

Department of Acupuncture & Moxibustion Medicine, Pusan National University Korean Medicine Hospital.

Background: Rotator cuff disease (RCD) consists of subacromial impingement syndrome, rotator cuff tendinopathy or tendinitis, partial or full rotator cuff tear, calcific tendinitis, and subacromial bursitis. Acupuncture has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. However, previous reviews have not completely addressed the role of acupuncture in the management of RCDs. Read More

Malays Orthop J 2019 Nov;13(3):1-7

Department of Orthopaedics, KPJ Selangor Specialist Hospital, Shah Alam, Malaysia.

Subacromial impingement syndrome (SAIS) is a commonly diagnosed disorder of the shoulder. Though this disorder has been known for a long time, it remains a poorly understood entity. Over the years several hypotheses have been put forward to describe the pathogenesis of SAIS but no clear explanation has been found. Read More

Korean J Pain 2020 Jan;33(1):60-65

Department of Anesthesiology and Pain Medicine, Catholic Kwandong University International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea.

Background: Anatomic changes in the acromion have been considered a main cause of shoulder impingement syndrome (SIS). To evaluate the relationship between SIS and the acromion process, we devised a new morphological parameter called the acromion process cross-sectional area (APA). We hypothesized that the APA could be an important morphologic diagnostic parameter in SIS. Read More

Rev Bras Ortop (Sao Paulo) 2019 Dec 13;54(6):636-643. Epub 2019 Dec 13.

Programa de pós-graduação em Saúde e meio ambiente, Universidade Tiradentes, Aracaju, SE, Brasil.

 This research aims to study the effectiveness of platelet-rich plasma (PRP) in the treatment of patients with rotator cuff impingement syndrome compared with the treatment with subacromial injection of corticosteroids.  This is a double-blind, randomized, comparative clinical trial. The patients were clinically evaluated with the use of the Disabilities of the Arm, Shoulder and Hand (DASH) outcome measure, University of California Los Angeles (UCLA) shoulder rating scale and Constant-Murley shoulder outcome score (CMS) on the day of application, and then again after 1, 3 and 6 months. Read More

Turk J Med Sci 2020 02 13;50(1):205-212. Epub 2020 Feb 13.

Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Giresun University, Giresun, Turkey

Background/aim: The objective in this study is to assess the short-term effects of a single-session mobilization in addition to subacromial corticosteroid (SACS) injection in impingement syndrome.

Materials And Methods: The study was designed as a prospective randomized controlled single-blind, parallel group clinical trial. Patients (totally 84) were divided randomly into two groups equally. Read More

J Sport Rehabil 2019 Dec 19:1-17. Epub 2019 Dec 19.

Context: Selective strengthening of scapular stabilizers is one of the emphases of the recent literature. Closed kinetic chain (CKC) exercises are used extensively in shoulder rehabilitation. However, a limited number of studies have reported scapular muscle ratios during CKC exercises. Read More

Orthop Traumatol Surg Res 2020 Feb 11;106(1):45-51. Epub 2019 Dec 11.

Department of Orthopaedic Surgery, Dankook University College of Medicine, Cheonan, Republic of Korea. Electronic address:

Background: The pathogenesis of degenerative subscapularis (SC) tear is not clear, several mechanisms are involved: intrinsic tendon degeneration or subcoracoid impingement. The aim of this study was to propose new radiographic markers, the coraco-lesser tuberosity angle (CLA), lesser tuberosity angle (LTA) and lesser tuberosity height (LTH). The hypothesis was that higher values of CLA, LTA, and LTH would be associated with a higher likelihood in detecting a SC tear. Read More

Phys Ther 2020 04;100(4):677-686

BSc(PhysTher), MMedSc(Physio), PhD, Discipline of Physiotherapy, School of Health Sciences, The University of Newcastle.

Background: Shoulder impingement syndrome (SIS) is the most common form of shoulder pain and a persistent musculoskeletal problem. Conservative and invasive treatments, aimed at the shoulder joint, have had limited success. Research suggests shoulder function is related to thoracic posture, but it is unknown whether thoracic posture is associated with SIS. Read More

J Back Musculoskelet Rehabil 2020 ;33(3):363-366

Istanbul University, Istanbul, Turkey.

Background: We hypothesized that cervical radiculopathy (CR) has a role in subacromial impingement syndrome (SAIS) etiology, which cannot be directly connected to anatomical causes.

Objective: We aimed to investigate the presence of cervical radiculopathy in patients with SAIS diagnosed clinically and radiologically.

Methods: Patients who had a clinical and radiological SAIS diagnosis between 2014 and 2016 were included in the study. Read More