Value of a clinical test of sub-acromial impingement to predict response to physiotherapy with dynamic humeral centering: A preliminary study.
J Back Musculoskelet Rehabil
; 35(5): 1119-1124, 2022.
Article
en En
| MEDLINE
| ID: mdl-35342077
ABSTRACT
BACKGROUND:
Dynamic humeral centering (DHC) is a physiotherapy modality that aims to prevent sub-acromial impingement of rotator cuff tendons. We recently developed a new clinical manoeuver - the Viggo-Cochin test - to enhance the ability of the Neer test to detect sub-acromial impingement. Here we hypothesised whether the DHC effect may differ between individuals with positive and negative Viggo-Cochin test results.OBJECTIVE:
To assess the association between DHC and Viggo-Cochin test results.METHODS:
Individuals with shoulder pain due to sub-acromial impingement underwent the Neer and Viggo-Cochin tests at baseline. They were assessed before and after DHC by the Shoulder Pain and Disability Index (SPADI). A positive response to DHC was defined as a 20% reduction in the SPADI.RESULTS:
We included 50 individuals (53 shoulders). The response to DHC did not differ by Neer test result at baseline OR 0.73 [95% CI 0.22-2.38] (p= 0.601). By contrast, the response to DHC was 5-fold higher with a positive than negative Viggo-Cochin testresult:
OR 5.11 [95% CI 1.47-17.78] (p= 0.010).CONCLUSIONS:
We found a higher clinical response to DHC with a positive than negative Viggo-Cochin test result at baseline in individuals with shoulder pain due to rotator cuff disease.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Síndrome de Abducción Dolorosa del Hombro
/
Lesiones del Manguito de los Rotadores
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
J Back Musculoskelet Rehabil
Asunto de la revista:
FISIOLOGIA
/
REABILITACAO
Año:
2022
Tipo del documento:
Article
País de afiliación:
Francia