Revista Organizações em Contexto (ROC) - Diretoria de Pesquisa e Pós-Graduação - Universidade Metodista de São Paulo - UMESP.
ISSN Versão Eletrônica 1982-8756
ISSN Versão Impressa 1809-1040 (2005-2008)
Este obra está licenciado com uma Licença Creative Commons Atribuição-NãoComercial 4.0 Internacional.
Erase My Back Pain
por Princy William william (23-05-2019)
Keener et al. specifically examined Erase My Back Pain the relative effects that rotator cuff tear size and pain had on proximal humeral migration in both symptomatic and asymptomatic individuals with rotator cuff deficient shoulders. The premise for the inclusion of subjects with and without pain was to provide insight as to whether or not pain modalities and/or medication have the potential to influence glenohumeral kinematics in a clinical setting. Average proximal humeral migration in symptomatic individuals was significantly greater than in those who did not suffer from pain (migration: 0.26 + 1.6 mm vs -0.28 + 1.3 mm) For both symptomatic and asymptomatic individuals, proximal humeral migration was significantly greater in those shoulders whose tears involved the infraspinatus (either alone or in conjunction with the supraspinatus). Interestingly, infraspinatus involvement was significantly more frequent in the symptomatic group. Symptomatic rotator cuff tears with an area > 175mm-squared significantly correlated with altered glenohumeral mechanics (proximal migration) While pain significantly correlated with migration and tear area in full-thickness tears > 175mm-squared, this relationship was negated upon multivariate analysis (where tear area was the most significant predictor of proximal migration). Maman et al. evaluated the outcomes of individuals with rotator cuff tears who were managed non-operatively. Evaluations were performed via review of magnetic resonance imaging studies and results were correlated with age and anatomical variables, among others. Grouping follow-up time of non-operative treatment on a continuous scale (from 25 months), the odds ratio for an increase in rotator cuff tear size was 2.1 as follow-up time doubled. Significantly more full-thickness tears increased in size as compared to those partially torn. When patients were classified either as younger-than or older-than 60 years of age, significantly more tears progressed in size in the older group. While only 8% of tears decreased in size over time, none of these were from shoulders whose tears involved more than one tendon. No significant relationships were found among acromioclavicular joint arthritis, acromial spurs, and supraspinatus atrophy with tear progression. However, tear size progression was significantly more common in those shoulders that demonstrated fatty infiltration of the musculature. (Note: the presence of fatty infiltration was no different in the partial- and full-thickness groups.)
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