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Effects of surgical repair on active shoulder position sense and 3-dimensional reaching accuracy in a patient with anterior shoulder instability

Abstract The purpose of this report was to investigate whether a subject with anterior shoulder instability exhibited better active shoulder position sense and 3-dimensional (3-D) reaching accuracy after a surgical repair. The 19-year-old male subject underwent an open Bankart repair procedure for h...

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Published in:Physiotherapy theory and practice 2014-04, Vol.30 (3), p.165-170
Main Author: Hung, You-Jou
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Language:English
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description Abstract The purpose of this report was to investigate whether a subject with anterior shoulder instability exhibited better active shoulder position sense and 3-dimensional (3-D) reaching accuracy after a surgical repair. The 19-year-old male subject underwent an open Bankart repair procedure for his left shoulder followed by a standardized post-operative rehabilitation program. Shoulder position sense was examined with traditional passive matching and active positioning protocols. Reaching accuracy in space with the unrestricted arm motion was also examined. The subject was tested 5 months prior to the surgery and re-tested 6 months after the surgery. With the traditional passive matching protocol, shoulder position sense improved
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The 19-year-old male subject underwent an open Bankart repair procedure for his left shoulder followed by a standardized post-operative rehabilitation program. Shoulder position sense was examined with traditional passive matching and active positioning protocols. Reaching accuracy in space with the unrestricted arm motion was also examined. The subject was tested 5 months prior to the surgery and re-tested 6 months after the surgery. With the traditional passive matching protocol, shoulder position sense improved &lt;2° after surgery. However, shoulder position sense improved greatly after surgery with active shoulder abduction (up to 4.25°) and active shoulder rotation (up to 5.87°) testing protocols. In addition, reaching accuracy also greatly improved after surgery (up to 10.97 cm) with the most significant improvement when reaching to targets located in the frontal plane. Data suggest that anterior shoulder repair with rehabilitation can improve both active shoulder position sense and reaching accuracy, especially in shoulder positions involving abduction with external rotation.</description><identifier>ISSN: 0959-3985</identifier><identifier>EISSN: 1532-5040</identifier><identifier>DOI: 10.3109/09593985.2013.846447</identifier><identifier>PMID: 24147982</identifier><language>eng</language><publisher>England: Informa Healthcare USA, Inc</publisher><subject>Biomechanical Phenomena ; Humans ; Joint instability ; Joint Instability - diagnosis ; Joint Instability - physiopathology ; Joint Instability - surgery ; Male ; Motor Activity ; motor control ; Orthopedic Procedures - rehabilitation ; Physical Therapy Modalities ; Proprioception ; Range of Motion, Articular ; Recovery of Function ; Shoulder Dislocation - diagnosis ; Shoulder Dislocation - physiopathology ; Shoulder Dislocation - surgery ; Shoulder Joint - physiopathology ; Shoulder Joint - surgery ; Treatment Outcome ; Young Adult</subject><ispartof>Physiotherapy theory and practice, 2014-04, Vol.30 (3), p.165-170</ispartof><rights>2014 Informa Healthcare USA, Inc. 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Data suggest that anterior shoulder repair with rehabilitation can improve both active shoulder position sense and reaching accuracy, especially in shoulder positions involving abduction with external rotation.</description><subject>Biomechanical Phenomena</subject><subject>Humans</subject><subject>Joint instability</subject><subject>Joint Instability - diagnosis</subject><subject>Joint Instability - physiopathology</subject><subject>Joint Instability - surgery</subject><subject>Male</subject><subject>Motor Activity</subject><subject>motor control</subject><subject>Orthopedic Procedures - rehabilitation</subject><subject>Physical Therapy Modalities</subject><subject>Proprioception</subject><subject>Range of Motion, Articular</subject><subject>Recovery of Function</subject><subject>Shoulder Dislocation - diagnosis</subject><subject>Shoulder Dislocation - physiopathology</subject><subject>Shoulder Dislocation - surgery</subject><subject>Shoulder Joint - physiopathology</subject><subject>Shoulder Joint - surgery</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0959-3985</issn><issn>1532-5040</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp9kUtv1DAUhS0EokPhHyDkJZsMfuW1AaGqPKRKbGBt3djXjaskHmyHav5FfzIO04LYdGXZ_s65V-cQ8pqzveSsf8f6upd9V-8F43LfqUap9gnZ8VqKqmaKPSW7Dak25oy8SOmGMSZELZ6TM6G4avtO7MjdpXNocqLB0bTGa29gohEP4CMNCwWT_S-kaQzrZDHSQ0g--_KRcElIYbFUVtbP5VZe_0jBjH65LkqzRjBH6osLPUD2uGR66_NYVBmjD_GfrV9ShsFPPh9fkmcOpoSv7s9z8uPT5feLL9XVt89fLz5eVUbxLldWdm7gDePCNFxI2UOHSiADtMrVDRsAmlapWtmeuQFd2wMwaGTjrGtRWHlO3p58DzH8XDFlPftkcJpgwbAmzUuGJctG1gVVJ9TEkFJEpw_RzxCPmjO9daEfutBbF_rURZG9uZ-wDjPav6KH8Avw4QT4xYU4w22Ik9UZjlOILsJifNrsHx3x_j-HEWHKo4GI-iassRSSHt_xN0fur5s</recordid><startdate>201404</startdate><enddate>201404</enddate><creator>Hung, You-Jou</creator><general>Informa Healthcare USA, Inc</general><general>Taylor &amp; Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201404</creationdate><title>Effects of surgical repair on active shoulder position sense and 3-dimensional reaching accuracy in a patient with anterior shoulder instability</title><author>Hung, You-Jou</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-d38fb16012c612339a8e42e0aed4f560baa674454d90fbef79aa0a636fdf7e2d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Biomechanical Phenomena</topic><topic>Humans</topic><topic>Joint instability</topic><topic>Joint Instability - diagnosis</topic><topic>Joint Instability - physiopathology</topic><topic>Joint Instability - surgery</topic><topic>Male</topic><topic>Motor Activity</topic><topic>motor control</topic><topic>Orthopedic Procedures - rehabilitation</topic><topic>Physical Therapy Modalities</topic><topic>Proprioception</topic><topic>Range of Motion, Articular</topic><topic>Recovery of Function</topic><topic>Shoulder Dislocation - diagnosis</topic><topic>Shoulder Dislocation - physiopathology</topic><topic>Shoulder Dislocation - surgery</topic><topic>Shoulder Joint - physiopathology</topic><topic>Shoulder Joint - surgery</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hung, You-Jou</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Physiotherapy theory and practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hung, You-Jou</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of surgical repair on active shoulder position sense and 3-dimensional reaching accuracy in a patient with anterior shoulder instability</atitle><jtitle>Physiotherapy theory and practice</jtitle><addtitle>Physiother Theory Pract</addtitle><date>2014-04</date><risdate>2014</risdate><volume>30</volume><issue>3</issue><spage>165</spage><epage>170</epage><pages>165-170</pages><issn>0959-3985</issn><eissn>1532-5040</eissn><abstract>Abstract The purpose of this report was to investigate whether a subject with anterior shoulder instability exhibited better active shoulder position sense and 3-dimensional (3-D) reaching accuracy after a surgical repair. The 19-year-old male subject underwent an open Bankart repair procedure for his left shoulder followed by a standardized post-operative rehabilitation program. Shoulder position sense was examined with traditional passive matching and active positioning protocols. Reaching accuracy in space with the unrestricted arm motion was also examined. The subject was tested 5 months prior to the surgery and re-tested 6 months after the surgery. With the traditional passive matching protocol, shoulder position sense improved &lt;2° after surgery. However, shoulder position sense improved greatly after surgery with active shoulder abduction (up to 4.25°) and active shoulder rotation (up to 5.87°) testing protocols. In addition, reaching accuracy also greatly improved after surgery (up to 10.97 cm) with the most significant improvement when reaching to targets located in the frontal plane. 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source Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list)
subjects Biomechanical Phenomena
Humans
Joint instability
Joint Instability - diagnosis
Joint Instability - physiopathology
Joint Instability - surgery
Male
Motor Activity
motor control
Orthopedic Procedures - rehabilitation
Physical Therapy Modalities
Proprioception
Range of Motion, Articular
Recovery of Function
Shoulder Dislocation - diagnosis
Shoulder Dislocation - physiopathology
Shoulder Dislocation - surgery
Shoulder Joint - physiopathology
Shoulder Joint - surgery
Treatment Outcome
Young Adult
title Effects of surgical repair on active shoulder position sense and 3-dimensional reaching accuracy in a patient with anterior shoulder instability
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