Acute rotator cuff tendinopathy: does ice, low load isometric exercise, or a combination of the two produce an analgaesic effect?
| Autor: | Jeremy Lewis, Chris D Howitt, Diane L. Riddiford-Harland, Phillip J Parle |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
Adult Male medicine.medical_specialty Weakness Rotation medicine.drug_class Physical Therapy Sports Therapy and Rehabilitation Pilot Projects Isometric exercise law.invention Rotator Cuff Injuries 03 medical and health sciences Rotator Cuff Young Adult 0302 clinical medicine Randomized controlled trial law medicine Humans Pain Management Orthopedics and Sports Medicine Rotator cuff business.industry Rotator cuff injury Ice 030229 sport sciences General Medicine Middle Aged medicine.disease Tendon Surgery Exercise Therapy 030104 developmental biology medicine.anatomical_structure Tendinopathy Corticosteroid Female medicine.symptom business Muscle Contraction |
| Zdroj: | British journal of sports medicine. 51(3) |
| ISSN: | 1473-0480 |
| Popis: | Rotator cuff tendinopathies are the most commonly diagnosed musculoskeletal shoulder conditions and are associated with pain, weakness and loss of function.1 Tendon swelling may be associated with tendinopathy and may result from acute overload.2–3 An increase in tendon cells (tenocytes) and upregulation of large molecular weight proteoglycans, such as aggrecan, may increase tendon water content.2 There is uncertainty as to whether the swelling is related to the pain or is instead an observed but unrelated phenomenon. Weakness detected clinically may be due to pain inhibition.4–5 Early treatment of acute rotator cuff tendinopathy involves patient education and relative rest, and may include non-steroidal anti-inflammatory drugs (NSAIDs) to reduce pain, swelling and inflammation. Subacromial corticosteroid injections are also used to achieve the same purpose. These techniques show low to moderate evidence of reducing short-term pain but they do not improve function.6 The medications have side effects such … |
| Databáze: | OpenAIRE |
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