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Severe aberrant glenohumeral motor patterns in a young female rower: a case report.

Stark TW, Seebauer J, Walker B, McGurk N, Cooley J - Chiropr Osteopat (2007)

Bottom Line: With this type of assessment we found that co-contraction of local muscle groups seemed to initially improve the patients abnormal shoulder motion.Examination also showed associated muscle atrophy of the lower trapezius and surrounding general muscle weakness.It highlights the need for careful examination and thought regarding the anatomical structures and normal motor patterns associated with the manoeuvre being tested.

View Article: PubMed Central - HTML - PubMed

Affiliation: Health Science Division, Murdoch University, Murdoch, Western Australia, Australia. t.stark@murdoch.edu.au

ABSTRACT

Background: This case features an 18-year-old female with glenohumeral dysrhythmia and subluxation-relocation patterns. This unusual case highlights the need for careful examination and consideration to the anatomical structures involved.Conventional approaches to shoulder examination include range of motion, orthopaedic tests and manual resistance tests. We also assessed the patient's cognitive ability to coordinate muscle function. With this type of assessment we found that co-contraction of local muscle groups seemed to initially improve the patients abnormal shoulder motion. With this information a rehabilitation method was instituted with a goal to maintain the improvement.

Case presentation: An 18-year-old female with no history of trauma, presented with painless kinesiopathology of the left shoulder (in abduction) consisting of dysrhythmia of the glenohumeral joint and early lateral rotation of the scapula. Examination also showed associated muscle atrophy of the lower trapezius and surrounding general muscle weakness. We used an untested functional assessment method in addition to more conventional methods.Exercise rehabilitation interventions were subsequently prescribed and graduated in accordance with what is known as the General Physical Rehabilitation Pyramid.

Conclusion: This paper presents an unusual case of aberrant shoulder movement. It highlights the need for careful examination and thought regarding the anatomical structures and normal motor patterns associated with the manoeuvre being tested. It also emphasised the use of co-contraction during examination in an attempt to immediately improve a regional dysrythmia if there is suspicion of a regional aberrant motor pattern. Further research may be warranted to test this approach.

No MeSH data available.


Related in: MedlinePlus

see attached pdf file named "Figure 4".
© Copyright Policy - open-access
Related In: Results  -  Collection

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Figure 4: see attached pdf file named "Figure 4".

Mentions: Because of the documented importance of muscle synergy and the progressions of motor control and stabilizer function [18] we decided to employ the General Functional Assessment Pyramid (Figure 4).


Severe aberrant glenohumeral motor patterns in a young female rower: a case report.

Stark TW, Seebauer J, Walker B, McGurk N, Cooley J - Chiropr Osteopat (2007)

see attached pdf file named "Figure 4".
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2211480&req=5

Figure 4: see attached pdf file named "Figure 4".
Mentions: Because of the documented importance of muscle synergy and the progressions of motor control and stabilizer function [18] we decided to employ the General Functional Assessment Pyramid (Figure 4).

Bottom Line: With this type of assessment we found that co-contraction of local muscle groups seemed to initially improve the patients abnormal shoulder motion.Examination also showed associated muscle atrophy of the lower trapezius and surrounding general muscle weakness.It highlights the need for careful examination and thought regarding the anatomical structures and normal motor patterns associated with the manoeuvre being tested.

View Article: PubMed Central - HTML - PubMed

Affiliation: Health Science Division, Murdoch University, Murdoch, Western Australia, Australia. t.stark@murdoch.edu.au

ABSTRACT

Background: This case features an 18-year-old female with glenohumeral dysrhythmia and subluxation-relocation patterns. This unusual case highlights the need for careful examination and consideration to the anatomical structures involved.Conventional approaches to shoulder examination include range of motion, orthopaedic tests and manual resistance tests. We also assessed the patient's cognitive ability to coordinate muscle function. With this type of assessment we found that co-contraction of local muscle groups seemed to initially improve the patients abnormal shoulder motion. With this information a rehabilitation method was instituted with a goal to maintain the improvement.

Case presentation: An 18-year-old female with no history of trauma, presented with painless kinesiopathology of the left shoulder (in abduction) consisting of dysrhythmia of the glenohumeral joint and early lateral rotation of the scapula. Examination also showed associated muscle atrophy of the lower trapezius and surrounding general muscle weakness. We used an untested functional assessment method in addition to more conventional methods.Exercise rehabilitation interventions were subsequently prescribed and graduated in accordance with what is known as the General Physical Rehabilitation Pyramid.

Conclusion: This paper presents an unusual case of aberrant shoulder movement. It highlights the need for careful examination and thought regarding the anatomical structures and normal motor patterns associated with the manoeuvre being tested. It also emphasised the use of co-contraction during examination in an attempt to immediately improve a regional dysrythmia if there is suspicion of a regional aberrant motor pattern. Further research may be warranted to test this approach.

No MeSH data available.


Related in: MedlinePlus