Highlights
- •Shoulder osteoarthritis can lead to significant loss of upper limb function
- •Although rehabilitation therapy has been shown to improve shoulder function, there are no guidelines for therapy modality, intensity, duration, or initiation in shoulder osteoarthritis
- •More research is necessary to quantify the specific benefits of therapy sub-types in the treatment of shoulder osteoarthritis
Abstract
Study Design
Invited review.
Background
Shoulder osteoarthritis can result in significant functional deficits. To improve
diagnosis and treatment, we must better understand the impact of osteoarthritis on
shoulder biomechanics and the known mechanical benefits of currently available treatments.
Purpose
The purpose of this paper is to present up-to-date data on the effects of osteoarthritis
and rehabilitation on the biomechanical parameters contributing to shoulder function.
With this goal, we also reviewed the anatomy and the ranges of motion of the shoulder.
Methods
A search of electronic databases was conducted. All study designs were included to
inform this qualitative, narrative literature review.
Results
This review describes the biomechanics of the shoulder, the impact of osteoarthritis
on shoulder function, and the treatment of shoulder osteoarthritis with an emphasis
on rehabilitation.
Conclusions
The shoulder is important for the completion of activities of daily living, and osteoarthritis
of the shoulder can significantly reduce shoulder motion and arm function. Although
shoulder rehabilitation is an integral treatment modality to improve pain and function
in shoulder osteoarthritis, few high-quality studies have investigated the effects
and benefits of shoulder physical and occupational therapies. To advance the fields
of therapy and rehabilitation, future studies investigating the effects of therapy
intensity, therapy duration, and the relative benefits of therapy subtypes on shoulder
biomechanics and function are necessary.
Keywords
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JHT Read for Credit
Quiz: # 867
Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.
- # 1.Data were gathered from
- a.interviews with experts in the field of shoulder biomechanics
- b.electronic databases
- c.cadaveric samples
- d.videography
- a.
- # 2.During elevation there is a maximum of ________ contact between the head of the humerus and the glenoid surface
- a.80%
- b.10%
- c.50%
- d.30%
- a.
- # 3.The following was found
- a.the most effective manual therapy techniques
- b.the most effective drug therapies
- c.a plethora of biomechanical information, but a paucity of effective rehab information
- d.the most effective surgical interventions
- a.
- # 4.Which is NOT a synovial joint
- a.glenohumeral
- b.scapulothoracic
- c.A/C
- d.sternoclavicular
- a.
- # 5.The authors advocate for more studies addressing the effects of rehabilitation on shoulder biomechanics and functional outcomes
- a.true
- b.false
- a.
When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.
Article info
Publication history
Published online: July 30, 2022
Accepted:
June 20,
2022
Received in revised form:
May 31,
2022
Received:
January 30,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
