- Email: [email protected]
The relationship between core endurance and upper extremity performance in sedentary collegiate males
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Posters (First Part) / Annals of Physical and Rehabilitation Medicine 61S (2018) e103–e308
and into the TCL. The diagnosis of CTS was made by history, physical examination, sonographic evaluation, and electrophysiologic confirmation. Sonographic examinations were performed by one physiatrist using Samsung scanner with a 5–12 MHz linear transducer. Standard 23-gauge needles were used for administration of local anesthetics and triamcinolone mixture (total 1 cm3 ). After transverse view and longitudinal view, the entry point was determined. The entry point was below the distal crease, where the needle could easily introduce the injection material into the thickened TCL. The direction of the needle entry point was from lateral to ulnar side. Results Total of five female patients with CTS were included. The mean age was 55.4 ± 3.6 years. The mean duration of disease was 4.6 (range 3–8 mo) months. The results were good to excellent in all patients. There were no complications during the procedure. Conclusion Ultrasound-guided corticosteroid injection in CTS, combined with injection at the thickened TCL may be a good method and further research is needed to confirm the usability. Keywords Carpal tunnel syndrome; Injection; Sonography Disclosure of interest The authors declare that they have no competing interest. https://doi.org/10.1016/j.rehab.2018.05.386 ISPR8-1802
Reliability study of sub-acromial impingement tests including a new clinical manoeuver J. Beaudreuil 1,∗ , A. Ferenczi 2 , A. Yelnik 3 , P. Orcel 2 Groupe hospitalier Saint-Louis - Lariboisière - F.-Widal - Paris Diderot University, PRM and Rheumatology, Paris, France 2 Groupe hospitalier Saint-Louis - Lariboisière - F.-Widal - Paris Diderot University, Rheumatology, Paris, France 3 Groupe hospitalier Saint-Louis - Lariboisière - F.-Widal - Paris Diderot University, Physical and Rehabilitation Medicine, Paris, France ∗ Corresponding author. E-mail address: [email protected] (J. Beaudreuil)
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Introduction/Background Neer, Hawkins, and Yocum tests are used in clinical practice to detect sub-acromial impingement. Their reliability has been few investigated. The goal of the study was to investigate reliability of Neer, Hawkins and Yocum tests. We also assessed an original manoeuver. Material and method Patients with shoulder pain due to degenerative rotator cuff disease were prospectively included. They were twice assessed at one week interval by two independent observers. Results of Neer, Hawkins and Yocum tests were recorded as positive or not. Results of an original manoeuver (OM) including elevation in medial rotation followed by lateral one were also. Intra- and inter-observer reliability was assessed. Criteria of reliability were the percentage of agreement and the kappa coefficient of concordance with 95% confidence interval (CI). Kappa coefficient indicated moderate concordance if > 0.4, good > 0.61. Results Thirty-four Patients were included: age 60 ± 11, ratio F/M 26/8, pain duration 27 ± 67 months. For intra-observer reliability, agreement was 80–88% with Neer, Hawkins and Yocum tests. It was 80% with OM. Using kappa coefficient, intra-observer reliability was poor with Neer test (0.34 [−0.1;1]) and moderate with Hawkins (0.56 [0;0.9]), Yocum (0.48 [0;0.8]) and OM (0.6 [0.2;0.9]). For interobserver reliability, agreement was 73–88% with Neer, Hawkins and Yocum tests. It was 79% with OM. Using kappa coefficient, inter-observer reliability was poor with Yocum test (0.35 [0;0.7]), moderate with Hawkins (0.54 [0.2;0.8]) and OM (0.58 [0.2;0.8]), and good with Neer (0.64 [0.2;0.9]). Conclusion Neer test was impaired by poor intra-observer reliability and Yocum test was impaired by poor inter-observer reliability. Hawkins test and OM had a balanced profile of moderate reliability. There was a trend to higher values with OM. We
underlined there an interesting profile of reliability of an original clinical manoeuver to detect sub-acromial impingement. Keywords Sub-acromial impingement; Rotator cuff Disclosure of interest The authors declare that they have no competing interest. https://doi.org/10.1016/j.rehab.2018.05.387 ISPR8-0508
The relationship between core endurance and upper extremity performance in sedentary collegiate males
R. Savkin , K.Y.A. Alsayani , N. Büker ∗ Pamukkale University, School of Physical Therapy and Rehabilitation, Denizli, Turkey ∗ Corresponding author. E-mail address: [email protected] (N. Büker) Introduction/Background Core muscles contribute to general spine stabilization when the trunk is exposed to flexion and extension moments. It is thought that movements begin from the center of the body (called the “powerhouse” or “core”) and flow outward to the extremities, and a strong core strengthens the whole body. Few studies have examined the relationship between core endurance and upper extremity performance and most of the studies have been done in athletes. Thus, the purpose of this study was to investigate relationships between core endurance, and upper extremity performance in sedentary collegiate males. Material and method Sedentary collegiate males who had not suffered any orthopedic injury in the past year were enrolled the study. Core endurance (CE) was evaluated using Trunk Extensor Test, Bilateral Side Bridge Tests, and The Core Muscle Strength and Stability test. The results of the core endurance tests were compared with several upper extremity performance measurements: The Upper Quarter Y Balance Test (bilaterally in medial, inferolateral, and superolateral directions-UQYBT), Close Kinetic Chain Upper Extremity Stability Test (CKCUES test), medicine ball throws test (forward, reverse, right, and left in static and dynamic positions), hand grip strength, and Nelson hand reaction test. Results Eighty-three males were assessed during the study. Their mean age was 22.07 ± 1.89 year (range: 18–25) and mean body mass index was 23.77 ± 3.26 kg/m2 (range: 17.67–36.11). We observed low correlations between the CE tests and UQYBT (r range = 0.220 − 0.393, P < 0.05) but no correlations between the CE and hand grip strength and Nelson hand reaction test. CKCUES and medicine ball throws test (nondominant side in dynamic position) correlated with side bridge test, r = 0.279 and r = 0.240, respectively (P < 0.05). Conclusion The results of this study imply that the core endurance is related to the upper extremity performance in closed kinetic chain but not with open kinetic chain functions, where only distal extremity performance is present. Keywords Trunk endurance; Upper extremity; Upper Quarter Y Balance Test Disclosure of interest The authors declare that they have no competing interest. https://doi.org/10.1016/j.rehab.2018.05.388
Posters (First Part) / Annals of Physical and Rehabilitation Medicine 61S (2018) e103–e308
and into the TCL. The diagnosis of CTS was made by history, physical examination, sonographic evaluation, and electrophysiologic confirmation. Sonographic examinations were performed by one physiatrist using Samsung scanner with a 5–12 MHz linear transducer. Standard 23-gauge needles were used for administration of local anesthetics and triamcinolone mixture (total 1 cm3 ). After transverse view and longitudinal view, the entry point was determined. The entry point was below the distal crease, where the needle could easily introduce the injection material into the thickened TCL. The direction of the needle entry point was from lateral to ulnar side. Results Total of five female patients with CTS were included. The mean age was 55.4 ± 3.6 years. The mean duration of disease was 4.6 (range 3–8 mo) months. The results were good to excellent in all patients. There were no complications during the procedure. Conclusion Ultrasound-guided corticosteroid injection in CTS, combined with injection at the thickened TCL may be a good method and further research is needed to confirm the usability. Keywords Carpal tunnel syndrome; Injection; Sonography Disclosure of interest The authors declare that they have no competing interest. https://doi.org/10.1016/j.rehab.2018.05.386 ISPR8-1802
Reliability study of sub-acromial impingement tests including a new clinical manoeuver J. Beaudreuil 1,∗ , A. Ferenczi 2 , A. Yelnik 3 , P. Orcel 2 Groupe hospitalier Saint-Louis - Lariboisière - F.-Widal - Paris Diderot University, PRM and Rheumatology, Paris, France 2 Groupe hospitalier Saint-Louis - Lariboisière - F.-Widal - Paris Diderot University, Rheumatology, Paris, France 3 Groupe hospitalier Saint-Louis - Lariboisière - F.-Widal - Paris Diderot University, Physical and Rehabilitation Medicine, Paris, France ∗ Corresponding author. E-mail address: [email protected] (J. Beaudreuil)
1
Introduction/Background Neer, Hawkins, and Yocum tests are used in clinical practice to detect sub-acromial impingement. Their reliability has been few investigated. The goal of the study was to investigate reliability of Neer, Hawkins and Yocum tests. We also assessed an original manoeuver. Material and method Patients with shoulder pain due to degenerative rotator cuff disease were prospectively included. They were twice assessed at one week interval by two independent observers. Results of Neer, Hawkins and Yocum tests were recorded as positive or not. Results of an original manoeuver (OM) including elevation in medial rotation followed by lateral one were also. Intra- and inter-observer reliability was assessed. Criteria of reliability were the percentage of agreement and the kappa coefficient of concordance with 95% confidence interval (CI). Kappa coefficient indicated moderate concordance if > 0.4, good > 0.61. Results Thirty-four Patients were included: age 60 ± 11, ratio F/M 26/8, pain duration 27 ± 67 months. For intra-observer reliability, agreement was 80–88% with Neer, Hawkins and Yocum tests. It was 80% with OM. Using kappa coefficient, intra-observer reliability was poor with Neer test (0.34 [−0.1;1]) and moderate with Hawkins (0.56 [0;0.9]), Yocum (0.48 [0;0.8]) and OM (0.6 [0.2;0.9]). For interobserver reliability, agreement was 73–88% with Neer, Hawkins and Yocum tests. It was 79% with OM. Using kappa coefficient, inter-observer reliability was poor with Yocum test (0.35 [0;0.7]), moderate with Hawkins (0.54 [0.2;0.8]) and OM (0.58 [0.2;0.8]), and good with Neer (0.64 [0.2;0.9]). Conclusion Neer test was impaired by poor intra-observer reliability and Yocum test was impaired by poor inter-observer reliability. Hawkins test and OM had a balanced profile of moderate reliability. There was a trend to higher values with OM. We
underlined there an interesting profile of reliability of an original clinical manoeuver to detect sub-acromial impingement. Keywords Sub-acromial impingement; Rotator cuff Disclosure of interest The authors declare that they have no competing interest. https://doi.org/10.1016/j.rehab.2018.05.387 ISPR8-0508
The relationship between core endurance and upper extremity performance in sedentary collegiate males
R. Savkin , K.Y.A. Alsayani , N. Büker ∗ Pamukkale University, School of Physical Therapy and Rehabilitation, Denizli, Turkey ∗ Corresponding author. E-mail address: [email protected] (N. Büker) Introduction/Background Core muscles contribute to general spine stabilization when the trunk is exposed to flexion and extension moments. It is thought that movements begin from the center of the body (called the “powerhouse” or “core”) and flow outward to the extremities, and a strong core strengthens the whole body. Few studies have examined the relationship between core endurance and upper extremity performance and most of the studies have been done in athletes. Thus, the purpose of this study was to investigate relationships between core endurance, and upper extremity performance in sedentary collegiate males. Material and method Sedentary collegiate males who had not suffered any orthopedic injury in the past year were enrolled the study. Core endurance (CE) was evaluated using Trunk Extensor Test, Bilateral Side Bridge Tests, and The Core Muscle Strength and Stability test. The results of the core endurance tests were compared with several upper extremity performance measurements: The Upper Quarter Y Balance Test (bilaterally in medial, inferolateral, and superolateral directions-UQYBT), Close Kinetic Chain Upper Extremity Stability Test (CKCUES test), medicine ball throws test (forward, reverse, right, and left in static and dynamic positions), hand grip strength, and Nelson hand reaction test. Results Eighty-three males were assessed during the study. Their mean age was 22.07 ± 1.89 year (range: 18–25) and mean body mass index was 23.77 ± 3.26 kg/m2 (range: 17.67–36.11). We observed low correlations between the CE tests and UQYBT (r range = 0.220 − 0.393, P < 0.05) but no correlations between the CE and hand grip strength and Nelson hand reaction test. CKCUES and medicine ball throws test (nondominant side in dynamic position) correlated with side bridge test, r = 0.279 and r = 0.240, respectively (P < 0.05). Conclusion The results of this study imply that the core endurance is related to the upper extremity performance in closed kinetic chain but not with open kinetic chain functions, where only distal extremity performance is present. Keywords Trunk endurance; Upper extremity; Upper Quarter Y Balance Test Disclosure of interest The authors declare that they have no competing interest. https://doi.org/10.1016/j.rehab.2018.05.388