CORE Physical Therapy In Omaha Explains…
By Dr. Mark Rathjen PT DPT CSCS
CORE Physical Therapy & Sports Performance PC
Owner
17660 Wright St. 9/10/11
Omaha NE
402-933-4027
What does this mean?
Stated in the published study “All treatments improved pain, shoulder mobility, function, and disability in patients with SIS. However, modified PSSEs in addition to a treatment program was superior to the treatment program alone (without PSSEs) in improving pain with activity, internal rotation ROM, and dysfunction. Moreover, stretching provided clinically significant improvements.”
It means… Posteior shoulder stretching and exercise with patients with SAIS, sub acrominal impingement syndrome benefits them with pain markers, motion and functional ability to rotate and complete ADLS.
How does this affect me?
Your clinician working on our shoulder should not only incorporate stretching the poster aspect of the capsule for impingement, but re enforce the stability with exercises designed then the area with proprioceptive input and muscle recruitment and sequencing. It is our experience that your average physical therapy is not training in the advanced techniques required for these interventions. Ask questions to your provider and make sure the are heavily education on the top as well. If they are not, and have many follow questions, they are not doing you justice with your rehab program.
How can CORE help?
CORE Physical therapy and Sports performance is dedicated to being up to date on all advanced treatment parameters. We have the knowledge of the athlete, and the kinematics of the shoulder joint to assist you in recovery, faster and more efficient with built in prection techniques. You will not find a more cohesive program in the Omaha metro area. We look at the full muscle system above and below the area, and do a full assessment with normal range and functional testing. From there, we do a cohesive program based n findings, goals and history.
Locally owned and operated since 2015 in Omaha Nebraska.
Orig source https://pubmed.ncbi.nlm.nih.gov/32017660/
Effects of Modified Posterior Shoulder Stretching Exercises on Shoulder Mobility, Pain, and Dysfunction in Patients With Subacromial Impingement Syndrome
Abstract
Background: Posterior shoulder stretching exercises (PSSEs) aim to reduce posterior shoulder tightness (PST). Position modification of traditional PSSEs has been suggested to minimize inadequate control of scapular and glenohumeral rotation, possibly leading to increased subacromial impingement.
Hypothesis: Modified PSSEs will have positive effects on shoulder mobility, pain, and dysfunction.
Study design: Randomized controlled trial.
Level of evidence: Level 1.
Methods: A total of 67 symptomatic patients with subacromial impingement syndrome (SIS) and shoulder internal rotation asymmetry were randomly assigned to 3 groups: modified cross-body stretch (MCS) (n = 22; treatment program + MCS), modified sleeper stretch (MSS) (n = 22; treatment program + MSS), and a control group (n = 23; treatment program consisting of only modalities, range of motion [ROM], and strength training but no PSSEs) for 4 weeks. Pain, PST, shoulder rotation ROM, and dysfunction were evaluated.
Results: Pain, PST, shoulder rotation ROM, function, and disability improved in all groups (P < 0.05). The MCS and MSS groups had better results compared with the control group with regard to pain with activity, internal rotation ROM, function, and disability (P < 0.05). There was no significant difference between the stretching groups (P > 0.05).
Conclusion: All treatments improved pain, shoulder mobility, function, and disability in patients with SIS. However, modified PSSEs in addition to a treatment program was superior to the treatment program alone (without PSSEs) in improving pain with activity, internal rotation ROM, and dysfunction. Moreover, stretching provided clinically significant improvements.
Clinical relevance: Modified PSSEs, in addition to a treatment program, are beneficial for patients with SIS. Both modified cross-body and sleeper stretches are safe and efficacious for improving shoulder mobility, pain, and dysfunction.
Keywords: exercise; physical therapy; rehabilitation; shoulder; stretching.
C.O.R.E. Physical Therapy and Sports Performance PC,
17660 Wright St, Suites 9/10/11
Omaha, NE 68130
402-930-4027
CORE Physical Therapy is a small family owned business.
CORE Physical Therapy has no investors.
CORE Physical Therapy runs completely independent.
CORE Physical Therapy competes against huge companies and Hospitals.
CORE Physical Therapy has won Best of Omaha, 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023
CORE Physical Therapy has to be better than its competition to compete.
CORE Physical Therapy is different, Come see the CORE difference.
At CORE Physical Therapy in Omaha, We specialize in the treatment of athletes. We have worked with athletes for a combined 30 years. CORE was established in 2015 by Dr. Mark and Dr. Claire Rathjen. CORE is family owned and operated.
Proud winners of the Omaha Choice awards for 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023
Expertise award winners 2018, 2019, 2020, 2021, 2022
Faces of Omaha Winners 2018, 2019, 2020, 2021, 2022
We are proud to serve the greater Omaha metro area; Gretna, Elkhorn, Papillion, Bellevue.
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