Annals of Rehabilitation Medicine

"Shoulder joint"

Original Articles

Cancer rehabilitation

Effects of Hydrodilatation With Corticosteroid Injection and Biomechanical Properties in Patients With Adhesive Capsulitis After Breast Cancer Surgery: Chang Won Lee, In Soo Kim, Jeong-Gil Kim, Hyeoncheol Hwang, Il Young Jung, Shi-Uk Lee, Kwan-Sik Seo; Ann Rehabil Med 2022;46(4):192-201. Published online August 31, 2022; DOI: https://doi.org/10.5535/arm.22059

Abstract
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Objective
To compare the biomechanical properties of the glenohumeral joint capsule between adhesive capsulitis (AC) after breast cancer surgery and idiopathic AC and demonstrate the effects of hydrodilatation (HD) with corticosteroid injection for AC after breast cancer surgery.
Methods
Twenty-three prospective patients with AC after breast cancer surgery (BC group) and 44 retrospective patients with idiopathic AC without breast cancer (CON group) underwent HD with corticosteroid injection and home exercise training. We compared their biomechanical characteristics (capsular capacity, maximal pressure, and capsular stiffness). In the BC group, the passive range of motion (ROM) of the affected shoulder and a questionnaire (Shoulder Pain and Disability Index [SPADI]) were evaluated at baseline and 2 and 4 weeks after treatment.
Results
The BC group showed higher biomechanical characteristics (maximal pressure and capsular stiffness) than did the CON group. The mean maximal pressure and capsular stiffness were 519.67±120.90 mmHg and 19.69±10.58 mmHg/mL in the BC group and 424.78±104.42 mmHg and 11.55±7.77 mmHg/mL in the CON group (p=0.002 and p=0.001, respectively). And, the BC group showed significant improvements in all ROMs (abduction, flexion, and external rotation) and the SPADI pain and disability sub-scores following the treatment.
Conclusion
The glenohumeral joint capsular stiffness was greater in the patients with AC after breast cancer surgery than in those with idiopathic AC. HD with corticosteroid injection was effective in treating AC after breast cancer surgery.

Citations

Citations to this article as recorded by

Manual therapy considerations for adhesive capsulitis in the breast cancer population: a clinical perspective
Diana Garrett, Gary Kearns, Steve Karas
Journal of Manual & Manipulative Therapy.2025; 33(6): 547. CrossRef
An update on rehabilitative treatment of shoulder disease after breast cancer care
P. E. Ferrara, D. M. Gatto, S. Codazza, P. Zordan, G. Stefinlongo, M. Ariani, D. Coraci, G. Ronconi
MUSCULOSKELETAL SURGERY.2024; 108(1): 31. CrossRef
Effects of Intra-Articular Triamcinolone Injection on Adhesive Capsulitis after Breast Cancer Surgery
Sungwon Kim, Sunwoo Kim, Jong Geol Do, Ji Hye Hwang
Diagnostics.2024; 14(14): 1464. CrossRef

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The Effect of Glenohumeral Internal Rotation Deficit on the Isokinetic Strength, Pain, and Quality of Life in Male High School Baseball Players: Jinyoung Lee, Li-Na Kim, Hongsun Song, Sunghwan Kim, Seungseok Woo; Ann Rehabil Med 2015;39(2):183-190. Published online April 24, 2015; DOI: https://doi.org/10.5535/arm.2015.39.2.183

Abstract
PDF

Objective

To investigate the effects of glenohumeral internal rotation deficit (GIRD) on the isokinetic strength, body pain, and the quality of life in male high school baseball players of Korea.

Methods

Fifty-six male high school baseball players were divided into either group A (GIRD≥20°, n=12) or group B (GIRD<20°, n=44). The range of motion in the shoulder and the isokinetic strength were measured. Questionnaires were administered regarding the body pain location by using the visual analogue scale, and the quality of life was measured by using the SF-36 Form.

Results

All subjects had increased external rotation range of motion and decreased internal rotation in the throwing shoulder. The incidence of GIRD (≥20°) was 21.43% in the present study. In the isokinetic strength test, a significantly weaker muscular state at an angular velocity of 180°/s was observed in group A, compared to group B. For the comparison of the pain, the frequency of shoulder pain was higher (33.93%) than other body pain, among the study subjects.

Conclusion

GIRD is one of the main risk factors of glenohumeral joint damage, and it is correlated with reduced isokinetic strength and quality of life. High school baseball players will need appropriate shoulder rehabilitation programs for the improvement in their quality of life and performance.

Citations

Citations to this article as recorded by

Shoulder pain and dysesthesia of the hand: a prospective evaluation of 1201 consecutive patients presenting for shoulder surgery
Chen Zhang, Joseph Latif, Patrick Lam, George A.C. Murrell
Journal of Shoulder and Elbow Surgery.2025; 34(11): e1107. CrossRef
Effects of NMES-Guided Scapular Retraction Exercise Program in Amateur Female Handball Players with Scapular Dyskinesis Without Shoulder Pain: A Randomized Controlled Clinical Trial
Luis Espejo-Antúnez, Javier Gutiérrez-Coronado, Carlos Fernández-Morales, Manuel Albornoz-Cabello, Luis Fernando Prato, María de los Ángeles Cardero-Durán
Journal of Clinical Medicine.2025; 14(15): 5567. CrossRef
Factors Affecting the Health-Related Quality of Life in Taiwanese Adolescent Baseball Players: A Prospective Longitudinal Study
Po-Cheng Chen, Hou-Tsung Chen, Kuan-Ting Wu, Yu-Chi Huang, Nai-Lun Lee, Chi-Fa Hung, Wen-Yi Chou
Orthopaedic Journal of Sports Medicine.2025;[Epub] CrossRef
Impact of low back pain experience on future occurrence of shoulder pain in adolescent baseball players: A 1-year prospective cohort study
Hirokazu Yamaoka, Kinshi Kato, Kenichi Otoshi, Yota Kaneko, Ryoji Tominaga, Takahiro Kaga, Takahiro Igari, Ryohei Sato, Shin-ichi Konno
Journal of Orthopaedic Science.2024; 29(3): 897. CrossRef
Glenohumeral internal rotation deficit: insights into pathologic, clinical, diagnostic, and therapeutic characteristics
Mohamad Y. Fares, Jad Lawand, Mohammad Daher, Joyce D. Suarez, Theodore Kayepkian, Jonathan Koa, Eddie Geagea, Joseph A. Abboud
Clinics in Shoulder and Elbow.2024; 27(4): 505. CrossRef
Identifying the underlying mechanisms responsible for glenohumeral internal rotation in professional baseball pitchers
Ryan W. Paul, Brandon J. Erickson, Steven B. Cohen, Michael G. Ciccotti, Michael Hefta, Paul Buchheit, Joseph Rauch, Shawn Fcasni, Alex Plum, Aaron Hoback, Stephen J. Thomas
JSES International.2023; 7(1): 138. CrossRef
Measuring the Average Peak Timing of Kinematic Variables in Youth and Adolescent Baseball Pitchers
Mark Boland, Daniel Zambanini, Ivan Mulligan, Sean Donegan
International Journal of Sports Physical Therapy.2023;[Epub] CrossRef
Survey and Sonographic Evaluation of Shoulder Musculoskeletal Pain in Korean Junior Elite Tennis Players: A Pilot Study
Hyeongwoo Park, Seokjoon Hong, Byungju Ryu
The Korean Journal of Sports Medicine.2023; 41(2): 83. CrossRef
Treatment of glenohumeral internal rotation deficit in the general population with shoulder pain: An open single-arm clinical trial
Rafael Jácome-López, Javier Tejada-Gallego, José María Silberberg, Fernando García-Sanz, Francisco García-Muro San José
Medicine.2023; 102(38): e35263. CrossRef
Bilateral glenohumeral internal rotation deficit (GIRD) in elite gymnasts
Ralf J Doyscher, Leopold Rühl, Benjamin Czichy, Konrad Neumann, Timm Denecke, Bernd Wolfarth, Scott A Rodeo, Markus Scheibel
Archives of Orthopaedic and Trauma Surgery.2022; 143(5): 2599. CrossRef
Glenohumeral Internal Rotation Deficit in the Adolescent Overhead Athlete: A Systematic Review and Meta-Analysis
Kyle Gouveia, Jeffrey Kay, Muzammil Memon, Nicole Simunovic, Olufemi R. Ayeni
Clinical Journal of Sport Medicine.2022; 32(5): 546. CrossRef
Association Between Musculoskeletal Pain and Psychological Stress Responses in High School Baseball Players: A Cross-sectional Study
Kinshi Kato, Kenichi Otoshi, Ryoji Tominaga, Takahiro Kaga, Takahiro Igari, Ryohei Sato, Noriaki Kurita, Shin-ichi Konno
Orthopaedic Journal of Sports Medicine.2021;[Epub] CrossRef
Analysis of the presence and influence of Glenohumeral Internal Rotation Deficit on posterior stiffness and isometric shoulder rotators strength ratio in recreational and amateur handball players
Lorena P. Vigolvino, Bianca R.S. Barros, Cléa E.B. Medeiros, Scheila M. Pinheiro, Catarina O. Sousa
Physical Therapy in Sport.2020; 42: 1. CrossRef
The Relationship Between Baseball Participation and Health: A Systematic Scoping Review
Garrett S. Bullock, Jerneja Uhan, Elinor K. Harriss, Nigel K. Arden, Stephanie R. Filbay
Journal of Orthopaedic & Sports Physical Therapy.2020; 50(2): 55. CrossRef
Predictors associated with a range of motion of shoulder rotation in competitive high school water polo players: a cross-sectional study
Amanda Gomes de Assis Couto, Júlia Gonzalez Fayão, Felipe de Souza Serenza, Anamaria Siriani de Oliveira
Motriz: Revista de Educação Física.2020;[Epub] CrossRef
Upper Extremity Musculoskeletal Characteristics and the Kerlan-Jobe Orthopaedic Clinic Questionnaire Score in Collegiate Baseball Athletes
Mallory S. Faherty, Aldo Plata, Patrick Chasse, Robert Zarzour, Timothy C. Sell
Journal of Athletic Training.2019; 54(9): 945. CrossRef
The effects of posterior shoulder stretch on rotator cuff strength ratio in adolescent baseball players with scapular dyskinesis: A randomized controlled trial
Yu Ilyoung, Kang Minhyeok, Oh Jaeseop
Isokinetics and Exercise Science.2018; 26(1): 63. CrossRef
Glenohumeral Internal Rotation Deficit and Risk of Upper Extremity Injury in Overhead Athletes: A Meta-Analysis and Systematic Review
Robert A. Keller, Anthony F. De Giacomo, Julie A. Neumann, Orr Limpisvasti, James E. Tibone
Sports Health: A Multidisciplinary Approach.2018; 10(2): 125. CrossRef
The Effect of Rotator Cuff Muscles Exercises on Range of Motion, Proprioception and Electrical Activity in Male Volleyball Players with Shoulder Joint Internal Rotation Deficit
Mohsen Moradi, Malihe Hadadnechad, Amir Letafatkar
Journal of Human, Environment, and Health Promotion.2018; 3(2): 72. CrossRef
The effects of pelvic alignment versus hip joint mobility on shoulder internal rotation deficit and torque production – A blinded randomized controlled study
Mohammad Reza Nourbakhsh, Ashley Bluestein, Richard Power, Shaun Underwood, Leanna White
Physical Therapy in Sport.2018; 34: 164. CrossRef
The laterality of physical function in high school baseball players with shoulder or elbow injury
Hitoshi Koda, Yoshihiro Kai, Noriyuki Kida, Tomoyuki Matsui, Yoshikazu Azuma, Machiko Hiramoto, Kazuya Seo, Tetsuya Miyazaki, Yoshikazu Kida, Toru Morihara
Japanese Journal of Health Promotion and Physical Therapy.2018; 8(3): 127. CrossRef
The volleyball athlete’s shoulder: biomechanical adaptations and injury associations
Dimitrios Challoumas, Antonio Stavrou, Georgios Dimitrakakis
Sports Biomechanics.2017; 16(2): 220. CrossRef

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Ultrasonography Guided Glenohumeral Injection Using an Anterior Approach: A Cadaveric Study.: Kim, Min Wook , Kim, Joon Sung , Ko, Young Jin , Lee, Won Ihl , Kim, Jae Min , Yun, Jong Soo; J Korean Acad Rehabil Med 2009;33(2):215-218.

Abstract
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Objective
To assess the accuracy and confidence of the glenohumeral joint injection using an anterior approach in cadavers. Method: Eight shoulders from six cadavers were placed supine with arm abduction and external rotation. A single physiatrist performed all the ultrasonography guided injection using an anterior approach. A twenty-one gauge needle was placed into shoulder and intraarticular position was verified by small injection of blue dye. And then the anatomic dis-section was done. Results: Seven out of eight (87.5%) were judged to be accu-rately placed by the anatomic section. In one case, the needle tip was placed in supraglenoid space. In one of the seven accurate cases, the needle traversed the long head tendon of biceps muscle. Confidence of the injections was 87.5%. Conclusion: Ultrasonography guided glenohumeral injection using an anterior approach was efficient and safe. (J Korean Acad Rehab Med 2009; 33: 215-218)