Abstract:
BACKGROUND:Spinal accessory nerve (SAN) injury can be an overlooked cause of scapular winging and shoulder dysfunction. The most common etiology is iatrogenic injury following surgical procedures at the posterior triangle of the neck. We present three cases of isolated injury to the SAN following trauma. OBJECTIVE:To improve detection of SAN injuries through highlighting the clinical presentation, diagnosis and treatment via three cases in which the injuries were initially missed. METHODS:Clinical case series and narrative review. RESULTS:Three (3) patients were evaluated by history, physical exam and electrodiagnostic study (EMG). Clinical symptoms included, a painful, droopy shoulder and difficulties with overhead activities. Clinical signs included the observation of scapular winging, and focal atrophy of the trapezius and in some cases the sternocleidomastoid (SCM). Novel clinical signs such as the active elevation lag sign and triangle sign were also helpful clinically to highlight the SAN as the site of pathology. EMG revealed denervation and reduced motor unit recruitment in the trapezius and SCM. CONCLUSIONS:Early detection of SAN injuries can be improved through appropriate clinical suspicion, a detailed history and careful physical exam. EMG testing can help guide prognosis, direct conservative and surgical treatment, and reduce patient morbidity.
journal_name
J Back Musculoskelet Rehabiljournal_title
Journal of back and musculoskeletal rehabilitationauthors
Macaluso S,Ross DC,Doherty TJ,Doherty CD,Miller TAdoi
10.3233/BMR-160674subject
Has Abstractpub_date
2016-11-21 00:00:00pages
899-904issue
4eissn
1053-8127issn
1878-6324pii
BMR674journal_volume
29pub_type
杂志文章abstract:BACKGROUND:Lumbar lordosis is required for bipedalism. OBJECTIVES:To investigate age-related changes in lumbar lordosis and to clarify the relationships between lumbar lordosis and vertebral wedging and disc degeneration. METHODS:A total of 300 women were included in this retrospective study, 50 in each of six age gr...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-169666
更新日期:2017-09-22 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Morel-Lavallée Lesion (MLL) of the knee is an uncommon cause of knee swelling usually due to high-energy impact or in patients on anticoagulation. MLL of the knee due to low-energy non-athletic associated trauma in patients without antithrombotic therapy is rare. Early diagnosis can be achieved...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-200041
更新日期:2021-01-01 00:00:00
abstract:PURPOSE:To compare the short-term effect of prolotherapy and conservative terapy for the Tietze syndrome. PATIENTS AND METHODS:From 2013 to 2014, twenty-one patients underwent prolotherapy (group 1) and thirteen underwent conservative therapy with analgesics (group 2). A visual analogue score (VAS) was recorded for me...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-159269
更新日期:2017-09-22 00:00:00
abstract:OBJECTIVE:The purpose of this study was to examine whether strap length influences the trunk motion and gait symmetry of the ground reaction forces while walking with a single-strap bag. METHODS:Seventeen Korean women participated in this study. The kinematics of trunk motion and ground-reaction forces was recorded wh...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-2012-0335
更新日期:2012-01-01 00:00:00
abstract::Frozen shoulder is a common disorder characterized by pain and limitation of the glenohumeral joint motions. While it is usually clinically diagnosed, as it can also mimic several other painful shoulder pathologies, imaging techniques can contribute to the differential diagnosis. In the literature, static and dynamic ...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-181448
更新日期:2019-01-01 00:00:00
abstract:INTRODUCTION:The effect of the absence or presence of the Palmaris longus tendon on pinch and grip strength was investigated in this study. Similarly, the effect of the presence or absence of the fifth superficial flexor digitorum on grip strength in the hand was studied. The aim of the present study was to assess the ...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-170916
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Preprogrammed reactions (PPR) appear at a latency of higher than 40 ms, but before the voluntary muscle responds (approximately 120 ms) to postural perturbations. OBJECTIVE:To examine the difference in magnitude of preprogrammed reactions in patients with chronic low back pain (CLBP) and without low back pa...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-2010-0254
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:According to previously conducted studies, people with Low Back Pain (LBP) present with static balance deficiencies. OBJECTIVE:The aim of the present study was to compare static, as well as dynamic balance ability between Chronic Low Back Pain (CLBP) and healthy subjects. METHODS:The CLBP group comprised 1...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-160721
更新日期:2016-11-21 00:00:00
abstract::We have presented a patient of 71-year-age with brucellar spondylodiscitis, involving the cervical spine, especially the C3-C4 segment. The patient had painful percussion of the cervical spine and passive mobilization of the neck, decreased range of motion, and cervical paravertebral tenderness; but no abnormalities o...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-2009-0216
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Cervical Spondylosis (CS) is a degenerative and painful pathology, which needs conservative treatment to relieve symptoms. OBJECTIVE:The aim was to investigate the effects of Mulligan's mobilization (MM) and Kinesio taping (KT) on pain, range of motion (ROM), muscle strength, and function in CS. METHODS:Fo...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-160713
更新日期:2016-05-27 00:00:00
abstract:OBJECTIVE:To investigate the efficacy of High Intensity Laser Therapy (HILT) and Transcutaneous Electrical Nerve Stimulation (TENS) in low back pain (LBP). METHODS:Forty patients aged between 18 to 60 were included in this study. The patients were randomized into two groups as TENS (Group I) and HILT (Group II). The s...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/BMR-181199
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Radiographic examination is the gold standard to evaluate spine curves, but ionising radiations limit routine use. Non-invasive methods, such as skin-surface goniometer (IncliMed®) should be used instead. OBJECTIVE:To evaluate intra- and interrater reliability to assess sagittal curves and mobility of the s...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-160704
更新日期:2016-11-21 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Bone marrow oedema is a multifactorial conditioned illness. Alongside any strain relief of an affected joint, treatment with Iloprost also belongs to the choice of cures. In past studies, a modulatory effect on bone could be shown. The hypothesis of the present work is that Iloprost has a grow...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-171043
更新日期:2019-01-01 00:00:00
abstract::The pediatric hip changes through development, leading to a challenging evaluation of pain. Common problems noted in children include congenital dislocation of the hip, Legg-Calve-Perthes disease, slipped capital femoral epiphysis, and transient synovitis. Hip disorders are also seen secondary to other childhood disea...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-1994-4311
更新日期:1994-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study is to compare the plantar foot pressure and the center of pressure (COP) pathway of normal and flat feet while crossing an obstacle at different heights. METHODS:Nineteen subjects (10 normal feet, 9 flat feet) participated in this study. The plantar foot surface was divided into the...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-130449
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:The Flexi-Bar and Bodyblade are oscillatory tools used in rehabilitation centers worldwide to enhance muscle activity. Because of a lack of reports on the Flexi-Bar, this study focused on erector spinae (ES) muscle activation under different conditions. METHODS:Twelve university students (age 21 ± 2.5 years...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 临床试验,杂志文章
doi:10.3233/BMR-171011
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Fibrous dysplasia (FD) is a benign bone lesion manifested by local pain, swelling and deformity change. We report a case of monostotic fibrous dysplasia of the first thoracic vertebrae that treated by radical removal and reconstruction. CASE REPORT:A 29-year-old man with monostotic fibrous dys...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-150647
更新日期:2016-04-27 00:00:00
abstract:BACKGROUND:Upper rib manipulative therapy appears to be effective on primary complaint of shoulder pain, but its efficacy has not been evaluated in subjects with whiplash-associated disorders. OBJECTIVE:To assess the immediate changes on neural and muscular mechanosensitivity after first-rib manipulation in patients w...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/BMR-160645
更新日期:2017-01-01 00:00:00
abstract:PURPOSE:The purposes of this study were to: 1) investigate the inter-rater and intra-rater reliability of use of the Flexicurve for measurement of spinal length (L), thoracic (TL) and lumbar length (LL), thoracic (TW) and lumbar width (LW), and 2) quantify measurement error and minimal detectable change at the 95% CI (...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-2010-0269
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Spinal canal stenosis is the most common reason for spinal surgeries in patients over 65 years of age. The aim of the study was to assess static balance in patients prior to and after surgical decompression of lumbar spinal canal stenosis. MATERIAL AND METHODS:The study population consisted o...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-150646
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Hypomobility on a cervical segment is a frequent finding which is sometimes asymptomatic. The effects of inhibitory suboccipital techniques on cervical mobility have not been evaluated. OBJECTIVE:To compare the effect on cervical mobility, of pressure maintained suboccipital inhibition manual technique vers...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/BMR-160756
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Adjacent segment disease (ASD) is one of the problematic complications following anterior cervical decompression and fusion (ACDF). The impact of additional surgery with instruments is still unknown. OBJECTIVE:The objective of this study was to investigate the surgical outcomes of additional ACDF with instr...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-150381
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:The core stability theory has emphasized symmetric co-contraction of both anterolateral abdominal muscles (AAM), but there is a lack of research on whether the symmetric co-contraction of AAM is related to the postural stability of the trunk. OBJECTIVE:This study aimed to investigate the correlation between...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-170936
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Among all musculoskeletal disorders back pain is the most common reason for functional limitation in working age. It is due to low back pain (LBP) that the ODI has become one of the principal outcome measures for evaluation of disability and has been widely used in research as well as in clinical practice. S...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-169728
更新日期:2017-09-22 00:00:00
abstract:BACKGROUND:Kinesio taping (KT) is a new taping modality frequently used in the clinical setting. However there is contradictory evidence about its effectiveness in patients with neck pain. OBJECTIVE:To determine the effectiveness of KT as a supplementary treatment in addition to conventional rehabilitation in patients...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/BMR-170835
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:Compare the efficacy of orthoses and patient education with and without the addition to Low-Level Laser Therapy (LLLT - 660 nm, 30 mW, a continuous regime and bean area of 0.06 cm2). The laser irradiation was delivered with the fluency of 10J/cm2 in patients with mild and moderate Carpal Tunnel Syndrome (CTS)...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/BMR-150640
更新日期:2016-08-10 00:00:00
abstract:BACKGROUND:Lateral gliding cervical spine mobilisation is shown to improve shoulder pain, disability and function. However, despite common clinical-use, no study reports the effect of unilateral anterior-posterior (A-P) cervical mobilisation on shoulder pain and function, and particularly in patients after arthroscopic...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/BMR-160566
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Posture and physical function have been quantified in mature adults, but not in elderly females. OBJECTIVE:To quantify standing posture and measures of physical function in community-dwelling women over the age of 65 years, and to examine relationships between these variables. METHODS:Fifty-three women wer...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-140498
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:The intervertebral disc degeneration changes and paraspinal muscles changes are believed to be risk factors for lumbar degenerative spondylolisthesis (LDS). But there is limited quantitative information about this progression. This study is to reveal their changes the in the progression of LDS....
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-140515
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Cervical spinal instability often leads to neck pain and forward head posture (FHP). To improve neck pain and FHP, both the suboccipital muscle inhibition (SMI) technique and cranio-cervical flexion exercise (CCFE) have been used. However, little is known regarding the validity of hamstring flexibility in ne...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/BMR-171016
更新日期:2018-01-01 00:00:00