Isokinetic intervention in microtraumatic shoulder instability: an update

Détails

ID Serval
serval:BIB_D615CC46FAD0
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Isokinetic intervention in microtraumatic shoulder instability: an update
Périodique
J Sports Med Phys Fitness
Auteur⸱e⸱s
Gremeaux V., Croisier J. L., Forthomme B.
ISSN
0022-4707 (Print)
ISSN-L
0022-4707
Statut éditorial
Publié
Date de publication
08/2012
Volume
52
Numéro
4
Pages
413-23
Langue
anglais
Notes
Gremeaux, V
Croisier, J L
Forthomme, B
eng
Review
Systematic Review
Italy
J Sports Med Phys Fitness. 2012 Aug;52(4):413-23.
Résumé
AIM: Aim of the present study was to carry out a critical analysis of the use of isokinetic dynamometers for evaluation and rehabilitation in microtraumatic shoulder instability. METHODS: A non-systematic literature review was conducted on Medline using the following key words: "isokinetics", "shoulder instability", "evaluation", "rehabilitation". We also analyzed the related articles, and compiled a database of expert opinion. RESULTS: Despite a lack of consensus on testing modalities, lateral and medial rotator muscle strength can be safely and reliably assessed on isokinetic devices in subjects presenting with microtraumatic instability of the shoulder, before and after rehabilitation and/or surgery. There is considerable inter-individual variability in the results, leading to consider isokinetic testing as a useful examination before individualized rehabilitation. Its use as a muscle strengthening method in a global rehabilitation program seems interesting in order to correct rotator muscle strength deficiencies and/or asymmetries, which may be infra-clinical, even though strong scientific evidence is still lacking. CONCLUSION: Isokinetics is a safe tool for evaluation and seems to be effective in rehabilitation for microtraumatic instability of the shoulder. It would, however, be necessary to standardize practices thanks to rigorous clinical studies, so as to determine precisely the indications of this technique in the comprehensive management of shoulder instability.
Mots-clé
Exercise Therapy/*methods, Humans, Joint Instability/*diagnosis/*rehabilitation/surgery, Muscle Strength, Muscle Strength Dynamometer, Muscle, Skeletal/*physiopathology, Shoulder Joint/injuries/*physiopathology
Pubmed
Création de la notice
26/11/2019 11:35
Dernière modification de la notice
06/05/2020 5:26
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